bhl-forms 0.0.80 → 0.0.82

package/dist/forms/childAndFamily.es.js

@@ -12,16 +12,17 @@ const formPropDefaults = {
   type: 'form',
   id: 'form',
   config: { validationVisibility: 'submit' },
-  onSubmit: '$submit("https://httpbin.org/post", $prepData, $handleRedirect)',
+  onSubmit: '$submit("https://httpbin.org/post", $prepData, $handleRedirect, "text/plain; charset=UTF-8")',
   plugins: '$plugins',
   actions: false,
   prepop: {
     fromURL: true
   },
   errorCodes: {
-    403: "An Error Occurred",
+    403: { message: "An Error Occurred", abort: false },
     409: { abort: false },
-    429: "An Error Occurred"
+    429: "An Error Occurred",
+    504: { message: "An Error Occurred", abort: false },
   },
   formClass: '!t-max-w-[38rem]'
 };
@@ -101,11 +102,11 @@ function subHeadline(updates) {
   )
 }
 
-const privacyIconsDefault = {
+const secureIconDefault = {
   $el: 'div',
   if: '$activeStep === $lastStep()',
   attrs: {
-    class: 't-flex t-justify-center'
+    class: 't-flex t-justify-center t-items-center t-text-sm t-text-gray-500'
   },
   children: [
     {
@@ -113,18 +114,28 @@ const privacyIconsDefault = {
       attrs: {
         loading: 'lazy',
         alt: '',
-        style: { border: 0 },
-        src: 'https://d27hmee62k45vz.cloudfront.net/form-secure-privacy.png',
-        width: '320',
-        height: '100'
+        style: {
+          border: 0
+        },
+        width: '25',
+        height: '25',
+        src: 'https://d27hmee62k45vz.cloudfront.net/lock_icon_1.jpeg',
+      }
+    },
+    {
+      $el: 'span',
+      children: 'Secure & Encrypted',
+      attrs: {
+        class: 't-pl-2 t-pt-1 t-font-medium'
       }
     }
   ]
 };
 
-function privacyIcons(updates) {
+
+function secureIcon(updates) {
   return merge(
-    privacyIconsDefault,
+    secureIconDefault,
     updates
   )
 }
@@ -157,6 +168,259 @@ const hiddenInputs = [
   }
 ];
 
+
+const legalRedirectMapDefaults = {
+  "properties.Type_Of_Legal_Problem": {
+    'Adoption': JALegalUrl('565949'),
+    'Bankruptcy': JALegalUrl('1147978'),
+    'Child Custody and Support': JALegalUrl('565949'),
+    'Civil Lawsuit': JALegalUrl('897042'),
+    'Consumer Lawyers': JALegalUrl('897042'),
+    'Criminal and Felony': JALegalUrl('897012'),
+    'Debt and Collections': JALegalUrl('1147978'),
+    'Divorce and Separation': JALegalUrl('966410'),
+    'DUI and DWI': JALegalUrl('897012'),
+    'Elder Law': JALegalUrl('565949'),
+    'Employment and Workplace': JALegalUrl('897014'),
+    'Expungement': JALegalUrl('897012'),
+    'Foreclosure': JALegalUrl('565923'),
+    'Guardianship': JALegalUrl('565949'),
+    'Landlord and Tenant': JALegalUrl('1315025'),
+    'Power of Attorney': JALegalUrl('1097602'),
+    'Probate and Estates': JALegalUrl('1097602'),
+    'Product Liability': JALegalUrl('897042'),
+    'Property Damage': JALegalUrl('897042'),
+    'Real Estate': JALegalUrl('565923'),
+    'Social Security Disability and Insurance': JALegalUrl('897033'),
+    'Tax and IRS': JALegalUrl('1147978'),
+    'Traffic and Tickets': JALegalUrl('808601'),
+    'Unemployment': JALegalUrl('897014'),
+    'Victim of a Crime': JALegalUrl('897012'),
+    'Wills and Trusts': JALegalUrl('1097602'),
+    'Workers Compensation': JALegalUrl('897014'),
+    'Wrongful Termination': JALegalUrl('897014')
+  },
+  '*': JALegalUrl('808601')
+};
+
+
+function legalRedirectMap(updates) {
+  return merge(
+    legalRedirectMapDefaults,
+    updates
+  )
+}
+
+
+const TOLPCommentsPlaceholders = {
+  'Adoption': 'Example: "I need help with adoption forms"',
+  'Asbestos and Mesothelioma': 'Example: "I was exposed to asbestos at work and would like to file a claim"',
+  'Auto and Car Accidents': 'Example: "A truck crashed into my car on the highway" or "I\'ve been involved in a hit and run accident"',
+  'Bankruptcy': 'Example: "I need help filing for bankruptcy"',
+  'Birth Certificate and Name Change': 'Example: "Just married and would like to change my last name"',
+  'Business Lawyers': 'Example: "I need help incorporating a business" or "I would like a legal contract reviewed"',
+  'Child Custody and Support': 'Example: "Need help getting custody" or "Issues with child support payments"',
+  'Civil Rights and Discrimination': 'Example: "Police brutality" or "Coworker keeps harassing me"',
+  'Civil Lawsuit': 'Example: "A contractor took my money and never completed the job" or "I am being sued by a neighbor"',
+  'Consumer Lawyers': 'Example: "Someone committed fraud against me" or "A contractor took my money and never completed the job"',
+  'Copyrights and Trademarks': 'Example: "I would like to register a trademark or copyright a name"',
+  'Criminal and Felony': 'Example: "I was arrested for DUI and need legal defense" or "I am being charged with assault"',
+  'Debt and Collections': 'Example: "I would like to consolidate my debt" or "A collection agency is harassing me"',
+  'Divorce and Separation': 'Example: "I would like to file for an uncontested divorce"',
+  'DUI and DWI': 'Example: "I was arrested for DUI and need legal defense"',
+  'Elder Law': 'Example: "I would like help with Estate Planning" or "I need help with a guardianship"',
+  'Employment and Workplace': 'Example: "I was injured while on the job" or "My company is discriminating against me"',
+  'Expungement': 'Example: "I would like to file for an expungement and clear my record"',
+  'Family Issues': 'Example: "I need help with guardianship" or "I need a simple will created"',
+  'Foreclosure': 'Example: "I need help to avoid foreclosure on my house"',
+  'Guardianship': 'Example: "I need help with guardianship documents"',
+  'Harassment and Discrimination': 'Example: "I am being discriminated at work" or "My neighbor is harassing me"',
+  'Identity Theft': 'Example: "Someone stole my identity and I need help fixing the issue"',
+  'Immigration and Visas': 'Example: "I need help filing for a visa" or "Help with a green card"',
+  'Insurance': 'Example: "I need help filing an insurance claim for damage to my house"',
+  'Landlord and Tenant': 'Example: "I need help to fight an eviction" or "I would like a lawyer to review a rental contract"',
+  'Lemon Law': 'Example: "I purchased a new vehicle that broke down already and seller will not assist"',
+  'Long Term Disability': 'Example: "I was injured on the job and would like to file for benefits" or "I need help filing for disability benefits"',
+  'Medical Malpractice': 'Example: "A doctor performed surgery on the wrong limb and I would like to file a lawsuit"',
+  'Nursing Home Abuse': 'Example: "My mother\'s nursing home is physically abusing her"',
+  'Patents and Intellectual Property': 'Example: "I would like to file for a patent" or "I need to copyright a name"',
+  'Personal Injury': 'Example: "I was bit by the neighbor\'s dog" or "I fell in the icy grocery store parking lot"',
+  'Power of Attorney': 'Example: "I need help with a limited or general power of attorney"',
+  'Probate and Estates': 'Example: "I need help with planning for my estate" or "A family member passed without a will in place"',
+  'Product Liability': 'Example: "My car battery caught on fire" or "I purchased a faulty product"',
+  'Property Damage': 'Example: "The neighbor\'s tree fell on my fence" or "My car was hit in the parking lot"',
+  'Real Estate': 'Example: "I need help with a quitclaim deed" or "I need a lawyer to review a purchase and sales agreement"',
+  'Social Security Disability and Insurance': 'Example: "I would like help filing for disability benefits" or "I\'ve been denied for SSDI and would like to appeal"',
+  'Tax and IRS': 'Example: "I need help fighting an IRS tax claim" or "I need audit defense"',
+  'Traffic and Tickets': 'Example: "I need help reinstating a supsended license" or "I would like to fight a traffic ticket"',
+  'Unemployment': 'Example: "I need help filing for unemployment benefits"',
+  'Vaccination Injury': 'Example: "I was injured after receiving a vaccine and would like to file a lawsuit"',
+  'Veteran\'s Disability': 'Example: "I would like help filing for disability benefits"',
+  'Victim of a Crime': 'Example: "I was assaulted in the store" or "I am being discriminated against at work"',
+  'Wills and Trusts': 'Example: "I need a simple will created" or "I would like guidance on creating a trust fund"',
+  'Workers Compensation': 'Example: "I was injured at work and would like to file for workers compensation benefits"',
+  'Wrongful Death': 'Example: "A family member was killed on the job and we need legal representation"',
+  'Wrongful Termination': 'Example: "I was fired by my employer without cause"',
+  'Not Sure or Other': 'Example: "I was involved in a car accident" or "I need help setting up power of attorney"'
+};
+
+const TOLPFinalHeadlines = {
+  // 'Adoption': '',
+  // 'Asbestos and Mesothelioma': '',
+  // 'Auto and Car Accidents': '',
+  // 'Bankruptcy': '',
+  // 'Birth Certificate and Name Change': '',
+  // 'Business Lawyers': '',
+  // 'Child Custody and Support': '',
+  // 'Civil Rights and Discrimination': '',
+  // 'Civil Lawsuit': '',
+  // 'Consumer Lawyers': '',
+  // 'Copyrights and Trademarks': '',
+  // 'Criminal and Felony': '',
+  // 'Debt and Collections': '',
+  // 'Divorce and Separation': '',
+  // 'DUI and DWI': '',
+  // 'Elder Law': '',
+  // 'Employment and Workplace': '',
+  // 'Expungement': '',
+  // 'Family Issues': '',
+  // 'Foreclosure': '',
+  // 'Guardianship': '',
+  // 'Harassment and Discrimination': '',
+  // 'Identity Theft': '',
+  // 'Immigration and Visas': '',
+  // 'Insurance': '',
+  // 'Landlord and Tenant': '',
+  // 'Lemon Law': '',
+  // 'Long Term Disability': '',
+  // 'Medical Malpractice': '',
+  // 'Nursing Home Abuse': '',
+  // 'Patents and Intellectual Property': '',
+  // 'Personal Injury': '',
+  // 'Power of Attorney': '',
+  // 'Probate and Estates': '',
+  // 'Product Liability': '',
+  // 'Property Damage': '',
+  // 'Real Estate': '',
+  // 'Social Security Disability and Insurance': '',
+  // 'Tax and IRS': '',
+  // 'Traffic and Tickets': '',
+  // 'Unemployment': '',
+  // 'Vaccination Injury': '',
+  // 'Veteran\'s Disability': '',
+  // 'Victim of a Crime': '',
+  // 'Wills and Trusts': '',
+  // 'Workers Compensation': '',
+  // 'Wrongful Death': '',
+  // 'Wrongful Termination': '',
+  // 'Not Sure or Other': ''
+};
+
+const TOLPFinalSubHeadlines = {
+  'Adoption': 'You may benefit from speaking with an adoption professional. Please verify your contact information.',
+  // 'Asbestos and Mesothelioma': '',
+  'Auto and Car Accidents': 'You may benefit from speaking with an accident professional. Please verify your contact information.',
+  'Bankruptcy': 'You may benefit from speaking with a bankruptcy professional. Please verify your contact information.',
+  // 'Birth Certificate and Name Change': '',
+  // 'Business Lawyers': '',
+  // 'Child Custody and Support': '',
+  // 'Civil Rights and Discrimination': '',
+  // 'Civil Lawsuit': '',
+  // 'Consumer Lawyers': '',
+  'Copyrights and Trademarks': 'You may benefit from speaking with a copyright and trademark professional. Please verify your contact information.',
+  // 'Criminal and Felony': '',
+  // 'Debt and Collections': '',
+  'Divorce and Separation': 'You may benefit from speaking with a divorce professional. Please verify your contact information.',
+  'DUI and DWI': 'You may benefit from speaking with a DUI professional. Please verify your contact information.',
+  'Elder Law': 'You may benefit from speaking with an elder law professional. Please verify your contact information.',
+  // 'Employment and Workplace': '',
+  // 'Expungement': '',
+  // 'Family Issues': '',
+  'Foreclosure': 'You may benefit from speaking with a foreclosure professional. Please verify your contact information.',
+  'Guardianship': 'You may benefit from speaking with a guardianship professional. Please verify your contact information.',
+  // 'Harassment and Discrimination': '',
+  // 'Identity Theft': '',
+  'Immigration and Visas': 'You may benefit from speaking with a immigration professional. Please verify your contact information.',
+  // 'Insurance': '',
+  'Landlord and Tenant': 'You may benefit from speaking with a landlord and tenant legal professional. Please verify your contact information.',
+  // 'Lemon Law': '',
+  'Long Term Disability': 'You may benefit from speaking with a disability legal professional. Please verify your contact information.',
+  'Medical Malpractice': 'You may benefit from speaking with a malpractice professional. Please verify your contact information.',
+  // 'Nursing Home Abuse': '',
+  'Patents and Intellectual Property': 'You may benefit from speaking with a patent professional. Please verify your contact information.',
+  'Personal Injury': 'You may benefit from speaking with a personal injury professional. Please verify your contact information.',
+  // 'Power of Attorney': '',
+  'Probate and Estates': 'You may benefit from speaking with a probate and estate professional. Please verify your contact information.',
+  // 'Product Liability': '',
+  // 'Property Damage': '',
+  'Real Estate': 'You may benefit from speaking with a real estate professional. Please verify your contact information.',
+  'Social Security Disability and Insurance': 'You may benefit from speaking with an SSDI professional. Please verify your contact information.',
+  'Tax and IRS': 'You may benefit from speaking with a tax professional. Please verify your contact information.',
+  // 'Traffic and Tickets': '',
+  'Unemployment': 'You may benefit from speaking with an unemployment professional. Please verify your contact information.',
+  // 'Vaccination Injury': '',
+  'Veteran\'s Disability': 'You may benefit from speaking with a disability legal professional. Please verify your contact information.',
+  // 'Victim of a Crime': '',
+  // 'Wills and Trusts': '',
+  'Workers Compensation': 'You may benefit from speaking with a workers compensation professional. Please verify your contact information.',
+  // 'Wrongful Death': '',
+  // 'Wrongful Termination': '',
+  // 'Not Sure or Other': ''
+};
+
+
+const trustedFormTOLPs = {
+  'Adoption': true,
+  // 'Asbestos and Mesothelioma': '',
+  // 'Auto and Car Accidents': '',
+  // 'Bankruptcy': '',
+  // 'Birth Certificate and Name Change': '',
+  // 'Business Lawyers': '',
+  'Child Custody and Support': true,
+  // 'Civil Rights and Discrimination': '',
+  // 'Civil Lawsuit': '',
+  // 'Consumer Lawyers': '',
+  // 'Copyrights and Trademarks': '',
+  // 'Criminal and Felony': '',
+  // 'Debt and Collections': '',
+  'Divorce and Separation': true,
+  // 'DUI and DWI': '',
+  // 'Elder Law': '',
+  // 'Employment and Workplace': '',
+  // 'Expungement': '',
+  'Family Issues': true,
+  // 'Foreclosure': '',
+  'Guardianship': true,
+  // 'Harassment and Discrimination': '',
+  // 'Identity Theft': '',
+  // 'Immigration and Visas': '',
+  // 'Insurance': '',
+  // 'Landlord and Tenant': '',
+  // 'Lemon Law': '',
+  // 'Long Term Disability': '',
+  // 'Medical Malpractice': '',
+  // 'Nursing Home Abuse': '',
+  // 'Patents and Intellectual Property': '',
+  // 'Personal Injury': '',
+  // 'Power of Attorney': '',
+  // 'Probate and Estates': '',
+  // 'Product Liability': '',
+  // 'Property Damage': '',
+  // 'Real Estate': '',
+  // 'Social Security Disability and Insurance': '',
+  // 'Tax and IRS': '',
+  // 'Traffic and Tickets': '',
+  // 'Unemployment': '',
+  // 'Vaccination Injury': '',
+  // 'Veteran\'s Disability': '',
+  // 'Victim of a Crime': '',
+  // 'Wills and Trusts': '',
+  // 'Workers Compensation': '',
+  // 'Wrongful Death': '',
+  // 'Wrongful Termination': '',
+  'Not Sure or Other': true,
+};
+
 // ------ Common Base Settings
 
 const checkbox = (updates) => {
@@ -368,7 +632,7 @@ const firstName = () => sbsText({
 
 const haveAttorney = () => sbsYesNoRadio({
   name: 'Have_Attorney',
-  label: 'Are You Currently Working with An Attorney?'
+  label: 'Are You Already Working with An Attorney?'
 });
 
 const haveChildren = () => sbsYesNoRadio({
@@ -628,23 +892,33 @@ function childAndFamilyTOLPAndZip(updates = {}) {
 }
 
 const DEFAULT_COMMENTS_PLACEHOLDER = 'For Example: "I\'ve been involved in an auto accident" or "I need Power of Attorney"';
+const DEFAULT_COMMENTS_PLACEHOLDER_V2 = '$getKey($meta, "commentsPlaceholders." + $get(Type_Of_Legal_Problem).value, $meta.defaultCommentsPlaceholder)';
 const DEFAULT_COMMENTS_LABEL = 'Please briefly describe your legal issue in a few words:';
 
-function commentsWithBankruptcy(updates = {}) {
+function commentsWithBankruptcyV2(updates = {}) {
   return step(
     'commentsWithBankruptcy',
     [
+      {
+        $el: 'h3',
+        children: 'Additional Case Details',
+        attrs: {
+          class: 't-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-5 t-pt-0 t-px-3'
+        }
+      },
       comments({
         label: updates.label || DEFAULT_COMMENTS_LABEL,
-        placeholder: updates.placeholder || DEFAULT_COMMENTS_PLACEHOLDER
+        placeholder: updates.placeholder || DEFAULT_COMMENTS_PLACEHOLDER_V2
       }),
       bankruptcyCrossSell()
     ],
     updates.nextOnEnter
   )
 }
-
-const DEFAULT_FINAL_HEADLINE = "Based on your input, you may benefit from speaking with a legal professional. Please verify your contact information.";
+const DEFAULT_FINAL_HEADLINE_V2 = 'We Found Matches For Your Case!';
+const DEFAULT_FINAL_HEADLINE_V2_b = '$getKey($meta, "finalHeadlines." + $get(Type_Of_Legal_Problem).value, $meta.defaultFinalHeadline)';
+const DEFAULT_FINAL_SUBHEADLINE_V2 = 'You may benefit from speaking with a legal professional. Please verify your contact information.';
+const DEFAULT_FINAL_SUBHEADLINE_V2_b = '$getKey($meta, "finalSubHeadlines." + $get(Type_Of_Legal_Problem).value, $meta.defaultFinalSubHeadline)';
 
 const TRUSTED_FORM_JS = `(function() {
   if (window.xxTrustedFormLoaded) {
@@ -668,29 +942,43 @@ function contactInfoTF(updates = {}) {
     [
       {
         $el: 'h3',
-        children: updates.headline || DEFAULT_FINAL_HEADLINE,
+        children: updates.headline || DEFAULT_FINAL_HEADLINE_V2_b,
         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'
+          class: 't-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-3 t-pt-0 t-px-3'
+        }
+      },
+      {
+        $el: 'h5',
+        children: updates.subheadline || DEFAULT_FINAL_SUBHEADLINE_V2_b,
+        attrs: {
+          class: 't-flex t-justify-center t-text-center !t-text-lg t-font-semibold t-pb-7 t-pt-0 t-px-3'
         }
       },
       {
         $el: 'script',
-        if: '$activeStep === $lastStep()',
+        if: '$activeStep === $lastStep() && $getKey($meta, "trustedFormTOLPs." + $get(Type_Of_Legal_Problem).value, false) == true',
         children: TRUSTED_FORM_JS
       },
       email(),
       phone(),
       TCPAConsent(),
-      privacyIcons()
+      secureIcon()
     ],
     updates.nextOnEnter
   )
 }
 
-function firstAndLast(updates = {}) {
+function firstAndLastV2(updates = {}) {
   return step(
     'firstAndLast',
     [
+      {
+        $el: 'h3',
+        children: 'Please Provide a Contact Name',
+        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'
+        }
+      },
       firstName(),
       lastName()
     ],
@@ -720,9 +1008,7 @@ function childAndFamilyTOLPQuestions(updates = {}) {
   )
 }
 
-// ------ Utilities
-
-const formNavigation = () => ({
+const formNavigationV2 = () => ({
   $el: 'div',
   attrs: {
     class: 'step-nav'
@@ -742,7 +1028,16 @@ const formNavigation = () => ({
       $formkit: 'button',
       name: 'next_button',
       onClick: '$setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form)))',
-      children: 'Next',
+      children: {
+        if: '$activeStep === $firstStep()',
+        then: 'Get Help',
+        else: 'Next'
+      },
+      outerClass: {
+        if: '$activeStep === $lastStep()',
+        then: 't-hidden',
+        else: ''
+      },
       style: {
         if: '$activeStep === $lastStep()',
         then: 'display: none;'
@@ -801,31 +1096,31 @@ const formDetails = () => ({
 });
 
 const schema = [
-  metaProps(),
+  metaProps({
+    defaultCommentsPlaceholder: DEFAULT_COMMENTS_PLACEHOLDER,
+    commentsPlaceholders: TOLPCommentsPlaceholders,
+    defaultFinalHeadline: DEFAULT_FINAL_HEADLINE_V2,
+    finalHeadlines: TOLPFinalHeadlines,
+    defaultFinalSubHeadline: DEFAULT_FINAL_SUBHEADLINE_V2,
+    finalSubHeadlines: TOLPFinalSubHeadlines,
+    trustedFormTOLPs: trustedFormTOLPs
+  }),
   formAnchor(),
   {
     $cmp: 'FormKit',
     props: formProps({
       formId: 'childAndFamily',
-      onSubmit: '$submit($submitUrl, $prepData, $handleRedirect)',
-      redirectMap: {
-        "properties.Type_Of_Legal_Problem": {
-          'Adoption': JALegalUrl('565949'),
-          'Child Custody and Support': JALegalUrl('565949'),
-          'Divorce and Separation': JALegalUrl('966410'),
-          'Guardianship': JALegalUrl('565949')
-        },
-        '*': JALegalUrl('808601')
-      },
+      onSubmit: '$submit($submitUrl, $prepData, $handleRedirect, "text/plain; charset=UTF-8")',
+      redirectMap: legalRedirectMap(),
       anchorElement: 'form-anchor'
     }),
     children: [
       headline({
-        children: 'Get Child & Family Help Today',
+        children: '$urlParam("hl", "Get Child & Family Help Today")',
         if: '$activeStep === $firstStep()'
       }),
       subHeadline({
-        children: 'Contact Us for Child Support, Custody and Family Issues',
+        children: '$urlParam("shl", "Contact Us for Child Support, Custody and Family Issues")',
         if: '$activeStep === $firstStep()'
       }),
       ...hiddenInputs,
@@ -837,17 +1132,14 @@ const schema = [
         children: [
           childAndFamilyTOLPAndZip(),
           childAndFamilyTOLPQuestions(),
-          commentsWithBankruptcy({
-            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"',
+          commentsWithBankruptcyV2({
             nextOnEnter: false
           }),
-          firstAndLast(),
+          firstAndLastV2(),
           contactInfoTF({
-            headline: 'Based on your input, you may benefit from speaking with a family lawyer. Please verify your contact information:',
             nextOnEnter: false
           }),
-          formNavigation(),
+          formNavigationV2(),
           formDetails()
         ]
       }

package/dist/forms/childAndFamily.iife.js

@@ -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=${properties.vid}&subid1=${properties.Domain_Abbrev}"}const r={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 i={$el:"div",children:[{$el:"div",attrs:{id:"form-anchor",class:"t-absolute",style:{top:"-30px",left:0}}}],attrs:{class:"t-relative"}};const a={$el:"h1",attrs:{class:"t-flex t-justify-center t-text-center !t-text-[2rem] t-font-semibold t-pt-5 t-px-7 md:t-px-3"}};const n={$el:"h3",attrs:{class:"t-flex t-justify-center t-text-center !t-text-[1.2rem] t-font-medium t-text-blue-500 t-px-10"}};const l={$el:"div",if:"$activeStep === $lastStep()",attrs:{class:"t-flex 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