<form-template> <fields> <field type="date" required="true" label="Date For Final Read " description="** We DO NOT read meters on Saturday, Sunday or any days that fall on Holidays**" class="form-control calendar" name="date-1703098777264"></field> <field type="text" subtype="text" required="true" label="Account Number " description="Account number can be found on your Utility Bill. *Please include all digits Example: 00123456.789*" class="form-control text-input" name="text-1703098917936"></field> <field type="text" subtype="text" required="true" label="Name " class="form-control text-input" name="text-1703098797746"></field> <field type="text" subtype="text" required="true" label="Contact Number " class="form-control text-input" name="text-1703098829883"></field> <field type="text" subtype="text" required="true" label="Please Type Your Full Name For Signature " class="form-control text-input" name="text-1703098906269"></field> </fields> </form-template> Submit Submitting...