{% extends "withoutnav_template.html" %} {% from "components/textbox.html" import textbox %} {% from "components/page-footer.html" import sticky_page_footer %} {% from "components/page-header.html" import page_header %} {% from "components/form.html" import form_wrapper %} {% from "components/components/back-link/macro.njk" import usaBackLink %} {% block per_page_title %} {{ page_title }} {% endblock %} {% block backLink %} {{ usaBackLink({ "href": back_link }) }} {% endblock %} {% block maincolumn_content %} {{ page_header(page_title) }}
{% if show_status_page_banner %}

Check our system status page to see if there are any known issues with Notify.gov.

{% endif %} {% call form_wrapper() %} {{ textbox(form.feedback, width='1-1', hint='', rows=10, autosize=True) }} {% if not current_user.is_authenticated %} {{ form.name(param_extensions={"classes": ""}) }} {{ form.email_address(param_extensions={"classes": ""}) }} {% else %}

We’ll reply to {{ current_user.email_address }}

{% endif %} {{ sticky_page_footer('Send') }} {% endcall %}
{% endblock %}