cityoflasvegas.formstack.com Open in urlscan Pro
52.85.132.103  Public Scan

Submitted URL: https://protect-us.mimecast.com/s/nMRwCyPnnqhL3AmxtZjMqn?domain=cityoflasvegas.formstack.com
Effective URL: https://cityoflasvegas.formstack.com/forms/contact_main
Submission: On October 18 via manual from US — Scanned from US

Form analysis 1 forms found in the DOM

POST https://cityoflasvegas.formstack.com/forms/index.php

<form method="post" novalidate="" enctype="multipart/form-data" action="https://cityoflasvegas.formstack.com/forms/index.php" class="fsForm fsSingleColumn fsMaxCol1" id="fsForm2183909">
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  <input type="hidden" name="viewkey" value="8OWLeKAQFA">
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  <input type="hidden" name="incomplete" id="incomplete2183909" value="">
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  <input type="hidden" name="incomplete_password" id="incomplete_password2183909">
  <input type="hidden" name="referrer" id="referrer2183909" value="">
  <input type="hidden" name="referrer_type" id="referrer_type2183909" value="link">
  <input type="hidden" name="_submit" value="1">
  <input type="hidden" name="style_version" value="3">
  <input type="hidden" id="fsLatitude" name="latitude" value="">
  <input type="hidden" id="fsLongitude" name="longitude" value="">
  <input type="hidden" id="viewparam" name="viewparam" value="649034">
  <div id="requiredFieldsError" style="display:none;">Please fill in a valid value for all required fields</div>
  <div id="invalidFormatError" style="display:none;">Please ensure all values are in a proper format.</div>
  <div id="resumeConfirm" style="display:none;">Are you sure you want to leave this form and resume later?</div>
  <div id="resumeConfirmPassword" style="display: none;">Are you sure you want to leave this form and resume later? If so, please enter a password below to securely save your form.</div>
  <div id="saveAndResume" style="display: none;">Save and Resume Later</div>
  <div id="saveResumeProcess" style="display: none;">Save and get link</div>
  <div id="fileTypeAlert" style="display:none;">You must upload one of the following file types for the selected field:</div>
  <div id="embedError" style="display:none;">There was an error displaying the form. Please copy and paste the embed code again.</div>
  <div id="applyDiscountButton" style="display:none;">Apply Discount</div>
  <div id="dcmYouSaved" style="display:none;">You saved</div>
  <div id="dcmWithCode" style="display:none;">with code</div>
  <div id="submitButtonText" style="display:none;">Submit Form</div>
  <div id="submittingText" style="display:none;">Submitting</div>
  <div id="validatingText" style="display:none;">Validating</div>
  <div id="autocaptureDisabledText" style="display:none;"></div>
  <div id="paymentInitError" style="display:none;">There was an error initializing the payment processor on this form. Please contact the form owner to correct this issue.</div>
  <div id="checkFieldPrompt" style="display:none;">Please check the field: </div>
  <div id="translatedWord-fields" style="display:none;">Fields</div>
  <div class="fsPage" id="fsPage2183909-1">
    <div id="ReactContainer2183909" style="display:none" class="FsReactContainerInitApp" data-fs-react-app-id="2183909"></div>
    <div class="fsSection fs1Col">
      <div id="fsRow2183909-1" class="fsRow fsFieldRow fsLastRow">
        <div class="fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsSpan100" id="fsCell90874889" lang="en" fs-field-type="embed" fs-field-validation-name="">
          <script>
            // console.log(window.location.href.indexOf("Who_to_contact=Streetlight%20%26%20Traffic%20Issues" != -1));
            if (window.location.href.indexOf("Who_to_contact=Streetlight%20%26%20Traffic%20Issues") != -1) {
              console.log('here')
              window.location.assign("https://www.lasvegasnevada.gov/Government/Departments/Operations-Maintenance/Report-A-Problem");
            }
            // Load on Ready
            document.onreadystatechange = function() {
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              if (state === "complete") {
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                  if (document.getElementById("field37994944").value === "Streetlight & Traffic Issues") {
                    window.location.assign("https://www.lasvegasnevada.gov/Government/Departments/Operations-Maintenance/Report-A-Problem");
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      <div id="fsRow2183909-2" class="fsRow fsFieldRow fsLastRow">
        <div class="fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsSpan100" id="fsCell37994944" lang="en" fs-field-type="select" fs-field-validation-name="Who to contact?">
          <label id="label37994944" class="fsLabel fsRequiredLabel" for="field37994944">Who to contact?<span class="fsRequiredMarker">*</span> </label>
          <select id="field37994944" name="field37994944" size="1" required="" class="fsField fsRequired" aria-required="true">
            <option value="Mayor">Mayor</option>
            <option value="Ward 1">Ward 1</option>
            <option value="Ward 2">Ward 2</option>
            <option value="Ward 3">Ward 3</option>
            <option value="Ward 4">Ward 4</option>
            <option value="Ward 5">Ward 5</option>
            <option value="Ward 6">Ward 6</option>
            <option value="ADA or Accessibility Issue">ADA or Accessibility Issue</option>
            <option value="Animal Protection Services">Animal Protection Services</option>
            <option value="Building Permits">Building Permits</option>
            <option value="Building &amp; Safety">Building &amp; Safety</option>
            <option value="Business Licensing">Business Licensing</option>
            <option value="City Attorney">City Attorney</option>
            <option value="City Auditor">City Auditor</option>
            <option value="City Clerk">City Clerk</option>
            <option value="City Manager">City Manager</option>
            <option value="Code Enforcement">Code Enforcement</option>
            <option value="Communications">Communications</option>
            <option value="Deputy Marshals">Deputy Marshals</option>
            <option value="Economic &amp; Urban Development">Economic &amp; Urban Development</option>
            <option value="Education">Education</option>
            <option value="Elections">Elections</option>
            <option value="Facility Rentals">Facility Rentals</option>
            <option value="Film Permits">Film Permits</option>
            <option value="Finance">Finance</option>
            <option value="Fire &amp; Rescue">Fire &amp; Rescue</option>
            <option value="Graffiti Maintenance">Graffiti Maintenance</option>
            <option value="Grant Information">Grant Information</option>
            <option value="Homeless Services">Homeless Services</option>
            <option value="Human Resources">Human Resources</option>
            <option value="Jail Information">Jail Information</option>
            <option value="KCLV Channel 2">KCLV Channel 2</option>
            <option value="Master Plan">Master Plan</option>
            <option value="Marriage Licensing">Marriage Licensing</option>
            <option value="Municipal Court">Municipal Court</option>
            <option value="Neighborhood Services">Neighborhood Services</option>
            <option value="Office of Cultural Affairs">Office of Cultural Affairs</option>
            <option value="Park Maintenance">Park Maintenance</option>
            <option value="Parking">Parking</option>
            <option value="Parks &amp; Recreation">Parks &amp; Recreation</option>
            <option value="Planning &amp; Zoning">Planning &amp; Zoning</option>
            <option value="Public Safety">Public Safety</option>
            <option value="Public Works">Public Works</option>
            <option value="Purchasing">Purchasing</option>
            <option value="Real Estate">Real Estate</option>
            <option value="Roadway Maintenance">Roadway Maintenance</option>
            <option value="Safekey">Safekey</option>
            <option value="Sewer Billing">Sewer Billing</option>
            <option value="Sewer Location">Sewer Location</option>
            <option value="Sewer Maintenance">Sewer Maintenance</option>
            <option value="Streetlight &amp; Traffic Issues">Streetlight &amp; Traffic Issues</option>
            <option value="Transportation">Transportation</option>
            <option value="Website Issues">Website Issues</option>
            <option value="General">General</option>
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        <div class="fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsHidden fsSpan100" id="fsCell83077579" lang="en" fs-field-type="richtext" fs-field-validation-name="">
          <p>To report streetlight &amp; traffic issues, please&nbsp;<a href="https://www.lasvegasnevada.gov/Government/Departments/Operations-Maintenance/Report-A-Problem" rel="noopener noreferrer" target="_blank">click here</a></p>
        </div>
      </div>
      <div id="fsRow2183909-4" class="fsRow fsFieldRow fsLastRow fsHidden">
        <div class="fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsHidden fsSpan100" id="fsCell60402953" aria-describedby="fsSupporting60402953" lang="en" fs-field-type="text" fs-field-validation-name="URL">
          <label id="label60402953" class="fsLabel fsRequiredLabel" for="field60402953">URL<span class="fsRequiredMarker">*</span> </label>
          <input type="text" id="field60402953" name="field60402953" size="50" required="" value="" class="fsField fsFormatText fsRequired   " aria-required="true" disabled="disabled">
          <div id="fsSupporting60402953" class="fsSupporting">"Please enter the URL of the page you had a problem on"</div>
        </div>
      </div>
      <div id="fsRow2183909-5" class="fsRow fsFieldRow fsLastRow">
        <div class="fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsSpan100" id="fsCell37824677" lang="en" fs-field-type="text" fs-field-validation-name="Your name">
          <label id="label37824677" class="fsLabel" for="field37824677">Your name </label>
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      <div id="fsRow2183909-6" class="fsRow fsFieldRow fsLastRow">
        <div class="fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsSpan100" id="fsCell37511815" aria-describedby="fsCallout37511815" lang="en" fs-field-type="textarea" fs-field-validation-name="Comments">
          <label id="label37511815" class="fsLabel fsRequiredLabel" for="field37511815">Comments<span class="fsRequiredMarker">*</span> </label>
          <textarea id="field37511815" class="fsField fsRequired fsTextAreaMaxLength   fsFormatLength" name="field37511815" rows="10" cols="50" required="" aria-required="true" placeholder="Please enter your comments or questions here."
            title="Please enter your comments or questions here." maxlength="2048" aria-describedby="fsCounterContainer37511815 fsCallout37511815"></textarea>
          <span id="fsCounterContainer37511815" aria-live="polite" aria-atomic="true" tabindex="-1">
            <span class="hidden">Characters remaining: </span>
            <div id="fsCounter37511815" class="fsCounter" style="width: 911px;">2048/2048</div>
          </span>
          <div class="fsSupporting fsCallout" style="display:none" id="fsCallout37511815" role="tooltip" tabindex="-1">
            <div class="fsCalloutTop"></div>
            <div class="fsCalloutBody">Please be aware that we also have live chat if you have an immediate need.</div>
            <div class="fsCalloutBottom"></div>
          </div>
        </div>
      </div>
      <div id="fsRow2183909-7" class="fsRow fsFieldRow fsLastRow fsHidden">
        <div class="fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsHidden fsSpan100" id="fsCell70582385" lang="en" fs-field-type="address" fs-field-validation-name="Your Address">
          <span id="label70582385" class="fsLabel fsRequiredLabel">Your Address<span class="fsRequiredMarker">*</span></span>
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            <div class="fsSubField fsFieldAddress2">
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              <label class="fsSupporting" for="field70582385-address2">Address Line 2</label>
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            <div class="fsSubField fsFieldCity">
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              <label class="fsSupporting" for="field70582385-city">City</label>
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              <select id="field70582385-state" aria-label="State" name="field70582385-state" required="" class="fsField fsFieldState fsRequired" aria-required="true" disabled="disabled">
                <option value="">&nbsp;</option>
                <option value="AL">Alabama</option>
                <option value="AK">Alaska</option>
                <option value="AZ">Arizona</option>
                <option value="AR">Arkansas</option>
                <option value="CA">California</option>
                <option value="CO">Colorado</option>
                <option value="CT">Connecticut</option>
                <option value="DE">Delaware</option>
                <option value="DC">District of Columbia</option>
                <option value="FL">Florida</option>
                <option value="GA">Georgia</option>
                <option value="GU">Guam</option>
                <option value="HI">Hawaii</option>
                <option value="ID">Idaho</option>
                <option value="IL">Illinois</option>
                <option value="IN">Indiana</option>
                <option value="IA">Iowa</option>
                <option value="KS">Kansas</option>
                <option value="KY">Kentucky</option>
                <option value="LA">Louisiana</option>
                <option value="ME">Maine</option>
                <option value="MD">Maryland</option>
                <option value="MA">Massachusetts</option>
                <option value="MI">Michigan</option>
                <option value="MN">Minnesota</option>
                <option value="MS">Mississippi</option>
                <option value="MO">Missouri</option>
                <option value="MT">Montana</option>
                <option value="NE">Nebraska</option>
                <option value="NV">Nevada</option>
                <option value="NH">New Hampshire</option>
                <option value="NJ">New Jersey</option>
                <option value="NM">New Mexico</option>
                <option value="NY">New York</option>
                <option value="NC">North Carolina</option>
                <option value="ND">North Dakota</option>
                <option value="OH">Ohio</option>
                <option value="OK">Oklahoma</option>
                <option value="OR">Oregon</option>
                <option value="PA">Pennsylvania</option>
                <option value="PR">Puerto Rico</option>
                <option value="RI">Rhode Island</option>
                <option value="SC">South Carolina</option>
                <option value="SD">South Dakota</option>
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                <option value="TX">Texas</option>
                <option value="UT">Utah</option>
                <option value="VT">Vermont</option>
                <option value="VI">Virgin Islands (US)</option>
                <option value="VA">Virginia</option>
                <option value="WA">Washington</option>
                <option value="WV">West Virginia</option>
                <option value="WI">Wisconsin</option>
                <option value="WY">Wyoming</option>
                <option value="AA">Armed Forces (the) Americas</option>
                <option value="AE">Armed Forces Europe</option>
                <option value="AP">Armed Forces Pacific</option>
                <option value="APO">Army Post Office (U.S. Army and U.S. Air Force)</option>
                <option value="FPO">Fleet Post Office (U.S. Navy and U.S. Marine Corps)</option>
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            <div class="fsSubField fsFieldZip">
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          <div class="clear"></div>
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      <div id="fsRow2183909-9" class="fsRow fsFieldRow fsLastRow fsHidden">
        <div class="fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsHidden fsSpan100" id="fsCell70582446" lang="en" fs-field-type="text" fs-field-validation-name="Name of Association">
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          <div id="fsSupporting37511678" class="fsSupporting">Format: 702-229-6011</div>
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        <div class="fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsSpan100" id="fsCell37511680" lang="en" fs-field-type="email" fs-field-validation-name="Email">
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      <div id="fsRow2183909-14" class="fsRow fsFieldRow fsLastRow fsHidden">
        <div class="fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsHidden fsSpan100" id="fsCell40926063" lang="en" fs-field-type="text" fs-field-validation-name="Address">
          <label id="label40926063" class="fsLabel" for="field40926063">Address </label>
          <input type="text" id="field40926063" name="field40926063" size="50" maxlength="225" value="" class="fsField fsFormatText     fsFormatLength" disabled="disabled">
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          <label id="label100935878" class="fsLabel fsRequiredLabel" for="field100935878">Address or APN#<span class="fsRequiredMarker">*</span> </label>
          <input type="text" id="field100935878" name="field100935878" size="50" required="" value="" class="fsField fsFormatText fsRequired   " aria-required="true" disabled="disabled">
          <div id="fsSupporting100935878" class="fsSupporting">Enter address or parcel number of the address you are inquiring about</div>
        </div>
      </div>
      <div id="fsRow2183909-16" class="fsRow fsFieldRow fsLastRow">
        <div class="fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsSpan100" id="fsCell37561850" lang="en" fs-field-type="richtext" fs-field-validation-name="">
          <p><strong><span style="color: rgb(192, 80, 77);">Note: </span></strong>Please provide an email address or phone number for a response.<br>
          </p>
        </div>
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        <div class="fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsHidden fsSpan100" id="fsCell129364878" lang="en" fs-field-type="richtext" fs-field-validation-name="">
          <p><strong><span style="color: rgb(184, 49, 47);">Please call 702.229.6444, option 2 if you encounter an animal experiencing a life-threatening situation </span></strong></p>
        </div>
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    <button type="button" id="fsNextButton2183909" class="fsNextButton" value="Next Page" style="display:none;" aria-label="Next"><span class="fsFull">Next</span><span class="fsSlim">→</span></button>
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Who to contact?* Mayor Ward 1 Ward 2 Ward 3 Ward 4 Ward 5 Ward 6 ADA or
Accessibility Issue Animal Protection Services Building Permits Building &
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