{"id":1713,"date":"2018-03-22T09:09:30","date_gmt":"2018-03-22T13:09:30","guid":{"rendered":"http:\/\/www.coshoctoncounty.net\/auditor\/?page_id=1713"},"modified":"2018-05-08T13:13:58","modified_gmt":"2018-05-08T17:13:58","slug":"consumer-complaint-form","status":"publish","type":"page","link":"https:\/\/www.coshoctoncounty.net\/auditor\/consumer-complaint-form\/","title":{"rendered":"Consumer Complaint Form"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1708-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"1708\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/auditor\/wp-json\/wp\/v2\/pages\/1713#wpcf7-f1708-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"1708\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1708-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<p>BUSINESS INFORMATION:\n<\/p>\n<p>Name: <span class=\"wpcf7-form-control-wrap\" data-name=\"Name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Name\" \/><\/span><br \/>\nAddress: <span class=\"wpcf7-form-control-wrap\" data-name=\"Address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Address\" \/><\/span><br \/>\nCity: <span class=\"wpcf7-form-control-wrap\" data-name=\"City\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"City\" \/><\/span><br \/>\nState: <span class=\"wpcf7-form-control-wrap\" data-name=\"State\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"State\" \/><\/span><br \/>\nZip: <span class=\"wpcf7-form-control-wrap\" data-name=\"Zip\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Zip\" \/><\/span><br \/>\nDate of Occurrence: <span class=\"wpcf7-form-control-wrap\" data-name=\"DateOfOccurrence\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"DateOfOccurrence\" \/><\/span><br \/>\nDevice Type: <span class=\"wpcf7-form-control-wrap\" data-name=\"DeviceType\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"DeviceType\" \/><\/span><br \/>\nDevice Location: <span class=\"wpcf7-form-control-wrap\" data-name=\"DeviceLocation\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"DeviceLocation\" \/><\/span><br \/>\nPump Number: <span class=\"wpcf7-form-control-wrap\" data-name=\"PumpNumber\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"PumpNumber\" \/><\/span><br \/>\nDescription Of Complaint: <span class=\"wpcf7-form-control-wrap\" data-name=\"DescriptionOfComplaint\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"DescriptionOfComplaint\" \/><\/span>\n<\/p>\n<p>CONSUMER INFORMATION:\n<\/p>\n<p>Name: <span class=\"wpcf7-form-control-wrap\" data-name=\"Name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Name\" \/><\/span><br \/>\nAddress: <span class=\"wpcf7-form-control-wrap\" data-name=\"Address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Address\" \/><\/span><br \/>\nCity: <span class=\"wpcf7-form-control-wrap\" data-name=\"City\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"City\" \/><\/span><br \/>\nState: <span class=\"wpcf7-form-control-wrap\" data-name=\"State\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"State\" \/><\/span><br \/>\nZip: <span class=\"wpcf7-form-control-wrap\" data-name=\"Zip\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Zip\" \/><\/span><br \/>\nTelephone Number: <span class=\"wpcf7-form-control-wrap\" data-name=\"TelephoneNumber\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"TelephoneNumber\" \/><\/span><br \/>\nEmail: <span class=\"wpcf7-form-control-wrap\" data-name=\"Email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"Email\" \/><\/span><br \/>\nComments: <span class=\"wpcf7-form-control-wrap\" data-name=\"Comments\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Comments\" \/><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":11,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"ngg_post_thumbnail":0,"footnotes":""},"class_list":["post-1713","page","type-page","status-publish","hentry","post-preview"],"_links":{"self":[{"href":"https:\/\/www.coshoctoncounty.net\/auditor\/wp-json\/wp\/v2\/pages\/1713","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.coshoctoncounty.net\/auditor\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.coshoctoncounty.net\/auditor\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.coshoctoncounty.net\/auditor\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/www.coshoctoncounty.net\/auditor\/wp-json\/wp\/v2\/comments?post=1713"}],"version-history":[{"count":3,"href":"https:\/\/www.coshoctoncounty.net\/auditor\/wp-json\/wp\/v2\/pages\/1713\/revisions"}],"predecessor-version":[{"id":1806,"href":"https:\/\/www.coshoctoncounty.net\/auditor\/wp-json\/wp\/v2\/pages\/1713\/revisions\/1806"}],"wp:attachment":[{"href":"https:\/\/www.coshoctoncounty.net\/auditor\/wp-json\/wp\/v2\/media?parent=1713"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}