bhl-forms 0.0.73 → 0.0.74
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 +7 -0
- package/dist/bhl-forms.iife.js +5 -5
- package/dist/bhl-forms.modern.es.js +7 -0
- package/dist/bhl-forms.modern.iife.js +7 -7
- package/dist/bhl-forms.modern.umd.js +7 -7
- package/dist/bhl-forms.umd.js +5 -5
- package/dist/forms/childAndFamily.es.js +35 -6
- package/dist/forms/childAndFamily.iife.js +1 -1
- package/dist/forms/childAndFamily.json +1 -1
- package/dist/forms/civilLawsuit.es.js +22 -10
- package/dist/forms/civilLawsuit.iife.js +1 -1
- package/dist/forms/civilLawsuit.json +1 -1
- package/dist/forms/criminal.es.js +22 -10
- package/dist/forms/criminal.iife.js +1 -1
- package/dist/forms/criminal.json +1 -1
- package/dist/forms/generalLegal.es.js +22 -10
- package/dist/forms/generalLegal.iife.js +1 -1
- package/dist/forms/generalLegal.json +1 -1
- package/dist/forms/generalLegalBankruptcy.es.js +10 -32
- package/dist/forms/generalLegalBankruptcy.iife.js +1 -1
- package/dist/forms/generalLegalBankruptcy.json +1 -1
- package/dist/forms/generalLegalPopUnder.es.js +10 -32
- package/dist/forms/generalLegalPopUnder.iife.js +1 -1
- package/dist/forms/generalLegalPopUnder.json +1 -1
- package/dist/forms/realEstate.es.js +22 -10
- package/dist/forms/realEstate.iife.js +1 -1
- package/dist/forms/realEstate.json +1 -1
- package/package.json +1 -1
|
@@ -156,6 +156,27 @@ const hiddenInputs = [
|
|
|
156
156
|
}
|
|
157
157
|
];
|
|
158
158
|
|
|
159
|
+
// ------ Common Base Settings
|
|
160
|
+
|
|
161
|
+
const checkbox = (updates) => {
|
|
162
|
+
return merge({
|
|
163
|
+
$formkit: 'checkbox',
|
|
164
|
+
validation: 'required',
|
|
165
|
+
validationMessages: {
|
|
166
|
+
required: 'Field is required'
|
|
167
|
+
}
|
|
168
|
+
}, updates)
|
|
169
|
+
};
|
|
170
|
+
|
|
171
|
+
const sbsCheckbox = (updates) => {
|
|
172
|
+
updates.legendClass = 'legend-left required';
|
|
173
|
+
updates.fieldsetClass = '$reset side-by-side';
|
|
174
|
+
updates.optionsClass = 't-pl-1';
|
|
175
|
+
updates.innerClass = 't-flex t-items-center';
|
|
176
|
+
updates.wrapperClass = 't-mb-3';
|
|
177
|
+
return checkbox(updates)
|
|
178
|
+
};
|
|
179
|
+
|
|
159
180
|
const radio = (updates) => {
|
|
160
181
|
return merge({
|
|
161
182
|
$formkit: 'radio',
|
|
@@ -241,6 +262,13 @@ const textArea = (updates) => {
|
|
|
241
262
|
}, updates)
|
|
242
263
|
};
|
|
243
264
|
|
|
265
|
+
const bankruptcyCrossSell = () => sbsCheckbox({
|
|
266
|
+
label: "I'd like a free consultation for bankruptcy and eliminating my debt",
|
|
267
|
+
name: 'CrossSell_Bankruptcy',
|
|
268
|
+
if: '$getVal($get(form), "Degree_Of_Interest") == "Absolutely Can\'t Afford"',
|
|
269
|
+
validation: null
|
|
270
|
+
});
|
|
271
|
+
|
|
244
272
|
const childAndFamilyTOLP = () => sbs2ColRadio({
|
|
245
273
|
label: 'Type of Help Needed:',
|
|
246
274
|
name: 'Type_Of_Legal_Problem',
|
|
@@ -288,7 +316,7 @@ const childRelationship = () => sbsSelect({
|
|
|
288
316
|
]
|
|
289
317
|
});
|
|
290
318
|
|
|
291
|
-
const comments
|
|
319
|
+
const comments = (updates) => textArea(
|
|
292
320
|
merge({
|
|
293
321
|
label: 'Please briefly describe your situation in a few words:',
|
|
294
322
|
name: 'Comments',
|
|
@@ -593,14 +621,15 @@ function childAndFamilyTOLPAndZip(updates = {}) {
|
|
|
593
621
|
const DEFAULT_COMMENTS_PLACEHOLDER = 'For Example: "I\'ve been involved in an auto accident" or "I need Power of Attorney"';
|
|
594
622
|
const DEFAULT_COMMENTS_LABEL = 'Please briefly describe your legal issue in a few words:';
|
|
595
623
|
|
|
596
|
-
function
|
|
624
|
+
function commentsWithBankruptcy(updates = {}) {
|
|
597
625
|
return step(
|
|
598
|
-
'
|
|
626
|
+
'commentsWithBankruptcy',
|
|
599
627
|
[
|
|
600
|
-
comments
|
|
628
|
+
comments({
|
|
601
629
|
label: updates.label || DEFAULT_COMMENTS_LABEL,
|
|
602
630
|
placeholder: updates.placeholder || DEFAULT_COMMENTS_PLACEHOLDER
|
|
603
|
-
})
|
|
631
|
+
}),
|
|
632
|
+
bankruptcyCrossSell()
|
|
604
633
|
],
|
|
605
634
|
updates.nextOnEnter
|
|
606
635
|
)
|
|
@@ -778,7 +807,7 @@ const schema = [
|
|
|
778
807
|
children: [
|
|
779
808
|
childAndFamilyTOLPAndZip(),
|
|
780
809
|
childAndFamilyTOLPQuestions(),
|
|
781
|
-
|
|
810
|
+
commentsWithBankruptcy({
|
|
782
811
|
label: 'Please briefly describe your situation in a few words:',
|
|
783
812
|
placeholder: 'For Example: "I would like help with child support payments" or "I need help with visitation rights"',
|
|
784
813
|
nextOnEnter: false
|
|
@@ -1 +1 @@
|
|
|
1
|
-
var childAndFamily=function(){"use strict";function e(){return Object.assign({},...arguments)}function t(e){return"https://justanswer.9pctbx.net/c/2880795/"+e+"/9320?sharedid=${properties.vid}&subid1=${post_source}"}const i={type:"form",id:"form",config:{validationVisibility:"submit"},onSubmit:'$submit("https://httpbin.org/post", $prepData, $handleRedirect)',plugins:"$plugins",actions:!1,prepop:{fromURL:!0},errorCodes:{403:"An Error Occurred",409:{abort:!1},429:"An Error Occurred"},formClass:"!t-max-w-[38rem]"};const r={$el:"div",children:[{$el:"div",attrs:{id:"form-anchor",class:"t-absolute",style:{top:"-30px",left:0}}}],attrs:{class:"t-relative"}};const a={$el:"h1",attrs:{class:"t-flex t-justify-center t-text-center !t-text-[2rem] t-font-semibold t-pt-5 t-px-7 md:t-px-3"}};const l={$el:"h3",attrs:{class:"t-flex t-justify-center t-text-center !t-text-base t-font-medium t-text-blue-500 t-px-10"}};const n={$el:"div",if:"$activeStep === $lastStep()",attrs:{class:"t-flex t-justify-center"},children:[{$el:"img",attrs:{loading:"lazy",alt:"",style:{border:0},src:"https://d27hmee62k45vz.cloudfront.net/form-secure-privacy.png",width:"320",height:"100"}}]};function s(t){return e(n,t)}const o=t=>e({$formkit:"radio",validation:"required",validationMessages:{required:"Field is required"},optionsClass:"t-pt-3 t-pl-1",legendClass:"required"},t),d=e=>(e.options=["Yes","No"],(e=>(e.legendClass="legend-left t-pb-1 required",e.fieldsetClass="$reset side-by-side t-items-center",e.optionsClass="t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center",e.innerClass="t-flex t-items-center",e.optionClass="t-pr-1",o(e)))(e)),p=t=>(t.labelClass="required",t.wrapperClass="side-by-side t-items-center",t.innerClass="select-height-content",t.helpClass="t-mt-2.5 md:t-text-right md:t-mt-[-5px]",(t=>e({$formkit:"select",placeholder:"Please Select",validation:"required",validationMessages:{required:"Field is required"},inputClass:"t-bg-white",labelClass:"required"},t))(t)),u=t=>(t.wrapperClass="side-by-side t-items-center",(t=>e({$formkit:"text",validation:"required",validationMessages:{required:"Field is required"},labelClass:"required"},t))(t)),c=()=>{return(e={label:"Type of Help Needed:",name:"Type_Of_Legal_Problem",id:"Type_Of_Legal_Problem",options:["Adoption","Child Custody and Support","Family Issues","Guardianship","Divorce and Separation","Not Sure or Other"]}).legendClass="legend-left-flex md:t-max-w-[40%] required",e.fieldsetClass="$reset side-by-side-flex",e.optionsClass="md:t-ml-4 md:t-mt-2 t-grid t-grid-cols-1 md:t-grid-cols-2-125",e.innerClass="t-flex t-items-start",e.wrapperClass="$reset t-flex t-cursor-pointer t-mb-3",o(e);var e},m=t=>(t=>e({$formkit:"textarea",rows:5,maxlength:500,validation:"required",validationMessages:{required:"Field is required"},labelClass:"required"},t))(e({label:"Please briefly describe your situation in a few words:",name:"Comments",placeholder:'For Example: "I would like help with child support payments" or "I need help with visitation rights"'},t)),h=e=>p({label:"How Likely Are You to Pay if Your Issue Could be Resolved?",id:"Degree_Of_Interest",name:"Degree_Of_Interest",help:e,options:["Definitely","Probably","Maybe","Absolutely Can't Afford"]}),f=()=>d({name:"Have_Attorney",label:"Are You Currently Working with An Attorney?"}),y=()=>d({name:"Have_Children",label:"Do You Have Children?"}),g=()=>p({label:"How Will You Pay for Legal Fees if You Hire a Lawyer?",name:"Lawyer_Payment_Method",help:"No payment necessary to speak with lawyers.",options:["Cash","Check","Credit Card","Friend","Family","Other"]}),b=()=>p({label:"Marital Status:",name:"Marital_Status",options:["Unmarried, Living Together","Unmarried, Do Not Live Together","Married, Living Together","Separated","Divorced","Other"]}),$=(t,i)=>e({$cmp:"FormKit",props:{type:"group",key:t,id:t,name:t}},i),v=e=>"group"!==e.type&&"section"!==e.type&&"form"!==e.type&&"hidden"!==e.$formkit&&!e.children,x=e=>{if(v(e))return e;for(var t=e.children.length-1;t>=0;t--){const i=e.children[t];if(v(i))return i;const r=x(i);if(r)return r}return null};function C(t,i,r=!0){if(void 0===r&&(r=!0),i&&i.length&&r){x(i[i.length-1]).onKeypress="$onEnter($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))"}return e((e=>({$el:"section",if:'$stepIsEnabled("'+e+'")',attrs:{style:{if:'$activeStep !== "'+e+'"',then:"display: none;"}}}))(t),{children:[{$formkit:"group",id:t,name:t,children:i}]})}const _=[e({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 878-213-4937."}},w),function(t){return e(r,t)}(),{$cmp:"FormKit",props:function(t){return e(i,t)}({formId:"childAndFamily",onSubmit:"$submit($submitUrl, $prepData, $handleRedirect)",redirectMap:{"properties.Type_Of_Legal_Problem":{Adoption:t("565949"),"Child Custody and Support":t("565949"),"Divorce and Separation":t("966410"),Guardianship:t("565949")},"*":t("808601")},anchorElement:"form-anchor"}),children:[function(t){return e(a,t)}({children:"Get Child & Family Help Today",if:"$activeStep === $firstStep()"}),function(t){return e(l,t)}({children:"Contact Us Now for Child Support, Custody and Family Issues",if:"$activeStep === $firstStep()"}),{$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:[function(e={}){return C("childAndFamilyTOLPAndZip",[c(),u({label:"Zip Code:",placeholder:"#####",name:"Zip",maxlength:5,inputmode:"numeric",autocomplete:"postal-code",validation:"required|matches:/^[0-9]{5}$/",validationMessages:{required:"Zip Code is required",matches:"Invalid Zip Code"}})],e.nextOnEnter)}(),function(e={}){return C("TOLPQuestions",[{$el:"h3",children:"Please Complete the Following:",attrs:{class:"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-5 t-pt-0 t-px-3"}},$("AdoptionQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Adoption"',children:[f(),b(),y(),h(),g()]}),$("ChildCustodyAndSupportQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Child Custody and Support"',children:[f(),p({label:"Your Relationship to Child(ren):",name:"Child_Relationship",options:["Father","Mother","Grandparent","Aunt/Uncle","Other"]}),p({label:"With Whom Do the Children Currently Live?",name:"Child_Home",options:["Mother","Father","Grandparents","Other"]}),p({label:"Who is the Primary Caregiver?",name:"Child_Primary_Caregiver",options:["Mother","Father","Other"]}),h(),g()]}),$("FamilyIssuesQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Family Issues"',children:[f(),b(),y(),h(),g()]}),$("GuardianshipQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Guardianship"',children:[f(),b(),y(),h(),g()]}),$("DivorceQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Divorce and Separation"',children:[f(),b(),y(),h(),g()]}),$("NotSureOrOtherQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Not Sure or Other"',children:[f(),h("No payment necessary to speak with lawyers.")]})],e.nextOnEnter)}(),function(e={}){return C("comments",[m({label:e.label||"Please briefly describe your legal issue in a few words:",placeholder:e.placeholder||'For Example: "I\'ve been involved in an auto accident" or "I need Power of Attorney"'})],e.nextOnEnter)}({label:"Please briefly describe your situation in a few words:",placeholder:'For Example: "I would like help with child support payments" or "I need help with visitation rights"',nextOnEnter:!1}),function(e={}){return C("firstAndLast",[u({$formkit:"text",label:"First Name:",name:"First_Name",autocomplete:"given-name",validationMessages:{required:"First Name is required"}}),u({$formkit:"text",label:"Last Name:",name:"Last_Name",autocomplete:"family-name",validationMessages:{required:"Last Name is required"}})],e.nextOnEnter)}(),function(e={}){return C("contactInfo",[{$el:"h3",children:e.headline||"Based on your input, you may benefit from speaking with a legal professional. Please verify your contact information.",attrs:{class:"t-flex t-justify-center t-text-center t-text-lg t-font-bold t-pb-5 t-pt-0 t-px-3"}},u({$formkit:"email",name:"Email",label:"Email Address:",placeholder:"email@domain.com",autocomplete:"email",validation:"required|email",validationMessages:{required:"Email is required",email:"Invalid Email"}}),u({$formkit:"tel",name:"Primary_Phone",label:"Phone Number:",placeholder:"xxx-xxx-xxxx",maxlength:12,help:"10-digit phone number, hyphens optional",autocomplete:"tel-national",validation:"required|matches:/^[0-9]{3}-?[0-9]{3}-?[0-9]{4}$/",validationMessages:{required:"Field is required",matches:"Invalid Phone Number, use xxx-xxx-xxxx format"},helpClass:"t-mt-2.5 md:t-text-right md:t-mt-[-2px]"}),{$formkit:"checkbox",label:"$meta.tcpaLanguage",name:"TCPA_Opt_In",validation:"required|accepted",validationMessages:{required:"Consent is required",accepted:"Consent is required"},classes:{label:"t-text-xs t-text-slate-500 t-font-normal"}},s()],e.nextOnEnter)}({headline:"Based on your input, you may benefit from speaking with a family lawyer. Please verify your contact information:",nextOnEnter:!1}),{$el:"div",attrs:{class:"step-nav"},children:[{$formkit:"button",name:"back_button",onClick:"$setPreviousStep($scrollAnchor($get(form)))",children:"Back",style:{if:"$activeStep === $firstStep()",then:"visibility: hidden;"}},{$formkit:"button",name:"next_button",onClick:"$setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form)))",children:"Next",style:{if:"$activeStep === $lastStep()",then:"display: none;"}},{$formkit:"submit",name:"submit_button",label:"Submit",if:"$activeStep === $lastStep()",style:{if:"$activeStep !== $lastStep()",then:"display: none;"}}]},{$el:"pre",if:'$urlParam("fdbg", "") == 1',children:[{$el:"pre",children:"$stringify( $get(form).value )",attrs:{class:"t-text-xs",style:"overflow: scroll"}},{$el:"pre",children:["activeStep: ","$activeStep"],attrs:{class:"t-text-xs",style:"overflow: scroll"}},{$el:"pre",children:["stepHistory: ","$stepHistory"],attrs:{class:"t-text-xs",style:"overflow: scroll"}},{$el:"pre",children:["stepQueue: ","$stepQueue"],attrs:{class:"t-text-xs",style:"overflow: scroll"}}]}]}]}];var w;return _}();
|
|
1
|
+
var childAndFamily=function(){"use strict";function e(){return Object.assign({},...arguments)}function t(e){return"https://justanswer.9pctbx.net/c/2880795/"+e+"/9320?sharedid=${properties.vid}&subid1=${post_source}"}const i={type:"form",id:"form",config:{validationVisibility:"submit"},onSubmit:'$submit("https://httpbin.org/post", $prepData, $handleRedirect)',plugins:"$plugins",actions:!1,prepop:{fromURL:!0},errorCodes:{403:"An Error Occurred",409:{abort:!1},429:"An Error Occurred"},formClass:"!t-max-w-[38rem]"};const r={$el:"div",children:[{$el:"div",attrs:{id:"form-anchor",class:"t-absolute",style:{top:"-30px",left:0}}}],attrs:{class:"t-relative"}};const a={$el:"h1",attrs:{class:"t-flex t-justify-center t-text-center !t-text-[2rem] t-font-semibold t-pt-5 t-px-7 md:t-px-3"}};const l={$el:"h3",attrs:{class:"t-flex t-justify-center t-text-center !t-text-base t-font-medium t-text-blue-500 t-px-10"}};const n={$el:"div",if:"$activeStep === $lastStep()",attrs:{class:"t-flex t-justify-center"},children:[{$el:"img",attrs:{loading:"lazy",alt:"",style:{border:0},src:"https://d27hmee62k45vz.cloudfront.net/form-secure-privacy.png",width:"320",height:"100"}}]};function s(t){return e(n,t)}const o=t=>(t.legendClass="legend-left required",t.fieldsetClass="$reset side-by-side",t.optionsClass="t-pl-1",t.innerClass="t-flex t-items-center",t.wrapperClass="t-mb-3",(t=>e({$formkit:"checkbox",validation:"required",validationMessages:{required:"Field is required"}},t))(t)),d=t=>e({$formkit:"radio",validation:"required",validationMessages:{required:"Field is required"},optionsClass:"t-pt-3 t-pl-1",legendClass:"required"},t),u=e=>(e.options=["Yes","No"],(e=>(e.legendClass="legend-left t-pb-1 required",e.fieldsetClass="$reset side-by-side t-items-center",e.optionsClass="t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center",e.innerClass="t-flex t-items-center",e.optionClass="t-pr-1",d(e)))(e)),p=t=>(t.labelClass="required",t.wrapperClass="side-by-side t-items-center",t.innerClass="select-height-content",t.helpClass="t-mt-2.5 md:t-text-right md:t-mt-[-5px]",(t=>e({$formkit:"select",placeholder:"Please Select",validation:"required",validationMessages:{required:"Field is required"},inputClass:"t-bg-white",labelClass:"required"},t))(t)),c=t=>(t.wrapperClass="side-by-side t-items-center",(t=>e({$formkit:"text",validation:"required",validationMessages:{required:"Field is required"},labelClass:"required"},t))(t)),m=()=>{return(e={label:"Type of Help Needed:",name:"Type_Of_Legal_Problem",id:"Type_Of_Legal_Problem",options:["Adoption","Child Custody and Support","Family Issues","Guardianship","Divorce and Separation","Not Sure or Other"]}).legendClass="legend-left-flex md:t-max-w-[40%] required",e.fieldsetClass="$reset side-by-side-flex",e.optionsClass="md:t-ml-4 md:t-mt-2 t-grid t-grid-cols-1 md:t-grid-cols-2-125",e.innerClass="t-flex t-items-start",e.wrapperClass="$reset t-flex t-cursor-pointer t-mb-3",d(e);var e},h=t=>(t=>e({$formkit:"textarea",rows:5,maxlength:500,validation:"required",validationMessages:{required:"Field is required"},labelClass:"required"},t))(e({label:"Please briefly describe your situation in a few words:",name:"Comments",placeholder:'For Example: "I would like help with child support payments" or "I need help with visitation rights"'},t)),f=e=>p({label:"How Likely Are You to Pay if Your Issue Could be Resolved?",id:"Degree_Of_Interest",name:"Degree_Of_Interest",help:e,options:["Definitely","Probably","Maybe","Absolutely Can't Afford"]}),y=()=>u({name:"Have_Attorney",label:"Are You Currently Working with An Attorney?"}),g=()=>u({name:"Have_Children",label:"Do You Have Children?"}),b=()=>p({label:"How Will You Pay for Legal Fees if You Hire a Lawyer?",name:"Lawyer_Payment_Method",help:"No payment necessary to speak with lawyers.",options:["Cash","Check","Credit Card","Friend","Family","Other"]}),$=()=>p({label:"Marital Status:",name:"Marital_Status",options:["Unmarried, Living Together","Unmarried, Do Not Live Together","Married, Living Together","Separated","Divorced","Other"]}),v=(t,i)=>e({$cmp:"FormKit",props:{type:"group",key:t,id:t,name:t}},i),x=e=>"group"!==e.type&&"section"!==e.type&&"form"!==e.type&&"hidden"!==e.$formkit&&!e.children,C=e=>{if(x(e))return e;for(var t=e.children.length-1;t>=0;t--){const i=e.children[t];if(x(i))return i;const r=C(i);if(r)return r}return null};function _(t,i,r=!0){if(void 0===r&&(r=!0),i&&i.length&&r){C(i[i.length-1]).onKeypress="$onEnter($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))"}return e((e=>({$el:"section",if:'$stepIsEnabled("'+e+'")',attrs:{style:{if:'$activeStep !== "'+e+'"',then:"display: none;"}}}))(t),{children:[{$formkit:"group",id:t,name:t,children:i}]})}const w=[e({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 878-213-4937."}},k),function(t){return e(r,t)}(),{$cmp:"FormKit",props:function(t){return e(i,t)}({formId:"childAndFamily",onSubmit:"$submit($submitUrl, $prepData, $handleRedirect)",redirectMap:{"properties.Type_Of_Legal_Problem":{Adoption:t("565949"),"Child Custody and Support":t("565949"),"Divorce and Separation":t("966410"),Guardianship:t("565949")},"*":t("808601")},anchorElement:"form-anchor"}),children:[function(t){return e(a,t)}({children:"Get Child & Family Help Today",if:"$activeStep === $firstStep()"}),function(t){return e(l,t)}({children:"Contact Us Now for Child Support, Custody and Family Issues",if:"$activeStep === $firstStep()"}),{$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:[function(e={}){return _("childAndFamilyTOLPAndZip",[m(),c({label:"Zip Code:",placeholder:"#####",name:"Zip",maxlength:5,inputmode:"numeric",autocomplete:"postal-code",validation:"required|matches:/^[0-9]{5}$/",validationMessages:{required:"Zip Code is required",matches:"Invalid Zip Code"}})],e.nextOnEnter)}(),function(e={}){return _("TOLPQuestions",[{$el:"h3",children:"Please Complete the Following:",attrs:{class:"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-5 t-pt-0 t-px-3"}},v("AdoptionQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Adoption"',children:[y(),$(),g(),f(),b()]}),v("ChildCustodyAndSupportQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Child Custody and Support"',children:[y(),p({label:"Your Relationship to Child(ren):",name:"Child_Relationship",options:["Father","Mother","Grandparent","Aunt/Uncle","Other"]}),p({label:"With Whom Do the Children Currently Live?",name:"Child_Home",options:["Mother","Father","Grandparents","Other"]}),p({label:"Who is the Primary Caregiver?",name:"Child_Primary_Caregiver",options:["Mother","Father","Other"]}),f(),b()]}),v("FamilyIssuesQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Family Issues"',children:[y(),$(),g(),f(),b()]}),v("GuardianshipQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Guardianship"',children:[y(),$(),g(),f(),b()]}),v("DivorceQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Divorce and Separation"',children:[y(),$(),g(),f(),b()]}),v("NotSureOrOtherQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Not Sure or Other"',children:[y(),f("No payment necessary to speak with lawyers.")]})],e.nextOnEnter)}(),function(e={}){return _("commentsWithBankruptcy",[h({label:e.label||"Please briefly describe your legal issue in a few words:",placeholder:e.placeholder||'For Example: "I\'ve been involved in an auto accident" or "I need Power of Attorney"'}),o({label:"I'd like a free consultation for bankruptcy and eliminating my debt",name:"CrossSell_Bankruptcy",if:'$getVal($get(form), "Degree_Of_Interest") == "Absolutely Can\'t Afford"',validation:null})],e.nextOnEnter)}({label:"Please briefly describe your situation in a few words:",placeholder:'For Example: "I would like help with child support payments" or "I need help with visitation rights"',nextOnEnter:!1}),function(e={}){return _("firstAndLast",[c({$formkit:"text",label:"First Name:",name:"First_Name",autocomplete:"given-name",validationMessages:{required:"First Name is required"}}),c({$formkit:"text",label:"Last Name:",name:"Last_Name",autocomplete:"family-name",validationMessages:{required:"Last Name is required"}})],e.nextOnEnter)}(),function(e={}){return _("contactInfo",[{$el:"h3",children:e.headline||"Based on your input, you may benefit from speaking with a legal professional. Please verify your contact information.",attrs:{class:"t-flex t-justify-center t-text-center t-text-lg t-font-bold t-pb-5 t-pt-0 t-px-3"}},c({$formkit:"email",name:"Email",label:"Email Address:",placeholder:"email@domain.com",autocomplete:"email",validation:"required|email",validationMessages:{required:"Email is required",email:"Invalid Email"}}),c({$formkit:"tel",name:"Primary_Phone",label:"Phone Number:",placeholder:"xxx-xxx-xxxx",maxlength:12,help:"10-digit phone number, hyphens optional",autocomplete:"tel-national",validation:"required|matches:/^[0-9]{3}-?[0-9]{3}-?[0-9]{4}$/",validationMessages:{required:"Field is required",matches:"Invalid Phone Number, use xxx-xxx-xxxx format"},helpClass:"t-mt-2.5 md:t-text-right md:t-mt-[-2px]"}),{$formkit:"checkbox",label:"$meta.tcpaLanguage",name:"TCPA_Opt_In",validation:"required|accepted",validationMessages:{required:"Consent is required",accepted:"Consent is required"},classes:{label:"t-text-xs t-text-slate-500 t-font-normal"}},s()],e.nextOnEnter)}({headline:"Based on your input, you may benefit from speaking with a family lawyer. Please verify your contact information:",nextOnEnter:!1}),{$el:"div",attrs:{class:"step-nav"},children:[{$formkit:"button",name:"back_button",onClick:"$setPreviousStep($scrollAnchor($get(form)))",children:"Back",style:{if:"$activeStep === $firstStep()",then:"visibility: hidden;"}},{$formkit:"button",name:"next_button",onClick:"$setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form)))",children:"Next",style:{if:"$activeStep === $lastStep()",then:"display: none;"}},{$formkit:"submit",name:"submit_button",label:"Submit",if:"$activeStep === $lastStep()",style:{if:"$activeStep !== $lastStep()",then:"display: none;"}}]},{$el:"pre",if:'$urlParam("fdbg", "") == 1',children:[{$el:"pre",children:"$stringify( $get(form).value )",attrs:{class:"t-text-xs",style:"overflow: scroll"}},{$el:"pre",children:["activeStep: ","$activeStep"],attrs:{class:"t-text-xs",style:"overflow: scroll"}},{$el:"pre",children:["stepHistory: ","$stepHistory"],attrs:{class:"t-text-xs",style:"overflow: scroll"}},{$el:"pre",children:["stepQueue: ","$stepQueue"],attrs:{class:"t-text-xs",style:"overflow: scroll"}}]}]}]}];var k;return w}();
|
|
@@ -1 +1 @@
|
|
|
1
|
-
[{"type":"meta","data":{"tcpaLanguage":"By checking this box, I a) agree to the Terms of Use, and b) consent to be contacted by lawyers, lawyer networks, and partners of this website using live, autodialed, pre-recorded, or artificial voice calls, as well as text messages. Your consent is not required as a condition of purchasing any goods or services. To submit this request without this consent, call 878-213-4937."}},{"$el":"div","children":[{"$el":"div","attrs":{"id":"form-anchor","class":"t-absolute","style":{"top":"-30px","left":0}}}],"attrs":{"class":"t-relative"}},{"$cmp":"FormKit","props":{"type":"form","id":"form","config":{"validationVisibility":"submit"},"onSubmit":"$submit($submitUrl, $prepData, $handleRedirect)","plugins":"$plugins","actions":false,"prepop":{"fromURL":true},"errorCodes":{"403":"An Error Occurred","409":{"abort":false},"429":"An Error Occurred"},"formClass":"!t-max-w-[38rem]","formId":"childAndFamily","redirectMap":{"properties.Type_Of_Legal_Problem":{"Adoption":"https://justanswer.9pctbx.net/c/2880795/565949/9320?sharedid=${properties.vid}&subid1=${post_source}","Child Custody and Support":"https://justanswer.9pctbx.net/c/2880795/565949/9320?sharedid=${properties.vid}&subid1=${post_source}","Divorce and Separation":"https://justanswer.9pctbx.net/c/2880795/966410/9320?sharedid=${properties.vid}&subid1=${post_source}","Guardianship":"https://justanswer.9pctbx.net/c/2880795/565949/9320?sharedid=${properties.vid}&subid1=${post_source}"},"*":"https://justanswer.9pctbx.net/c/2880795/808601/9320?sharedid=${properties.vid}&subid1=${post_source}"},"anchorElement":"form-anchor"},"children":[{"$el":"h1","attrs":{"class":"t-flex t-justify-center t-text-center !t-text-[2rem] t-font-semibold t-pt-5 t-px-7 md:t-px-3"},"children":"Get Child & Family Help Today","if":"$activeStep === $firstStep()"},{"$el":"h3","attrs":{"class":"t-flex t-justify-center t-text-center !t-text-base t-font-medium t-text-blue-500 t-px-10"},"children":"Contact Us Now for Child Support, Custody and Family Issues","if":"$activeStep === $firstStep()"},{"$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":[{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"md:t-ml-4 md:t-mt-2 t-grid t-grid-cols-1 md:t-grid-cols-2-125","legendClass":"legend-left-flex md:t-max-w-[40%] required","label":"Type of Help Needed:","name":"Type_Of_Legal_Problem","id":"Type_Of_Legal_Problem","options":["Adoption","Child Custody and Support","Family Issues","Guardianship","Divorce and Separation","Not Sure or Other"],"fieldsetClass":"$reset side-by-side-flex","innerClass":"t-flex t-items-start","wrapperClass":"$reset t-flex t-cursor-pointer t-mb-3"},{"$formkit":"text","validation":"required|matches:/^[0-9]{5}$/","validationMessages":{"required":"Zip Code is required","matches":"Invalid Zip Code"},"labelClass":"required","label":"Zip Code:","placeholder":"#####","name":"Zip","maxlength":5,"inputmode":"numeric","autocomplete":"postal-code","wrapperClass":"side-by-side t-items-center","onKeypress":"$onEnter($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))"}]}]},{"$el":"section","if":"$stepIsEnabled(\"TOLPQuestions\")","attrs":{"style":{"if":"$activeStep !== \"TOLPQuestions\"","then":"display: none;"}},"children":[{"$formkit":"group","id":"TOLPQuestions","name":"TOLPQuestions","children":[{"$el":"h3","children":"Please Complete the Following:","attrs":{"class":"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-5 t-pt-0 t-px-3"}},{"$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":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Attorney","label":"Are You Currently Working with An Attorney?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-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 t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Children","label":"Do You Have Children?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Likely Are You to Pay if Your Issue Could be Resolved?","id":"Degree_Of_Interest","name":"Degree_Of_Interest","options":["Definitely","Probably","Maybe","Absolutely Can't Afford"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-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 t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"}]},{"$cmp":"FormKit","props":{"type":"group","key":"ChildCustodyAndSupportQuestions","id":"ChildCustodyAndSupportQuestions","name":"ChildCustodyAndSupportQuestions"},"if":"$get(Type_Of_Legal_Problem).value == \"Child Custody and Support\"","children":[{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Attorney","label":"Are You Currently Working with An Attorney?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"Your Relationship to Child(ren):","name":"Child_Relationship","options":["Father","Mother","Grandparent","Aunt/Uncle","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"With Whom Do the Children Currently Live?","name":"Child_Home","options":["Mother","Father","Grandparents","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"Who is the Primary Caregiver?","name":"Child_Primary_Caregiver","options":["Mother","Father","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Likely Are You to Pay if Your Issue Could be Resolved?","id":"Degree_Of_Interest","name":"Degree_Of_Interest","options":["Definitely","Probably","Maybe","Absolutely Can't Afford"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Will You Pay for Legal Fees if You Hire a Lawyer?","name":"Lawyer_Payment_Method","help":"No payment necessary to speak with lawyers.","options":["Cash","Check","Credit Card","Friend","Family","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"}]},{"$cmp":"FormKit","props":{"type":"group","key":"FamilyIssuesQuestions","id":"FamilyIssuesQuestions","name":"FamilyIssuesQuestions"},"if":"$get(Type_Of_Legal_Problem).value == \"Family Issues\"","children":[{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Attorney","label":"Are You Currently Working with An Attorney?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-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 t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Children","label":"Do You Have Children?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Likely Are You to Pay if Your Issue Could be Resolved?","id":"Degree_Of_Interest","name":"Degree_Of_Interest","options":["Definitely","Probably","Maybe","Absolutely Can't Afford"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-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 t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"}]},{"$cmp":"FormKit","props":{"type":"group","key":"GuardianshipQuestions","id":"GuardianshipQuestions","name":"GuardianshipQuestions"},"if":"$get(Type_Of_Legal_Problem).value == \"Guardianship\"","children":[{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Attorney","label":"Are You Currently Working with An Attorney?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"Marital Status:","name":"Marital_Status","options":["Unmarried, Living Together","Unmarried, Do Not Live Together","Married, Living Together","Separated","Divorced","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Children","label":"Do You Have Children?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Likely Are You to Pay if Your Issue Could be Resolved?","id":"Degree_Of_Interest","name":"Degree_Of_Interest","options":["Definitely","Probably","Maybe","Absolutely Can't Afford"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Will You Pay for Legal Fees if You Hire a Lawyer?","name":"Lawyer_Payment_Method","help":"No payment necessary to speak with lawyers.","options":["Cash","Check","Credit Card","Friend","Family","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"}]},{"$cmp":"FormKit","props":{"type":"group","key":"DivorceQuestions","id":"DivorceQuestions","name":"DivorceQuestions"},"if":"$get(Type_Of_Legal_Problem).value == \"Divorce and Separation\"","children":[{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Attorney","label":"Are You Currently Working with An Attorney?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-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 t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Children","label":"Do You Have Children?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Likely Are You to Pay if Your Issue Could be Resolved?","id":"Degree_Of_Interest","name":"Degree_Of_Interest","options":["Definitely","Probably","Maybe","Absolutely Can't Afford"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-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 t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"}]},{"$cmp":"FormKit","props":{"type":"group","key":"NotSureOrOtherQuestions","id":"NotSureOrOtherQuestions","name":"NotSureOrOtherQuestions"},"if":"$get(Type_Of_Legal_Problem).value == \"Not Sure or Other\"","children":[{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Attorney","label":"Are You Currently Working with An Attorney?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Likely Are You to Pay if Your Issue Could be Resolved?","id":"Degree_Of_Interest","name":"Degree_Of_Interest","help":"No payment necessary to speak with lawyers.","options":["Definitely","Probably","Maybe","Absolutely Can't Afford"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]","onKeypress":"$onEnter($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))"}]}]}]},{"$el":"section","if":"$stepIsEnabled(\"comments\")","attrs":{"style":{"if":"$activeStep !== \"comments\"","then":"display: none;"}},"children":[{"$formkit":"group","id":"comments","name":"comments","children":[{"$formkit":"textarea","rows":5,"maxlength":500,"validation":"required","validationMessages":{"required":"Field is required"},"labelClass":"required","label":"Please briefly describe your situation in a few words:","name":"Comments","placeholder":"For Example: \"I would like help with child support payments\" or \"I need help with visitation rights\""}]}]},{"$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","autocomplete":"given-name","wrapperClass":"side-by-side t-items-center"},{"$formkit":"text","validation":"required","validationMessages":{"required":"Last Name is required"},"labelClass":"required","label":"Last Name:","name":"Last_Name","autocomplete":"family-name","wrapperClass":"side-by-side t-items-center","onKeypress":"$onEnter($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))"}]}]},{"$el":"section","if":"$stepIsEnabled(\"contactInfo\")","attrs":{"style":{"if":"$activeStep !== \"contactInfo\"","then":"display: none;"}},"children":[{"$formkit":"group","id":"contactInfo","name":"contactInfo","children":[{"$el":"h3","children":"Based on your input, you may benefit from speaking with a family lawyer. Please verify your contact information:","attrs":{"class":"t-flex t-justify-center t-text-center t-text-lg t-font-bold t-pb-5 t-pt-0 t-px-3"}},{"$formkit":"email","validation":"required|email","validationMessages":{"required":"Email is required","email":"Invalid Email"},"labelClass":"required","name":"Email","label":"Email Address:","placeholder":"email@domain.com","autocomplete":"email","wrapperClass":"side-by-side t-items-center"},{"$formkit":"tel","validation":"required|matches:/^[0-9]{3}-?[0-9]{3}-?[0-9]{4}$/","validationMessages":{"required":"Field is required","matches":"Invalid Phone Number, use xxx-xxx-xxxx format"},"labelClass":"required","name":"Primary_Phone","label":"Phone Number:","placeholder":"xxx-xxx-xxxx","maxlength":12,"help":"10-digit phone number, hyphens optional","autocomplete":"tel-national","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-2px]","wrapperClass":"side-by-side t-items-center"},{"$formkit":"checkbox","label":"$meta.tcpaLanguage","name":"TCPA_Opt_In","validation":"required|accepted","validationMessages":{"required":"Consent is required","accepted":"Consent is required"},"classes":{"label":"t-text-xs t-text-slate-500 t-font-normal"}},{"$el":"div","if":"$activeStep === $lastStep()","attrs":{"class":"t-flex t-justify-center"},"children":[{"$el":"img","attrs":{"loading":"lazy","alt":"","style":{"border":0},"src":"https://d27hmee62k45vz.cloudfront.net/form-secure-privacy.png","width":"320","height":"100"}}]}]}]},{"$el":"div","attrs":{"class":"step-nav"},"children":[{"$formkit":"button","name":"back_button","onClick":"$setPreviousStep($scrollAnchor($get(form)))","children":"Back","style":{"if":"$activeStep === $firstStep()","then":"visibility: hidden;"}},{"$formkit":"button","name":"next_button","onClick":"$setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form)))","children":"Next","style":{"if":"$activeStep === $lastStep()","then":"display: none;"}},{"$formkit":"submit","name":"submit_button","label":"Submit","if":"$activeStep === $lastStep()","style":{"if":"$activeStep !== $lastStep()","then":"display: none;"}}]},{"$el":"pre","if":"$urlParam(\"fdbg\", \"\") == 1","children":[{"$el":"pre","children":"$stringify( $get(form).value )","attrs":{"class":"t-text-xs","style":"overflow: scroll"}},{"$el":"pre","children":["activeStep: ","$activeStep"],"attrs":{"class":"t-text-xs","style":"overflow: scroll"}},{"$el":"pre","children":["stepHistory: ","$stepHistory"],"attrs":{"class":"t-text-xs","style":"overflow: scroll"}},{"$el":"pre","children":["stepQueue: ","$stepQueue"],"attrs":{"class":"t-text-xs","style":"overflow: scroll"}}]}]}]}]
|
|
1
|
+
[{"type":"meta","data":{"tcpaLanguage":"By checking this box, I a) agree to the Terms of Use, and b) consent to be contacted by lawyers, lawyer networks, and partners of this website using live, autodialed, pre-recorded, or artificial voice calls, as well as text messages. Your consent is not required as a condition of purchasing any goods or services. To submit this request without this consent, call 878-213-4937."}},{"$el":"div","children":[{"$el":"div","attrs":{"id":"form-anchor","class":"t-absolute","style":{"top":"-30px","left":0}}}],"attrs":{"class":"t-relative"}},{"$cmp":"FormKit","props":{"type":"form","id":"form","config":{"validationVisibility":"submit"},"onSubmit":"$submit($submitUrl, $prepData, $handleRedirect)","plugins":"$plugins","actions":false,"prepop":{"fromURL":true},"errorCodes":{"403":"An Error Occurred","409":{"abort":false},"429":"An Error Occurred"},"formClass":"!t-max-w-[38rem]","formId":"childAndFamily","redirectMap":{"properties.Type_Of_Legal_Problem":{"Adoption":"https://justanswer.9pctbx.net/c/2880795/565949/9320?sharedid=${properties.vid}&subid1=${post_source}","Child Custody and Support":"https://justanswer.9pctbx.net/c/2880795/565949/9320?sharedid=${properties.vid}&subid1=${post_source}","Divorce and Separation":"https://justanswer.9pctbx.net/c/2880795/966410/9320?sharedid=${properties.vid}&subid1=${post_source}","Guardianship":"https://justanswer.9pctbx.net/c/2880795/565949/9320?sharedid=${properties.vid}&subid1=${post_source}"},"*":"https://justanswer.9pctbx.net/c/2880795/808601/9320?sharedid=${properties.vid}&subid1=${post_source}"},"anchorElement":"form-anchor"},"children":[{"$el":"h1","attrs":{"class":"t-flex t-justify-center t-text-center !t-text-[2rem] t-font-semibold t-pt-5 t-px-7 md:t-px-3"},"children":"Get Child & Family Help Today","if":"$activeStep === $firstStep()"},{"$el":"h3","attrs":{"class":"t-flex t-justify-center t-text-center !t-text-base t-font-medium t-text-blue-500 t-px-10"},"children":"Contact Us Now for Child Support, Custody and Family Issues","if":"$activeStep === $firstStep()"},{"$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":[{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"md:t-ml-4 md:t-mt-2 t-grid t-grid-cols-1 md:t-grid-cols-2-125","legendClass":"legend-left-flex md:t-max-w-[40%] required","label":"Type of Help Needed:","name":"Type_Of_Legal_Problem","id":"Type_Of_Legal_Problem","options":["Adoption","Child Custody and Support","Family Issues","Guardianship","Divorce and Separation","Not Sure or Other"],"fieldsetClass":"$reset side-by-side-flex","innerClass":"t-flex t-items-start","wrapperClass":"$reset t-flex t-cursor-pointer t-mb-3"},{"$formkit":"text","validation":"required|matches:/^[0-9]{5}$/","validationMessages":{"required":"Zip Code is required","matches":"Invalid Zip Code"},"labelClass":"required","label":"Zip Code:","placeholder":"#####","name":"Zip","maxlength":5,"inputmode":"numeric","autocomplete":"postal-code","wrapperClass":"side-by-side t-items-center","onKeypress":"$onEnter($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))"}]}]},{"$el":"section","if":"$stepIsEnabled(\"TOLPQuestions\")","attrs":{"style":{"if":"$activeStep !== \"TOLPQuestions\"","then":"display: none;"}},"children":[{"$formkit":"group","id":"TOLPQuestions","name":"TOLPQuestions","children":[{"$el":"h3","children":"Please Complete the Following:","attrs":{"class":"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-5 t-pt-0 t-px-3"}},{"$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":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Attorney","label":"Are You Currently Working with An Attorney?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-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 t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Children","label":"Do You Have Children?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Likely Are You to Pay if Your Issue Could be Resolved?","id":"Degree_Of_Interest","name":"Degree_Of_Interest","options":["Definitely","Probably","Maybe","Absolutely Can't Afford"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-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 t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"}]},{"$cmp":"FormKit","props":{"type":"group","key":"ChildCustodyAndSupportQuestions","id":"ChildCustodyAndSupportQuestions","name":"ChildCustodyAndSupportQuestions"},"if":"$get(Type_Of_Legal_Problem).value == \"Child Custody and Support\"","children":[{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Attorney","label":"Are You Currently Working with An Attorney?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"Your Relationship to Child(ren):","name":"Child_Relationship","options":["Father","Mother","Grandparent","Aunt/Uncle","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"With Whom Do the Children Currently Live?","name":"Child_Home","options":["Mother","Father","Grandparents","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"Who is the Primary Caregiver?","name":"Child_Primary_Caregiver","options":["Mother","Father","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Likely Are You to Pay if Your Issue Could be Resolved?","id":"Degree_Of_Interest","name":"Degree_Of_Interest","options":["Definitely","Probably","Maybe","Absolutely Can't Afford"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Will You Pay for Legal Fees if You Hire a Lawyer?","name":"Lawyer_Payment_Method","help":"No payment necessary to speak with lawyers.","options":["Cash","Check","Credit Card","Friend","Family","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"}]},{"$cmp":"FormKit","props":{"type":"group","key":"FamilyIssuesQuestions","id":"FamilyIssuesQuestions","name":"FamilyIssuesQuestions"},"if":"$get(Type_Of_Legal_Problem).value == \"Family Issues\"","children":[{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Attorney","label":"Are You Currently Working with An Attorney?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-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 t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Children","label":"Do You Have Children?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Likely Are You to Pay if Your Issue Could be Resolved?","id":"Degree_Of_Interest","name":"Degree_Of_Interest","options":["Definitely","Probably","Maybe","Absolutely Can't Afford"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-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 t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"}]},{"$cmp":"FormKit","props":{"type":"group","key":"GuardianshipQuestions","id":"GuardianshipQuestions","name":"GuardianshipQuestions"},"if":"$get(Type_Of_Legal_Problem).value == \"Guardianship\"","children":[{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Attorney","label":"Are You Currently Working with An Attorney?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"Marital Status:","name":"Marital_Status","options":["Unmarried, Living Together","Unmarried, Do Not Live Together","Married, Living Together","Separated","Divorced","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Children","label":"Do You Have Children?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Likely Are You to Pay if Your Issue Could be Resolved?","id":"Degree_Of_Interest","name":"Degree_Of_Interest","options":["Definitely","Probably","Maybe","Absolutely Can't Afford"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Will You Pay for Legal Fees if You Hire a Lawyer?","name":"Lawyer_Payment_Method","help":"No payment necessary to speak with lawyers.","options":["Cash","Check","Credit Card","Friend","Family","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"}]},{"$cmp":"FormKit","props":{"type":"group","key":"DivorceQuestions","id":"DivorceQuestions","name":"DivorceQuestions"},"if":"$get(Type_Of_Legal_Problem).value == \"Divorce and Separation\"","children":[{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Attorney","label":"Are You Currently Working with An Attorney?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-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 t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Children","label":"Do You Have Children?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Likely Are You to Pay if Your Issue Could be Resolved?","id":"Degree_Of_Interest","name":"Degree_Of_Interest","options":["Definitely","Probably","Maybe","Absolutely Can't Afford"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-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 t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"}]},{"$cmp":"FormKit","props":{"type":"group","key":"NotSureOrOtherQuestions","id":"NotSureOrOtherQuestions","name":"NotSureOrOtherQuestions"},"if":"$get(Type_Of_Legal_Problem).value == \"Not Sure or Other\"","children":[{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Attorney","label":"Are You Currently Working with An Attorney?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Likely Are You to Pay if Your Issue Could be Resolved?","id":"Degree_Of_Interest","name":"Degree_Of_Interest","help":"No payment necessary to speak with lawyers.","options":["Definitely","Probably","Maybe","Absolutely Can't Afford"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]","onKeypress":"$onEnter($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))"}]}]}]},{"$el":"section","if":"$stepIsEnabled(\"commentsWithBankruptcy\")","attrs":{"style":{"if":"$activeStep !== \"commentsWithBankruptcy\"","then":"display: none;"}},"children":[{"$formkit":"group","id":"commentsWithBankruptcy","name":"commentsWithBankruptcy","children":[{"$formkit":"textarea","rows":5,"maxlength":500,"validation":"required","validationMessages":{"required":"Field is required"},"labelClass":"required","label":"Please briefly describe your situation in a few words:","name":"Comments","placeholder":"For Example: \"I would like help with child support payments\" or \"I need help with visitation rights\""},{"$formkit":"checkbox","validation":null,"validationMessages":{"required":"Field is required"},"label":"I'd like a free consultation for bankruptcy and eliminating my debt","name":"CrossSell_Bankruptcy","if":"$getVal($get(form), \"Degree_Of_Interest\") == \"Absolutely Can't Afford\"","legendClass":"legend-left required","fieldsetClass":"$reset side-by-side","optionsClass":"t-pl-1","innerClass":"t-flex t-items-center","wrapperClass":"t-mb-3"}]}]},{"$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","autocomplete":"given-name","wrapperClass":"side-by-side t-items-center"},{"$formkit":"text","validation":"required","validationMessages":{"required":"Last Name is required"},"labelClass":"required","label":"Last Name:","name":"Last_Name","autocomplete":"family-name","wrapperClass":"side-by-side t-items-center","onKeypress":"$onEnter($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))"}]}]},{"$el":"section","if":"$stepIsEnabled(\"contactInfo\")","attrs":{"style":{"if":"$activeStep !== \"contactInfo\"","then":"display: none;"}},"children":[{"$formkit":"group","id":"contactInfo","name":"contactInfo","children":[{"$el":"h3","children":"Based on your input, you may benefit from speaking with a family lawyer. Please verify your contact information:","attrs":{"class":"t-flex t-justify-center t-text-center t-text-lg t-font-bold t-pb-5 t-pt-0 t-px-3"}},{"$formkit":"email","validation":"required|email","validationMessages":{"required":"Email is required","email":"Invalid Email"},"labelClass":"required","name":"Email","label":"Email Address:","placeholder":"email@domain.com","autocomplete":"email","wrapperClass":"side-by-side t-items-center"},{"$formkit":"tel","validation":"required|matches:/^[0-9]{3}-?[0-9]{3}-?[0-9]{4}$/","validationMessages":{"required":"Field is required","matches":"Invalid Phone Number, use xxx-xxx-xxxx format"},"labelClass":"required","name":"Primary_Phone","label":"Phone Number:","placeholder":"xxx-xxx-xxxx","maxlength":12,"help":"10-digit phone number, hyphens optional","autocomplete":"tel-national","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-2px]","wrapperClass":"side-by-side t-items-center"},{"$formkit":"checkbox","label":"$meta.tcpaLanguage","name":"TCPA_Opt_In","validation":"required|accepted","validationMessages":{"required":"Consent is required","accepted":"Consent is required"},"classes":{"label":"t-text-xs t-text-slate-500 t-font-normal"}},{"$el":"div","if":"$activeStep === $lastStep()","attrs":{"class":"t-flex t-justify-center"},"children":[{"$el":"img","attrs":{"loading":"lazy","alt":"","style":{"border":0},"src":"https://d27hmee62k45vz.cloudfront.net/form-secure-privacy.png","width":"320","height":"100"}}]}]}]},{"$el":"div","attrs":{"class":"step-nav"},"children":[{"$formkit":"button","name":"back_button","onClick":"$setPreviousStep($scrollAnchor($get(form)))","children":"Back","style":{"if":"$activeStep === $firstStep()","then":"visibility: hidden;"}},{"$formkit":"button","name":"next_button","onClick":"$setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form)))","children":"Next","style":{"if":"$activeStep === $lastStep()","then":"display: none;"}},{"$formkit":"submit","name":"submit_button","label":"Submit","if":"$activeStep === $lastStep()","style":{"if":"$activeStep !== $lastStep()","then":"display: none;"}}]},{"$el":"pre","if":"$urlParam(\"fdbg\", \"\") == 1","children":[{"$el":"pre","children":"$stringify( $get(form).value )","attrs":{"class":"t-text-xs","style":"overflow: scroll"}},{"$el":"pre","children":["activeStep: ","$activeStep"],"attrs":{"class":"t-text-xs","style":"overflow: scroll"}},{"$el":"pre","children":["stepHistory: ","$stepHistory"],"attrs":{"class":"t-text-xs","style":"overflow: scroll"}},{"$el":"pre","children":["stepQueue: ","$stepQueue"],"attrs":{"class":"t-text-xs","style":"overflow: scroll"}}]}]}]}]
|
|
@@ -533,6 +533,13 @@ const atFault = () => sbsYesNoRadio({
|
|
|
533
533
|
label: 'Were You at Fault?'
|
|
534
534
|
});
|
|
535
535
|
|
|
536
|
+
const bankruptcyCrossSell = () => sbsCheckbox({
|
|
537
|
+
label: "I'd like a free consultation for bankruptcy and eliminating my debt",
|
|
538
|
+
name: 'CrossSell_Bankruptcy',
|
|
539
|
+
if: '$getVal($get(form), "Degree_Of_Interest") == "Absolutely Can\'t Afford"',
|
|
540
|
+
validation: null
|
|
541
|
+
});
|
|
542
|
+
|
|
536
543
|
const bloodContentAlcholTest = () => sbsSelect({
|
|
537
544
|
label: 'Blood Alcohol Content Measured by Test:',
|
|
538
545
|
name: 'Blood_Alcohol_Content_Test',
|
|
@@ -669,7 +676,7 @@ const claimStatus = () => sbsSelect({
|
|
|
669
676
|
]
|
|
670
677
|
});
|
|
671
678
|
|
|
672
|
-
const comments
|
|
679
|
+
const comments = (updates) => textArea(
|
|
673
680
|
merge({
|
|
674
681
|
label: 'Please briefly describe your situation in a few words:',
|
|
675
682
|
name: 'Comments',
|
|
@@ -1602,7 +1609,8 @@ const AsbestosAndMesotheliomaQuestions = () => group(
|
|
|
1602
1609
|
if: '$get(Type_Of_Legal_Problem).value == "Asbestos and Mesothelioma"',
|
|
1603
1610
|
children: [
|
|
1604
1611
|
incidentDate(),
|
|
1605
|
-
doctorTreatment()
|
|
1612
|
+
doctorTreatment(),
|
|
1613
|
+
degreeOfInterestHelp()
|
|
1606
1614
|
]
|
|
1607
1615
|
}
|
|
1608
1616
|
);
|
|
@@ -1848,7 +1856,8 @@ const ForeclosureQuestions = () => group(
|
|
|
1848
1856
|
typeOfProperty(),
|
|
1849
1857
|
amountPaymentsPastDue(),
|
|
1850
1858
|
loanAmount(),
|
|
1851
|
-
defaultNotice()
|
|
1859
|
+
defaultNotice(),
|
|
1860
|
+
degreeOfInterestHelp()
|
|
1852
1861
|
]
|
|
1853
1862
|
}
|
|
1854
1863
|
);
|
|
@@ -1969,7 +1978,8 @@ const MedicalMalpracticeQuestions = () => group(
|
|
|
1969
1978
|
incidentDate(),
|
|
1970
1979
|
claimStatus(),
|
|
1971
1980
|
doctorTreatment(),
|
|
1972
|
-
medicalMalpracticeInjuries()
|
|
1981
|
+
medicalMalpracticeInjuries(),
|
|
1982
|
+
degreeOfInterestHelp()
|
|
1973
1983
|
]
|
|
1974
1984
|
}
|
|
1975
1985
|
);
|
|
@@ -2127,7 +2137,8 @@ const UnemploymentQuestions = () => group(
|
|
|
2127
2137
|
if: '$get(Type_Of_Legal_Problem).value == "Unemployment"',
|
|
2128
2138
|
children: [
|
|
2129
2139
|
numEmployeesOfBusiness(),
|
|
2130
|
-
employerType()
|
|
2140
|
+
employerType(),
|
|
2141
|
+
degreeOfInterestHelp()
|
|
2131
2142
|
]
|
|
2132
2143
|
}
|
|
2133
2144
|
);
|
|
@@ -2320,14 +2331,15 @@ function civilLawsuitTOLPAndZip(updates = {}) {
|
|
|
2320
2331
|
const DEFAULT_COMMENTS_PLACEHOLDER = 'For Example: "I\'ve been involved in an auto accident" or "I need Power of Attorney"';
|
|
2321
2332
|
const DEFAULT_COMMENTS_LABEL = 'Please briefly describe your legal issue in a few words:';
|
|
2322
2333
|
|
|
2323
|
-
function
|
|
2334
|
+
function commentsWithBankruptcy(updates = {}) {
|
|
2324
2335
|
return step(
|
|
2325
|
-
'
|
|
2336
|
+
'commentsWithBankruptcy',
|
|
2326
2337
|
[
|
|
2327
|
-
comments
|
|
2338
|
+
comments({
|
|
2328
2339
|
label: updates.label || DEFAULT_COMMENTS_LABEL,
|
|
2329
2340
|
placeholder: updates.placeholder || DEFAULT_COMMENTS_PLACEHOLDER
|
|
2330
|
-
})
|
|
2341
|
+
}),
|
|
2342
|
+
bankruptcyCrossSell()
|
|
2331
2343
|
],
|
|
2332
2344
|
updates.nextOnEnter
|
|
2333
2345
|
)
|
|
@@ -2541,7 +2553,7 @@ const schema = [
|
|
|
2541
2553
|
children: [
|
|
2542
2554
|
civilLawsuitTOLPAndZip(),
|
|
2543
2555
|
generalLegalTOLPQuestions(),
|
|
2544
|
-
|
|
2556
|
+
commentsWithBankruptcy({
|
|
2545
2557
|
nextOnEnter: false,
|
|
2546
2558
|
placeholder: 'For Example: "I was injured at work" or "I paid a contractor who never performed the work" or "I\'m being sued by someone for property damage"'
|
|
2547
2559
|
}),
|