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      "type" : "esriFieldTypeString", 
      "alias" : "Please choose the applicable status", 
      "sqlType" : "sqlTypeOther", 
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          {
            "name" : "Roll-cart return", 
            "code" : "Return"
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        ]
      }, 
      "defaultValue" : null
    }, 
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      "name" : "first_name", 
      "type" : "esriFieldTypeString", 
      "alias" : "First name", 
      "sqlType" : "sqlTypeOther", 
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      "nullable" : true, 
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      "type" : "esriFieldTypeString", 
      "alias" : "Last name", 
      "sqlType" : "sqlTypeOther", 
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      "nullable" : true, 
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      "type" : "esriFieldTypeString", 
      "alias" : "Address", 
      "sqlType" : "sqlTypeOther", 
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      "nullable" : true, 
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      "alias" : "City", 
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          {
            "name" : "Brookhaven", 
            "code" : "Brookhaven"
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            "name" : "Chamblee", 
            "code" : "Chamblee"
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            "name" : "Clarkston", 
            "code" : "Clarkston"
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            "name" : "Conley", 
            "code" : "Conley"
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            "name" : "Conyers", 
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            "name" : "Doraville", 
            "code" : "Doraville"
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          {
            "name" : "Dunwoody", 
            "code" : "Dunwoody"
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          {
            "name" : "Ellenwood", 
            "code" : "Ellenwood"
          }, 
          {
            "name" : "Lithonia", 
            "code" : "Lithonia"
          }, 
          {
            "name" : "Pine Lake", 
            "code" : "Pine Lake"
          }, 
          {
            "name" : "Redan", 
            "code" : "Redan"
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          {
            "name" : "Scottdale", 
            "code" : "Scottdale"
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          {
            "name" : "Snellville", 
            "code" : "Snellville"
          }, 
          {
            "name" : "Stone Mountain", 
            "code" : "Stone Mountain"
          }, 
          {
            "name" : "Tucker", 
            "code" : "Tucker"
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        ]
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    }, 
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      "name" : "zip", 
      "type" : "esriFieldTypeString", 
      "alias" : "Zip", 
      "sqlType" : "sqlTypeOther", 
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      "nullable" : true, 
      "editable" : true, 
      "domain" : null, 
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    }, 
    {
      "name" : "email_address", 
      "type" : "esriFieldTypeString", 
      "alias" : "Email", 
      "sqlType" : "sqlTypeOther", 
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      "nullable" : true, 
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    }, 
    {
      "name" : "daytime_phone", 
      "type" : "esriFieldTypeString", 
      "alias" : "Phone", 
      "sqlType" : "sqlTypeOther", 
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      "nullable" : true, 
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    }, 
    {
      "name" : "community", 
      "type" : "esriFieldTypeString", 
      "alias" : "Do you live in a gated community?", 
      "sqlType" : "sqlTypeOther", 
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      "nullable" : true, 
      "editable" : true, 
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        "codedValues" : [
          {
            "name" : "Yes", 
            "code" : "yes"
          }, 
          {
            "name" : "No", 
            "code" : "no"
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        ]
      }, 
      "defaultValue" : null
    }, 
    {
      "name" : "community_name", 
      "type" : "esriFieldTypeString", 
      "alias" : "Provide community name", 
      "sqlType" : "sqlTypeOther", 
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      "nullable" : true, 
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      "domain" : null, 
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    }, 
    {
      "name" : "Gate_code", 
      "type" : "esriFieldTypeString", 
      "alias" : "Gate code", 
      "sqlType" : "sqlTypeOther", 
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      "nullable" : true, 
      "editable" : true, 
      "domain" : null, 
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    }, 
    {
      "name" : "Return_Reason", 
      "type" : "esriFieldTypeString", 
      "alias" : "Select reason for roll cart return", 
      "sqlType" : "sqlTypeOther", 
      "length" : 255, 
      "nullable" : true, 
      "editable" : true, 
      "domain" : 
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        "type" : "codedValue", 
        "name" : "cvd_Return_Reason", 
        "codedValues" : [
          {
            "name" : "Annexation (No longer part of DeKalb county sanitation service area)", 
            "code" : "Annexation"
          }, 
          {
            "name" : "Already swap roll cart (Old roll cart need to be removed from address)", 
            "code" : "Swap"
          }
        ]
      }, 
      "defaultValue" : null
    }, 
    {
      "name" : "Cstatus", 
      "type" : "esriFieldTypeString", 
      "alias" : "Specify the status applicable", 
      "sqlType" : "sqlTypeOther", 
      "length" : 255, 
      "nullable" : true, 
      "editable" : true, 
      "domain" : 
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        "type" : "codedValue", 
        "name" : "cvd_Cstatus", 
        "codedValues" : [
          {
            "name" : "New customer  (resident in a new /exisiting property)", 
            "code" : "New_customer"
          }, 
          {
            "name" : "Existing customer (resident in an exisiting property)", 
            "code" : "Existing_customer"
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        ]
      }, 
      "defaultValue" : null
    }, 
    {
      "name" : "Building_status", 
      "type" : "esriFieldTypeString", 
      "alias" : "Is this a new property or existing property?", 
      "sqlType" : "sqlTypeOther", 
      "length" : 255, 
      "nullable" : true, 
      "editable" : true, 
      "domain" : 
      {
        "type" : "codedValue", 
        "name" : "cvd_Building_status", 
        "codedValues" : [
          {
            "name" : "New building", 
            "code" : "New_building"
          }, 
          {
            "name" : "Exisiting building", 
            "code" : "Exisiting_building"
          }
        ]
      }, 
      "defaultValue" : null
    }, 
    {
      "name" : "New_customer_disclaimer", 
      "type" : "esriFieldTypeString", 
      "alias" : "To establish new sanitation service for newly built house, residents must click here to complete the new sanitation service request application or click on the tab new sanitation service tab on the portal", 
      "sqlType" : "sqlTypeOther", 
      "length" : 255, 
      "nullable" : true, 
      "editable" : true, 
      "domain" : null, 
      "defaultValue" : null
    }, 
    {
      "name" : "Existing_customer_disclaimer", 
      "type" : "esriFieldTypeString", 
      "alias" : " New customers moving into an existing building with sanitation garbage roll cart should submit required documents. In case more information is required our customer service representative will reach out to customer via email or phone call.", 
      "sqlType" : "sqlTypeOther", 
      "length" : 255, 
      "nullable" : true, 
      "editable" : true, 
      "domain" : null, 
      "defaultValue" : null
    }, 
    {
      "name" : "Confirmation", 
      "type" : "esriFieldTypeString", 
      "alias" : "Do you have a DeKalb County-issued green garbage roll cart at location?", 
      "sqlType" : "sqlTypeOther", 
      "length" : 255, 
      "nullable" : true, 
      "editable" : true, 
      "domain" : 
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        "type" : "codedValue", 
        "name" : "cvd_Confirmation", 
        "codedValues" : [
          {
            "name" : "Yes", 
            "code" : "yes"
          }, 
          {
            "name" : "No", 
            "code" : "no"
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        ]
      }, 
      "defaultValue" : null
    }, 
    {
      "name" : "Serial_number_ERC", 
      "type" : "esriFieldTypeString", 
      "alias" : "Enter the roll cart serial number", 
      "sqlType" : "sqlTypeOther", 
      "length" : 255, 
      "nullable" : true, 
      "editable" : true, 
      "domain" : null, 
      "defaultValue" : null
    }, 
    {
      "name" : "Attachment", 
      "type" : "esriFieldTypeString", 
      "alias" : "Please attached the following document for processing of your application", 
      "sqlType" : "sqlTypeOther", 
      "length" : 255, 
      "nullable" : true, 
      "editable" : true, 
      "domain" : null, 
      "defaultValue" : null
    }, 
    {
      "name" : "Roll_cart_request", 
      "type" : "esriFieldTypeString", 
      "alias" : "What is your desired roll cart request?", 
      "sqlType" : "sqlTypeOther", 
      "length" : 255, 
      "nullable" : true, 
      "editable" : true, 
      "domain" : 
      {
        "type" : "codedValue", 
        "name" : "cvd_Roll_cart_request", 
        "codedValues" : [
          {
            "name" : "Repair", 
            "code" : "Repair"
          }, 
          {
            "name" : "Stolen", 
            "code" : "Stolen"
          }, 
          {
            "name" : "Return", 
            "code" : "Return"
          }, 
          {
            "name" : "Additional", 
            "code" : "Additional"
          }, 
          {
            "name" : "Upgrade", 
            "code" : "Upgrade"
          }, 
          {
            "name" : "First replacement", 
            "code" : "FReplacement"
          }, 
          {
            "name" : "Second replacement", 
            "code" : "SReplacement"
          }
        ]
      }, 
      "defaultValue" : null
    }, 
    {
      "name" : "Add_note", 
      "type" : "esriFieldTypeString", 
      "alias" : "It is mandatory that only property owners can request and approve additional roll cart requests, which will lead to an increase in annual sanitation assessment fees. All fees must be paid prior to the delivery of additional roll carts. Click here to view prorated annual sanitation service fees A one-time prepaid $25 roll cart fee is required for additional roll cart requests. Two separate emails will be sent providing the fee amounts and payment instructions. Residents are encouraged to check their Spam/Junk email folders for important follow-up correspondence.", 
      "sqlType" : "sqlTypeOther", 
      "length" : 255, 
      "nullable" : true, 
      "editable" : true, 
      "domain" : null, 
      "defaultValue" : null
    }, 
    {
      "name" : "Additional_confirmation", 
      "type" : "esriFieldTypeString", 
      "alias" : "Confirm that the property owner is completing this application by choosing the appropriate option from the drop-down menu below.", 
      "sqlType" : "sqlTypeOther", 
      "length" : 255, 
      "nullable" : true, 
      "editable" : true, 
      "domain" : 
      {
        "type" : "codedValue", 
        "name" : "cvd_Additional_confirmation", 
        "codedValues" : [
          {
            "name" : "Yes, I am the property owner (You are confirming that you are the property owner and will be legally responsible for payment of any fees associated with this request.)", 
            "code" : "yes"
          }, 
          {
            "name" : "No, I am not the property owner (Please have the property owner submit this request)", 
            "code" : "no"
          }
        ]
      }, 
      "defaultValue" : null
    }, 
    {
      "name" : "Replacement", 
      "type" : "esriFieldTypeString", 
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          {
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