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[ { "displayName": "Address where damage occurred", "type": "textarea", "schemaName": "address", "instructions": "", "help": "", "required": false }, { "displayName": "Which parts of the property were damaged?", "type": "checkboxseries", "options": [ { "schemaName": "mailbox", "displayName": "Mailbox" }, { "schemaName": "lawn", "displayName": "Lawn" }, { "schemaName": "curb", "displayName": "Curb" }, { "schemaName": "other", "displayName": "Other" } ], "schemaName": "type", "instructions": "", "help": "", "required": false }, { "displayName": "Date and time the damage occurred", "type": "textarea", "schemaName": "datetime", "instructions": "", "help": "", "required": false }, { "displayName": "If known, truck number or color of truck", "type": "textarea", "schemaName": "truck", "instructions": "", "help": "", "required": false }, { "displayName": "Additional notes", "type": "textarea", "schemaName": "notes", "instructions": "", "help": "", "required": false } ]
Damage from Plow
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Location for Request
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Service Form
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Address where damage occurred
Which parts of the property were damaged?
Mailbox
Lawn
Curb
Other
Date and time the damage occurred
If known, truck number or color of truck
Additional notes
Contact Information
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First Name
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Last Name
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