Work Order Form Template

<form action="https://splitforms.com/api/submit" method="POST" enctype="multipart/form-data">
  <input type="hidden" name="access_key" value="YOUR_ACCESS_KEY">
  <input type="hidden" name="subject" value="New work order">
  <input type="hidden" name="form_loaded_at" id="form_loaded_at">

  <fieldset>
    <legend>Requested by</legend>
    <label>Full name <input type="text" name="requester_name" autocomplete="name" required></label>
    <label>Email <input type="email" name="email" autocomplete="email" required></label>
    <label>Phone <input type="tel" name="phone" autocomplete="tel"></label>
    <label>Department or company <input type="text" name="department" autocomplete="organization"></label>
  </fieldset>

  <fieldset>
    <legend>Where and what</legend>
    <label>Site and location
      <input type="text" name="location" placeholder="Site, building, floor, room or unit" required>
    </label>
    <label>Asset or equipment (name, tag or serial)
      <input type="text" name="asset" placeholder="e.g. Rooftop unit RTU-2, Dock door 4">
    </label>
    <label>Category
      <select name="category" required>
        <option value="">Choose one</option>
        <option>Electrical</option>
        <option>Plumbing</option>
        <option>HVAC</option>
        <option>Doors, locks and carpentry</option>
        <option>Equipment or machinery</option>
        <option>IT and AV</option>
        <option>Cleaning</option>
        <option>Grounds</option>
        <option>Other</option>
      </select>
    </label>
  </fieldset>

  <fieldset>
    <legend>Priority</legend>
    <label><input type="radio" name="priority" value="Emergency" required> Emergency: safety risk or stopped operations, respond today</label>
    <label><input type="radio" name="priority" value="High"> High: within 1 business day</label>
    <label><input type="radio" name="priority" value="Normal"> Normal: within 1 week</label>
    <label><input type="radio" name="priority" value="Planned"> Planned: schedule with routine work</label>
  </fieldset>

  <label>Work requested
    <textarea name="work_description" rows="5" required
      placeholder="What is wrong or what needs doing, when it started, anything already tried"></textarea>
  </label>

  <fieldset>
    <legend>Scheduling and access</legend>
    <label>Preferred date <input type="date" name="preferred_date"></label>
    <label>Access window
      <select name="access_window">
        <option>Any time</option>
        <option>Business hours only</option>
        <option>Before or after business hours</option>
        <option>Weekend</option>
      </select>
    </label>
    <label>Access notes and on-site contact
      <input type="text" name="access_notes" placeholder="Keys at front desk, ask for Sam, 555-0142">
    </label>
  </fieldset>

  <label>Cost code or PO number
    <input type="text" name="cost_code">
  </label>

  <label>Photos (up to 5, 5 MB each)
    <input type="file" name="photos" accept="image/*" multiple>
  </label>

  <!-- honeypot: leave empty -->
  <input type="checkbox" name="botcheck" style="display:none" tabindex="-1" autocomplete="off">

  <button type="submit">Submit work order</button>
</form>
<script>
  document.getElementById('form_loaded_at').value = Date.now();
</script>