Change of Address Form

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Change of Address Form

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<form-template>
	<fields>
		<field type="text" subtype="text" required="true" label="Last Name" class="form-control text-input" name="text-1635189435368"></field>
		<field type="text" subtype="text" required="true" label="First Name" class="form-control text-input" name="text-1692294575894"></field>
		<field type="text" subtype="text" label="Additional Names (if applicable)" class="form-control text-input" name="text-1692295503005"></field>
		<field type="text" subtype="text" label="Corporate / Company Name (if applicable)" class="form-control text-input" name="text-1692294602753"></field>
		<field type="radio-group" label="ARE you the" class="radio-group" name="radio-group-1692296177436" enable-other="true" other="true">
			<option value="option-1" selected="true">Primany / Company Owner</option>
			<option value="option-2">Secondary Owner(s)</option>
			<option>Lessee(s) / Renter(s)</option>
		</field>
		<field type="text" subtype="email" required="true" label="Email Address" class="form-control text-input" name="text-1635189538015"></field>
		<field type="text" subtype="text" required="true" label="Phone or Cell Number" class="form-control text-input" name="text-1635189505859"></field>
		<field type="text" subtype="text" label="Additional Phone Number(s)" class="form-control text-input" name="text-1692296306919"></field>
		<field type="text" subtype="text" label="Your Lawyer's name / name of firm" class="form-control text-input" name="text-1635189444841"></field>
		<field type="radio-group" required="true" label="Moving to / From the RM of Edenwold" class="radio-group" name="radio-group-1692296340362">
			<option value="option-1" selected="true">Address Update</option>
			<option value="option-2">Moving to</option>
			<option>Moving from</option>
		</field>
		<field type="date" required="true" label="Effective Date" description="Possession Date if you are moving to - Final Date of Residency if you are moving from, Change of address effective date" class="form-control calendar" name="date-1635189568814"></field>
		<field type="textarea" required="true" label="New Mailing Address / Forwarding Address" description="Mailing Address if you are moving to - Forwarding Address if you are moving from" class="form-control text-area" name="textarea-1635189608633"></field>
		<field type="text" subtype="text" label="Property Address (if different from above)" class="form-control text-input" name="text-1692294572948"></field>
		<field type="text" subtype="text" label="Legal Land Description (if applicable)" placeholder="Quarter, Section, Township,  Range, Meridian" class="form-control text-input" name="text-1692296514744"></field>
		<field type="checkbox-group" label="Please check the services requiring update with your new address" class="checkbox-group" name="checkbox-group-1692295704629">
			<option value="option-1" selected="true">Utilites</option>
			<option value="option-2">Property Taxes</option>
			<option>Accounts Receivables</option>
			<option>Vendor</option>
		</field>
		<field type="checkbox" required="true" label="Submission Agreement" class="checkbox" name="checkbox-1692296655963"></field>
		<field type="paragraph" subtype="p" label="I confirm that the information provided above is true and correct and that in submitting this form I am authorizing the RM of Edenwold No. 158 to update my record(s) with my new address/contact details" class="paragraph"></field>
	</fields>
</form-template>

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