{"id":505,"date":"2023-12-20T17:30:13","date_gmt":"2023-12-20T17:30:13","guid":{"rendered":"https:\/\/milcrofton.gov\/milcrofton_newsite\/?page_id=505"},"modified":"2023-12-20T17:31:43","modified_gmt":"2023-12-20T17:31:43","slug":"stop-water-service","status":"publish","type":"page","link":"https:\/\/milcrofton.gov\/milcrofton_newsite\/stop-water-service\/","title":{"rendered":"Stop Water Service"},"content":{"rendered":"<div  class='flex_column av-1qahp-fbea974ffbeabfcd1bdda89c9cdb502b av_two_third  avia-builder-el-0  el_before_av_one_third  avia-builder-el-first  first flex_column_div  '     ><section  class='av_textblock_section av-lqe1nbyb-02944f5717e4632ea219b3bcbbfad789 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h3>Stop Water Service<\/h3>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-lqe1mvek-fa86d8d50d6ab63a5dd1081a2b047444\">\n#top .hr.hr-invisible.av-lqe1mvek-fa86d8d50d6ab63a5dd1081a2b047444{\nheight:40px;\n}\n<\/style>\n<div  class='hr av-lqe1mvek-fa86d8d50d6ab63a5dd1081a2b047444 hr-invisible  avia-builder-el-2  el_after_av_textblock  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-lpfwv202-6e0273b49127359fe5f7b122f45791e9 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><style id=\"wpforms-css-vars-502\">\n\t\t\t\t#wpforms-502 {\n\t\t\t\t\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-502\"><form id=\"wpforms-form-502\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"502\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/milcrofton_newsite\/wp-json\/wp\/v2\/pages\/505\" data-token=\"7ecb8c8439cb7412c093e3742e01e4d4\" data-token-time=\"1776867922\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-502-field_4-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"4\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">This Application Is For<\/legend><ul id=\"wpforms-502-field_4\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-502-field_4_1\" name=\"wpforms[fields][4]\" value=\"Existing Service\" aria-errormessage=\"wpforms-502-field_4_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-502-field_4_1\">Existing Service<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-502-field_4_2\" name=\"wpforms[fields][4]\" value=\"Active Construction\/Builder*\" aria-errormessage=\"wpforms-502-field_4_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-502-field_4_2\">Active Construction\/Builder*<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-502-field_5-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"5\"><div id=\"wpforms-502-field_5\" aria-errormessage=\"wpforms-502-field_5-error\"><p style=\"font-size: 12px; margin-left: 26px;\"><em><sup>*<\/sup>A temporary hydrant must be in place on the property owner\u2019s side of the meter box before the water meter will be set and service started with Milcrofton.<\/em><\/p>&nbsp;<\/div><\/div><div id=\"wpforms-502-field_0-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"0\"><fieldset><legend class=\"wpforms-field-label\">Customer Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-502-field_0\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][0][first]\" placeholder=\"First\" aria-errormessage=\"wpforms-502-field_0-error\" required><label for=\"wpforms-502-field_0\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-502-field_0-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][0][last]\" placeholder=\"Last\" aria-errormessage=\"wpforms-502-field_0-last-error\" required><label for=\"wpforms-502-field_0-last\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-502-field_11-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"11\"><fieldset><legend class=\"wpforms-field-label\">Current Service Address <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-large\"><div ><input type=\"text\" id=\"wpforms-502-field_11\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][11][address1]\" placeholder=\"Address Line 1\" aria-errormessage=\"wpforms-502-field_11-error\" required><label for=\"wpforms-502-field_11\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div ><input type=\"text\" id=\"wpforms-502-field_11-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][11][address2]\" placeholder=\"Address Line 2\" aria-errormessage=\"wpforms-502-field_11-address2-error\" ><label for=\"wpforms-502-field_11-address2\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-502-field_11-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][11][city]\" placeholder=\"City\" aria-errormessage=\"wpforms-502-field_11-city-error\" required><label for=\"wpforms-502-field_11-city\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-502-field_11-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][11][state]\" aria-errormessage=\"wpforms-502-field_11-state-error\" required><option class=\"placeholder\" value=\"\" selected disabled>State<\/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=\"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=\"RI\" >Rhode Island<\/option><option value=\"SC\" >South Carolina<\/option><option value=\"SD\" >South Dakota<\/option><option value=\"TN\" >Tennessee<\/option><option value=\"TX\" >Texas<\/option><option value=\"UT\" >Utah<\/option><option value=\"VT\" >Vermont<\/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><\/select><label for=\"wpforms-502-field_11-state\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">State<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-502-field_11-postal\" class=\"wpforms-field-address-postal wpforms-field-required wpforms-masked-input\" data-inputmask-mask=\"(99999)|(99999-9999)\" data-inputmask-keepstatic=\"true\" data-rule-inputmask-incomplete=\"1\" name=\"wpforms[fields][11][postal]\" placeholder=\"Zip\" aria-errormessage=\"wpforms-502-field_11-postal-error\" required><label for=\"wpforms-502-field_11-postal\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Zip Code<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-502-field_74-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"74\"><fieldset><legend class=\"wpforms-field-label\">Forwarding Address <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-large\"><div ><input type=\"text\" id=\"wpforms-502-field_74\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][74][address1]\" placeholder=\"Address Line 1\" aria-errormessage=\"wpforms-502-field_74-error\" required><label for=\"wpforms-502-field_74\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div ><input type=\"text\" id=\"wpforms-502-field_74-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][74][address2]\" placeholder=\"Address Line 2\" aria-errormessage=\"wpforms-502-field_74-address2-error\" ><label for=\"wpforms-502-field_74-address2\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-502-field_74-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][74][city]\" placeholder=\"City\" aria-errormessage=\"wpforms-502-field_74-city-error\" required><label for=\"wpforms-502-field_74-city\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-502-field_74-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][74][state]\" aria-errormessage=\"wpforms-502-field_74-state-error\" required><option class=\"placeholder\" value=\"\" selected disabled>State<\/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=\"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=\"RI\" >Rhode Island<\/option><option value=\"SC\" >South Carolina<\/option><option value=\"SD\" >South Dakota<\/option><option value=\"TN\" >Tennessee<\/option><option value=\"TX\" >Texas<\/option><option value=\"UT\" >Utah<\/option><option value=\"VT\" >Vermont<\/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><\/select><label for=\"wpforms-502-field_74-state\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">State<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-502-field_74-postal\" class=\"wpforms-field-address-postal wpforms-field-required wpforms-masked-input\" data-inputmask-mask=\"(99999)|(99999-9999)\" data-inputmask-keepstatic=\"true\" data-rule-inputmask-incomplete=\"1\" name=\"wpforms[fields][74][postal]\" placeholder=\"Zip\" aria-errormessage=\"wpforms-502-field_74-postal-error\" required><label for=\"wpforms-502-field_74-postal\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Zip Code<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-502-field_18-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"18\"><div id=\"wpforms-502-field_18\" aria-errormessage=\"wpforms-502-field_18-error\">&nbsp;<\/div><\/div><div id=\"wpforms-502-field_76-container\" class=\"wpforms-field wpforms-field-date-time desireddate\" data-field-id=\"76\"><label class=\"wpforms-field-label\" for=\"wpforms-502-field_76\">Desired Date To Stop Service  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-502-field_76\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-large\" data-date-format=\"m\/d\/Y\" data-limit-days=\"mon,tue,wed,thu,fri\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][76][date]\" aria-errormessage=\"wpforms-502-field_76-error\" required><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-502-field_22-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"22\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-33-33-33\"><div class=\"wpforms-layout-column wpforms-layout-column-33\" ><div id=\"wpforms-502-field_3-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-502-field_3\">Cell Phone <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-502-field_3\" class=\"wpforms-field-large wpforms-field-required wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" data-rule-us-phone-field=\"true\" data-inputmask-inputmode=\"tel\" name=\"wpforms[fields][3]\" placeholder=\"Phone\" aria-label=\"Cell Phone\" aria-errormessage=\"wpforms-502-field_3-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\" ><div id=\"wpforms-502-field_23-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-502-field_23\">Home Phone<\/label><input type=\"tel\" id=\"wpforms-502-field_23\" class=\"wpforms-field-large wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" data-rule-us-phone-field=\"true\" data-inputmask-inputmode=\"tel\" name=\"wpforms[fields][23]\" placeholder=\"Phone\" aria-label=\"Home Phone\" aria-errormessage=\"wpforms-502-field_23-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\" ><div id=\"wpforms-502-field_24-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-502-field_24\">Work Phone<\/label><input type=\"tel\" id=\"wpforms-502-field_24\" class=\"wpforms-field-large wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" data-rule-us-phone-field=\"true\" data-inputmask-inputmode=\"tel\" name=\"wpforms[fields][24]\" placeholder=\"Phone\" aria-label=\"Work Phone\" aria-errormessage=\"wpforms-502-field_24-error\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-502-field_1-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-502-field_1\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-502-field_1\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][1]\" placeholder=\"Email\" spellcheck=\"false\" aria-errormessage=\"wpforms-502-field_1-error\" required><\/div><div id=\"wpforms-502-field_59-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"59\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-502-field_60-container\" class=\"wpforms-field wpforms-field-signature\" data-field-id=\"60\"><label class=\"wpforms-field-label\" for=\"wpforms-502-field_60\">Signature <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-502-field_60\" class=\"wpforms-signature-input wpforms-screen-reader-element wpforms-field-required\" data-is-wrapped-field=\"1\" name=\"wpforms[fields][60]\" autocomplete=\"off\" inputmode=\"none\" aria-errormessage=\"wpforms-502-field_60-error\" required><div class=\"wpforms-signature-wrap wpforms-field-row wpforms-field-large\"><canvas class=\"wpforms-signature-canvas\" id=\"wpforms-502-field_60-signature\" data-color=\"#000000\"><\/canvas><div class=\"wpforms-signature-clear\" title=\"Clear Signature\" tabindex=\"0\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"1em\" height=\"1em\" preserveAspectRatio=\"xMidYMid meet\" viewBox=\"0 0 1536 1536\">\n\t\t\t\t\t<path fill=\"var( --wpforms-field-text-color, rgba(0, 0, 0, 0.25) )\" d=\"M1149 994q0-26-19-45L949 768l181-181q19-19 19-45q0-27-19-46l-90-90q-19-19-46-19q-26 0-45 19L768 587L587 406q-19-19-45-19q-27 0-46 19l-90 90q-19 19-19 46q0 26 19 45l181 181l-181 181q-19 19-19 45q0 27 19 46l90 90q19 19 46 19q26 0 45-19l181-181l181 181q19 19 45 19q27 0 46-19l90-90q19-19 19-46zm387-226q0 209-103 385.5T1153.5 1433T768 1536t-385.5-103T103 1153.5T0 768t103-385.5T382.5 103T768 0t385.5 103T1433 382.5T1536 768z\"\/>\n\t\t\t\t<\/svg>\n\t\t\t\t<div class=\"wpforms-signature-clear-caption\">Clear Signature<\/div>\n\t\t\t<\/div><\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-502-field_61-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"61\"><label class=\"wpforms-field-label\" for=\"wpforms-502-field_61\">Date <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-502-field_61\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][61][date]\" aria-errormessage=\"wpforms-502-field_61-error\" required><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-502-field_75-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"75\"><div id=\"wpforms-502-field_75\" aria-errormessage=\"wpforms-502-field_75-error\">&nbsp;<\/div><\/div><div id=\"wpforms-502-field_66-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"66\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-25-25-25-25\"><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-502-field_70-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"70\"><label class=\"wpforms-field-label\" for=\"wpforms-502-field_70\">Account # <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-502-field_70\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][70]\" aria-errormessage=\"wpforms-502-field_70-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-502-field_71-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"71\"><label class=\"wpforms-field-label\" for=\"wpforms-502-field_71\">Fed Tax ID\/Last 4 of SSN <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-502-field_71\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][71]\" aria-errormessage=\"wpforms-502-field_71-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><\/div><\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"502\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/milcrofton.gov\/milcrofton_newsite\/wp-json\/wp\/v2\/pages\/505\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-502\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/milcrofton.gov\/milcrofton_newsite\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n<\/div><\/section><\/p><\/div><div  class='flex_column av-131u9-b85c53716469d522c12820ee33b5f103 av_one_third  avia-builder-el-4  el_after_av_two_third  avia-builder-el-last  flex_column_div  '     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