bhl-forms 0.0.11 → 0.0.12
This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
- package/dist/bhl-forms.es.js +6 -5
- package/dist/bhl-forms.iife.js +3 -3
- package/dist/bhl-forms.umd.js +3 -3
- package/dist/forms/childAndFamily.es.js +36 -28
- package/dist/forms/childAndFamily.iife.js +36 -28
- package/dist/forms/childAndFamily.json +1 -1
- package/dist/forms/testForm.es.js +9 -8
- package/dist/forms/testForm.iife.js +9 -8
- package/dist/forms/testForm.json +1 -1
- package/dist/main.css +1 -1
- package/package.json +1 -1
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@@ -12,23 +12,25 @@ const radio = (updates) => {
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required: 'Field is required',
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},
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optionsClass: 'pt-3 pl-1',
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legendClass: 'required'
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}, updates)
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};
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const sbsRadio = (updates) => {
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updates.legendClass = 'legend-left';
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updates.legendClass = 'legend-left required';
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updates.fieldsetClass = '$reset side-by-side';
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updates.optionsClass = 'pl-1';
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updates.innerClass = 'center
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updates.innerClass = 'flex items-center';
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updates.wrapperClass = 'mb-3';
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return radio(updates)
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};
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const sbsYesNoRadio = (updates) => {
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updates.options = ['Yes', 'No'];
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updates.legendClass = 'legend-left';
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updates.fieldsetClass = '$reset side-by-side';
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updates.optionsClass = 'pl-1 side-by-side center
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updates.innerClass = 'center
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updates.legendClass = 'legend-left required';
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updates.fieldsetClass = '$reset side-by-side items-center';
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updates.optionsClass = 'pl-1 side-by-side items-center';
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updates.innerClass = 'flex items-center';
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return radio(updates)
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};
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@@ -41,12 +43,13 @@ const select = (updates) => {
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required: 'Field is required',
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},
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inputClass: 'bg-white',
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labelClass: 'required'
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}, updates)
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};
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const sbsSelect = (updates) => {
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updates.labelClass = '
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updates.wrapperClass = 'side-by-side';
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updates.labelClass = 'required';
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updates.wrapperClass = 'side-by-side items-center';
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updates.innerClass = 'select-height-content';
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return select(updates)
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};
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@@ -58,17 +61,18 @@ const text = (updates) => {
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validationMessages: {
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required: 'Field is required',
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},
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labelClass: 'required'
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}, updates)
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};
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const sbsText = (updates) => {
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updates.labelClass = '
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updates.wrapperClass = 'side-by-side';
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updates.labelClass = 'required';
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updates.wrapperClass = 'side-by-side items-center';
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return text(updates)
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};
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const childAndFamilyTOLP = () => sbsRadio({
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label: '
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label: 'Type of Help Needed:',
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name: 'Type_Of_Legal_Problem',
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id: 'Type_Of_Legal_Problem',
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options: [
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@@ -82,7 +86,7 @@ const childAndFamilyTOLP = () => sbsRadio({
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});
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const childHome = () => sbsSelect({
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label: 'With Whom Do the Children Currently Live?
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label: 'With Whom Do the Children Currently Live?',
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name: 'Child_Home',
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options: [
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'Mother',
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@@ -93,7 +97,7 @@ const childHome = () => sbsSelect({
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});
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const childPrimaryCaregiver = () => sbsSelect({
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label: 'Who is the Primary Caregiver?
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label: 'Who is the Primary Caregiver?',
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name: 'Child_Primary_Caregiver',
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options: [
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'Mother',
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@@ -103,7 +107,7 @@ const childPrimaryCaregiver = () => sbsSelect({
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});
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const childRelationship = () => sbsSelect({
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label: 'Your Relationship to Child(ren):
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label: 'Your Relationship to Child(ren):',
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name: 'Child_Relationship',
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options: [
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'Father',
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@@ -116,19 +120,20 @@ const childRelationship = () => sbsSelect({
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const comments$1 = () => ({
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$formkit: 'textarea',
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label: 'Please provide a brief description of your situation
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label: 'Please provide a brief description of your situation:',
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name: 'Comments',
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placeholder: 'For Example: "I would like help with child support payments" or "I need help with visitation rights"',
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rows: 1,
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validation: 'required',
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maxlength: 1000,
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labelClass: 'required',
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validationMessages: {
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required: 'Description is required',
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},
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});
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const degreeOfInterest = () => sbsSelect({
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label: 'How Likely Are You to Pay if Your Issue Could be Resolved?
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label: 'How Likely Are You to Pay if Your Issue Could be Resolved?',
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name: 'Degree_Of_Interest',
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// help: 'No payment necessary to speak with lawyers.',
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options: [
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@@ -141,7 +146,7 @@ const degreeOfInterest = () => sbsSelect({
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const firstName = () => sbsText({
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$formkit: 'text',
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label: 'First Name
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label: 'First Name:',
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name: 'First_Name',
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validation: 'required',
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validationMessages: {
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@@ -152,7 +157,7 @@ const firstName = () => sbsText({
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const email = () => sbsText({
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$formkit: 'email',
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name: 'Email',
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label: 'Email Address
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label: 'Email Address:',
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placeholder: 'email@domain.com',
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validation: 'required|email',
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validationMessages: {
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@@ -163,17 +168,17 @@ const email = () => sbsText({
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const haveAttorney = () => sbsYesNoRadio({
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name: 'Have_Attorney',
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label: 'Are You Currently Working with An Attorney?
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label: 'Are You Currently Working with An Attorney?',
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});
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const haveChildren = () => sbsYesNoRadio({
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name: 'Have_Children',
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label: 'Do You Have Children?
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label: 'Do You Have Children?',
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});
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const lastName = () => sbsText({
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$formkit: 'text',
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label: 'Last Name
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label: 'Last Name:',
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name: 'Last_Name',
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validation: 'required',
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validationMessages: {
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@@ -182,7 +187,7 @@ const lastName = () => sbsText({
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});
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const lawyerPaymentMethod = () => sbsSelect({
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label: 'How Will You Pay for Legal Fees if You Hire a Lawyer?
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label: 'How Will You Pay for Legal Fees if You Hire a Lawyer?',
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name: 'Lawyer_Payment_Method',
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help: 'No payment necessary to speak with lawyers.',
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options: [
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@@ -196,7 +201,7 @@ const lawyerPaymentMethod = () => sbsSelect({
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});
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const maritalStatus = () => sbsSelect({
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label: 'Marital Status
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label: 'Marital Status:',
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name: 'Marital_Status',
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options: [
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'Unmarried, Living Together',
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@@ -211,7 +216,7 @@ const maritalStatus = () => sbsSelect({
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const phone = () => sbsText({
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$formkit: 'tel',
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name: 'Primary_Phone',
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label: 'Phone Number
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label: 'Phone Number:',
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placeholder: 'xxx-xxx-xxxx',
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// help: '10-digit US phone number, hyphens optional.',
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validation: 'required|matches:/^[0-9]{3}-?[0-9]{3}-?[0-9]{4}$/',
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@@ -235,7 +240,7 @@ const TCPAConsent = () => ({
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});
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const zipcode = () => sbsText({
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label: 'Zip Code
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label: 'Zip Code:',
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placeholder: '90210',
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name: 'Zip',
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validation: 'required|matches:/^[0-9]{5}$/',
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@@ -510,8 +515,8 @@ const schema = [
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props: {
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type: 'form',
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id: 'form',
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onSubmit: '$submit("https://httpbin.org/post", $prepData)',
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// onSubmit: '$submit("http://localhost:8080/api/v1/form_leads_ext", $prepData)',
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onSubmit: '$submit("https://httpbin.org/post", $prepData, $getRedirect)',
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// onSubmit: '$submit("http://localhost:8080/api/v1/form_leads_ext", $prepData, $getRedirect)',
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plugins: '$plugins',
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actions: false,
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prepop: {
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@@ -522,6 +527,9 @@ const schema = [
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409: { abort: false },
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429: "An Error Occurred"
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},
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redirectMap: {
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'*': 'https://justanswer.9pctbx.net/c/2880795/808601/9320?sharedid=${vid}'
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},
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formClass: '!max-w-xl'
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},
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children: [
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if: '$activeStep === $firstStep()',
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children: 'Contact Us Now for Child Support, Custody and Family Issues',
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attrs: {
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class: 'flex justify-center text-center text-
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class: 'flex justify-center text-center text-md font-medium text-blue-500 px-3'
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}
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},
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{
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required: 'Field is required',
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},
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optionsClass: 'pt-3 pl-1',
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legendClass: 'required'
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}, updates)
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};
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const sbsRadio = (updates) => {
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updates.legendClass = 'legend-left';
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updates.legendClass = 'legend-left required';
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updates.fieldsetClass = '$reset side-by-side';
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updates.optionsClass = 'pl-1';
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updates.innerClass = 'center
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updates.innerClass = 'flex items-center';
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updates.wrapperClass = 'mb-3';
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return radio(updates)
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};
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const sbsYesNoRadio = (updates) => {
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updates.options = ['Yes', 'No'];
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updates.legendClass = 'legend-left';
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updates.fieldsetClass = '$reset side-by-side';
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updates.optionsClass = 'pl-1 side-by-side center
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updates.innerClass = 'center
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updates.legendClass = 'legend-left required';
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updates.fieldsetClass = '$reset side-by-side items-center';
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updates.optionsClass = 'pl-1 side-by-side items-center';
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updates.innerClass = 'flex items-center';
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return radio(updates)
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};
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required: 'Field is required',
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},
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inputClass: 'bg-white',
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labelClass: 'required'
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}, updates)
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};
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const sbsSelect = (updates) => {
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updates.labelClass = '
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updates.wrapperClass = 'side-by-side';
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updates.labelClass = 'required';
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updates.wrapperClass = 'side-by-side items-center';
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updates.innerClass = 'select-height-content';
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return select(updates)
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};
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validationMessages: {
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required: 'Field is required',
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},
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labelClass: 'required'
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}, updates)
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};
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const sbsText = (updates) => {
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updates.labelClass = '
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updates.wrapperClass = 'side-by-side';
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updates.labelClass = 'required';
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updates.wrapperClass = 'side-by-side items-center';
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return text(updates)
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};
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const childAndFamilyTOLP = () => sbsRadio({
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label: '
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label: 'Type of Help Needed:',
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name: 'Type_Of_Legal_Problem',
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id: 'Type_Of_Legal_Problem',
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options: [
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});
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const childHome = () => sbsSelect({
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label: 'With Whom Do the Children Currently Live?
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label: 'With Whom Do the Children Currently Live?',
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name: 'Child_Home',
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options: [
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'Mother',
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});
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const childPrimaryCaregiver = () => sbsSelect({
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label: 'Who is the Primary Caregiver?
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label: 'Who is the Primary Caregiver?',
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name: 'Child_Primary_Caregiver',
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options: [
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'Mother',
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@@ -106,7 +110,7 @@ var childAndFamily = (function () {
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});
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const childRelationship = () => sbsSelect({
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label: 'Your Relationship to Child(ren):
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label: 'Your Relationship to Child(ren):',
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const comments$1 = () => ({
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label: 'Please provide a brief description of your situation
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label: 'Please provide a brief description of your situation:',
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placeholder: 'For Example: "I would like help with child support payments" or "I need help with visitation rights"',
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validation: 'required',
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});
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const degreeOfInterest = () => sbsSelect({
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label: 'How Likely Are You to Pay if Your Issue Could be Resolved?
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label: 'How Likely Are You to Pay if Your Issue Could be Resolved?',
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name: 'Degree_Of_Interest',
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const firstName = () => sbsText({
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label: 'First Name
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label: 'First Name:',
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name: 'First_Name',
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validation: 'required',
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validationMessages: {
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const email = () => sbsText({
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name: 'Email',
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label: 'Email Address
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label: 'Email Address:',
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placeholder: 'email@domain.com',
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validation: 'required|email',
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validationMessages: {
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@@ -166,17 +171,17 @@ var childAndFamily = (function () {
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const haveAttorney = () => sbsYesNoRadio({
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name: 'Have_Attorney',
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label: 'Are You Currently Working with An Attorney?
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label: 'Are You Currently Working with An Attorney?',
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});
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const haveChildren = () => sbsYesNoRadio({
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name: 'Have_Children',
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label: 'Do You Have Children?
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label: 'Do You Have Children?',
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});
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const lastName = () => sbsText({
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label: 'Last Name
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label: 'Last Name:',
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name: 'Last_Name',
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validation: 'required',
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validationMessages: {
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@@ -185,7 +190,7 @@ var childAndFamily = (function () {
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});
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const lawyerPaymentMethod = () => sbsSelect({
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label: 'How Will You Pay for Legal Fees if You Hire a Lawyer?
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label: 'How Will You Pay for Legal Fees if You Hire a Lawyer?',
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name: 'Lawyer_Payment_Method',
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help: 'No payment necessary to speak with lawyers.',
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options: [
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@@ -199,7 +204,7 @@ var childAndFamily = (function () {
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});
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const maritalStatus = () => sbsSelect({
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label: 'Marital Status
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label: 'Marital Status:',
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name: 'Marital_Status',
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options: [
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'Unmarried, Living Together',
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@@ -214,7 +219,7 @@ var childAndFamily = (function () {
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const phone = () => sbsText({
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$formkit: 'tel',
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name: 'Primary_Phone',
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label: 'Phone Number
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label: 'Phone Number:',
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placeholder: 'xxx-xxx-xxxx',
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// help: '10-digit US phone number, hyphens optional.',
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validation: 'required|matches:/^[0-9]{3}-?[0-9]{3}-?[0-9]{4}$/',
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@@ -238,7 +243,7 @@ var childAndFamily = (function () {
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});
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const zipcode = () => sbsText({
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label: 'Zip Code
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label: 'Zip Code:',
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placeholder: '90210',
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name: 'Zip',
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validation: 'required|matches:/^[0-9]{5}$/',
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@@ -513,8 +518,8 @@ var childAndFamily = (function () {
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props: {
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type: 'form',
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id: 'form',
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onSubmit: '$submit("https://httpbin.org/post", $prepData)',
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// onSubmit: '$submit("http://localhost:8080/api/v1/form_leads_ext", $prepData)',
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+
onSubmit: '$submit("https://httpbin.org/post", $prepData, $getRedirect)',
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// onSubmit: '$submit("http://localhost:8080/api/v1/form_leads_ext", $prepData, $getRedirect)',
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plugins: '$plugins',
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actions: false,
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prepop: {
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@@ -525,6 +530,9 @@ var childAndFamily = (function () {
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409: { abort: false },
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429: "An Error Occurred"
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},
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+
redirectMap: {
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+
'*': 'https://justanswer.9pctbx.net/c/2880795/808601/9320?sharedid=${vid}'
|
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+
},
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formClass: '!max-w-xl'
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},
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children: [
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@@ -541,7 +549,7 @@ var childAndFamily = (function () {
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541
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if: '$activeStep === $firstStep()',
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children: 'Contact Us Now for Child Support, Custody and Family Issues',
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attrs: {
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class: 'flex justify-center text-center text-
|
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+
class: 'flex justify-center text-center text-md font-medium text-blue-500 px-3'
|
|
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}
|
|
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},
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|
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{
|
|
@@ -1 +1 @@
|
|
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1
|
-
[{"type":"meta","data":{"tcpaLanguage":"By checking this box, I a) agree to the Terms of Use, and b) consent to be contacted by lawyers, lawyer networks, and partners of this website using live, autodialed, pre-recorded, or artificial voice calls, as well as text messages. Your consent is not required as a condition of purchasing any goods or services. To submit this request without this consent, call 855-506-0847."}},{"$cmp":"FormKit","props":{"type":"form","id":"form","onSubmit":"$submit(\"https://httpbin.org/post\", $prepData)","plugins":"$plugins","actions":false,"prepop":{"fromURL":true},"errorCodes":{"403":"An Error Occurred","409":{"abort":false},"429":"An Error Occurred"},"formClass":"!max-w-xl"},"children":[{"$el":"h1","if":"$activeStep === $firstStep()","children":"Get Child & Family Help Today","attrs":{"class":"flex justify-center text-center text-3xl font-bold pt-5 px-3"}},{"$el":"h3","if":"$activeStep === $firstStep()","children":"Contact Us Now for Child Support, Custody and Family Issues","attrs":{"class":"flex justify-center text-center text-l font-bold text-blue-500 px-3"}},{"$formkit":"hidden","name":"vertical","value":"Legal"},{"$formkit":"hidden","name":"TCPA_Language","value":"$meta.tcpaLanguage"},{"$formkit":"hidden","name":"gclid","value":null},{"$formkit":"hidden","name":"campaignid","value":null},{"$formkit":"hidden","name":"s","value":null},{"$el":"div","attrs":{"class":"form-body"},"children":[{"$el":"section","if":"$stepIsEnabled(\"childAndFamilyTOLPAndZip\")","attrs":{"style":{"if":"$activeStep !== \"childAndFamilyTOLPAndZip\"","then":"display: none;"}},"children":[{"$formkit":"group","id":"childAndFamilyTOLPAndZip","name":"childAndFamilyTOLPAndZip","children":[{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"pl-1","label":"Which Type of Help is Needed? *","name":"Type_Of_Legal_Problem","id":"Type_Of_Legal_Problem","options":["Adoption","Child Custody and Support","Not Sure or Other"],"legendClass":"legend-left","fieldsetClass":"$reset side-by-side","innerClass":"center-label"},{"$formkit":"text","validation":"required|matches:/^[0-9]{5}$/","validationMessages":{"required":"Zip Code is required","matches":"Invalid Zip Code"},"label":"Zip Code *","placeholder":"90210","name":"Zip","labelClass":"center-label","wrapperClass":"side-by-side"}]}]},{"$el":"section","if":"$stepIsEnabled(\"TOLPQuestions\")","attrs":{"style":{"if":"$activeStep !== \"TOLPQuestions\"","then":"display: none;"}},"children":[{"$formkit":"group","id":"TOLPQuestions","name":"TOLPQuestions","children":[{"$el":"h3","children":"Please Complete the Following:","attrs":{"class":"flex justify-center text-center text-2xl font-bold text-blue-500 pb-5 pt-0 px-3"}},{"$cmp":"FormKit","props":{"type":"group","key":"AdoptionQuestions","id":"AdoptionQuestions","name":"AdoptionQuestions"},"if":"$get(Type_Of_Legal_Problem).value == \"Adoption\"","children":[{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"pl-1 side-by-side center-label","name":"Have_Attorney","label":"Are You Currently Working with An Attorney? *","options":["Yes","No"],"legendClass":"legend-left","fieldsetClass":"$reset side-by-side","innerClass":"center-label"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"bg-white","label":"Marital Status *","name":"Marital_Status","options":["Unmarried, Living Together","Unmarried, Do Not Live Together","Married, Living Together","Separated","Divorced","Other"],"labelClass":"center-label","wrapperClass":"side-by-side","innerClass":"select-height-content"},{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"pl-1 side-by-side center-label","name":"Have_Children","label":"Do You Have Children? *","options":["Yes","No"],"legendClass":"legend-left","fieldsetClass":"$reset side-by-side","innerClass":"center-label"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"bg-white","label":"How Likely Are You to Pay if Your Issue Could be Resolved? *","name":"Degree_Of_Interest","options":["Definitely","Probably","Maybe","Absolutely Can't Afford"],"labelClass":"center-label","wrapperClass":"side-by-side","innerClass":"select-height-content"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"bg-white","label":"How Will You Pay for Legal Fees if You Hire a Lawyer? *","name":"Lawyer_Payment_Method","help":"No payment necessary to speak with lawyers.","options":["Cash","Check","Credit Card","Friend","Family","Other"],"labelClass":"center-label","wrapperClass":"side-by-side","innerClass":"select-height-content"}]},{"$cmp":"FormKit","props":{"type":"group","key":"ChildCustodyAndSupportQuestions","id":"ChildCustodyAndSupportQuestions","name":"ChildCustodyAndSupportQuestions"},"if":"$get(Type_Of_Legal_Problem).value == \"Child Custody and Support\"","children":[{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"pl-1 side-by-side center-label","name":"Have_Attorney","label":"Are You Currently Working with An Attorney? *","options":["Yes","No"],"legendClass":"legend-left","fieldsetClass":"$reset side-by-side","innerClass":"center-label"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"bg-white","label":"Your Relationship to Child(ren): *","name":"Child_Relationship","options":["Father","Mother","Grandparent","Aunt/Uncle","Other"],"labelClass":"center-label","wrapperClass":"side-by-side","innerClass":"select-height-content"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"bg-white","label":"With Whom Do the Children Currently Live? *","name":"Child_Home","options":["Mother","Father","Grandparents","Other"],"labelClass":"center-label","wrapperClass":"side-by-side","innerClass":"select-height-content"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"bg-white","label":"Who is the Primary Caregiver? *","name":"Child_Primary_Caregiver","options":["Mother","Father","Other"],"labelClass":"center-label","wrapperClass":"side-by-side","innerClass":"select-height-content"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"bg-white","label":"How Likely Are You to Pay if Your Issue Could be Resolved? *","name":"Degree_Of_Interest","options":["Definitely","Probably","Maybe","Absolutely Can't Afford"],"labelClass":"center-label","wrapperClass":"side-by-side","innerClass":"select-height-content"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"bg-white","label":"How Will You Pay for Legal Fees if You Hire a Lawyer? *","name":"Lawyer_Payment_Method","help":"No payment necessary to speak with lawyers.","options":["Cash","Check","Credit Card","Friend","Family","Other"],"labelClass":"center-label","wrapperClass":"side-by-side","innerClass":"select-height-content"}]},{"$cmp":"FormKit","props":{"type":"group","key":"NotSureOrOtherQuestions","id":"NotSureOrOtherQuestions","name":"NotSureOrOtherQuestions"},"if":"$get(Type_Of_Legal_Problem).value == \"Not Sure or Other\"","children":[{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"pl-1 side-by-side center-label","name":"Have_Attorney","label":"Are You Currently Working with An Attorney? *","options":["Yes","No"],"legendClass":"legend-left","fieldsetClass":"$reset side-by-side","innerClass":"center-label"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"bg-white","label":"How Will You Pay for Legal Fees if You Hire a Lawyer? *","name":"Lawyer_Payment_Method","help":"No payment necessary to speak with lawyers.","options":["Cash","Check","Credit Card","Friend","Family","Other"],"labelClass":"center-label","wrapperClass":"side-by-side","innerClass":"select-height-content"}]}]}]},{"$el":"section","if":"$stepIsEnabled(\"comments\")","attrs":{"style":{"if":"$activeStep !== \"comments\"","then":"display: none;"}},"children":[{"$formkit":"group","id":"comments","name":"comments","children":[{"$formkit":"textarea","label":"Please provide a brief description of your situation *","name":"Comments","placeholder":"For Example: \"I would like help with child support payments\" or \"I need help with visitation rights\"","rows":1,"validation":"required","maxlength":1000,"validationMessages":{"required":"Description is required"}}]}]},{"$el":"section","if":"$stepIsEnabled(\"firstAndLast\")","attrs":{"style":{"if":"$activeStep !== \"firstAndLast\"","then":"display: none;"}},"children":[{"$formkit":"group","id":"firstAndLast","name":"firstAndLast","children":[{"$formkit":"text","validation":"required","validationMessages":{"required":"First Name is required"},"label":"First Name *","name":"First_Name","labelClass":"center-label","wrapperClass":"side-by-side"},{"$formkit":"text","validation":"required","validationMessages":{"required":"Last Name is required"},"label":"Last Name *","name":"Last_Name","labelClass":"center-label","wrapperClass":"side-by-side"}]}]},{"$el":"section","if":"$stepIsEnabled(\"contactInfo\")","attrs":{"style":{"if":"$activeStep !== \"contactInfo\"","then":"display: none;"}},"children":[{"$formkit":"group","id":"contactInfo","name":"contactInfo","children":[{"$el":"h3","children":"Based on your input, you may benefit from speaking with a family lawyer. Please verify your contact information:","attrs":{"class":"flex justify-center text-center text-lg font-bold pb-5 pt-0 px-3"}},{"$formkit":"email","validation":"required|email","validationMessages":{"required":"Email is required","email":"Invalid Email"},"name":"Email","label":"Email Address *","placeholder":"email@domain.com","labelClass":"center-label","wrapperClass":"side-by-side"},{"$formkit":"tel","validation":"required|matches:/^[0-9]{3}-?[0-9]{3}-?[0-9]{4}$/","validationMessages":{"required":"Phone Number is required","matches":"Invalid Phone Number"},"name":"Primary_Phone","label":"Phone Number *","placeholder":"xxx-xxx-xxxx","labelClass":"center-label","wrapperClass":"side-by-side"},{"$formkit":"checkbox","label":"$meta.tcpaLanguage","name":"TCPA_Opt_In","validation":"required|accepted","validationMessages":{"accepted":"Consent is required"},"classes":{"label":"text-xs text-slate-500 font-normal"}},{"$el":"div","if":"$activeStep === $lastStep()","attrs":{"class":"flex justify-center"},"children":[{"$el":"img","attrs":{"loading":"lazy","alt":"","style":{"border":0},"src":"https://www.jotform.com/uploads/bunker_hill/form_files/SecurePrivacy.61e1c17c976f80.61736956.png","width":"320","height":"100"}}]}]}]},{"$el":"div","attrs":{"class":"step-nav"},"children":[{"$formkit":"button","onClick":"$setPreviousStep()","children":"Back","style":{"if":"$activeStep === $firstStep()","then":"visibility: hidden;"}},{"$formkit":"button","onClick":"$setNextStep()","children":"Next","style":{"if":"$activeStep === $lastStep()","then":"display: none;"}},{"$formkit":"submit","label":"Submit","if":"$activeStep === $lastStep()","style":{"if":"$activeStep !== $lastStep()","then":"display: none;"}}]},{"$el":"pre","if":"$urlParam(\"fdbg\", \"\") == 1","children":[{"$el":"pre","children":"$stringify( $get(form).value )","attrs":{"class":"text-xs","style":"overflow: scroll"}},{"$el":"pre","children":["activeStep: ","$activeStep"],"attrs":{"class":"text-xs","style":"overflow: scroll"}},{"$el":"pre","children":["stepHistory: ","$stepHistory"],"attrs":{"class":"text-xs","style":"overflow: scroll"}},{"$el":"pre","children":["stepQueue: ","$stepQueue"],"attrs":{"class":"text-xs","style":"overflow: scroll"}}]}]}]}]
|
|
1
|
+
[{"type":"meta","data":{"tcpaLanguage":"By checking this box, I a) agree to the Terms of Use, and b) consent to be contacted by lawyers, lawyer networks, and partners of this website using live, autodialed, pre-recorded, or artificial voice calls, as well as text messages. Your consent is not required as a condition of purchasing any goods or services. To submit this request without this consent, call 855-506-0847."}},{"$cmp":"FormKit","props":{"type":"form","id":"form","onSubmit":"$submit(\"https://httpbin.org/post\", $prepData, $getRedirect)","plugins":"$plugins","actions":false,"prepop":{"fromURL":true},"errorCodes":{"403":"An Error Occurred","409":{"abort":false},"429":"An Error Occurred"},"redirectMap":{"*":"https://justanswer.9pctbx.net/c/2880795/808601/9320?sharedid=${vid}"},"formClass":"!max-w-xl"},"children":[{"$el":"h1","if":"$activeStep === $firstStep()","children":"Get Child & Family Help Today","attrs":{"class":"flex justify-center text-center text-3xl font-bold pt-5 px-3"}},{"$el":"h3","if":"$activeStep === $firstStep()","children":"Contact Us Now for Child Support, Custody and Family Issues","attrs":{"class":"flex justify-center text-center text-md font-medium text-blue-500 px-3"}},{"$formkit":"hidden","name":"vertical","value":"Legal"},{"$formkit":"hidden","name":"TCPA_Language","value":"$meta.tcpaLanguage"},{"$formkit":"hidden","name":"gclid","value":null},{"$formkit":"hidden","name":"campaignid","value":null},{"$formkit":"hidden","name":"s","value":null},{"$el":"div","attrs":{"class":"form-body"},"children":[{"$el":"section","if":"$stepIsEnabled(\"childAndFamilyTOLPAndZip\")","attrs":{"style":{"if":"$activeStep !== \"childAndFamilyTOLPAndZip\"","then":"display: none;"}},"children":[{"$formkit":"group","id":"childAndFamilyTOLPAndZip","name":"childAndFamilyTOLPAndZip","children":[{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"pl-1","legendClass":"legend-left required","label":"Type of Help Needed:","name":"Type_Of_Legal_Problem","id":"Type_Of_Legal_Problem","options":["Adoption","Child Custody and Support","Not Sure or Other"],"fieldsetClass":"$reset side-by-side","innerClass":"flex 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required"},"optionsClass":"pl-1 side-by-side items-center","legendClass":"legend-left required","name":"Have_Attorney","label":"Are You Currently Working with An Attorney?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side items-center","innerClass":"flex items-center"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"bg-white","labelClass":"required","label":"Marital Status:","name":"Marital_Status","options":["Unmarried, Living Together","Unmarried, Do Not Live Together","Married, Living Together","Separated","Divorced","Other"],"wrapperClass":"side-by-side items-center","innerClass":"select-height-content"},{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"pl-1 side-by-side items-center","legendClass":"legend-left required","name":"Have_Children","label":"Do You Have Children?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side items-center","innerClass":"flex items-center"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"bg-white","labelClass":"required","label":"How Likely Are You to Pay if Your Issue Could be Resolved?","name":"Degree_Of_Interest","options":["Definitely","Probably","Maybe","Absolutely Can't Afford"],"wrapperClass":"side-by-side items-center","innerClass":"select-height-content"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"bg-white","labelClass":"required","label":"How Will You Pay for Legal Fees if You Hire a Lawyer?","name":"Lawyer_Payment_Method","help":"No payment necessary to speak with lawyers.","options":["Cash","Check","Credit Card","Friend","Family","Other"],"wrapperClass":"side-by-side items-center","innerClass":"select-height-content"}]},{"$cmp":"FormKit","props":{"type":"group","key":"ChildCustodyAndSupportQuestions","id":"ChildCustodyAndSupportQuestions","name":"ChildCustodyAndSupportQuestions"},"if":"$get(Type_Of_Legal_Problem).value == \"Child Custody and Support\"","children":[{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"pl-1 side-by-side items-center","legendClass":"legend-left required","name":"Have_Attorney","label":"Are You Currently Working with An Attorney?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side items-center","innerClass":"flex items-center"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"bg-white","labelClass":"required","label":"Your Relationship to Child(ren):","name":"Child_Relationship","options":["Father","Mother","Grandparent","Aunt/Uncle","Other"],"wrapperClass":"side-by-side items-center","innerClass":"select-height-content"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"bg-white","labelClass":"required","label":"With Whom Do the Children Currently Live?","name":"Child_Home","options":["Mother","Father","Grandparents","Other"],"wrapperClass":"side-by-side items-center","innerClass":"select-height-content"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"bg-white","labelClass":"required","label":"Who is the Primary Caregiver?","name":"Child_Primary_Caregiver","options":["Mother","Father","Other"],"wrapperClass":"side-by-side items-center","innerClass":"select-height-content"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"bg-white","labelClass":"required","label":"How Likely Are You to Pay if Your Issue Could be Resolved?","name":"Degree_Of_Interest","options":["Definitely","Probably","Maybe","Absolutely Can't Afford"],"wrapperClass":"side-by-side items-center","innerClass":"select-height-content"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"bg-white","labelClass":"required","label":"How Will You Pay for Legal Fees if You Hire a Lawyer?","name":"Lawyer_Payment_Method","help":"No payment necessary to speak with lawyers.","options":["Cash","Check","Credit Card","Friend","Family","Other"],"wrapperClass":"side-by-side items-center","innerClass":"select-height-content"}]},{"$cmp":"FormKit","props":{"type":"group","key":"NotSureOrOtherQuestions","id":"NotSureOrOtherQuestions","name":"NotSureOrOtherQuestions"},"if":"$get(Type_Of_Legal_Problem).value == \"Not Sure or Other\"","children":[{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"pl-1 side-by-side items-center","legendClass":"legend-left required","name":"Have_Attorney","label":"Are You Currently Working with An Attorney?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side items-center","innerClass":"flex items-center"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"bg-white","labelClass":"required","label":"How Will You Pay for Legal Fees if You Hire a Lawyer?","name":"Lawyer_Payment_Method","help":"No payment necessary to speak with lawyers.","options":["Cash","Check","Credit Card","Friend","Family","Other"],"wrapperClass":"side-by-side items-center","innerClass":"select-height-content"}]}]}]},{"$el":"section","if":"$stepIsEnabled(\"comments\")","attrs":{"style":{"if":"$activeStep !== \"comments\"","then":"display: none;"}},"children":[{"$formkit":"group","id":"comments","name":"comments","children":[{"$formkit":"textarea","label":"Please provide a brief description of your situation:","name":"Comments","placeholder":"For Example: \"I would like help with child support payments\" or \"I need help with visitation rights\"","rows":1,"validation":"required","maxlength":1000,"labelClass":"required","validationMessages":{"required":"Description is required"}}]}]},{"$el":"section","if":"$stepIsEnabled(\"firstAndLast\")","attrs":{"style":{"if":"$activeStep !== \"firstAndLast\"","then":"display: none;"}},"children":[{"$formkit":"group","id":"firstAndLast","name":"firstAndLast","children":[{"$formkit":"text","validation":"required","validationMessages":{"required":"First Name is required"},"labelClass":"required","label":"First Name:","name":"First_Name","wrapperClass":"side-by-side items-center"},{"$formkit":"text","validation":"required","validationMessages":{"required":"Last Name is required"},"labelClass":"required","label":"Last Name:","name":"Last_Name","wrapperClass":"side-by-side items-center"}]}]},{"$el":"section","if":"$stepIsEnabled(\"contactInfo\")","attrs":{"style":{"if":"$activeStep !== \"contactInfo\"","then":"display: none;"}},"children":[{"$formkit":"group","id":"contactInfo","name":"contactInfo","children":[{"$el":"h3","children":"Based on your input, you may benefit from speaking with a family lawyer. Please verify your contact information:","attrs":{"class":"flex justify-center text-center text-lg font-bold pb-5 pt-0 px-3"}},{"$formkit":"email","validation":"required|email","validationMessages":{"required":"Email is required","email":"Invalid Email"},"labelClass":"required","name":"Email","label":"Email Address:","placeholder":"email@domain.com","wrapperClass":"side-by-side items-center"},{"$formkit":"tel","validation":"required|matches:/^[0-9]{3}-?[0-9]{3}-?[0-9]{4}$/","validationMessages":{"required":"Phone Number is required","matches":"Invalid Phone Number"},"labelClass":"required","name":"Primary_Phone","label":"Phone Number:","placeholder":"xxx-xxx-xxxx","wrapperClass":"side-by-side items-center"},{"$formkit":"checkbox","label":"$meta.tcpaLanguage","name":"TCPA_Opt_In","validation":"required|accepted","validationMessages":{"accepted":"Consent is required"},"classes":{"label":"text-xs text-slate-500 font-normal"}},{"$el":"div","if":"$activeStep === $lastStep()","attrs":{"class":"flex justify-center"},"children":[{"$el":"img","attrs":{"loading":"lazy","alt":"","style":{"border":0},"src":"https://www.jotform.com/uploads/bunker_hill/form_files/SecurePrivacy.61e1c17c976f80.61736956.png","width":"320","height":"100"}}]}]}]},{"$el":"div","attrs":{"class":"step-nav"},"children":[{"$formkit":"button","onClick":"$setPreviousStep()","children":"Back","style":{"if":"$activeStep === $firstStep()","then":"visibility: hidden;"}},{"$formkit":"button","onClick":"$setNextStep()","children":"Next","style":{"if":"$activeStep === $lastStep()","then":"display: none;"}},{"$formkit":"submit","label":"Submit","if":"$activeStep === $lastStep()","style":{"if":"$activeStep !== $lastStep()","then":"display: none;"}}]},{"$el":"pre","if":"$urlParam(\"fdbg\", \"\") == 1","children":[{"$el":"pre","children":"$stringify( $get(form).value )","attrs":{"class":"text-xs","style":"overflow: scroll"}},{"$el":"pre","children":["activeStep: ","$activeStep"],"attrs":{"class":"text-xs","style":"overflow: scroll"}},{"$el":"pre","children":["stepHistory: ","$stepHistory"],"attrs":{"class":"text-xs","style":"overflow: scroll"}},{"$el":"pre","children":["stepQueue: ","$stepQueue"],"attrs":{"class":"text-xs","style":"overflow: scroll"}}]}]}]}]
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validationMessages: {
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}, updates)
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const sbsText = (updates) => {
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updates.labelClass = '
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updates.wrapperClass = 'side-by-side';
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updates.labelClass = 'required';
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updates.wrapperClass = 'side-by-side items-center';
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return text(updates)
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};
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const category = () => ({
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$formkit: 'select',
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label: 'Category
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label: 'Category',
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name: 'category',
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id: 'category',
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validation: 'required',
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const firstName = () => sbsText({
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label: 'First Name
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label: 'First Name:',
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name: 'First_Name',
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validation: 'required',
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validationMessages: {
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const email = () => sbsText({
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$formkit: 'email',
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name: 'Email',
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label: 'Email Address
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label: 'Email Address:',
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placeholder: 'email@domain.com',
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validation: 'required|email',
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validationMessages: {
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const lastName = () => sbsText({
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label: 'Last Name
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label: 'Last Name:',
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name: 'Last_Name',
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validation: 'required',
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validationMessages: {
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const phone = () => sbsText({
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name: 'Primary_Phone',
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label: 'Phone Number
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label: 'Phone Number:',
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placeholder: 'xxx-xxx-xxxx',
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// help: '10-digit US phone number, hyphens optional.',
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validation: 'required|matches:/^[0-9]{3}-?[0-9]{3}-?[0-9]{4}$/',
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const zipcode = () => sbsText({
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label: 'Zip Code
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label: 'Zip Code:',
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placeholder: '90210',
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name: 'Zip',
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validation: 'required|matches:/^[0-9]{5}$/',
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validationMessages: {
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required: 'Field is required',
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},
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labelClass: 'required'
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}, updates)
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const sbsText = (updates) => {
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updates.labelClass = '
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updates.wrapperClass = 'side-by-side';
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updates.labelClass = 'required';
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updates.wrapperClass = 'side-by-side items-center';
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return text(updates)
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};
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const category = () => ({
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$formkit: 'select',
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label: 'Category
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label: 'Category',
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name: 'category',
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id: 'category',
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validation: 'required',
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const firstName = () => sbsText({
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label: 'First Name
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label: 'First Name:',
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name: 'First_Name',
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validation: 'required',
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validationMessages: {
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const email = () => sbsText({
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$formkit: 'email',
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name: 'Email',
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label: 'Email Address
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label: 'Email Address:',
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placeholder: 'email@domain.com',
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validation: 'required|email',
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validationMessages: {
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const lastName = () => sbsText({
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label: 'Last Name
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label: 'Last Name:',
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name: 'Last_Name',
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validation: 'required',
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validationMessages: {
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const phone = () => sbsText({
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$formkit: 'tel',
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name: 'Primary_Phone',
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label: 'Phone Number
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label: 'Phone Number:',
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placeholder: 'xxx-xxx-xxxx',
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// help: '10-digit US phone number, hyphens optional.',
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validation: 'required|matches:/^[0-9]{3}-?[0-9]{3}-?[0-9]{4}$/',
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const zipcode = () => sbsText({
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label: 'Zip Code
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label: 'Zip Code:',
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placeholder: '90210',
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name: 'Zip',
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validation: 'required|matches:/^[0-9]{5}$/',
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