{"id":1159,"date":"2019-05-17T14:41:54","date_gmt":"2019-05-17T20:41:54","guid":{"rendered":"http:\/\/www.kckfd.org\/?page_id=1159"},"modified":"2019-05-20T13:14:46","modified_gmt":"2019-05-20T19:14:46","slug":"kansas-fire-department-meritorious-awards-nomination-form","status":"publish","type":"page","link":"http:\/\/www.kckfd.org\/index.php\/kansas-fire-department-meritorious-awards-nomination-form\/","title":{"rendered":"Meritorious Awards Nomination Form"},"content":{"rendered":"<div class=\"caldera-grid\" id=\"caldera_form_1\" data-cf-ver=\"1.9.5\" data-cf-form-id=\"CF5cd9cfb11d8ab\"><div id=\"caldera_notices_1\" data-spinner=\"http:\/\/www.kckfd.org\/wordpress\/wp-admin\/images\/spinner.gif\"><\/div><form data-instance=\"1\" class=\"CF5cd9cfb11d8ab caldera_forms_form\" method=\"POST\" enctype=\"multipart\/form-data\" id=\"CF5cd9cfb11d8ab_1\" data-form-id=\"CF5cd9cfb11d8ab\" aria-label=\"Merit Award Form\">\r\n<input type=\"hidden\" id=\"_cf_verify_CF5cd9cfb11d8ab\" name=\"_cf_verify\" value=\"b1c17761da\"  data-nonce-time=\"1777479546\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/1159\" \/><div id=\"cf2-CF5cd9cfb11d8ab_1\"><\/div><input type=\"hidden\" name=\"_cf_frm_id\" value=\"CF5cd9cfb11d8ab\">\r\n<input type=\"hidden\" name=\"_cf_frm_ct\" value=\"1\">\r\n<input type=\"hidden\" name=\"_cf_cr_pst\" value=\"1159\">\r\n<div class=\"hide\" style=\"display:none; overflow:hidden;height:0;width:0;\">\r\n<label>Order Number<\/label><input type=\"text\" name=\"order_number\" value=\"\" autocomplete=\"off\">\r\n<\/div><div id=\"CF5cd9cfb11d8ab_1-row-1\"  class=\"row  first_row\"><div  class=\"col-sm-12  single\"><div class=\"\"><h2 style=\"text-align: center;\">Kansas Fire Department Meritorious Awards Nomination Form<\/h2>\n<\/div><\/div><\/div><div id=\"CF5cd9cfb11d8ab_1-row-2\"  class=\"row \"><div  class=\"col-sm-4  first_col\"><div class=\"\"><h3 style=\"text-align: right;\">I would like to commend the actions of:<\/h3>\n<\/div><\/div><div  class=\"col-sm-8  last_col\"><div data-field-wrapper=\"fld_7041944\" class=\"form-group\" id=\"fld_7041944_1-wrap\">\r\n\t<label id=\"fld_7041944Label\" for=\"fld_7041944_1\" class=\"control-label\">Rank and Full Name <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_7041944\" class=\" form-control\" id=\"fld_7041944_1\" name=\"fld_7041944\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_7041944Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5cd9cfb11d8ab_1-row-3\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_5571749\" class=\"form-group\" id=\"fld_5571749_1-wrap\">\r\n\t<label id=\"fld_5571749Label\" for=\"fld_5571749_1\" class=\"control-label\">Additional Awards Recommendations (Ranks and Full Names)<\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea name=\"fld_5571749\" value=\"\" data-field=\"fld_5571749\" class=\"form-control\" id=\"fld_5571749_1\" rows=\"4\"    aria-labelledby=\"fld_5571749Label\" ><\/textarea>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5cd9cfb11d8ab_1-row-4\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_2999186\" class=\"form-group\" id=\"fld_2999186_1-wrap\">\r\n<label id=\"fld_2999186Label\" for=\"fld_2999186_1\" class=\"control-label\">Incident Type <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n<div class=\"\">\r\n\t\t\t\t<label class=\"radio-inline\" data-label=\"Structure\" for=\"fld_2999186_1_opt1173700\"><input type=\"radio\" id=\"fld_2999186_1_opt1173700\" data-field=\"fld_2999186\" class=\"fld_2999186_1 option-required\" name=\"fld_2999186\" value=\"Structure\"   required=\"required\" data-radio-field=\"fld_2999186_1\" data-type=\"radio\" data-calc-value=\"Structure\" \/>\n\t\t\tStructure\t\t<\/label>\n\t\t\t\t\t\t\t\t<label class=\"radio-inline\" data-label=\"Vehicle\" for=\"fld_2999186_1_opt1617928\"><input type=\"radio\" id=\"fld_2999186_1_opt1617928\" data-field=\"fld_2999186\" class=\"fld_2999186_1 option-required\" name=\"fld_2999186\" value=\"Vehicle\"   required=\"required\" data-radio-field=\"fld_2999186_1\" data-type=\"radio\" data-calc-value=\"Vehicle\" \/>\n\t\t\tVehicle\t\t<\/label>\n\t\t\t\t\t\t\t\t<label class=\"radio-inline\" data-label=\"Other\" for=\"fld_2999186_1_opt1584122\"><input type=\"radio\" id=\"fld_2999186_1_opt1584122\" data-field=\"fld_2999186\" class=\"fld_2999186_1 option-required\" name=\"fld_2999186\" value=\"Other\"   required=\"required\" data-radio-field=\"fld_2999186_1\" data-type=\"radio\" data-calc-value=\"Other\" \/>\n\t\t\tOther\t\t<\/label>\n\t\t\t\t<\/div>\r\n<\/div>\r\n\n<div data-field-wrapper=\"fld_8538258\" class=\"form-group\" id=\"fld_8538258_1-wrap\">\r\n\t<label id=\"fld_8538258Label\" for=\"fld_8538258_1\" class=\"control-label\">Date of Incident<\/label>\r\n\t<div class=\"\">\r\n\t\t<input  type=\"text\" data-provide=\"cfdatepicker\" name=\"fld_8538258\" value=\"\" id=\"fld_8538258_1\" data-field=\"fld_8538258\" class=\"form-control cfdatepicker is-cfdatepicker\" data-date-format=\"yyyy-mm-dd\" data-date-start-view=\"month\"   aria-labelledby=\"fld_8538258Label\"   \/>\n\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_8262676\" class=\"form-group\" id=\"fld_8262676_1-wrap\">\r\n\t<label id=\"fld_8262676Label\" for=\"fld_8262676_1\" class=\"control-label\">Location of Incident<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_8262676\" class=\" form-control\" id=\"fld_8262676_1\" name=\"fld_8262676\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_8262676Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_9774523\" class=\"form-group\" id=\"fld_9774523_1-wrap\">\r\n\t<label id=\"fld_9774523Label\" for=\"fld_9774523_1\" class=\"control-label\">Incident Number<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_9774523\" class=\" form-control\" id=\"fld_9774523_1\" name=\"fld_9774523\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_9774523Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_7961065\" class=\"form-group\" id=\"fld_7961065_1-wrap\">\r\n\t<label id=\"fld_7961065Label\" for=\"fld_7961065_1\" class=\"control-label\">Nature of Incident<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_7961065\" class=\" form-control\" id=\"fld_7961065_1\" name=\"fld_7961065\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_7961065Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_9230032\" class=\"form-group\" id=\"fld_9230032_1-wrap\">\r\n\t<label id=\"fld_9230032Label\" for=\"fld_9230032_1\" class=\"control-label\">Responding Company #'s<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_9230032\" class=\" form-control\" id=\"fld_9230032_1\" name=\"fld_9230032\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_9230032Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5cd9cfb11d8ab_1-row-5\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_4801877\" class=\"form-group\" id=\"fld_4801877_1-wrap\">\r\n\t<label id=\"fld_4801877Label\" for=\"fld_4801877_1\" class=\"control-label\">Brief Description of Situation <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea name=\"fld_4801877\" value=\"\" data-field=\"fld_4801877\" class=\"form-control\" id=\"fld_4801877_1\" rows=\"4\"  required=\"required\"  aria-labelledby=\"fld_4801877Label\" ><\/textarea>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5cd9cfb11d8ab_1-row-6\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_4073179\" class=\"form-group\" id=\"fld_4073179_1-wrap\">\r\n\t<label id=\"fld_4073179Label\" for=\"fld_4073179_1\" class=\"control-label\">Name of person making rescue<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_4073179\" class=\" form-control\" id=\"fld_4073179_1\" name=\"fld_4073179\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_4073179Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_7109208\" class=\"form-group\" id=\"fld_7109208_1-wrap\">\r\n\t<label id=\"fld_7109208Label\" for=\"fld_7109208_1\" class=\"control-label\">Unit Number<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_7109208\" class=\" form-control\" id=\"fld_7109208_1\" name=\"fld_7109208\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_7109208Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_94373\" class=\"form-group\" id=\"fld_94373_1-wrap\">\r\n<label id=\"fld_94373Label\" for=\"fld_94373_1\" class=\"control-label\">Was assistance required to remove victim?<\/label>\r\n<div class=\"\">\r\n\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Yes\" for=\"fld_94373_1_opt1713309\"><input type=\"radio\" id=\"fld_94373_1_opt1713309\" data-field=\"fld_94373\" class=\"fld_94373_1\" name=\"fld_94373\" value=\"Yes\"    data-radio-field=\"fld_94373_1\" data-type=\"radio\" data-calc-value=\"Yes\" \/>\n\t\t\tYes\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"No\" for=\"fld_94373_1_opt2008650\"><input type=\"radio\" id=\"fld_94373_1_opt2008650\" data-field=\"fld_94373\" class=\"fld_94373_1\" name=\"fld_94373\" value=\"No\"    data-radio-field=\"fld_94373_1\" data-type=\"radio\" data-calc-value=\"No\" \/>\n\t\t\tNo\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_6094378\" class=\"form-group\" id=\"fld_6094378_1-wrap\">\r\n\t<label id=\"fld_6094378Label\" for=\"fld_6094378_1\" class=\"control-label\">Incident Commander<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_6094378\" class=\" form-control\" id=\"fld_6094378_1\" name=\"fld_6094378\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_6094378Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_1103161\" class=\"form-group\" id=\"fld_1103161_1-wrap\">\r\n\t<label id=\"fld_1103161Label\" for=\"fld_1103161_1\" class=\"control-label\">Company Officer<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_1103161\" class=\" form-control\" id=\"fld_1103161_1\" name=\"fld_1103161\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_1103161Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_9152389_1\" data-field-id=\"fld_9152389_1\"><\/span><\/div><\/div><div id=\"CF5cd9cfb11d8ab_1-row-7\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_7849784\" class=\"form-group\" id=\"fld_7849784_1-wrap\">\r\n\t<label id=\"fld_7849784Label\" for=\"fld_7849784_1\" class=\"control-label\">Additional responding units<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_7849784\" class=\" form-control\" id=\"fld_7849784_1\" name=\"fld_7849784\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_7849784Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5cd9cfb11d8ab_1-row-8\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_3729267_1\" data-field-id=\"fld_3729267_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_4025867_1\" data-field-id=\"fld_4025867_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_2526873_1\" data-field-id=\"fld_2526873_1\"><\/span><\/div><div  class=\"col-sm-6  last_col\"><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_1257939_1\" data-field-id=\"fld_1257939_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_5762495_1\" data-field-id=\"fld_5762495_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_4394373_1\" data-field-id=\"fld_4394373_1\"><\/span><\/div><\/div><div id=\"CF5cd9cfb11d8ab_1-row-9\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_1206371_1\" data-field-id=\"fld_1206371_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_564203_1\" data-field-id=\"fld_564203_1\"><\/span><\/div><div  class=\"col-sm-6  last_col\"><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_5026150_1\" data-field-id=\"fld_5026150_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_2860372_1\" data-field-id=\"fld_2860372_1\"><\/span><\/div><\/div><div id=\"CF5cd9cfb11d8ab_1-row-10\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_5510053\" class=\"form-group\" id=\"fld_5510053_1-wrap\">\r\n\t<label id=\"fld_5510053Label\" for=\"fld_5510053_1\" class=\"control-label\">Conditions upon arrival<\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea name=\"fld_5510053\" value=\"\" data-field=\"fld_5510053\" class=\"form-control\" id=\"fld_5510053_1\" rows=\"4\"    aria-labelledby=\"fld_5510053Label\" ><\/textarea>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_2264781\" class=\"form-group\" id=\"fld_2264781_1-wrap\">\r\n<label id=\"fld_2264781Label\" for=\"fld_2264781_1\" class=\"control-label\">Were hose lines charged<\/label>\r\n<div class=\"\">\r\n\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Yes\" for=\"fld_2264781_1_opt1711981\"><input type=\"radio\" id=\"fld_2264781_1_opt1711981\" data-field=\"fld_2264781\" class=\"fld_2264781_1\" name=\"fld_2264781\" value=\"Yes\"    data-radio-field=\"fld_2264781_1\" data-type=\"radio\" data-calc-value=\"Yes\" \/>\n\t\t\tYes\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"No\" for=\"fld_2264781_1_opt1242016\"><input type=\"radio\" id=\"fld_2264781_1_opt1242016\" data-field=\"fld_2264781\" class=\"fld_2264781_1\" name=\"fld_2264781\" value=\"No\"    data-radio-field=\"fld_2264781_1\" data-type=\"radio\" data-calc-value=\"No\" \/>\n\t\t\tNo\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_7605923\" class=\"form-group\" id=\"fld_7605923_1-wrap\">\r\n<label id=\"fld_7605923Label\" for=\"fld_7605923_1\" class=\"control-label\">Was protective clothing worn<\/label>\r\n<div class=\"\">\r\n\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Yes\" for=\"fld_7605923_1_opt1258957\"><input type=\"radio\" id=\"fld_7605923_1_opt1258957\" data-field=\"fld_7605923\" class=\"fld_7605923_1\" name=\"fld_7605923\" value=\"Yes\"    data-radio-field=\"fld_7605923_1\" data-type=\"radio\" data-calc-value=\"Yes\" \/>\n\t\t\tYes\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"No\" for=\"fld_7605923_1_opt1347105\"><input type=\"radio\" id=\"fld_7605923_1_opt1347105\" data-field=\"fld_7605923\" class=\"fld_7605923_1\" name=\"fld_7605923\" value=\"No\"    data-radio-field=\"fld_7605923_1\" data-type=\"radio\" data-calc-value=\"No\" \/>\n\t\t\tNo\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3  last_col\"><div data-field-wrapper=\"fld_7549478\" class=\"form-group\" id=\"fld_7549478_1-wrap\">\r\n<label id=\"fld_7549478Label\" for=\"fld_7549478_1\" class=\"control-label\">Was ventilation made<\/label>\r\n<div class=\"\">\r\n\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Yes\" for=\"fld_7549478_1_opt1822266\"><input type=\"radio\" id=\"fld_7549478_1_opt1822266\" data-field=\"fld_7549478\" class=\"fld_7549478_1\" name=\"fld_7549478\" value=\"Yes\"    data-radio-field=\"fld_7549478_1\" data-type=\"radio\" data-calc-value=\"Yes\" \/>\n\t\t\tYes\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"No\" for=\"fld_7549478_1_opt1342274\"><input type=\"radio\" id=\"fld_7549478_1_opt1342274\" data-field=\"fld_7549478\" class=\"fld_7549478_1\" name=\"fld_7549478\" value=\"No\"    data-radio-field=\"fld_7549478_1\" data-type=\"radio\" data-calc-value=\"No\" \/>\n\t\t\tNo\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_3157892\" class=\"form-group\" id=\"fld_3157892_1-wrap\">\r\n<label id=\"fld_3157892Label\" for=\"fld_3157892_1\" class=\"control-label\">Was SCBA used<\/label>\r\n<div class=\"\">\r\n\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Yes\" for=\"fld_3157892_1_opt1265820\"><input type=\"radio\" id=\"fld_3157892_1_opt1265820\" data-field=\"fld_3157892\" class=\"fld_3157892_1\" name=\"fld_3157892\" value=\"Yes\"    data-radio-field=\"fld_3157892_1\" data-type=\"radio\" data-calc-value=\"Yes\" \/>\n\t\t\tYes\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"No\" for=\"fld_3157892_1_opt1783552\"><input type=\"radio\" id=\"fld_3157892_1_opt1783552\" data-field=\"fld_3157892\" class=\"fld_3157892_1\" name=\"fld_3157892\" value=\"No\"    data-radio-field=\"fld_3157892_1\" data-type=\"radio\" data-calc-value=\"No\" \/>\n\t\t\tNo\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5cd9cfb11d8ab_1-row-11\"  class=\"row \"><div  class=\"col-sm-3  first_col\"><div data-field-wrapper=\"fld_4141539\" class=\"form-group\" id=\"fld_4141539_1-wrap\">\r\n<label id=\"fld_4141539Label\" for=\"fld_4141539_1\" class=\"control-label\">Was nominee hospitalized<\/label>\r\n<div class=\"\">\r\n\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Yes\" for=\"fld_4141539_1_opt1852447\"><input type=\"radio\" id=\"fld_4141539_1_opt1852447\" data-field=\"fld_4141539\" class=\"fld_4141539_1\" name=\"fld_4141539\" value=\"Yes\"    data-radio-field=\"fld_4141539_1\" data-type=\"radio\" data-calc-value=\"Yes\" \/>\n\t\t\tYes\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"No\" for=\"fld_4141539_1_opt1248612\"><input type=\"radio\" id=\"fld_4141539_1_opt1248612\" data-field=\"fld_4141539\" class=\"fld_4141539_1\" name=\"fld_4141539\" value=\"No\"    data-radio-field=\"fld_4141539_1\" data-type=\"radio\" data-calc-value=\"No\" \/>\n\t\t\tNo\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-9  last_col\"><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_7476987_1\" data-field-id=\"fld_7476987_1\"><\/span><\/div><\/div><div id=\"CF5cd9cfb11d8ab_1-row-12\"  class=\"row \"><div  class=\"col-sm-3  first_col\"><div data-field-wrapper=\"fld_8231154\" class=\"form-group\" id=\"fld_8231154_1-wrap\">\r\n<label id=\"fld_8231154Label\" for=\"fld_8231154_1\" class=\"control-label\">Was situation hazardous to the rescuer<\/label>\r\n<div class=\"\">\r\n\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Yes\" for=\"fld_8231154_1_opt1897497\"><input type=\"radio\" id=\"fld_8231154_1_opt1897497\" data-field=\"fld_8231154\" class=\"fld_8231154_1\" name=\"fld_8231154\" value=\"Yes\"    data-radio-field=\"fld_8231154_1\" data-type=\"radio\" data-calc-value=\"Yes\" \/>\n\t\t\tYes\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"No\" for=\"fld_8231154_1_opt1121204\"><input type=\"radio\" id=\"fld_8231154_1_opt1121204\" data-field=\"fld_8231154\" class=\"fld_8231154_1\" name=\"fld_8231154\" value=\"No\"    data-radio-field=\"fld_8231154_1\" data-type=\"radio\" data-calc-value=\"No\" \/>\n\t\t\tNo\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-9  last_col\"><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_9111587_1\" data-field-id=\"fld_9111587_1\"><\/span><\/div><\/div><div id=\"CF5cd9cfb11d8ab_1-row-13\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_8887187\" class=\"form-group\" id=\"fld_8887187_1-wrap\">\r\n\t<label id=\"fld_8887187Label\" for=\"fld_8887187_1\" class=\"control-label\">How far did rescuer enter structure<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_8887187\" class=\" form-control\" id=\"fld_8887187_1\" name=\"fld_8887187\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_8887187Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_196215\" class=\"form-group\" id=\"fld_196215_1-wrap\">\r\n\t<label id=\"fld_196215Label\" for=\"fld_196215_1\" class=\"control-label\">End result of damage<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_196215\" class=\" form-control\" id=\"fld_196215_1\" name=\"fld_196215\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_196215Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_1137210\" class=\"form-group\" id=\"fld_1137210_1-wrap\">\r\n\t<label id=\"fld_1137210Label\" for=\"fld_1137210_1\" class=\"control-label\">Describe nominees actions<\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea name=\"fld_1137210\" value=\"\" data-field=\"fld_1137210\" class=\"form-control\" id=\"fld_1137210_1\" rows=\"4\"    aria-labelledby=\"fld_1137210Label\" ><\/textarea>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5cd9cfb11d8ab_1-row-14\"  class=\"row  last_row\"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_298383\" class=\"form-group\" id=\"fld_298383_1-wrap\">\r\n\t<label id=\"fld_298383Label\" for=\"fld_298383_1\" class=\"control-label\">Your Name<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_298383\" class=\" form-control\" id=\"fld_298383_1\" name=\"fld_298383\" value=\"\" data-type=\"text\"   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type=\"text\/html\" id=\"conditional-fld_9152389_1-tmpl\">\r\n<div data-field-wrapper=\"fld_9152389\" class=\"form-group\" id=\"fld_9152389_1-wrap\">\r\n\t<label id=\"fld_9152389Label\" for=\"fld_9152389_1\" class=\"control-label\">by whom<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_9152389\" class=\" form-control\" id=\"fld_9152389_1\" name=\"fld_9152389\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_9152389Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_3729267_1-tmpl\">\r\n<div data-field-wrapper=\"fld_3729267\" class=\"form-group\" id=\"fld_3729267_1-wrap\">\r\n<label id=\"fld_3729267Label\" for=\"fld_3729267_1\" class=\"control-label\">Type of Structure<\/label>\r\n<div class=\"\">\r\n\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Residential\" for=\"fld_3729267_1_opt1260884\"><input type=\"radio\" id=\"fld_3729267_1_opt1260884\" data-field=\"fld_3729267\" class=\"fld_3729267_1\" name=\"fld_3729267\" value=\"Residential\"    data-radio-field=\"fld_3729267_1\" data-type=\"radio\" data-calc-value=\"Residential\" \/>\n\t\t\tResidential\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Commercial\" for=\"fld_3729267_1_opt1162561\"><input type=\"radio\" id=\"fld_3729267_1_opt1162561\" data-field=\"fld_3729267\" class=\"fld_3729267_1\" name=\"fld_3729267\" value=\"Commercial\"    data-radio-field=\"fld_3729267_1\" data-type=\"radio\" data-calc-value=\"Commercial\" \/>\n\t\t\tCommercial\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Other\" for=\"fld_3729267_1_opt1848368\"><input type=\"radio\" id=\"fld_3729267_1_opt1848368\" data-field=\"fld_3729267\" class=\"fld_3729267_1\" name=\"fld_3729267\" value=\"Other\"    data-radio-field=\"fld_3729267_1\" data-type=\"radio\" data-calc-value=\"Other\" \/>\n\t\t\tOther\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_4025867_1-tmpl\">\r\n<div data-field-wrapper=\"fld_4025867\" class=\"form-group\" id=\"fld_4025867_1-wrap\">\r\n\t<label id=\"fld_4025867Label\" for=\"fld_4025867_1\" class=\"control-label\">Height<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_4025867\" class=\" form-control\" id=\"fld_4025867_1\" name=\"fld_4025867\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_4025867Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_2526873_1-tmpl\">\r\n<div data-field-wrapper=\"fld_2526873\" class=\"form-group\" id=\"fld_2526873_1-wrap\">\r\n\t<label id=\"fld_2526873Label\" for=\"fld_2526873_1\" class=\"control-label\">Room<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_2526873\" class=\" form-control\" id=\"fld_2526873_1\" name=\"fld_2526873\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_2526873Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_1257939_1-tmpl\">\r\n<div data-field-wrapper=\"fld_1257939\" class=\"form-group\" id=\"fld_1257939_1-wrap\">\r\n\t<label id=\"fld_1257939Label\" for=\"fld_1257939_1\" class=\"control-label\">Construction Type<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_1257939\" class=\" form-control\" id=\"fld_1257939_1\" name=\"fld_1257939\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_1257939Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_5762495_1-tmpl\">\r\n<div data-field-wrapper=\"fld_5762495\" class=\"form-group\" id=\"fld_5762495_1-wrap\">\r\n\t<label id=\"fld_5762495Label\" for=\"fld_5762495_1\" class=\"control-label\">Area (Sq. Ft.)<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_5762495\" class=\" form-control\" id=\"fld_5762495_1\" name=\"fld_5762495\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_5762495Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_4394373_1-tmpl\">\r\n<div data-field-wrapper=\"fld_4394373\" class=\"form-group\" id=\"fld_4394373_1-wrap\">\r\n\t<label id=\"fld_4394373Label\" for=\"fld_4394373_1\" class=\"control-label\">Floor<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_4394373\" class=\" form-control\" id=\"fld_4394373_1\" name=\"fld_4394373\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_4394373Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_1206371_1-tmpl\">\r\n<div data-field-wrapper=\"fld_1206371\" class=\"form-group\" id=\"fld_1206371_1-wrap\">\r\n\t<label id=\"fld_1206371Label\" for=\"fld_1206371_1\" class=\"control-label\">Vehicle - Type<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_1206371\" class=\" form-control\" id=\"fld_1206371_1\" name=\"fld_1206371\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_1206371Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_564203_1-tmpl\">\r\n<div data-field-wrapper=\"fld_564203\" class=\"form-group\" id=\"fld_564203_1-wrap\">\r\n\t<label id=\"fld_564203Label\" for=\"fld_564203_1\" class=\"control-label\">Make<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_564203\" class=\" form-control\" id=\"fld_564203_1\" name=\"fld_564203\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_564203Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_5026150_1-tmpl\">\r\n<div data-field-wrapper=\"fld_5026150\" class=\"form-group\" id=\"fld_5026150_1-wrap\">\r\n\t<label id=\"fld_5026150Label\" for=\"fld_5026150_1\" class=\"control-label\">Model<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_5026150\" class=\" form-control\" id=\"fld_5026150_1\" name=\"fld_5026150\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_5026150Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_2860372_1-tmpl\">\r\n<div data-field-wrapper=\"fld_2860372\" class=\"form-group\" id=\"fld_2860372_1-wrap\">\r\n\t<label id=\"fld_2860372Label\" for=\"fld_2860372_1\" class=\"control-label\">Year<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_2860372\" class=\" form-control\" id=\"fld_2860372_1\" name=\"fld_2860372\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_2860372Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_7476987_1-tmpl\">\r\n<div data-field-wrapper=\"fld_7476987\" class=\"form-group\" id=\"fld_7476987_1-wrap\">\r\n\t<label id=\"fld_7476987Label\" for=\"fld_7476987_1\" class=\"control-label\">Describe nominee hospitalization<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_7476987\" class=\" form-control\" id=\"fld_7476987_1\" name=\"fld_7476987\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_7476987Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_9111587_1-tmpl\">\r\n<div data-field-wrapper=\"fld_9111587\" class=\"form-group\" id=\"fld_9111587_1-wrap\">\r\n\t<label id=\"fld_9111587Label\" for=\"fld_9111587_1\" class=\"control-label\">Describe hazards present<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_9111587\" class=\" form-control\" id=\"fld_9111587_1\" name=\"fld_9111587\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_9111587Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_crdt_document":"","footnotes":""},"class_list":["post-1159","page","type-page","status-publish","hentry"],"featured_image_src":null,"_links":{"self":[{"href":"http:\/\/www.kckfd.org\/index.php\/wp-json\/wp\/v2\/pages\/1159","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.kckfd.org\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/www.kckfd.org\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/www.kckfd.org\/index.php\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"http:\/\/www.kckfd.org\/index.php\/wp-json\/wp\/v2\/comments?post=1159"}],"version-history":[{"count":2,"href":"http:\/\/www.kckfd.org\/index.php\/wp-json\/wp\/v2\/pages\/1159\/revisions"}],"predecessor-version":[{"id":1161,"href":"http:\/\/www.kckfd.org\/index.php\/wp-json\/wp\/v2\/pages\/1159\/revisions\/1161"}],"wp:attachment":[{"href":"http:\/\/www.kckfd.org\/index.php\/wp-json\/wp\/v2\/media?parent=1159"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}