[{"id":"65","title":"Handicap Parking Request Form (#65)","status":"published","appearance_settings":null,"form_fields":{"fields":[{"index":0,"element":"input_name","attributes":{"name":"names","data-type":"name-element"},"settings":{"container_class":"","admin_field_label":"Name","conditional_logics":[]},"fields":{"first_name":{"element":"input_text","attributes":{"type":"text","name":"first_name","value":"","id":"","class":"","placeholder":""},"settings":{"container_class":"","label":"First Name","help_message":"","visible":true,"validation_rules":{"required":{"value":false,"message":"This field is required"}},"conditional_logics":[]},"editor_options":{"template":"inputText"}},"middle_name":{"element":"input_text","attributes":{"type":"text","name":"middle_name","value":"","id":"","class":"","placeholder":"","required":false},"settings":{"container_class":"","label":"Middle Name","help_message":"","error_message":"","visible":true,"validation_rules":{"required":{"value":false,"message":"This field is required"}},"conditional_logics":[]},"editor_options":{"template":"inputText"}},"last_name":{"element":"input_text","attributes":{"type":"text","name":"last_name","value":"","id":"","class":"","placeholder":"","required":false},"settings":{"container_class":"","label":"Last Name","help_message":"","error_message":"","visible":true,"validation_rules":{"required":{"value":false,"message":"This field is required"}},"conditional_logics":[]},"editor_options":{"template":"inputText"}}},"editor_options":{"title":"Name Fields","element":"name-fields","icon_class":"icon-user","template":"nameFields"},"uniqElKey":"el_1570704050129"},{"index":1,"element":"input_email","attributes":{"type":"email","name":"email","value":"","id":"","class":"","placeholder":""},"settings":{"container_class":"","label":"Mailing Address","label_placement":"","help_message":"","admin_field_label":"","validation_rules":{"required":{"value":false,"message":"This field is required"},"email":{"value":true,"message":"This field must contain a valid email"}},"conditional_logics":[]},"editor_options":{"title":"Email Address","icon_class":"icon-envelope-o","template":"inputText"},"uniqElKey":"el_1570704066050"},{"index":4,"element":"address","attributes":{"id":"","class":"","name":"address1","data-type":"address-element"},"settings":{"label":"Address","admin_field_label":"","conditional_logics":[]},"fields":{"address_line_1":{"element":"input_text","attributes":{"type":"text","name":"address_line_1","value":"","id":"","class":"","placeholder":""},"settings":{"container_class":"","label":"Address Line 1","admin_field_label":"","help_message":"","visible":true,"validation_rules":{"required":{"value":false,"message":"This field is required"}},"conditional_logics":[]},"editor_options":{"template":"inputText"}},"address_line_2":{"element":"input_text","attributes":{"type":"text","name":"address_line_2","value":"","id":"","class":"","placeholder":""},"settings":{"container_class":"","label":"Address Line 2","admin_field_label":"","help_message":"","visible":true,"validation_rules":{"required":{"value":false,"message":"This field is required"}},"conditional_logics":[]},"editor_options":{"template":"inputText"}},"city":{"element":"input_text","attributes":{"type":"text","name":"city","value":"","id":"","class":"","placeholder":""},"settings":{"container_class":"","label":"City","admin_field_label":"","help_message":"","error_message":"","visible":true,"validation_rules":{"required":{"value":false,"message":"This field is required"}},"conditional_logics":[]},"editor_options":{"template":"inputText"}},"state":{"element":"input_text","attributes":{"type":"text","name":"state","value":"","id":"","class":"","placeholder":""},"settings":{"container_class":"","label":"State","admin_field_label":"","help_message":"","error_message":"","visible":true,"validation_rules":{"required":{"value":false,"message":"This field is required"}},"conditional_logics":[]},"editor_options":{"template":"inputText"}},"zip":{"element":"input_text","attributes":{"type":"text","name":"zip","value":"","id":"","class":"","placeholder":"","required":false},"settings":{"container_class":"","label":"Zip Code","admin_field_label":"","help_message":"","error_message":"","visible":true,"validation_rules":{"required":{"value":false,"message":"This field is required"}},"conditional_logics":[]},"editor_options":{"template":"inputText"}},"country":{"element":"select_country","attributes":{"name":"country","value":"","id":"","class":"","placeholder":"","required":false},"settings":{"container_class":"","label":"Country","admin_field_label":"","help_message":"","error_message":"","visible":true,"validation_rules":{"required":{"value":false,"message":"This field is required"}},"country_list":{"active_list":"all","visible_list":[],"hidden_list":[]},"conditional_logics":[]},"options":{"BD":"Bangladesh","US":"US of America"},"editor_options":{"title":"Country List","element":"country-list","icon_class":"icon-text-width","template":"selectCountry"}}},"editor_options":{"title":"Address Fields","element":"address-fields","icon_class":"icon-credit-card","template":"addressFields"},"uniqElKey":"el_1570704076614"},{"index":30,"element":"phone","attributes":{"name":"phone","class":"","value":"","type":"tel","placeholder":""},"settings":{"container_class":"","placeholder":"","int_tel_number":"no","label":"Phone","label_placement":"","help_message":"","admin_field_label":"","validation_rules":{"required":{"value":false,"message":"This field is required"},"valid_phone_number":{"value":false,"message":"Phone number is not valid"}},"conditional_logics":[]},"editor_options":{"title":"Phone Field","icon_class":"el-icon-phone-outline","template":"inputText"},"uniqElKey":"el_1570704090023"},{"index":13,"element":"input_date","attributes":{"type":"text","name":"datetime","value":"","id":"","class":"","placeholder":""},"settings":{"container_class":"","label":"Date of Birth","admin_field_label":"","label_placement":"","date_format":"d\/m\/Y","help_message":"","is_time_enabled":true,"validation_rules":{"required":{"value":false,"message":"This field is required"}},"conditional_logics":[]},"editor_options":{"title":"Time & Date","icon_class":"icon-calendar-o","template":"inputText"},"uniqElKey":"el_1570704099615"},{"index":1,"element":"input_email","attributes":{"type":"email","name":"email_1","value":"","id":"","class":"","placeholder":""},"settings":{"container_class":"","label":"Email Address","label_placement":"","help_message":"","admin_field_label":"","validation_rules":{"required":{"value":false,"message":"This field is required"},"email":{"value":true,"message":"This field must contain a valid email"}},"conditional_logics":[]},"editor_options":{"title":"Email Address","icon_class":"icon-envelope-o","template":"inputText"},"uniqElKey":"el_1570704118618"},{"index":2,"element":"input_text","attributes":{"type":"text","name":"input_text","value":"","class":"","placeholder":""},"settings":{"container_class":"","label":"Driver License Number","label_placement":"","admin_field_label":"","help_message":"","validation_rules":{"required":{"value":false,"message":"This field is required"}},"conditional_logics":[]},"editor_options":{"title":"Simple Text","icon_class":"icon-text-width","template":"inputText"},"uniqElKey":"el_1570704128608"},{"index":9,"element":"input_checkbox","attributes":{"type":"checkbox","name":"checkbox","value":[]},"settings":{"container_class":"","label":"Application Type","admin_field_label":"","label_placement":"","display_type":"","help_message":"","validation_rules":{"required":{"value":false,"message":"This field is required"}},"conditional_logics":[]},"options":{"Permanent Placard":"Permanent Placard","Temporary Placard":"Temporary Placard","Travel Parking Placard":"Travel Parking Placard","Disabled Person License Plate":"Disabled Person License Plate"},"editor_options":{"title":"Check Box","icon_class":"icon-check-square-o","template":"inputCheckbox"},"uniqElKey":"el_1570704143105"},{"index":2,"element":"input_text","attributes":{"type":"text","name":"input_text_1","value":"","class":"","placeholder":""},"settings":{"container_class":"","label":"License Plate Number","label_placement":"","admin_field_label":"","help_message":"","validation_rules":{"required":{"value":true,"message":"This field is required"}},"conditional_logics":{"type":"any","status":true,"conditions":[{"field":"checkbox","value":"Disabled Person License Plate","operator":"="}]}},"editor_options":{"title":"Simple Text","icon_class":"icon-text-width","template":"inputText"},"uniqElKey":"el_1570704207888"},{"index":2,"element":"input_text","attributes":{"type":"text","name":"input_text_2","value":"","class":"","placeholder":""},"settings":{"container_class":"","label":"Vehicle Identification Number (VIN)","label_placement":"","admin_field_label":"","help_message":"","validation_rules":{"required":{"value":false,"message":"This field is required"}},"conditional_logics":{"type":"any","status":true,"conditions":[{"field":"checkbox","value":"Disabled Person License Plate","operator":"="}]}},"editor_options":{"title":"Simple Text","icon_class":"icon-text-width","template":"inputText"},"uniqElKey":"el_1570704245053"},{"index":2,"element":"input_text","attributes":{"type":"text","name":"input_text_3","value":"","class":"","placeholder":""},"settings":{"container_class":"","label":"Vehicle Make","label_placement":"","admin_field_label":"","help_message":"","validation_rules":{"required":{"value":false,"message":"This field is required"}},"conditional_logics":{"type":"any","status":true,"conditions":[{"field":"checkbox","value":"Disabled Person License Plate","operator":"="}]}},"editor_options":{"title":"Simple Text","icon_class":"icon-text-width","template":"inputText"},"uniqElKey":"el_1570704262456"},{"index":2,"element":"input_text","attributes":{"type":"text","name":"input_text_4","value":"","class":"","placeholder":""},"settings":{"container_class":"","label":"Vehicle Year","label_placement":"","admin_field_label":"","help_message":"","validation_rules":{"required":{"value":false,"message":"This field is required"}},"conditional_logics":{"type":"any","status":true,"conditions":[{"field":"checkbox","value":"Disabled Person License Plate","operator":"="}]}},"editor_options":{"title":"Simple Text","icon_class":"icon-text-width","template":"inputText"},"uniqElKey":"el_1570704289485"},{"index":14,"element":"input_file","attributes":{"type":"file","name":"file-upload","value":"","id":"","class":""},"settings":{"container_class":"","label":"Please attach document from state licensed medical physician to certify disability.","admin_field_label":"","label_placement":"","btn_text":"Choose File","help_message":"","validation_rules":{"required":{"value":false,"message":"This field is required"},"max_file_size":{"value":1048576,"_valueFrom":"MB","message":"Maximum file size limit"},"max_file_count":{"value":1,"message":"Max file count"},"allowed_file_types":{"value":[],"message":"allowed_file_types"}},"conditional_logics":[]},"editor_options":{"title":"File Upload","icon_class":"icon-upload","template":"inputFile"},"uniqElKey":"el_1570704315097"},{"index":5,"element":"terms_and_condition","attributes":{"type":"checkbox","name":"terms-n-condition","value":false,"class":""},"settings":{"tnc_html":"<p>The information I have entered is truthful to the best of my knowledge.<\/p>","has_checkbox":true,"admin_field_label":"Terms and Conditions","container_class":"","validation_rules":{"required":{"value":true,"message":"This field is required"}},"conditional_logics":[]},"editor_options":{"title":"Terms & Conditions","icon_class":"icon-check-square-o","template":"termsCheckbox"},"uniqElKey":"el_1570704348194"}],"submitButton":{"uniqElKey":"el_1524065200616","element":"button","attributes":{"type":"submit","class":""},"settings":{"align":"right","button_style":"green","container_class":"","help_message":"","background_color":"#67C23A","button_size":"md","color":"#ffffff","button_ui":{"type":"default","text":"Submit Form","img_url":""},"normal_styles":[],"hover_styles":[],"current_state":"normal_styles"},"editor_options":{"title":"Submit Button"}}},"has_payment":"0","type":"form","conditions":null,"created_by":"1","created_at":"2019-11-16 11:39:19","updated_at":"2019-11-16 11:39:19","metas":[{"meta_key":"formSettings","value":"{\"confirmation\":{\"redirectTo\":\"samePage\",\"messageToShow\":\"Thank you for your message. We will get in touch with you shortly\",\"customPage\":null,\"samePageFormBehavior\":\"hide_form\",\"customUrl\":null},\"restrictions\":{\"limitNumberOfEntries\":{\"enabled\":false,\"numberOfEntries\":null,\"period\":\"total\",\"limitReachedMsg\":null},\"scheduleForm\":{\"enabled\":false,\"start\":null,\"end\":null,\"pendingMsg\":\"Form submission is not started yet.\",\"expiredMsg\":\"Form submission is now closed.\"},\"requireLogin\":{\"enabled\":false,\"requireLoginMsg\":null},\"denyEmptySubmission\":{\"enabled\":false,\"message\":\"Sorry, you cannot submit an empty form. Lets hear what you wanna say.\"}},\"layout\":{\"labelPlacement\":\"top\",\"helpMessagePlacement\":\"with_label\",\"errorMessagePlacement\":\"inline\"}}"},{"meta_key":"notifications","value":"{\"name\":\"Admin Notification Email\",\"sendTo\":{\"type\":\"email\",\"email\":\"{wp.admin_email}\",\"field\":\"email\",\"routing\":[{\"email\":null,\"field\":null,\"operator\":\"=\",\"value\":null}]},\"fromName\":\"\",\"fromEmail\":\"\",\"replyTo\":\"\",\"bcc\":\"\",\"subject\":\"[{inputs.names}] New Form Submission\",\"message\":\"<p>{all_data}<\\\/p>\\n<p>This form submitted at: {embed_post.permalink}<\\\/p>\",\"conditionals\":{\"status\":false,\"type\":\"all\",\"conditions\":[{\"field\":null,\"operator\":\"=\",\"value\":null}]},\"enabled\":false,\"email_template\":\"\"}"},{"meta_key":"ffs_default","value":""},{"meta_key":"_ff_form_styles","value":"[]"}]}]