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<div tabindex="0" onfocus="this.onmouseover();" onmouseover="this.style.background='url(/images/layout/design21/leftnavbkgmo.png) no-repeat center right';" onblur="this.onmouseout();" onmouseout="this.style.background='url(/images/layout/design21/leftnavbkg.png) no-repeat center right';" style="background: url(/images/layout/design21/leftnavbkg.png) no-repeat center right;"><div tabindex="0" onfocus="this.onmouseover();" onmouseover="this.style.background='url(/images/layout/design21/leftnavbtm.png) no-repeat bottom left';" onblur="this.onmouseout();" onmouseout="this.style.background='url(/images/layout/design21/leftnavbtm.png) no-repeat bottom left';" style="background: url(/images/layout/design21/leftnavbtm.png) no-repeat bottom left;"><div tabindex="0" onfocus="this.onmouseover();" onmouseover="this.className='sideNavWrapper';" onblur="this.onmouseout();" onmouseout="sideBarMouseOut(this);" style=" border-bottom: 0px solid ; padding:9px 35px 9px 14px;">     <div id="S268" tabindex="0" onfocus="this.onmouseover();" onmouseover="addSubMenuSide(this);" onblur="this.onmouseout();" onmouseout="removeSubMenu(this);" class="navText" style="line-height:12pt;width:100%; height: auto; text-align: left;">
         <a width="100%"  class="Cat" href="/Bids.aspx">Proposals & Bids
</a>
        </div></div></div></div>
<div tabindex="0" onfocus="this.onmouseover();" onmouseover="this.style.background='url(/images/layout/design21/leftnavbkgmo.png) no-repeat center right';" onblur="this.onmouseout();" onmouseout="this.style.background='url(/images/layout/design21/leftnavbkg.png) no-repeat center right';" style="background: url(/images/layout/design21/leftnavbkg.png) no-repeat center right;"><div tabindex="0" onfocus="this.onmouseover();" onmouseover="this.style.background='url(/images/layout/design21/leftnavbtm.png) no-repeat bottom left';" onblur="this.onmouseout();" onmouseout="this.style.background='url(/images/layout/design21/leftnavbtm.png) no-repeat bottom left';" style="background: url(/images/layout/design21/leftnavbtm.png) no-repeat bottom left;"><div tabindex="0" onfocus="this.onmouseover();" onmouseover="this.className='sideNavWrapper';" onblur="this.onmouseout();" onmouseout="sideBarMouseOut(this);" style=" border-bottom: 0px solid ; padding:9px 35px 9px 14px;">     <div id="S269" tabindex="0" onfocus="this.onmouseover();" onmouseover="addSubMenuSide(this);" onblur="this.onmouseout();" onmouseout="removeSubMenu(this);" class="navText" style="line-height:12pt;width:100%; height: auto; text-align: left;">
         <a width="100%"  class="Cat" href="/index.aspx?NID=123">Municipal Code
</a>
        </div></div></div></div>
<div tabindex="0" onfocus="this.onmouseover();" onmouseover="this.style.background='url(/images/layout/design21/leftnavbkgmo.png) no-repeat center right';" onblur="this.onmouseout();" onmouseout="this.style.background='url(/images/layout/design21/leftnavbkg.png) no-repeat center right';" style="background: url(/images/layout/design21/leftnavbkg.png) no-repeat center right;"><div tabindex="0" onfocus="this.onmouseover();" onmouseover="this.style.background='url(/images/layout/design21/leftnavbtm.png) no-repeat bottom left';" onblur="this.onmouseout();" onmouseout="this.style.background='url(/images/layout/design21/leftnavbtm.png) no-repeat bottom left';" style="background: url(/images/layout/design21/leftnavbtm.png) no-repeat bottom left;"><div tabindex="0" onfocus="this.onmouseover();" onmouseover="this.className='sideNavWrapper';" onblur="this.onmouseout();" onmouseout="sideBarMouseOut(this);" style=" border-bottom: 0px solid ; padding:9px 35px 9px 14px;">     <div id="S366" tabindex="0" onfocus="this.onmouseover();" onmouseover="addSubMenuSide(this);" onblur="this.onmouseout();" onmouseout="removeSubMenu(this);" class="navText" style="line-height:12pt;width:100%; height: auto; text-align: left;">
         <a width="100%"  class="Cat" href="/index.aspx?NID=364" target="_blank">New Ordinances & Resolutions
</a>
        </div></div></div></div>
<div tabindex="0" onfocus="this.onmouseover();" onmouseover="this.style.background='url(/images/layout/design21/leftnavbkgmo.png) no-repeat center right';" onblur="this.onmouseout();" onmouseout="this.style.background='url(/images/layout/design21/leftnavbkg.png) no-repeat center right';" style="background: url(/images/layout/design21/leftnavbkg.png) no-repeat center right;"><div tabindex="0" onfocus="this.onmouseover();" onmouseover="this.style.background='url(/images/layout/design21/leftnavbtm.png) no-repeat bottom left';" onblur="this.onmouseout();" onmouseout="this.style.background='url(/images/layout/design21/leftnavbtm.png) no-repeat bottom left';" style="background: url(/images/layout/design21/leftnavbtm.png) no-repeat bottom left;"><div tabindex="0" onfocus="this.onmouseover();" onmouseover="this.className='sideNavWrapper';" onblur="this.onmouseout();" onmouseout="sideBarMouseOut(this);" style=" border-bottom: 0px solid ; padding:9px 35px 9px 14px;">     <div id="S270" tabindex="0" onfocus="this.onmouseover();" onmouseover="addSubMenuSide(this);" onblur="this.onmouseout();" onmouseout="removeSubMenu(this);" class="navText" style="line-height:12pt;width:100%; height: auto; text-align: left;">
         <a width="100%"  class="Cat" href="/index.aspx?NID=150">Floodplain Information
</a>
        </div></div></div></div>
<div tabindex="0" onfocus="this.onmouseover();" onmouseover="this.style.background='url(/images/layout/design21/leftnavbkgmo.png) no-repeat center right';" onblur="this.onmouseout();" onmouseout="this.style.background='url(/images/layout/design21/leftnavbkg.png) no-repeat center right';" style="background: url(/images/layout/design21/leftnavbkg.png) no-repeat center right;"><div tabindex="0" onfocus="this.onmouseover();" onmouseover="this.style.background='url(/images/layout/design21/leftnavbtm.png) no-repeat bottom left';" onblur="this.onmouseout();" onmouseout="this.style.background='url(/images/layout/design21/leftnavbtm.png) no-repeat bottom left';" style="background: url(/images/layout/design21/leftnavbtm.png) no-repeat bottom left;"><div tabindex="0" onfocus="this.onmouseover();" onmouseover="this.className='sideNavWrapper';" onblur="this.onmouseout();" onmouseout="sideBarMouseOut(this);" style=" border-bottom: 0px solid ; padding:9px 35px 9px 14px;">     <div id="S345" tabindex="0" onfocus="this.onmouseover();" onmouseover="addSubMenuSide(this);" onblur="this.onmouseout();" onmouseout="removeSubMenu(this);" class="navText" style="line-height:12pt;width:100%; height: auto; text-align: left;">
         <a width="100%"  class="Cat" href="http://seabrooktx.gov/index.aspx?nid=140">Open Records Request
</a>
        </div></div></div></div>
<div tabindex="0" onfocus="this.onmouseover();" onmouseover="this.style.background='url(/images/layout/design21/leftnavbkgmo.png) no-repeat center right';" onblur="this.onmouseout();" onmouseout="this.style.background='url(/images/layout/design21/leftnavbkg.png) no-repeat center right';" style="background: url(/images/layout/design21/leftnavbkg.png) no-repeat center right;"><div tabindex="0" onfocus="this.onmouseover();" onmouseover="this.style.background='url(/images/layout/design21/leftnavbtm.png) no-repeat bottom left';" onblur="this.onmouseout();" onmouseout="this.style.background='url(/images/layout/design21/leftnavbtm.png) no-repeat bottom left';" style="background: url(/images/layout/design21/leftnavbtm.png) no-repeat bottom left;"><div tabindex="0" onfocus="this.onmouseover();" onmouseover="this.className='sideNavWrapper';" onblur="this.onmouseout();" onmouseout="sideBarMouseOut(this);" style=" border-bottom: 0px solid ; padding:9px 35px 9px 14px;">     <div id="S240" tabindex="0" onfocus="this.onmouseover();" onmouseover="addSubMenuSide(this);" onblur="this.onmouseout();" onmouseout="removeSubMenu(this);" class="navText" style="line-height:12pt;width:100%; height: auto; text-align: left;">
         <a width="100%"  class="Cat" href="/index.aspx?NID=240">Plans and Projects
</a>
        </div></div></div></div>
<div tabindex="0" onfocus="this.onmouseover();" onmouseover="this.style.background='url(/images/layout/design21/leftnavbkgmo.png) no-repeat center right';" onblur="this.onmouseout();" onmouseout="this.style.background='url(/images/layout/design21/leftnavbkg.png) no-repeat center right';" style="background: url(/images/layout/design21/leftnavbkg.png) no-repeat center right;"><div tabindex="0" onfocus="this.onmouseover();" onmouseover="this.style.background='url(/images/layout/design21/leftnavbtm.png) no-repeat bottom left';" onblur="this.onmouseout();" onmouseout="this.style.background='url(/images/layout/design21/leftnavbtm.png) no-repeat bottom left';" style="background: url(/images/layout/design21/leftnavbtm.png) no-repeat bottom left;"><div tabindex="0" onfocus="this.onmouseover();" onmouseover="this.className='sideNavWrapper';" onblur="this.onmouseout();" onmouseout="sideBarMouseOut(this);" style=" border-bottom: 0px solid ; padding:9px 35px 9px 14px;">     <div id="S370" tabindex="0" onfocus="this.onmouseover();" onmouseover="addSubMenuSide(this);" onblur="this.onmouseout();" onmouseout="removeSubMenu(this);" class="navText" style="line-height:12pt;width:100%; height: auto; text-align: left;">
         <a width="100%"  class="Cat" href="http://www.sh146.com" target="_self">SH 146 Expansion Project
</a>
        </div></div></div></div>
		</div>
       </td>
      </tr>
     </table>
	</div>
</td></tr>   <tr valign="top">
    <td>
<div style="float:left; padding-top:8px;" id="customHtml232">
<style type="text/css"> 
	.shareTransparent
	{
		background-color: #6196c5;
		display: none;
		font-size: 8pt;
		position: absolute;
		filter: alpha(opacity=100, finishopacity=100, style=1);
		opacity: 1;
		z-index: 1050;
	}
	a.shareSiteLink
	{
    font-family: Arial;
		font-size: 8pt;
		text-decoration:none;
		display: block;
    padding: 2px 0px 2px 21px; 
    color: #f3e8c7;
	}
	.sharePopupOpener
	{
		border: none;
	}
	.shareTransparent a:hover {
	color: #f3e8c7;
    text-decoration: underline;
  }
	.sharePopupContent
	{
		background-color: #6196c5;
		border: 1px solid #6196c5;
		padding: 5px;
		filter: alpha(opacity=100, finishopacity=100, style=1);
		opacity: 1;
		padding: 18px 15px 5px 5px;
		text-align: left;
		z-index: 1051;
	}
	div.aboutShare
	{
    margin-bottom: 10px;
	}
	div.shareItem
	{
    margin-bottom: 5px;
	}
	div.shareClose
	{
    position: absolute;
    top: 5px;
    right: 5px;
	}
	
	a.shareText { font-family: verdana; font-size: 9pt; text-decoration: none; color: #686866; }
	a.shareText:hover { text-decoration: none; color: #000000; }
</style>
 
<script type="text/javascript"><!--
	var SC129 = 0;
 
	function ToggleShare129(e)
	{
		if (SC129 == 0)
		{
			SC129 = 1;
			var div = document.getElementById("div_share129");
			div.style.display = 'block';
			div.focus();
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		else
		{
			SC129 = 0;
			var div = document.getElementById("div_share129");
			div.style.display = 'none';
		}
	}
 
	function LaunchShareSite129(site)
	{
		var div = document.getElementById("div_share129");
		div.style.display = 'none';
		SC129 = 0;
 
		if (site.indexOf('intShareStumbleUpon')>-1)
			window.open('http://www.stumbleupon.com/submit?url='+document.location.href+'&title='+document.title, "ShareWindow");
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			window.open('http://www.myspace.com/Modules/PostTo/Pages/?t='+document.title+'&c=&u='+document.location.href, "ShareWindow");
		else if (site.indexOf('intShareFacebook')>-1)
			window.open('http://www.facebook.com/share.php?u='+document.location.href+'&t='+document.title, "ShareWindow");
		else if (site.indexOf('intShareGoogle')>-1)
			window.open('http://www.google.com/bookmarks/mark?op=add&title='+document.title+'&bkmk='+document.location.href, "ShareWindow");
		else if (site.indexOf('intShareYahoo')>-1)
			window.open('http://my.yahoo.com/index.php?.src=bookmarks&.folder=1&.name='+document.title+'&url='+document.location.href, "ShareWindow");
		else if (site.indexOf('intShareDigg')>-1)
			window.open('http://digg.com/submit/?url='+document.location.href+'&title='+document.title, "ShareWindow");
		else if (site.indexOf('intShareDelicious')>-1)
			window.open('http://del.icio.us/post?url='+document.location.href+'&title='+document.title, "ShareWindow");
		else if (site.indexOf('intShareTwitter')>-1)
			window.open('http://twitter.com/home?status='+document.location.href, "ShareWindow");
		else if (site.indexOf('intShareBlogger')>-1)
			window.open('http://www.blogger.com/blog_this.pyra?'+document.location.href, "ShareWindow");
	}
 
//--></script>

<div style="float: left; padding-left: 4px;">
<a href="/" title="Home"><img src="/images/layout/design21/home.png" onmouseover="this.src='/images/layout/design21/home2.png'" onmouseout="this.src='/images/layout/design21/home.png'" border="0" alt="Home"></a><a href="/emailpage.aspx" title="Mail"><img src="/images/layout/design21/email.png" onmouseover="this.src='/images/layout/design21/email2.png'" onmouseout="this.src='/images/layout/design21/email.png'" border="0" alt="Mail"></a><a href="/rss.aspx" title="RSS"><img src="/images/layout/design21/rss.png" onmouseover="this.src='/images/layout/design21/rss2.png'" onmouseout="this.src='/images/layout/design21/rss.png'" border="0" alt="RSS"></a>
</div>
<div style="float:left;">
<div>
<a href="" onclick="ToggleShare129(event); return false;" style="text-decoration:none;"><img src="/images/layout/design21/share.png" onmouseover="this.src='/images/layout/design21/share2.png'" onmouseout="this.src='/images/layout/design21/share.png'" border="0" alt="Share"></a>
</div>
	<div id="div_share129" class="shareTransparent">
		<div class="sharePopupContent">
			<div class="shareClose"><a href="" onclick="ToggleShare129(event); return false;" style="1; text-decoration:none;"><img class="sharePopupOpener" src="/images/share/icon-close.gif" alt="Close" title="Close"></a></div>
			<div class="aboutShare" style="background: url(/images/share/icon-shareexplain.gif) left center no-repeat;"><a class="shareSiteLink" href="/index.aspx?nid=84" title="About Share">About&nbsp;Share</a></div>
			<div class="shareItem" style="background: url(/images/share/icon-delicious.gif) left center no-repeat;"><a class="shareSiteLink" title="Share using Delicious" href= "" onclick="LaunchShareSite129('intShareDelicious'); return false;">Delicious</a></div>
			<div class="shareItem" style="background: url(/images/share/icon-digg.gif) left center no-repeat;"><a class="shareSiteLink" title="Share using Digg" href= "" onclick="LaunchShareSite129('intShareDigg'); return false;">Digg</a></div>
			<div class="shareItem" style="background: url(/images/share/icon-facebook.gif) left center no-repeat;"><a class="shareSiteLink" title="Share using Facebook" href= "" onclick="LaunchShareSite129('intShareFacebook'); return false;">Facebook</a></div>
			<div class="shareItem" style="background: url(/images/share/icon-google.gif) left center no-repeat;"><a class="shareSiteLink" title="Share using Google" href= "" onclick="LaunchShareSite129('intShareGoogle'); return false;">Google</a></div>
			<div class="shareItem" style="background: url(/images/share/icon-myspace.gif) left center no-repeat;"><a class="shareSiteLink" title="Share using MySpace" href= "" onclick="LaunchShareSite129('intShareMySpace'); return false;">MySpace</a></div>
			<div class="shareItem" style="background: url(/images/share/icon-stumbleupon.gif) left center no-repeat;"><a class="shareSiteLink" title="Share using StumbleUpon" href= "" onclick="LaunchShareSite129('intShareStumbleUpon'); return false;">StumbleUpon</a></div>
			<div class="shareItem" style="background: url(/images/share/icon-twitter.gif) left center no-repeat;"><a class="shareSiteLink" title="Share using Twitter" href= "" onclick="LaunchShareSite129('intShareTwitter'); return false;">Twitter</a></div>
			<div class="shareItem" style="background: url(/images/share/icon-yahoo.gif) left center no-repeat;"><a class="shareSiteLink" title="Share using Yahoo" href= "" onclick="LaunchShareSite129('intShareYahoo'); return false;">Yahoo</a></div>
			<div></div>
		</div>
	</div>
</div>
<div style="float: left;">
<a onclick="printPreview(); return false;" href="" title="Print"><img src="/images/layout/design21/print.png" onmouseover="this.src='/images/layout/design21/print2.png'" onmouseout="this.src='/images/layout/design21/print.png'" border="0" alt="Print"></a>
</div>
</div></div>
</td></tr>   <tr valign="top">
    <td align="left">

    <div id="quickLinks221" style="float:left;; width:221px;">
        <!-- Begin Quick Links -->
	<div style="padding-top: 12px;" class="graphiclinksHeader">
</div>
        <div style="float: left; width: 221;">
         <div class="graphiclinks">
         <div class="graphiclinksfLinkDiv">
           <a class="graphiclinksfQlinks" href="/list.aspx"><img src="/images/GraphicLinks/2/updates.jpg" height="58" width="218" alt="City Updates" border="0" onmouseover="this.src='/images/GraphicLinks/2/updates2.jpg'" onmouseout="this.src='/images/GraphicLinks/2/updates.jpg'"></a><br>
        </div>
<div style="line-height:0px; height:0px; font-size:0pt;"></div>         <div class="graphiclinksfLinkDiv">
           <a class="graphiclinksfQlinks" href="https://seabrooktx.applicantpro.com"><img src="/images/GraphicLinks/2/jobs.jpg" tabindex="0" height="53" width="218" alt="Job Opportunities" border="0" onfocus="this.onmouseover();" onmouseover="this.src='/images/GraphicLinks/2/jobs2.jpg'" onblur="this.onmouseout();" onmouseout="this.src='/images/GraphicLinks/2/jobs.jpg'"></a><br>
        </div>
<div style="line-height:0px; height:0px; font-size:0pt;"></div>         <div class="graphiclinksfLinkDiv">
           <a class="graphiclinksfQlinks" target="_blank" href="https://www.municipalonlinepayments.com/seabrooktx"><img src="/images/GraphicLinks/2/epay.jpg" height="50" width="218" alt="Online Payments" border="0" onmouseover="this.src='/images/GraphicLinks/2/epay2.jpg'" onmouseout="this.src='/images/GraphicLinks/2/epay.jpg'"></a><br>
        </div>
<div style="line-height:0px; height:0px; font-size:0pt;"></div>         <div class="graphiclinksfLinkDiv">
           <a class="graphiclinksfQlinks" href="/index.aspx?NID=285"><img src="/images/GraphicLinks/2/notify.jpg" height="50" width="218" alt="Priority Notifications" border="0" onmouseover="this.src='/images/GraphicLinks/2/notify2.jpg'" onmouseout="this.src='/images/GraphicLinks/2/notify.jpg'"></a><br>
        </div>
<div style="line-height:0px; height:0px; font-size:0pt;"></div>         <div class="graphiclinksfLinkDiv">
           <a class="graphiclinksfQlinks" href="/requesttracker.aspx"><img src="/images/GraphicLinks/2/CPRequest01.jpg" height="51" width="218" alt="CPRequest01.jpg" border="0" onmouseover="this.src='/images/GraphicLinks/2/CPRequest02.jpg'" onmouseout="this.src='/images/GraphicLinks/2/CPRequest01.jpg'"></a><br>
        </div>
<div style="line-height:0px; height:0px; font-size:0pt;"></div>         <div class="graphiclinksfLinkDiv">
           <a class="graphiclinksfQlinks" href="http://seabrooktx.gov/index.aspx?nid=240"><img src="/images/GraphicLinks/2/plans-projects03.jpg" tabindex="0" height="51" width="218" alt="City Plans and Projects" border="0" onfocus="this.onmouseover();" onmouseover="this.src='/images/GraphicLinks/2/plans-projects04.jpg'" onblur="this.onmouseout();" onmouseout="this.src='/images/GraphicLinks/2/plans-projects03.jpg'"></a><br>
        </div>
<div style="line-height:0px; height:0px; font-size:0pt;"></div>         </div>
        </div>
 
<!-- End Quick Links -->	</div>
</td></tr>
	
	</table>
</div>
<script type="text/javascript">order+='MouseOverMenuFloating\n'</script>
</div><div width="744" class="html5section content_ts"><div id="modulecontent" name="modulecontent.aspx" style="padding-top: 0px;">
		<div id="BreadCrumbOwner" style="padding-left: 15px;"> 
			<div id="BreadCrumbs" style="float: left; padding: 0 75px 0 0; margin:10px 0px 10px 0px;">					<span class='BreadLeader'>You are here:</span>
				<span class='BreadLink'>
							<a class="CrumbLink" href="/index.aspx">Home</a>
					 &gt; 
				</span>

				<span class='BreadPage'>City of Seabrook Forms</span>

			</div>
			<br style="clear: left;">
		</div>
<a name="contentarea" title="Content Area"></a>

	
	<div id="FormCenterContent" class="newCP moduleContentNew">
		<div class="contentMain selfClear">
			<div class="header selfClear">
				<div class="graphic">
					<a href="/FormCenter">						
						<img src="/Areas/FormCenter/Assets/Images/HomeModuleIconLarge.png" alt="Form Center Module" width="74" height="74" />
					</a>
				</div>
				
				<div class="text">
					<h1>City of Seabrook Forms</h1>
					
				</div>

				<div class="search selfClear" id="divMasterSearchContainer">
					<h3>Search Forms:</h3>
					<label class="screenRead" for="inputFCTerm">Search Forms</label>
					<input type="search" id="inputFCTerm" name="term" cp5ph="true" placeholder="Word or Phrase" value="">
					<a href="#categoryList" class="button mega"><span>Select a Category</span></a>
					<input type="image" src="/Common/Images/SearchButton.png" id="inputFCSearch" alt="Search" title="Search">
					<div id="categoryList" class="categoryList" style="display: none;">
						<div>
							
							 <ol>
									 
										<li>
											<input type="checkbox" name="categoryFilter" id="categoryFilter_0" value="0" checked>
											<label for="categoryFilter_0">All Categories</label><!--I have removed the HTML encoding here so that it can apply the HTML tags instead of just displaying it-->
										</li>
								
										<li>
											<input type="checkbox" name="categoryFilter" id="categoryFilter_5" value="5" checked>
											<label for="categoryFilter_5">Business</label><!--I have removed the HTML encoding here so that it can apply the HTML tags instead of just displaying it-->
										</li>
								
										<li>
											<input type="checkbox" name="categoryFilter" id="categoryFilter_12" value="12" checked>
											<label for="categoryFilter_12">Carothers</label><!--I have removed the HTML encoding here so that it can apply the HTML tags instead of just displaying it-->
										</li>
								
										<li>
											<input type="checkbox" name="categoryFilter" id="categoryFilter_11" value="11" checked>
											<label for="categoryFilter_11">Celebration Seabrook Vendor Payment</label><!--I have removed the HTML encoding here so that it can apply the HTML tags instead of just displaying it-->
										</li>
																
							 </ol>
					
							 <ol>
									 
										<li>
											<input type="checkbox" name="categoryFilter" id="categoryFilter_13" value="13" checked>
											<label for="categoryFilter_13">Community Development</label><!--I have removed the HTML encoding here so that it can apply the HTML tags instead of just displaying it-->
										</li>
								
										<li>
											<input type="checkbox" name="categoryFilter" id="categoryFilter_7" value="7" checked>
											<label for="categoryFilter_7">Contests</label><!--I have removed the HTML encoding here so that it can apply the HTML tags instead of just displaying it-->
										</li>
								
										<li>
											<input type="checkbox" name="categoryFilter" id="categoryFilter_6" value="6" checked>
											<label for="categoryFilter_6">General Forms</label><!--I have removed the HTML encoding here so that it can apply the HTML tags instead of just displaying it-->
										</li>
								
										<li>
											<input type="checkbox" name="categoryFilter" id="categoryFilter_4" value="4" checked>
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						By <a href="http://seabrooktx.gov/FormCenter/Community-Development-13/Flood-Damage-Report-60" class="requireSignIn">signing in or creating an account</a>, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
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<div id="formWrap" class="formWrap">
    <h2>Storm Damage Report</h2>
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		<li class="IePrintFormCenterField"></li><li class="whole left formFieldContainer  HeaderInstructions "  data-external-submission-name="e_28" ><label for="e_28" style="font-family:Arial;font-size:10pt;color:#19455f;font-weight:bold">Please let us know if your home has suffered storm damage</label><div><input id="h_28" name="fields[0].Key" type="hidden" value="28"></input><textarea id="e_28" name="fields[0].Value" style="display: none;">This report is designed to assist the Seabrook Office of Emergency Management in determining what areas have experienced storm damage so assessment teams can evaluate those locations.

&lt;br&gt;&lt;br&gt;Please DO NOT use this form to request direct assistance or disaster relief. As always, call 911 for emergency assistance.</textarea><p class="tip" style="font-family:Arial;font-size:10pt;color:#6b635d;font-weight:normal">This report is designed to assist the Seabrook Office of Emergency Management in determining what areas have experienced storm damage so assessment teams can evaluate those locations.

<br><br>Please DO NOT use this form to request direct assistance or disaster relief. As always, call 911 for emergency assistance.</p></div></li><li class="IePrintFormCenterField"></li><li class="half left formFieldContainer  ShortAnswer "  data-external-submission-name="e_1" ><label for="e_1" style="font-family:Arial;font-size:10pt;color:#54241C;font-weight:bold">First Name<span style="color: #FF0000;">*</span></label><div><input id="h_1" name="fields[1].Key" type="hidden" value="1"></input><input id="e_1" name="fields[1].Value" required="true" style="font-family:Arial;font-size:10pt;font-weight:normal" type="text" value=""></input><p class="tip" style="font-family:Arial;font-size:10pt;color:#311A16;font-weight:normal"></p></div></li><li class="half right formFieldContainer  ShortAnswer "  data-external-submission-name="e_2" ><label for="e_2" style="font-family:Arial;font-size:10pt;color:#54241C;font-weight:bold">Last Name<span style="color: #FF0000;">*</span></label><div><input id="h_2" name="fields[2].Key" type="hidden" value="2"></input><input id="e_2" 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style="font-family:Arial;font-size:10pt;color:#19455f;font-weight:bold">Email Address<span style="color: #FF0000;">*</span></label><div><input id="h_9" name="fields[4].Key" type="hidden" value="9"></input><input id="e_9" name="fields[4].Value" required="true" style="font-family:Arial;font-size:10pt;color:#6b635d;font-weight:normal" type="text" value=""></input><p class="tip" style="font-family:Arial;font-size:10pt;color:#6b635d;font-weight:normal"></p></div></li><li class="IePrintFormCenterField"></li><li class="whole left formFieldContainer  ShortAnswer "  data-external-submission-name="e_10" ><label for="e_10" style="font-family:Arial;font-size:10pt;color:#19455f;font-weight:bold">Physical Address that Incurred Damage<span style="color: #FF0000;">*</span></label><div><input id="h_10" name="fields[5].Key" type="hidden" value="10"></input><input id="e_10" name="fields[5].Value" required="true" style="font-family:Arial;font-size:10pt;color:#6b635d;font-weight:normal" type="text" 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