Report A Malfunctioning Streetlight

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$(this).datepicker(options); } ); if (setTimePickers == undefined || setTimePickers == null || !setTimePickers) { $('.timepicker').each(function() { var options = { defaultTime: '08:30', showLeadingZero: true, showPeriod: true }; var additionalOptions = $(this).data('timepicker'); jQuery.extend(options, additionalOptions); $(this).timepicker(options); } ); setTimePickers = true; } $('[data-target="popover"]').on('click', function(e) { e.preventDefault(); e.stopPropagation(); } ); $('[data-target="popover"]').popover( { content: function() { var element = $(this).attr('data-element'); var el = $(element); var result = ''; if (el != "undefined") { result = $(element).text(); } return result; }, sanitize:false, html:true, placement: 'top', trigger: 'hover focus', delay: { show: "500", hide: "5000" }, template: '<div class="popover" role="tooltip"><div class="arrow"></div><div class="popover-content"></div></div>', viewport: '.bootstrap' }); $('[data-target="popover-left"]').on('click', 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Light</h1> <h2>1. Your Contact Information</h2> <p>We will require some basic contact information to process your request in the event that we need to follow-up, request additional information, or report on progress. All contact information fields are required.</p> </div> </div> </div> </div> <div class="row"> <div class="col-md-12"> <script type="text/javascript"> $().ready(function () { var _len = $('.bootstrap .input-validation-error:not(.hasDatepicker):not(.timepicker)').length; if (_len > 0) { $('.bootstrap .alert').first().focus(); } } ); </script> <script type="text/javascript"> $().ready(function () { var input; var input = $(".Question.TextField > div input.input-validation-error").val(); //console.log(input) if (input) { $(".Question.TextField > div input.input-validation-error").val(''); } }) </script> </div> </div> <div class="row"> <div id="C_7e4b5ef9-5e12-4953-8feb-ba5f50dc0926_0"> <script type="text/javascript"> function DisableHREFButton(event) { event.preventDefault(); } </script> <div class="col-md-3 "> <div data-id="7e4b5ef9-5e12-4953-8feb-ba5f50dc0926" class="Question TextField " style="page-break-inside: avoid;"> <div class="form-group required "> <label class="control-label" for="Q_7e4b5ef9-5e12-4953-8feb-ba5f50dc0926_0">First Name</label> <input aria-required="true" autocomplete="off" class="form-control" id="Q_7e4b5ef9-5e12-4953-8feb-ba5f50dc0926_0" name="Q_7e4b5ef9-5e12-4953-8feb-ba5f50dc0926_0" placeholder="" type="text" value="" /> </div> </div> </div> </div> <div id="C_8f79500b-102c-46fc-bc7a-2288798da329_0"> <script type="text/javascript"> function DisableHREFButton(event) { event.preventDefault(); 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} </script> <div class="col-md-6 "> <div data-id="ab9db083-2530-4f32-8e7f-8b7e99a315ee" class="Question TextField " style="page-break-inside: avoid;"> <div class="form-group required "> <label class="control-label" for="Q_ab9db083-2530-4f32-8e7f-8b7e99a315ee_0">Email</label> <input aria-required="true" autocomplete="off" class="form-control" id="Q_ab9db083-2530-4f32-8e7f-8b7e99a315ee_0" name="Q_ab9db083-2530-4f32-8e7f-8b7e99a315ee_0" placeholder="" type="text" value="" /> </div> </div> </div> </div> <div id="C_cfd4578b-ba04-4d2e-a93f-81ad67361d68_0"> <script type="text/javascript"> function DisableHREFButton(event) { event.preventDefault(); } </script> <div class="col-md-6 "> <div data-id="cfd4578b-ba04-4d2e-a93f-81ad67361d68" class="Question TextField " style="page-break-inside: avoid;"> <div class="form-group required "> <label class="control-label" for="Q_cfd4578b-ba04-4d2e-a93f-81ad67361d68_0">Re-Enter Your Email</label> <input aria-required="true" autocomplete="off" class="form-control" id="Q_cfd4578b-ba04-4d2e-a93f-81ad67361d68_0" name="Q_cfd4578b-ba04-4d2e-a93f-81ad67361d68_0" placeholder="" type="text" value="" /> </div> </div> </div> </div> </div> <div class="row"> <div id="C_3bbecf8b-b70f-417a-b011-6edcaab30ed3_0"> <script type="text/javascript"> function DisableHREFButton(event) { event.preventDefault(); } </script> <div class="col-md-12 "> <div data-id="3bbecf8b-b70f-417a-b011-6edcaab30ed3" class="Question TextField " style="page-break-inside: avoid;"> <input aria-hidden="true" id="Q_3bbecf8b-b70f-417a-b011-6edcaab30ed3_0" name="Q_3bbecf8b-b70f-417a-b011-6edcaab30ed3_0" type="hidden" value="" /> </div> </div> </div> </div> <div class="row"> <div id="C_4f8c5d38-ba16-412b-9e59-659f5ec85afd_0"> <script type="text/javascript"> function DisableHREFButton(event) { event.preventDefault(); } </script> <div class="col-md-12 "> <div data-id="4f8c5d38-ba16-412b-9e59-659f5ec85afd" class="Question Presentation " style="page-break-inside: avoid;"> <h2>2.聽Streetlight Location聽& Additional Information</h2> <p>Additional information may be required to handle your request. Any required fields are labeled with a red asterisk (<span style="color: #b94a48;">*</span>).</p> </div> </div> </div> </div> <div class="row"> <div id="C_ff3e01a8-793f-4643-aa24-168af96540c4_0"> <script type="text/javascript"> function DisableHREFButton(event) { event.preventDefault(); } </script> <div class="col-md-12 "> <div data-id="ff3e01a8-793f-4643-aa24-168af96540c4" class="Question RadioButtonList " style="page-break-inside: avoid;"> <script type="text/javascript"> function DisableHREFButton(event) { event.preventDefault(); } $().ready(function () { if ($('.legend.radioButton-legend').hasClass('help-link') == false) { $('.legend.radioButton-legend').append('<br>') } }); </script> <fieldset class="form-group required " aria-required="true" > <legend class="control-label radioButton-legend" for="Q_ff3e01a8-793f-4643-aa24-168af96540c4_0"> Location of Malfunctioning Streetlight </legend> <div class="marginTop5"> </div> <div class="row"> <div class="col-sm-12"> <div class="radio"> <label> <input type="radio" id="Q_ff3e01a8-793f-4643-aa24-168af96540c4_0" name="Q_ff3e01a8-793f-4643-aa24-168af96540c4_0" value="08cf67f6-dabf-41d1-9436-6417c6334265" /> I can provide the exact address </label> </div> </div> </div> <div class="row"> <div class="col-sm-12"> <div class="radio"> <label> <input type="radio" name="Q_ff3e01a8-793f-4643-aa24-168af96540c4_0" value="835e240f-e991-4539-953b-46a8c21bab39" /> I can provide the nearest intersection </label> </div> </div> </div> <div class="row"> <div class="col-sm-12"> <div class="radio"> <label> <input type="radio" name="Q_ff3e01a8-793f-4643-aa24-168af96540c4_0" value="ab63fa80-a03e-4d98-a25c-de69cdaee30f" /> I know the streetname, but not the house/street number </label> </div> </div> </div> </fieldset> </div> </div> <script type="text/javascript"> $().ready(function() { $('input[name="Q_ff3e01a8-793f-4643-aa24-168af96540c4_0"], select[name="Q_ff3e01a8-793f-4643-aa24-168af96540c4_0"]').change(function (e) { showOverlay(); e.preventDefault(); var form = $(this).closest('form'); var action = $(form).attr('action'); $('#Questions').load(action + action.indexOf('?') >= 0 ? 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</legend> <select aria-required="true" class="form-control" id="Q_3adc9326-b271-4c73-ac15-ded6efff3f6e_0" name="Q_3adc9326-b271-4c73-ac15-ded6efff3f6e_0"><option selected="selected" value="a2481f4b-f7e3-4935-a6f1-802af46a7f07">Noisy (buzzing)</option> <option value="0fbb9017-181e-4b31-8d4a-c32a2936a6dd">On During Day</option> <option value="ee9c299a-7096-4c50-9ca0-43df3a05dc72">Dim Flickering Cycling</option> <option value="258b6d21-f634-4ebf-ad7f-45c442017023">Not Bright Enough</option> <option value="57af1422-1939-49ff-bed4-c9c470519fcb">Not Coming On</option> <option value="31c2188e-7f80-4222-aced-2b744b4ce355">Lens Missing</option> <option value="e4e284c4-651e-43bc-b56c-c545ac2fcd28">Bulb Burnt Out</option> <option value="211c354d-33cb-4548-8f83-030c4d101911">Other Issue</option> </select> <div id="P_3adc9326-b271-4c73-ac15-ded6efff3f6e_0"> </div> </div> <script type="text/javascript"> $('#Q_3adc9326-b271-4c73-ac15-ded6efff3f6e_0').select2( { dropdownParent: $('#P_3adc9326-b271-4c73-ac15-ded6efff3f6e_0'), theme: 'bootstrap', width: 'style' } ); </script> </div> </div> </div> <div id="C_ed1d4b0c-6985-4e98-b2d1-39e96a180ee1_0"> <script type="text/javascript"> function DisableHREFButton(event) { event.preventDefault(); } </script> <div class="col-md-6 "> <div data-id="ed1d4b0c-6985-4e98-b2d1-39e96a180ee1" class="Question TextField " style="page-break-inside: avoid;"> <div class="form-group "> <label class="control-label" for="Q_ed1d4b0c-6985-4e98-b2d1-39e96a180ee1_0">What Is The Streetlight Pole Number (if known) ?</label> <a tabindex="0" data-toggle="popover" data-element="#HELP_ed1d4b0c-6985-4e98-b2d1-39e96a180ee1_0" data-target="popover" data-html="true" data-trigger="hover" class="marginLeft5" role="button" title="Click to learn more about this question" style="cursor: pointer;"> <span class="fa fa-question-circle fa-lg" alt="Click to learn more about this question"></span> </a> <div class="hidden tooltip-desc" aria-hidden="true" id="HELP_ed1d4b0c-6985-4e98-b2d1-39e96a180ee1_0"> The pole number can be found on a tag (typically yellow) attached to the pole. </div> <input autocomplete="off" class="form-control" id="Q_ed1d4b0c-6985-4e98-b2d1-39e96a180ee1_0" name="Q_ed1d4b0c-6985-4e98-b2d1-39e96a180ee1_0" placeholder="" type="text" value="" /> </div> </div> </div> </div> </div> <div class="row"> <div id="C_69a55d48-1d0f-4b9a-a548-7fc733d4433c_0"> <script type="text/javascript"> function DisableHREFButton(event) { event.preventDefault(); } </script> <div class="col-md-12 "> <div data-id="69a55d48-1d0f-4b9a-a548-7fc733d4433c" class="Question TextArea " style="page-break-inside: avoid;"> <div class="form-group "> <label class="control-label" for="Q_69a55d48-1d0f-4b9a-a548-7fc733d4433c_0">Details & Additional Information</label> <textarea aria-describedby="COUNT_69a55d48-1d0f-4b9a-a548-7fc733d4433c_0" autocomplete="off" class="form-control" cols="20" id="Q_69a55d48-1d0f-4b9a-a548-7fc733d4433c_0" maxlength="3500" name="Q_69a55d48-1d0f-4b9a-a548-7fc733d4433c_0" rows="8"> </textarea> <p id="COUNT_69a55d48-1d0f-4b9a-a548-7fc733d4433c_0" class="pull-right char-count"></p> </div> <script type="text/javascript"> autosize( $('#Q_69a55d48-1d0f-4b9a-a548-7fc733d4433c_0') ); $('#Q_69a55d48-1d0f-4b9a-a548-7fc733d4433c_0').keyup(function() { var text_max = $(this).attr('maxlength'); if (!isNaN(text_max)) { var text_len = $(this).val().length; var text_remaining = text_max - text_len; $('#COUNT_69a55d48-1d0f-4b9a-a548-7fc733d4433c_0').html(text_remaining + '/' + text_max + ' remaining'); } } ) .trigger('keyup'); </script> </div> </div> </div> </div> <div class="row"> <div id="C_98594dc8-6c4e-4363-9f96-2a36024ac1b1_0"> <script type="text/javascript"> function DisableHREFButton(event) { event.preventDefault(); } </script> <div class="col-md-12 "> <div data-id="98594dc8-6c4e-4363-9f96-2a36024ac1b1" class="Question Presentation " style="page-break-inside: avoid;"> <h2>Collection of personal information </h2> <p>Personal information on this form is collected under the authority of Section 10(1) of the <em>Municipal Act, 2001, S.O. 2001, c.25</em>, as amended and will be used to contact you concerning your service request/inquiry to the City of Brantford. Questions about this collection should be directed to:</p> <p><strong>City of Brantford </strong><br />58 Dalhousie Street<br />Brantford, Ontario N3T 2J2<br />Telephone: <a href="tel:519-759-4150">519-759-4150</a><br />Email: <a href="mailto:pwadmin@brantford.ca">For questions specific to the collection of personal information.</a></p> </div> </div> </div> </div> <input aria-hidden="true" id="FormId" name="FormId" type="hidden" value="8f69c995-abd0-4322-baa9-eea045443008" /> <input aria-hidden="true" id="Id" name="Id" type="hidden" value="" /> <script type="text/javascript"> $().ready(function () { $('.btn-panel-add').on('click', function (e) { e.preventDefault(); var href = $(this).attr('href'); var form = $(this).closest('form') $('#Questions').load(href, form.serializeArray() ); }); $('.radio input[type="radio"]').on('click', function (e) { var $self = $(this); if ($self.is('.clicked') == true) { $self.prop('checked', false); $self.removeClass('clicked'); $self.trigger('change'); 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Report A Malfunctioning Streetlight - City of Brantford