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South Bend 311
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[ { "name": "Description", "type": "textarea", "required": true } ]
General Service (Traffic and Lighting)
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Service Form
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Contact Information
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First Name
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Last Name
*
Phone Number
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E-mail
(Fill this out to receive an email with a receipt for your service request)
Review Information
Contact Info
Service Info
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Requested By:
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Service Form Content
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Knowledge Article
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Regarding Phone Call
Origin
In Person
Portal
Phone
Email
Text
Social Media
Internal
Status Reason
Service Request Number
*
Portal Location Input
*
Portal Origin Hack
*
Portal Note JSON
*
Approximate Location
*
Latitude
*
*
Longitude
*
*
Portal Contact
*
Created On
GeoJSON Output
*
Service Form JSON
*
Created By
Confirmation Email
*
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