The form contains the following set of fields:

• «Surname, first name, patronymic (if any) or initials of a citizen» - Field Type text (required)
• «Subject of your electronic appeal» - Field Type text (required)
• «Address of residence or place of stay of a citizen» - Field Type multiple lines of text (required)
• «Email address to reply to you» - Field Type E-mail (required)
• «Statement of the essence of the appeal (up to 2500 characters)» - Field Type multiple lines of text (required)
• «Attach file» - Field Type file

The form is protected against automatic filling