full_name (type: esriFieldTypeString, alias: Please enter your first and last name., SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
mailing_address (type: esriFieldTypeString, alias: Please enter your mailing address., SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
affected_address (type: esriFieldTypeString, alias: Please provide the full approximate address of the affected road, culvert (pipe), or bridge., SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
phone_number (type: esriFieldTypeString, alias: Please enter your phone number., SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
email (type: esriFieldTypeString, alias: Please confirm your best email address., SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
parcel_no (type: esriFieldTypeString, alias: If you know the parcel number associated with your property, please enter it below. If unknown, you may leave this field blank., SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
sole_emergency_access (type: esriFieldTypeString, alias: Is the damaged road or bridge reported by you the sole option for ingress and egress for emergency services to your property?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
property_type (type: esriFieldTypeString, alias: Is the property accessed by the damaged road or bridge a private residence, recreation facility, or commercial facility?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
residence_doc_qa (type: esriFieldTypeString, alias: If the private residence accessed by the damaged road or bridge is your primary home, can you provide documentation or attest that you live there for more than six months out of the calendar year?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
sole_owner (type: esriFieldTypeString, alias: Are you the sole owner of the damaged road or bridge?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
sole_owner_doc_qa (type: esriFieldTypeString, alias: If yes, can you provide documentation that you own the property where the damaged road or bridge is located?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
shared_ownership (type: esriFieldTypeString, alias: If no, do you share ownership and/or maintenance of the damaged site with others?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
hoa_poa_name (type: esriFieldTypeString, alias: If the damaged road or bridge site is owned/maintained by a HOA/POA, please provide the name of the HOA/POA below., SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
hoa_poa_poc (type: esriFieldTypeString, alias: HOA/POA Primary Point of Contact first and last name, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
hoa_poa_phonenumber (type: esriFieldTypeString, alias: HOA/POA Primary Point of Contact phone number, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
hoa_poa_email (type: esriFieldTypeString, alias: HOA/POA Primary Point of Contact email, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)