Clearwater County - Wildfire (RWF038) Public Inquiries

Wildfire (RWF038) Public Inquiries

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	<fields>
		<field type="select" label="Please specify if you are a:" class="form-control select" name="select-1658515599381">
			<option value="Resident" selected="true">Clearwater County Resident</option>
			<option value="Reporter / Media Outlet">Reporter / Media Outlet</option>
			<option value="Other">Other</option>
		</field>
		<field type="textarea" label="If you have questions about the wildfire west of Nordegg (RWF038), please enter in the field below." class="form-control text-area" name="textarea-1658516136435"></field>
		<field type="select" label="How would you like to be contacted?" class="form-control select" name="select-1658602504700">
			<option value="Email" selected="true">Email</option>
			<option value="Phone">Phone</option>
		</field>
		<field type="text" subtype="text" label="Name:" description="Your first and last name" class="form-control text-input" name="text-1658602350077"></field>
		<field type="text" subtype="text" label="Email Address:" class="form-control text-input" name="text-1658602380251"></field>
		<field type="text" subtype="text" label="Phone Number:" class="form-control text-input" name="text-1658602397908"></field>
		<field type="paragraph" subtype="output" label="If you have other urgent questions that require immediate attention, please call the Information Office on call at 403-895-7272.   If this is an emergency, call 9-1-1." class="paragraph"></field>
	</fields>
</form-template>

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Wildfire (RWF038) Public Inquiries

Wildfire (RWF038) Public Inquiries

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