<form-template> <fields> <field type="header" subtype="h3" label="Fill this form out when you will no longer need a Utility Bill because you have sold your property or are moving out of a rental." class="header"></field> <field type="text" subtype="text" required="true" label="Date for Final Read:" class="form-control text-input" name="text-1655740431520"></field> <field type="text" subtype="text" required="true" label="Name:" class="form-control text-input" name="text-1655740449778"></field> <field type="text" subtype="text" required="true" label="Account Number:" class="form-control text-input" name="text-1655740464899"></field> <field type="text" subtype="text" required="true" label="Contact Number:" class="form-control text-input" name="text-1655740482982"></field> <field type="text" subtype="text" required="true" label="Please type your name for Signature:" class="form-control text-input" name="text-1655740500012"></field> </fields> </form-template> Submit Submitting...
