{"id":35655,"date":"2024-05-16T12:41:33","date_gmt":"2024-05-16T19:41:33","guid":{"rendered":"https:\/\/inside.ewu.edu\/ehs\/?page_id=35655"},"modified":"2024-05-16T12:41:33","modified_gmt":"2024-05-16T19:41:33","slug":"ehs-service-request","status":"publish","type":"page","link":"https:\/\/inside.ewu.edu\/ehs\/ehs-service-request\/","title":{"rendered":"EH&#038;S Service Request"},"content":{"rendered":"\n<p>Filling out this form will initiate an Environmental Health &amp; Safety service request. This form should not be used for requests related to Facilities.<\/p>\n\n\n\n<p><strong>Use the&nbsp;<a href=\"https:\/\/in.ewu.edu\/ehs\/wp-content\/uploads\/sites\/116\/2017\/10\/Incident-Report-Form-1.pdf\">Incident Report Form<\/a>&nbsp;if this involves an accident, illness, or property damage.<\/strong><\/p>\n\n\n\n<p>Supervisors or Residential Life Representatives (if you are an EWU Housing Resident) will be contacted prior to any investigations or evaluations. Make sure your supervisor or Residential Life Representative is aware that you are submitting a service request.<\/p>\n\n\n\n<div style=\"height:2em\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n<script type=\"text\/javascript\">var 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 InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_27' style='display:none'>\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">EH&#038;S Service Request Form<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_27'  action='\/ehs\/wp-json\/wp\/v2\/pages\/35655' data-formid='27' novalidate><input type=\"hidden\" value=\"0\" name=\"gpps_page_progression_27\" \/>\n                        <div class='gform-body gform_body'><ul id='gform_fields_27' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_27_1\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_1\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><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_27_1'>\n                            \n                            <span id='input_27_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_27_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_27_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_27_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_27_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_27_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_27_3\" class=\"gfield gfield--type-phone gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_3\" ><label class='gfield_label gform-field-label' for='input_27_3'>Phone Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_3' id='input_27_3' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_27_2\" class=\"gfield gfield--type-email gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_2\" ><label class='gfield_label gform-field-label' for='input_27_2'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_2' id='input_27_2' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_27_4\" class=\"gfield gfield--type-text gf_left_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_4\" ><label class='gfield_label gform-field-label' for='input_27_4'>Department<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_27_4' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_27_5\" class=\"gfield gfield--type-text gf_middle_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_5\" ><label class='gfield_label gform-field-label' for='input_27_5'>Building<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_27_5' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_27_6\" class=\"gfield gfield--type-text gf_right_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_6\" ><label class='gfield_label gform-field-label' for='input_27_6'>Room or Location for Service<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_27_6' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_27_7\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_7\" ><label class='gfield_label gform-field-label' for='input_27_7'>Service Requested<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_27_7'>Describe the type of service requested: Safety Inspection, specialized training, ect&#8230;<\/div><div class='ginput_container ginput_container_text'><input name='input_7' id='input_27_7' type='text' value='' class='medium'  aria-describedby=\"gfield_description_27_7\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_27_8\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_8\" ><label class='gfield_label gform-field-label' for='input_27_8'>Cause for Request<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_27_8'>Describe the issue<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_8' id='input_27_8' class='textarea medium'  aria-describedby=\"gfield_description_27_8\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_27_9\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_9\" ><label class='gfield_label gform-field-label' for='input_27_9'>Additional Information<\/label><div class='gfield_description' id='gfield_description_27_9'>Is there anything else we should know about the issue?<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_9' id='input_27_9' class='textarea medium'  aria-describedby=\"gfield_description_27_9\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_27_10\" class=\"gfield gfield--type-fileupload field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_10\" ><label class='gfield_label gform-field-label' for='gform_browse_button_27_10'>File Upload<\/label><div class='gfield_description' id='gfield_description_27_10'>Are there any files that are associated with the issue?\nMaximum file size is 8MB.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_27_10' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_27_10&quot;,&quot;container&quot;:&quot;gform_multifile_upload_27_10&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_27_10&quot;,&quot;filelist&quot;:&quot;gform_preview_27_10&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/inside.ewu.edu\\\/ehs\\\/?gf_page=b22187ae8bbc7a4&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/inside.ewu.edu\\\/ehs\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/inside.ewu.edu\\\/ehs\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;65536000b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:27,&quot;field_id&quot;:10},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_27_10&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_27_10' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_27_10' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_27_10 gfield_description_27_10\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_27_10'>Max. file size: 63 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_27_10'><\/ul> <!-- Leave <ul> empty to support CSS :empty selector. --><\/div><div id='gform_preview_27_10' class='ginput_preview_list'><\/div><\/li><li id=\"field_27_11\" class=\"gfield gfield--type-name gf_left_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_11\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Supervisor&#039;s Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><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_27_11'>\n                            \n                            <span id='input_27_11_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_11.3' id='input_27_11_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_27_11_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_27_11_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_11.6' id='input_27_11_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_27_11_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_27_12\" class=\"gfield gfield--type-phone gf_middle_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_12\" ><label class='gfield_label gform-field-label' for='input_27_12'>Supervisor&#039;s Phone Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_12' id='input_27_12' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_27_13\" class=\"gfield gfield--type-email gf_right_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_13\" ><label class='gfield_label gform-field-label' for='input_27_13'>Supervisor&#039;s Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_13' id='input_27_13' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_27_14\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_27_14\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' >Does this request require supervisor approval?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_27_14'>\n\t\t\t<li class='gchoice gchoice_27_14_0'>\n\t\t\t\t<input name='input_14' type='radio' value='No'  id='choice_27_14_0'    \/>\n\t\t\t\t<label for='choice_27_14_0' id='label_27_14_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_27_14_1'>\n\t\t\t\t<input name='input_14' type='radio' value='Yes'  id='choice_27_14_1'    \/>\n\t\t\t\t<label for='choice_27_14_1' id='label_27_14_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_27_15\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_27_15\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' >Have we received supervisor approval?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_27_15'>\n\t\t\t<li class='gchoice gchoice_27_15_0'>\n\t\t\t\t<input name='input_15' type='radio' value='No'  id='choice_27_15_0'    \/>\n\t\t\t\t<label for='choice_27_15_0' id='label_27_15_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_27_15_1'>\n\t\t\t\t<input name='input_15' type='radio' value='Yes'  id='choice_27_15_1'    \/>\n\t\t\t\t<label for='choice_27_15_1' id='label_27_15_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_27_16\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_27_16\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' >What type of service request is this?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_27_16'>\n\t\t\t<li class='gchoice gchoice_27_16_0'>\n\t\t\t\t<input name='input_16' type='radio' value='Ergonomic Evaluation Request'  id='choice_27_16_0'    \/>\n\t\t\t\t<label for='choice_27_16_0' id='label_27_16_0' class='gform-field-label gform-field-label--type-inline'>Ergonomic Evaluation Request<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_27_16_1'>\n\t\t\t\t<input name='input_16' type='radio' value='Other EH&amp;S Service Request'  id='choice_27_16_1'    \/>\n\t\t\t\t<label for='choice_27_16_1' id='label_27_16_1' class='gform-field-label gform-field-label--type-inline'>Other EH&amp;S Service Request<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_27_16_2'>\n\t\t\t\t<input name='input_16' type='radio' value='Facilities Work Order Request'  id='choice_27_16_2'    \/>\n\t\t\t\t<label for='choice_27_16_2' id='label_27_16_2' class='gform-field-label gform-field-label--type-inline'>Facilities Work Order Request<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_27_16_3'>\n\t\t\t\t<input name='input_16' type='radio' value='Other (like random questions)'  id='choice_27_16_3'    \/>\n\t\t\t\t<label for='choice_27_16_3' id='label_27_16_3' class='gform-field-label gform-field-label--type-inline'>Other (like random questions)<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_27_17\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_27_17\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_27_17'>Ergonomic Evaluation Number<\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_27_17' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_27_18\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_27_18\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_27_18'>Date of Ergonomic Evaluation<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_18' id='input_27_18' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_27_18_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_27_18_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_27_18' class='gform_hidden' value='https:\/\/inside.ewu.edu\/ehs\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_27_19\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_27_19\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_27_19'>Service Request Number<\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_27_19' type='text' value='' class='medium'      aria-invalid=\"false\"   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