241
| <![CDATA[<input type="text" class="form-control mr-1 w-100" aria-label="Search" aria-describedby="basic-addon2" value="" name="s" placeholder="Busca" style="height: 30px;">]]>
|
283
| <![CDATA[<input type="radio" name="beneficiario" value="Sim" class="input-form-beneficiario" checked />]]>
|
286
| <![CDATA[<input type="radio" name="beneficiario" value="Não" class="input-form-beneficiario" />]]>
|
293
| <![CDATA[<input type="text" name="nome" class="input-form-nome form-control" required />]]>
|
297
| <![CDATA[<input type="text" name="cpf" id="cpf" class="input-form-cpf form-control" required />]]>
|
303
| <![CDATA[<input type="text" name="email" id="email" class="input-form-email form-control" required />]]>
|
307
| <![CDATA[<input type="text" name="cemail" id="cemail" class="input-form-cemail form-control" required />]]>
|
313
| <![CDATA[<input type="text" name="cel" id="cel" class="input-form-cel form-control" />]]>
|
317
| <![CDATA[<input type="text" name="tel" id="tel" class="input-form-tel form-control" />]]>
|
323
| <![CDATA[<input type="text" name="cep" id="cep" class="input-form-cep form-control" />]]>
|
329
| <![CDATA[<input type="text" name="rua" id="rua" class="input-form-rua form-control" />]]>
|
333
| <![CDATA[<input type="text" name="numero" class="input-form-numero form-control" />]]>
|
339
| <![CDATA[<input type="text" name="complemento" class="input-form-complemento form-control" />]]>
|
343
| <![CDATA[<input type="text" name="bairro" id="bairro" class="input-form-bairro form-control" />]]>
|
349
| <![CDATA[<input type="text" name="cidade" id="cidade" class="input-form-cidade form-control" />]]>
|
422
| <![CDATA[<input type="file" name="file[]" multiple="multiple">]]>
|
413
| <![CDATA[<textarea name="mensagem" class="input-form-mensagem form-control" rows="8" required></textarea>]]>
|
353
| <![CDATA[<select name="estado" class="input-form-estado form-control">
<option value="">Selecione</option>
<option>Acre</option>
<option>Alagoas</option>
<option>Amapá</option>
<option>Amazonas</option>
<option>Bahia</option>
<option>Ceará</option>
<option>Distrito Federal</option>
<option>Espírito Santo</option>
<option>Goiás</option>
<option>Maranhão</option>
<option>Mato Grosso</option>
<option>Mato Grosso do Sul</option>
<option>Minas Gerais</option>
<option>Pará</option>
<option>Paraíba</option>
<option>Paraná</option>
<option>Pernambuco</option>
<option>Piauí</option>
<option>Rio de Janeiro</option>
<option>Rio Grande do Norte</option>
<option>Rio Grande do Sul</option>
<option>Rondônia</option>
<option>Roraima</option>
<option>Santa Catarina</option>
<option>São Paulo</option>
<option>Sergipe</option>
<option>Tocantins</option>
</select>]]>
|
388
| <![CDATA[<select name="tipo" class="form-control">
<option hidden value="" disabled selected>Selecione...</option>
<option>Solicitação</option>
<option>Denuncia</option>
<option>Reclamação</option>
<option>Elogio</option>
<option>Sugestão</option>
</select>]]>
|
399
| <![CDATA[<select name="assunto" class="form-control">
<option hidden value="" disabled selected>Selecione...</option>
<option>Atendimento</option>
<option>Aposentadoria</option>
<option>Pensão</option>
<option>Certidão</option>
<option>Auxilio</option>
<option>Outros</option>
</select>]]>
|
530
| <![CDATA[<input type="text" class="form-control" placeholder="Nome" id="nome" name="nome" data-error="Por favor, informe seu nome" required="">]]>
|
534
| <![CDATA[<input type="text" class="form-control" placeholder="E-mail" id="email" name="email" data-error="Por favor, informe seu email" required="">]]>
|
550
| <![CDATA[<textarea class="form-control" maxlength="1000" placeholder="Mensagem" id="mensagem" name="mensagem" data-error="Escreva aqui..." required=""></textarea>]]>
|