{"states":[["Alabama","AL"],["Alaska","AK"],["Arizona","AZ"],["Arkansas","AR"],["California","CA"],["Colorado","CO"],["Connecticut","CT"],["Delaware","DE"],["District of Columbia","DC"],["Florida","FL"],["Georgia","GA"],["Hawaii","HI"],["Idaho","ID"],["Illinois","IL"],["Indiana","IN"],["Iowa","IA"],["Kansas","KS"],["Kentucky","KY"],["Louisiana","LA"],["Maine","ME"],["Maryland","MD"],["Massachusetts","MA"],["Michigan","MI"],["Minnesota","MN"],["Mississippi","MS"],["Missouri","MO"],["Montana","MT"],["Nebraska","NE"],["Nevada","NV"],["New Hampshire","NH"],["New Jersey","NJ"],["New Mexico","NM"],["New York","NY"],["North Carolina","NC"],["North Dakota","ND"],["Ohio","OH"],["Oklahoma","OK"],["Oregon","OR"],["Pennsylvania","PA"],["Puerto Rico","PR"],["Rhode Island","RI"],["South Carolina","SC"],["South Dakota","SD"],["Tennessee","TN"],["Texas","TX"],["Utah","UT"],["Vermont","VT"],["Virginia","VA"],["Washington","WA"],["West Virginia","WV"],["Wisconsin","WI"],["Wyoming","WY"],["non-US State/Province","non-US State/Province"]],"formats":[{"id":17220,"name":"Fax"},{"id":17221,"name":"Email"},{"id":17222,"name":"In person"},{"id":17223,"name":"Phone"},{"id":17224,"name":"Web"},{"id":17225,"name":"Mail"},{"id":17226,"name":"Import"}],"request_fields":[{"id":731,"field_type":"text","version_id":2123,"type_settings":{"hideLabel":true,"labelText":"Incident/Event #: ","helperText":null,"isTextArea":false,"isMandatory":false,"tooltipText":null,"placeholderText":"Incident/Event #: ","characterLimitMax":null,"characterLimitMin":null}}]}