{"id":6404,"date":"2023-05-17T13:33:11","date_gmt":"2023-05-17T17:33:11","guid":{"rendered":"https:\/\/www.vdh.virginia.gov\/drinking-water\/?page_id=6404"},"modified":"2023-05-23T10:16:18","modified_gmt":"2023-05-23T14:16:18","slug":"vdh-odw-lead-copper-contact-form","status":"publish","type":"page","link":"https:\/\/www.vdh.virginia.gov\/drinking-water\/vdh-odw-lead-copper-contact-form\/","title":{"rendered":"L&amp;C Contact Form"},"content":{"rendered":"<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_9' >\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">VDH-ODW Lead &#038; Copper Contact Form<\/h2>\n                            <p class='gform_description'>This form is used to help direct you to the appropriate contact regarding Lead &amp; Copper information, questions, and concerns.<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_9'  action='\/drinking-water\/wp-json\/wp\/v2\/pages\/6404' data-formid='9' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_9' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_9_4\" class=\"gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  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Assistance<\/option><option value='Lead and Copper Technical Assistance' >Lead and Copper Technical Assistance<\/option><option value='Lead in Schools and Child Care Centers' >Lead in Schools and Child Care Centers<\/option><\/select><\/div><\/div><fieldset id=\"field_9_1\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_9_1'>\n                            \n                            <span id='input_9_1_3_container' class='name_first gform-grid-col 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