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Submitted URL: https://email.flowmsp.com/e3t/Ctc/W2+113/d10mQy04/VW5byH5Y4-7wW7cKBWf7-dSq2W8rPchQ4YK-c3N880g3G3lLBmV1-WJV7CgNZkW4lNpgz1Pk...
Effective URL: https://share.hsforms.com/1vBRhSdOCSsiVjvjk-WjU9A53hkb?utm_medium=email&_hsmi=252248693&_hsenc=p2ANqtz-_-FFrtWls732XXO2k28...
Submission: On March 30 via manual from US — Scanned from DE
Effective URL: https://share.hsforms.com/1vBRhSdOCSsiVjvjk-WjU9A53hkb?utm_medium=email&_hsmi=252248693&_hsenc=p2ANqtz-_-FFrtWls732XXO2k28...
Submission: On March 30 via manual from US — Scanned from DE
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<form id="hs-form-bc146149-d382-4ac8-958e-f8e4f968d4f4-7a69b180-d966-485c-bfa6-4ee013c939fc" class="hs-form-bc146149-d382-4ac8-958e-f8e4f968d4f4 hs-form hs-form_theme-canvas" data-instance-id="7a69b180-d966-485c-bfa6-4ee013c939fc"
data-form-id="bc146149-d382-4ac8-958e-f8e4f968d4f4" data-portal-id="8560811" lang="en" data-hs-cf-bound="true">
<div class="hs-form__pagination-content-container">
<div class="hs-form__row">
<div class="hs-form__group">
<div class="hs-form__field-row">
<div class="hs-form__field-row__column">
<div class="hs-form__field hs-form__field-department hs-department"><label id="department-label" for="department-input" class="hs-form__field__label hs-form__field__label--required" data-required="true"><span>Department
Name</span></label><input id="department-input" class="hs-form__field__input" type="text" name="department" required="" inputmode="text" aria-invalid="false" aria-labelledby="department-label"
aria-describedby="department-description" aria-required="true" value=""></div>
</div>
</div>
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</div>
<div class="hs-form__row">
<div class="hs-form__group">
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<div class="hs-form__field hs-form__field-state__dropdown_ hs-state__dropdown_"><label id="state__dropdown_-label" for="state__dropdown_-input" class="hs-form__field__label" data-required="false"><span>State</span></label><select
id="state__dropdown_-input" class="hs-form__field__input is-placeholder" name="state__dropdown_" aria-invalid="false" aria-labelledby="state__dropdown_-label" aria-describedby="state__dropdown_-description" aria-required="false">
<option label="Please Select" disabled="" value="">Please Select</option>
<option label="AK" value="AK">AK</option>
<option label="AL" value="AL">AL</option>
<option label="AR" value="AR">AR</option>
<option label="AZ" value="AZ">AZ</option>
<option label="CA" value="CA">CA</option>
<option label="CO" value="CO">CO</option>
<option label="CT" value="CT">CT</option>
<option label="DC" value="DC">DC</option>
<option label="DE" value="DE">DE</option>
<option label="FL" value="FL">FL</option>
<option label="GA" value="GA">GA</option>
<option label="HI" value="HI">HI</option>
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<option label="IN" value="IN">IN</option>
<option label="KS" value="KS">KS</option>
<option label="KY" value="KY">KY</option>
<option label="LA" value="LA">LA</option>
<option label="MA" value="MA">MA</option>
<option label="MD" value="MD">MD</option>
<option label="ME" value="ME">ME</option>
<option label="MI" value="MI">MI</option>
<option label="MN" value="MN">MN</option>
<option label="MO" value="MO">MO</option>
<option label="MS" value="MS">MS</option>
<option label="MT" value="MT">MT</option>
<option label="NC" value="NC">NC</option>
<option label="ND" value="ND">ND</option>
<option label="NE" value="NE">NE</option>
<option label="NH" value="NH">NH</option>
<option label="NJ" value="NJ">NJ</option>
<option label="NM" value="NM">NM</option>
<option label="NV" value="NV">NV</option>
<option label="NY" value="NY">NY</option>
<option label="OH" value="OH">OH</option>
<option label="OK" value="OK">OK</option>
<option label="OR" value="OR">OR</option>
<option label="PA" value="PA">PA</option>
<option label="RI" value="RI">RI</option>
<option label="SC" value="SC">SC</option>
<option label="SD" value="SD">SD</option>
<option label="TN" value="TN">TN</option>
<option label="TX" value="TX">TX</option>
<option label="UT" value="UT">UT</option>
<option label="VA" value="VA">VA</option>
<option label="VT" value="VT">VT</option>
<option label="WA" value="WA">WA</option>
<option label="WI" value="WI">WI</option>
<option label="WV" value="WV">WV</option>
<option label="WY" value="WY">WY</option>
<option label="Other" value="Other">Other</option>
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<div class="hs-form__row">
<div class="hs-form__group">
<div class="hs-form__field-row">
<div class="hs-form__field-row__column">
<div class="hs-form__field hs-form__field-firstname hs-firstname"><label id="firstname-label" for="firstname-input" class="hs-form__field__label hs-form__field__label--required" data-required="true"><span>First name</span></label><input
id="firstname-input" class="hs-form__field__input" type="text" name="firstname" required="" autocomplete="given-name" inputmode="text" aria-invalid="false" aria-labelledby="firstname-label" aria-describedby="firstname-description"
aria-required="true" value=""></div>
</div>
</div>
</div>
</div>
<div class="hs-form__row">
<div class="hs-form__group">
<div class="hs-form__field-row">
<div class="hs-form__field-row__column">
<div class="hs-form__field hs-form__field-lastname hs-lastname"><label id="lastname-label" for="lastname-input" class="hs-form__field__label hs-form__field__label--required" data-required="true"><span>Last name</span></label><input
id="lastname-input" class="hs-form__field__input" type="text" name="lastname" required="" autocomplete="family-name" inputmode="text" aria-invalid="false" aria-labelledby="lastname-label" aria-describedby="lastname-description"
aria-required="true" value=""></div>
</div>
</div>
</div>
</div>
<div class="hs-form__row">
<div class="hs-form__group">
<div class="hs-form__field-row">
<div class="hs-form__field-row__column">
<div class="hs-form__field hs-form__field-email hs-email"><label id="email-label" for="email-input" class="hs-form__field__label hs-form__field__label--required" data-required="true"><span>Email</span></label><input id="email-input"
class="hs-form__field__input" type="email" name="email" required="" autocomplete="email" inputmode="email" aria-invalid="false" aria-labelledby="email-label" aria-describedby="email-description" aria-required="true" value=""></div>
</div>
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</div>
<div class="hs-form__row">
<div class="hs-form__group">
<div class="hs-form__field-row">
<div class="hs-form__field-row__column">
<div class="hs-form__field hs-form__field-phone hs-phone"><label id="phone-label" for="phone-input" class="hs-form__field__label hs-form__field__label--required" data-required="true"><span>Phone number</span></label>
<div class="hs-form__field__phone"><input id="phone-input" class="hs-form__field__input" type="tel" name="phone" required="" autocomplete="tel" inputmode="tel" aria-invalid="false" aria-labelledby="phone-label"
aria-describedby="phone-description" aria-required="true" value=""></div>
</div>
</div>
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</div>
</div>
<div class="hs-form__row">
<div class="hs-form__group"></div>
</div>
<div class="hs-form__row">
<div class="hs-form__group"></div>
</div>
<div class="hs-form__row">
<div class="hs-form__group">
<div class="hs-form__field-row">
<div class="hs-form__field-row__column">
<div class="hs-form__field hs-form__field-current_iso_rating hs-current_iso_rating"><label id="current_iso_rating-label" for="current_iso_rating-input" class="hs-form__field__label hs-form__field__label--required"
data-required="true"><span>Current ISO Rating</span></label><select id="current_iso_rating-input" class="hs-form__field__input is-placeholder" name="current_iso_rating" required="" aria-invalid="false"
aria-labelledby="current_iso_rating-label" aria-describedby="current_iso_rating-description" aria-required="true">
<option label="Please Select" disabled="" value="">Please Select</option>
<option label="" value=""></option>
<option label="1" value="1">1</option>
<option label="2" value="2">2</option>
<option label="3" value="3">3</option>
<option label="4" value="4">4</option>
<option label="5" value="5">5</option>
<option label="6" value="6">6</option>
<option label="7" value="7">7</option>
<option label="8" value="8">8</option>
<option label="9" value="9">9</option>
<option label="10" value="10">10</option>
<option label="Unknown" value="Unknown">Unknown</option>
</select></div>
</div>
</div>
</div>
</div>
<div class="hs-form__row">
<div class="hs-form__group">
<div class="hs-form__field-row">
<div class="hs-form__field-row__column">
<div class="hs-form__field hs-form__field-iso_pain_points hs-iso_pain_points"><label id="iso_pain_points-label" for="iso_pain_points-input" class="hs-form__field__label hs-form__field__label--required" data-required="true"><span>Current
Department Challenges</span></label>
<div id="iso_pain_points-description" class="hs-form__field__description">Select all that apply</div>
<div style="display: flex; flex-grow: 1; align-items: flex-start; justify-content: flex-start; flex-direction: row;">
<div class="hs-form__field__options__container" role="group" aria-invalid="false" aria-labelledby="iso_pain_points-label" aria-describedby="iso_pain_points-description">
<div style="align-self: flex-start; flex: 0 1 auto;"><label id="iso_pain_points-label-1" class="hs-form__field__label hs-form__field__checkbox__label"><input id="iso_pain_points-input-1"
class="hs-form__field__input hs-form__field__checkbox__input" type="checkbox" name="iso_pain_points-Company Training" aria-invalid="false" aria-labelledby="iso_pain_points-label-1"
aria-describedby="iso_pain_points-description" aria-required="false" aria-checked="false" value="Company Training"><span class="hs-form__field__checkbox__label-text">Company Training</span></label></div>
<div style="align-self: flex-start; flex: 0 1 auto;"><label id="iso_pain_points-label-2" class="hs-form__field__label hs-form__field__checkbox__label"><input id="iso_pain_points-input-2"
class="hs-form__field__input hs-form__field__checkbox__input" type="checkbox" name="iso_pain_points-Hydrant Distribution & Marking" aria-invalid="false" aria-labelledby="iso_pain_points-label-2"
aria-describedby="iso_pain_points-description" aria-required="false" aria-checked="false" value="Hydrant Distribution & Marking"><span class="hs-form__field__checkbox__label-text">Hydrant Distribution &
Marking</span></label></div>
<div style="align-self: flex-start; flex: 0 1 auto;"><label id="iso_pain_points-label-3" class="hs-form__field__label hs-form__field__checkbox__label"><input id="iso_pain_points-input-3"
class="hs-form__field__input hs-form__field__checkbox__input" type="checkbox" name="iso_pain_points-Hydrant and Main Capacity Testing" aria-invalid="false" aria-labelledby="iso_pain_points-label-3"
aria-describedby="iso_pain_points-description" aria-required="false" aria-checked="false" value="Hydrant and Main Capacity Testing"><span class="hs-form__field__checkbox__label-text">Hydrant and Main Capacity
Testing</span></label></div>
<div style="align-self: flex-start; flex: 0 1 auto;"><label id="iso_pain_points-label-4" class="hs-form__field__label hs-form__field__checkbox__label"><input id="iso_pain_points-input-4"
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aria-describedby="iso_pain_points-description" aria-required="false" aria-checked="false" value="Hydrant Size, Type & Installation"><span class="hs-form__field__checkbox__label-text">Hydrant Size, Type &
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<div style="align-self: flex-start; flex: 0 1 auto;"><label id="iso_pain_points-label-5" class="hs-form__field__label hs-form__field__checkbox__label"><input id="iso_pain_points-input-5"
class="hs-form__field__input hs-form__field__checkbox__input" type="checkbox" name="iso_pain_points-Hydrology Modeling" aria-invalid="false" aria-labelledby="iso_pain_points-label-5"
aria-describedby="iso_pain_points-description" aria-required="false" aria-checked="false" value="Hydrology Modeling"><span class="hs-form__field__checkbox__label-text">Hydrology Modeling</span></label></div>
<div style="align-self: flex-start; flex: 0 1 auto;"><label id="iso_pain_points-label-6" class="hs-form__field__label hs-form__field__checkbox__label"><input id="iso_pain_points-input-6"
class="hs-form__field__input hs-form__field__checkbox__input" type="checkbox" name="iso_pain_points-Pre-Incident Planning" aria-invalid="false" aria-labelledby="iso_pain_points-label-6"
aria-describedby="iso_pain_points-description" aria-required="false" aria-checked="false" value="Pre-Incident Planning"><span class="hs-form__field__checkbox__label-text">Pre-Incident Planning</span></label></div>
<div style="align-self: flex-start; flex: 0 1 auto;"><label id="iso_pain_points-label-7" class="hs-form__field__label hs-form__field__checkbox__label"><input id="iso_pain_points-input-7"
class="hs-form__field__input hs-form__field__checkbox__input" type="checkbox" name="iso_pain_points-Rural Water Supply" aria-invalid="false" aria-labelledby="iso_pain_points-label-7"
aria-describedby="iso_pain_points-description" aria-required="false" aria-checked="false" value="Rural Water Supply"><span class="hs-form__field__checkbox__label-text">Rural Water Supply</span></label></div>
<div style="align-self: flex-start; flex: 0 1 auto;"><label id="iso_pain_points-label-8" class="hs-form__field__label hs-form__field__checkbox__label"><input id="iso_pain_points-input-8"
class="hs-form__field__input hs-form__field__checkbox__input" type="checkbox" name="iso_pain_points-Water Supply Systems" aria-invalid="false" aria-labelledby="iso_pain_points-label-8"
aria-describedby="iso_pain_points-description" aria-required="false" aria-checked="false" value="Water Supply Systems"><span class="hs-form__field__checkbox__label-text">Water Supply Systems</span></label></div>
<div style="align-self: flex-start; flex: 0 1 auto;"><label id="iso_pain_points-label-9" class="hs-form__field__label hs-form__field__checkbox__label"><input id="iso_pain_points-input-9"
class="hs-form__field__input hs-form__field__checkbox__input" type="checkbox" name="iso_pain_points-Yearly Hydrant Inspections" aria-invalid="false" aria-labelledby="iso_pain_points-label-9"
aria-describedby="iso_pain_points-description" aria-required="false" aria-checked="false" value="Yearly Hydrant Inspections"><span class="hs-form__field__checkbox__label-text">Yearly Hydrant Inspections</span></label></div>
<div style="align-self: flex-start; flex: 0 1 auto;"><label id="iso_pain_points-label-10" class="hs-form__field__label hs-form__field__checkbox__label"><input id="iso_pain_points-input-10"
class="hs-form__field__input hs-form__field__checkbox__input" type="checkbox" name="iso_pain_points-Other" aria-invalid="false" aria-labelledby="iso_pain_points-label-10" aria-describedby="iso_pain_points-description"
aria-required="false" aria-checked="false" value="Other"><span class="hs-form__field__checkbox__label-text">Other</span></label></div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="hs-form__row">
<div class="hs-form__actions"><button type="submit" name="Submit" class="hs-form__actions__submit">Submit</button></div>
</div>
</form>Text Content
Skip to form Department Name StatePlease SelectAKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWYOther First name Last name Email Phone number Current ISO RatingPlease Select12345678910Unknown Current Department Challenges Select all that apply Company Training Hydrant Distribution & Marking Hydrant and Main Capacity Testing Hydrant Size, Type & Installation Hydrology Modeling Pre-Incident Planning Rural Water Supply Water Supply Systems Yearly Hydrant Inspections Other Submit