{"id":47107,"date":"2023-02-16T15:07:55","date_gmt":"2023-02-16T20:07:55","guid":{"rendered":"https:\/\/ifdresourc.es\/forms\/?page_id=47107"},"modified":"2023-02-16T15:13:21","modified_gmt":"2023-02-16T20:13:21","slug":"extrication-maintenance-request","status":"publish","type":"page","link":"https:\/\/ifdresourc.es\/forms\/extrication-maintenance-request\/","title":{"rendered":"Extrication Maintenance Request"},"content":{"rendered":"<script type=\"text\/javascript\">if(!gform){document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0});var gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),null==t&&(t=10),gform.hooks[o][n].push({tag:i,callable:r,priority:t})},doHook:function(o,n,r){if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[o][n]){var t,i=gform.hooks[o][n];i.sort(function(o,n){return o.priority-n.priority});for(var e=0;e<i.length;e++)\"function\"!=typeof(t=i[e].callable)&#038;&#038;(t=window[t]),\"action\"==o?t.apply(null,r):r[0]=t.apply(null,r)}if(\"filter\"==o)return r[0]},removeHook:function(o,n,r,t){if(null!=gform.hooks[o][n])for(var i=gform.hooks[o][n],e=i.length-1;0<=e;e--)null!=t&#038;&#038;t!=i[e].tag||null!=r&#038;&#038;r!=i[e].priority||i.splice(e,1)}}}<\/script>\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gf_stylespro_wrapper sp_inherit_wrapper' id='gform_wrapper_149' >\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">IFD Special Ops - Extrication Maintenance Request<\/h2>\n                            <span class='gform_description'>For extrication tools\/material check and reporting of any issues.<\/span>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_149' class=' gf_stylespro sp_inherit' action='\/forms\/wp-json\/wp\/v2\/pages\/47107' >\n                        <div class='gform_body gform-body'><div id='gform_fields_149' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_149_2\" class=\"gfield gfield--width-half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_149_2' >Shift Day<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_2' id='input_149_2' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='A' >A<\/option><option value='B' >B<\/option><option value='C' >C<\/option><\/select><\/div><\/div><div id=\"field_149_3\" class=\"gfield gfield--width-half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_149_3' >Battalion<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_3' id='input_149_3' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='Admin' >Admin<\/option><option value='NA' >NA<\/option><\/select><\/div><\/div><div id=\"field_149_4\" class=\"gfield gfield--width-half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_149_4' >Location<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_4' id='input_149_4' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Training Academy' >Training Academy<\/option><option value='Station 4' >Station 4<\/option><option value='Station 7' >Station 7<\/option><option value='Station 9' >Station 9<\/option><option value='Station 10' >Station 10<\/option><option value='Station 14' >Station 14<\/option><option value='Station 15' >Station 15<\/option><option value='Station 29' >Station 29<\/option><option value='Station 30' >Station 30<\/option><option value='Station 34' >Station 34<\/option><option value='Station 35' >Station 35<\/option><option value='Station 43' >Station 43<\/option><option value='Station 44' >Station 44<\/option><option value='Station 55' >Station 55<\/option><option value='Other Address' >Other Address<\/option><\/select><\/div><\/div><div id=\"field_149_5\" class=\"gfield gfield--width-half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_149_5' >Apparatus<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_5' id='input_149_5' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Engine' >Engine<\/option><option value='Ladder' >Ladder<\/option><option value='Squad' >Squad<\/option><option value='Tac' >Tac<\/option><option value='BC Buggy' >BC Buggy<\/option><option value='Shift Commander' >Shift Commander<\/option><\/select><\/div><\/div><fieldset id=\"field_149_22\" class=\"gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label gfield_label_before_complex'  >Tools &amp; Supplies Request<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_149_22'><div class='gchoice gchoice_149_22_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.1' type='checkbox'  value='Reciprocating Blades'  id='choice_149_22_1'   aria-describedby=\"gfield_description_149_22\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_149_22_1' id='label_149_22_1'>Reciprocating Blades<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_149_22_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.2' type='checkbox'  value='Reciprocating Saw'  id='choice_149_22_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_149_22_2' id='label_149_22_2'>Reciprocating Saw<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_149_22_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.3' type='checkbox'  value='Cribbing'  id='choice_149_22_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_149_22_3' id='label_149_22_3'>Cribbing<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_149_22_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.4' type='checkbox'  value='Struts'  id='choice_149_22_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_149_22_4' id='label_149_22_4'>Struts<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_149_22_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.5' type='checkbox'  value='Patient Blanket'  id='choice_149_22_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_149_22_5' id='label_149_22_5'>Patient Blanket<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_149_22_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.6' type='checkbox'  value='Air Bag'  id='choice_149_22_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_149_22_6' id='label_149_22_6'>Air Bag<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_149_22_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.7' type='checkbox'  value='Regulator'  id='choice_149_22_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_149_22_7' id='label_149_22_7'>Regulator<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_149_22_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.8' type='checkbox'  value='Other'  id='choice_149_22_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_149_22_8' id='label_149_22_8'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_149_22'>Tools means the following: reciprocating blades, reciprocating saws, cribbing, struts, patient blanket, air bag, and regulator<\/div><\/fieldset><div id=\"field_149_7\" class=\"gfield gfield--width-full gfield_html gfield_html_formatted field_sublabel_below field_description_below gfield_visibility_visible\" ><h2 style=\"color:#0099FF\">Martin Price of Holmatro suggested services...<h2\/><\/div><div id=\"field_149_21\" class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\" ><h3 class=\"gsection_title\">Equipment<\/h3><div class='gsection_description' id='gfield_description_149_21'>If you have an issue with extrication equipment, identify the equipment below and describe the issue in the space provided.<\/div><\/div><div id=\"field_149_11\" class=\"gfield gfield--width-third field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_149_11' >Pump Hose<\/label><div class='ginput_container ginput_container_select'><select name='input_11' id='input_149_11' class='large gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='SR20' >SR20<\/option><option value='NA' >NA<\/option><\/select><\/div><\/div><div id=\"field_149_8\" class=\"gfield gfield--width-third field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_149_8' >Spreaders<\/label><div class='ginput_container ginput_container_select'><select name='input_8' id='input_149_8' class='large gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='SP5240' >SP5240<\/option><option value='SP5260' >SP5260<\/option><option value='SP5240 CL' >SP5240 CL<\/option><option value='NA' >NA<\/option><\/select><\/div><\/div><div id=\"field_149_9\" class=\"gfield gfield--width-third field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_149_9' >Cutters<\/label><div class='ginput_container ginput_container_select'><select name='input_9' id='input_149_9' class='large gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='CU5050' >CU5050<\/option><option value='CU5050i' >CU5050i<\/option><option value='NA' >NA<\/option><\/select><\/div><\/div><div id=\"field_149_10\" class=\"gfield gfield--width-half field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_149_10' >Rams<\/label><div class='ginput_container ginput_container_select'><select name='input_10' id='input_149_10' class='large gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='TR4340' >TR4340<\/option><option value='TR4350' >TR4350<\/option><option value='RA4331' >RA4331<\/option><option value='NA' >NA<\/option><\/select><\/div><\/div><div id=\"field_149_12\" class=\"gfield gfield--width-half field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_149_12' >Combi Tool<\/label><div class='ginput_container ginput_container_select'><select name='input_12' id='input_149_12' class='large gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='GCT 5111' >GCT 5111<\/option><option value='NA' >NA<\/option><\/select><\/div><\/div><div id=\"field_149_15\" class=\"gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\" ><h2 style=\"color:#0099FF\">If you have an issue with extrication equipment, identify the equipment below and describe the issue in the space provided.<h2\/><\/div><div id=\"field_149_16\" class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_149_16' >Issue with Equipment<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_16' id='input_149_16' class='textarea large'  aria-describedby=\"gfield_description_149_16\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_149_16'>Please briefly describe the issue and an email will be sent to IFD Special Operations for a resolution.\n\nThis should be used to address issues with current equipment ONLY. All other communications, requests, and questions should be directed to Capt. Kocher at Jacob.Kocher@indy.gov.<\/div><\/div><fieldset id=\"field_149_17\" class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >Report based upon...<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_149_17'>\n\t\t\t<div class='gchoice gchoice_149_17_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='Something that has occurred during my shift\/day.'  id='choice_149_17_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_149_17_0' id='label_149_17_0'>Something that has occurred during my shift\/day.<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_149_18\" class=\"gfield gfield_contains_required field_sublabel_below field_description_below 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