{"id":1166,"date":"2025-07-27T20:23:20","date_gmt":"2025-07-27T12:23:20","guid":{"rendered":"https:\/\/boms1.amitechco.solutions\/?page_id=1166"},"modified":"2025-07-27T20:23:21","modified_gmt":"2025-07-27T12:23:21","slug":"pet-impound","status":"publish","type":"page","link":"https:\/\/juban-boms.lguapps.com\/south-poblacion\/index.php\/pet-impound\/","title":{"rendered":"Pet Impound"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full wpforms-container-save-resume wpforms-block wpforms-block-5cdf81fc-3c6b-43c3-9131-1aa207b79254 wpforms-render-modern\" id=\"wpforms-1162\"><form id=\"wpforms-form-1162\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"1162\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/south-poblacion\/index.php\/wp-json\/wp\/v2\/pages\/1166?wpforms_form_id=1162\" data-token=\"444508fd03d0b93ba9f5f815cf65d3c8\" data-token-time=\"1784864374\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-hidden\" id=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-1162-field_1-container\" class=\"wpforms-field wpforms-field-html\" data-field-type=\"html\" data-field-id=\"1\"><div id=\"wpforms-1162-field_1\" aria-errormessage=\"wpforms-1162-field_1-error\"><h3>Dog Information<\/h3><\/div><\/div><div id=\"wpforms-1162-field_2-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-1162-field_2\">Name (If known)<\/label><input type=\"text\" id=\"wpforms-1162-field_2\" class=\"wpforms-field-large\" name=\"wpforms[fields][2]\" aria-errormessage=\"wpforms-1162-field_2-error\" ><\/div>\t\t<div id=\"wpforms-1162-field_12-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"12\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-1162-field_12\" >Address Boarding Fees<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-1162-field_12\" class=\"wpforms-field-medium\" name=\"wpforms[fields][12]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-1162-field_3-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-1162-field_3\">Breed <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1162-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" aria-errormessage=\"wpforms-1162-field_3-error\" required><\/div><div id=\"wpforms-1162-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-1162-field_4\">Color\/Markings<\/label><input type=\"text\" id=\"wpforms-1162-field_4\" class=\"wpforms-field-medium\" name=\"wpforms[fields][4]\" aria-errormessage=\"wpforms-1162-field_4-error\" ><\/div><div id=\"wpforms-1162-field_5-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-1162-field_5\">Gender<\/label><input type=\"text\" id=\"wpforms-1162-field_5\" class=\"wpforms-field-medium\" name=\"wpforms[fields][5]\" aria-errormessage=\"wpforms-1162-field_5-error\" ><\/div><div id=\"wpforms-1162-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-1162-field_6\">Approximate Age<\/label><input type=\"text\" id=\"wpforms-1162-field_6\" class=\"wpforms-field-medium\" name=\"wpforms[fields][6]\" aria-errormessage=\"wpforms-1162-field_6-error\" ><\/div><div id=\"wpforms-1162-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-1162-field_7\">Tag Number (if applicable)<\/label><input type=\"text\" id=\"wpforms-1162-field_7\" class=\"wpforms-field-medium\" name=\"wpforms[fields][7]\" aria-errormessage=\"wpforms-1162-field_7-error\" ><\/div><div id=\"wpforms-1162-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-1162-field_8\">Health Condition \/ Visible Injuries<\/label><input type=\"text\" id=\"wpforms-1162-field_8\" class=\"wpforms-field-medium\" name=\"wpforms[fields][8]\" aria-errormessage=\"wpforms-1162-field_8-error\" ><\/div><div id=\"wpforms-1162-field_9-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-1162-field_9\">Behavior Notes (e.g., aggressive, friendly, scared)<\/label><textarea id=\"wpforms-1162-field_9\" class=\"wpforms-field-medium\" name=\"wpforms[fields][9]\" aria-errormessage=\"wpforms-1162-field_9-error\" ><\/textarea><\/div><div id=\"wpforms-1162-field_10-container\" class=\"wpforms-field wpforms-field-html\" data-field-type=\"html\" data-field-id=\"10\"><div id=\"wpforms-1162-field_10\" aria-errormessage=\"wpforms-1162-field_10-error\"><h3>Impound Details<\/h3><\/div><\/div><div id=\"wpforms-1162-field_11-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-type=\"date-time\" data-field-id=\"11\"><fieldset><legend class=\"wpforms-field-label\">Date and Time of Impound<\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-date-type-datepicker\"><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-1162-field_11\" class=\"wpforms-field-date-time-date wpforms-datepicker\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][11][date]\" aria-errormessage=\"wpforms-1162-field_11-error\" ><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><label for=\"wpforms-1162-field_11\" class=\"wpforms-field-sublabel after\">Date<\/label><\/div><div class=\"wpforms-field-row-block\"><input type=\"text\" id=\"wpforms-1162-field_11-time\" class=\"wpforms-field-date-time-time wpforms-timepicker\" data-time-format=\"g:i A\" data-step=\"30\" data-rule-time12h=\"true\" data-min-time=\"09:00am\" data-max-time=\"06:00pm\" data-rule-time-limit=\"true\" name=\"wpforms[fields][11][time]\" aria-errormessage=\"wpforms-1162-field_11-time-error\" ><label for=\"wpforms-1162-field_11-time\" class=\"wpforms-field-sublabel after\">Time<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-1162-field_13-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-1162-field_13\">Location Found<\/label><input type=\"text\" id=\"wpforms-1162-field_13\" class=\"wpforms-field-medium\" name=\"wpforms[fields][13]\" aria-errormessage=\"wpforms-1162-field_13-error\" ><\/div><div id=\"wpforms-1162-field_14-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-1162-field_14\">Reason for Impound (stray, surrendered, seized, etc.)<\/label><textarea id=\"wpforms-1162-field_14\" class=\"wpforms-field-medium\" name=\"wpforms[fields][14]\" aria-errormessage=\"wpforms-1162-field_14-error\" ><\/textarea><\/div><div id=\"wpforms-1162-field_15-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-1162-field_15\">Impounding Officer \/ Staff Name<\/label><input type=\"text\" id=\"wpforms-1162-field_15\" class=\"wpforms-field-medium\" name=\"wpforms[fields][15]\" aria-errormessage=\"wpforms-1162-field_15-error\" ><\/div><div id=\"wpforms-1162-field_16-container\" class=\"wpforms-field wpforms-field-html\" data-field-type=\"html\" data-field-id=\"16\"><div id=\"wpforms-1162-field_16\" aria-errormessage=\"wpforms-1162-field_16-error\"><h3>Owner Information (if known or later retrieved)<\/h3><\/div><\/div><div id=\"wpforms-1162-field_17-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"17\"><fieldset><legend class=\"wpforms-field-label\">Owner\u2019s Full 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-two-fifths\"><input type=\"text\" id=\"wpforms-1162-field_17\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][17][first]\" aria-errormessage=\"wpforms-1162-field_17-error\" required><label for=\"wpforms-1162-field_17\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-fifth\"><input type=\"text\" id=\"wpforms-1162-field_17-middle\" class=\"wpforms-field-name-middle\" name=\"wpforms[fields][17][middle]\" aria-errormessage=\"wpforms-1162-field_17-middle-error\" ><label for=\"wpforms-1162-field_17-middle\" class=\"wpforms-field-sublabel after\">Middle<\/label><\/div><div class=\"wpforms-field-row-block wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-1162-field_17-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][17][last]\" aria-errormessage=\"wpforms-1162-field_17-last-error\" required><label for=\"wpforms-1162-field_17-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-1162-field_18-container\" class=\"wpforms-field wpforms-field-number\" data-field-type=\"number\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-1162-field_18\">Contact Number<\/label><input type=\"number\" id=\"wpforms-1162-field_18\" class=\"wpforms-field-medium\" name=\"wpforms[fields][18]\" step=\"any\" aria-errormessage=\"wpforms-1162-field_18-error\" ><\/div><div id=\"wpforms-1162-field_19-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-1162-field_19\">Address<\/label><input type=\"text\" id=\"wpforms-1162-field_19\" class=\"wpforms-field-medium\" name=\"wpforms[fields][19]\" aria-errormessage=\"wpforms-1162-field_19-error\" ><\/div><div id=\"wpforms-1162-field_20-container\" class=\"wpforms-field wpforms-field-email\" data-field-type=\"email\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-1162-field_20\">Email Address <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-1162-field_20\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][20]\" spellcheck=\"false\" aria-errormessage=\"wpforms-1162-field_20-error\" required><\/div><div id=\"wpforms-1162-field_21-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-type=\"file-upload\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-1162-field_21\">Proof of Ownership (file upload field for documents, photos, etc.)<\/label><div\n\t\tclass=\"wpforms-uploader\"\n\t\tdata-field-id=\"21\"\n\t\tdata-form-id=\"1162\"\n\t\tdata-input-name=\"wpforms_1162_21\"\n\t\tdata-extensions=\"jpg,jpeg,jpe,gif,png,bmp,tiff,tif,webp,avif,ico,heic,heics,heif,heifs,asf,asx,wmv,wmx,wm,wma,avi,divx,mov,qt,mpeg,mpg,mpe,mp4,m4v,ogv,webm,mkv,3gp,3gpp,3g2,3gp2,txt,asc,c,cc,h,srt,csv,ics,css,aac,flac,class,xcf,doc,docx,docm,onetoc,onetoc2,onepkg,odc,tsv,rtx,vtt,mp3,m4a,m4b,ra,ram,rar,wav,x-wav,ogg,oga,mid,midi,wax,mka,rtf,pdf,tar,zip,gz,gzip,7z,psd,pot,pps,ppt,potx,potm,ppsx,ppsm,pptx,pptm,wri,xla,xls,xlt,xlw,xlam,xlsx,xlsm,xlsb,xltx,xltm,mpp,dotx,dotm,ppam,sldx,sldm,oxps,xps,odt,odp,ods,odg,odb,odf,wp,wpd,key,numbers,pages,svg,json\"\n\t\tdata-max-size=\"1536000\"\n\t\tdata-max-file-number=\"1\"\n\t\tdata-post-max-size=\"1536000\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"1536000\">\n\t<div class=\"dz-message\">\n\t\t<svg viewBox=\"0 0 1024 1024\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z\"><\/path>\n\t\t<\/svg>\n\t\t<span class=\"modern-title\">Click or drag a file to this area to upload.<\/span>\n\n\t\t\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-1162-field_21\"\n\t\tname=\"wpforms_1162_21\" \t\tvalue=\"\">\n<\/div><div id=\"wpforms-1162-field_22-container\" class=\"wpforms-field wpforms-field-html\" data-field-type=\"html\" data-field-id=\"22\"><div id=\"wpforms-1162-field_22\" aria-errormessage=\"wpforms-1162-field_22-error\"><h3>Shelter Details<\/h3><\/div><\/div><div id=\"wpforms-1162-field_23-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-1162-field_23\">Intake Number \/ Case ID<\/label><input type=\"text\" id=\"wpforms-1162-field_23\" class=\"wpforms-field-medium\" name=\"wpforms[fields][23]\" aria-errormessage=\"wpforms-1162-field_23-error\" ><\/div><div id=\"wpforms-1162-field_24-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-1162-field_24\">Kennel Number \/ Location<\/label><input type=\"text\" id=\"wpforms-1162-field_24\" class=\"wpforms-field-medium\" name=\"wpforms[fields][24]\" aria-errormessage=\"wpforms-1162-field_24-error\" ><\/div><div id=\"wpforms-1162-field_25-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-1162-field_25\">Vaccination Status<\/label><input type=\"text\" id=\"wpforms-1162-field_25\" class=\"wpforms-field-medium\" name=\"wpforms[fields][25]\" aria-errormessage=\"wpforms-1162-field_25-error\" ><\/div><div id=\"wpforms-1162-field_26-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-type=\"file-upload\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-1162-field_26\">Intake Photos (multiple file uploads)<\/label><div\n\t\tclass=\"wpforms-uploader\"\n\t\tdata-field-id=\"26\"\n\t\tdata-form-id=\"1162\"\n\t\tdata-input-name=\"wpforms_1162_26\"\n\t\tdata-extensions=\"jpg,jpeg,jpe,gif,png,bmp,tiff,tif,webp,avif,ico,heic,heics,heif,heifs,asf,asx,wmv,wmx,wm,wma,avi,divx,mov,qt,mpeg,mpg,mpe,mp4,m4v,ogv,webm,mkv,3gp,3gpp,3g2,3gp2,txt,asc,c,cc,h,srt,csv,ics,css,aac,flac,class,xcf,doc,docx,docm,onetoc,onetoc2,onepkg,odc,tsv,rtx,vtt,mp3,m4a,m4b,ra,ram,rar,wav,x-wav,ogg,oga,mid,midi,wax,mka,rtf,pdf,tar,zip,gz,gzip,7z,psd,pot,pps,ppt,potx,potm,ppsx,ppsm,pptx,pptm,wri,xla,xls,xlt,xlw,xlam,xlsx,xlsm,xlsb,xltx,xltm,mpp,dotx,dotm,ppam,sldx,sldm,oxps,xps,odt,odp,ods,odg,odb,odf,wp,wpd,key,numbers,pages,svg,json\"\n\t\tdata-max-size=\"1536000\"\n\t\tdata-max-file-number=\"1\"\n\t\tdata-post-max-size=\"1536000\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"1536000\">\n\t<div class=\"dz-message\">\n\t\t<svg viewBox=\"0 0 1024 1024\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z\"><\/path>\n\t\t<\/svg>\n\t\t<span class=\"modern-title\">Click or drag a file to this area to upload.<\/span>\n\n\t\t\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-1162-field_26\"\n\t\tname=\"wpforms_1162_26\" \t\tvalue=\"\">\n<\/div><div id=\"wpforms-1162-field_27-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-1162-field_27\">Notes (medical treatments, quarantine status, etc.)<\/label><textarea id=\"wpforms-1162-field_27\" class=\"wpforms-field-medium\" name=\"wpforms[fields][27]\" aria-errormessage=\"wpforms-1162-field_27-error\" ><\/textarea><\/div><div id=\"wpforms-1162-field_28-container\" class=\"wpforms-field wpforms-field-html\" data-field-type=\"html\" data-field-id=\"28\"><div id=\"wpforms-1162-field_28\" aria-errormessage=\"wpforms-1162-field_28-error\"><h3>Fees and Release<\/h3><\/div><\/div><div id=\"wpforms-1162-field_29-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-1162-field_29\">Impound Fee<\/label><input type=\"text\" id=\"wpforms-1162-field_29\" class=\"wpforms-field-medium\" name=\"wpforms[fields][29]\" aria-errormessage=\"wpforms-1162-field_29-error\" ><\/div><div id=\"wpforms-1162-field_30-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-1162-field_30\">Daily Boarding Fee<\/label><input type=\"text\" id=\"wpforms-1162-field_30\" class=\"wpforms-field-medium\" name=\"wpforms[fields][30]\" aria-errormessage=\"wpforms-1162-field_30-error\" ><\/div><div id=\"wpforms-1162-field_31-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"31\"><label class=\"wpforms-field-label\" for=\"wpforms-1162-field_31\">Other Fees (e.g., medical treatment, licensing fines)<\/label><textarea id=\"wpforms-1162-field_31\" class=\"wpforms-field-medium\" name=\"wpforms[fields][31]\" aria-errormessage=\"wpforms-1162-field_31-error\" ><\/textarea><\/div><div id=\"wpforms-1162-field_32-container\" class=\"wpforms-field wpforms-field-number\" data-field-type=\"number\" data-field-id=\"32\"><label class=\"wpforms-field-label\" for=\"wpforms-1162-field_32\">Total Due<\/label><input type=\"number\" id=\"wpforms-1162-field_32\" class=\"wpforms-field-medium\" name=\"wpforms[fields][32]\" step=\"any\" aria-errormessage=\"wpforms-1162-field_32-error\" ><\/div><div id=\"wpforms-1162-field_33-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"33\"><label class=\"wpforms-field-label\" for=\"wpforms-1162-field_33\">Payment Status<\/label><input type=\"text\" id=\"wpforms-1162-field_33\" class=\"wpforms-field-medium\" name=\"wpforms[fields][33]\" aria-errormessage=\"wpforms-1162-field_33-error\" ><\/div><div id=\"wpforms-1162-field_34-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-type=\"date-time\" data-field-id=\"34\"><fieldset><legend class=\"wpforms-field-label\">Release Date and Time<\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-date-type-datepicker\"><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-1162-field_34\" class=\"wpforms-field-date-time-date wpforms-datepicker\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][34][date]\" aria-errormessage=\"wpforms-1162-field_34-error\" ><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><label for=\"wpforms-1162-field_34\" class=\"wpforms-field-sublabel 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