bhl-forms 0.1.1 → 0.1.3

package/dist/forms/generalLegalPopUnder.es.js

@@ -198,11 +198,18 @@ const hiddenInputs = [
 const legalRedirectMapDefaults = {
   "properties.Type_Of_Legal_Problem": {
     'Adoption': JALegalUrl('565949'),
-    'Bankruptcy': JALegalUrl('1147978'),
+    'Asbestos and Mesothelioma': JALegalUrl('897042'),
+    'Auto and Car Accidents': JALegalUrl('1026554'),
+    'Bankruptcy': 'https://shareasale.com/r.cfm?b=407913&u=3084319&m=43003&urllink=&afftrack=${properties.vid}',
+    'Birth Certificate and Name Change': JALegalUrl('1503011'),
+    'Business Lawyers': JALegalUrl('1487960'),
     'Child Custody and Support': JALegalUrl('565949'),
     'Child Custody': JALegalUrl('565949'),
     'Child Support': JALegalUrl('565949'),
     'Civil Lawsuit': JALegalUrl('897042'),
+    'Civil Rights and Discrimination': JALegalUrl('897038'),
+    'Copyrights and Trademarks': JALegalUrl('1503020'),
+    'Family Issues': JALegalUrl('565949'),
     'File a Lawsuit': JALegalUrl('897042'),
     'Defend a Lawsuit': JALegalUrl('897042'),
     'Consumer Lawyers': JALegalUrl('897042'),
@@ -215,19 +222,30 @@ const legalRedirectMapDefaults = {
     'Expungement': JALegalUrl('897012'),
     'Foreclosure': JALegalUrl('565923'),
     'Guardianship': JALegalUrl('565949'),
+    'Immigration and Visas': JALegalUrl('565916'),
     'Landlord and Tenant': JALegalUrl('1315025'),
+    'Lemon Law': JALegalUrl('1347399'),
+    'Medical Malpractice': JALegalUrl('1503025'),
+    'Non-Workplace Discrimination': JALegalUrl('1498134'),
+    'Non-Workplace Harassment': JALegalUrl('1503017'),
+    'Patents and Intellectual Property': JALegalUrl('1503020'),
+    'Personal Injury': JALegalUrl('1026554'),
     'Power of Attorney': JALegalUrl('1097602'),
     'Probate and Estates': JALegalUrl('1097602'),
     'Product Liability': JALegalUrl('897042'),
     'Property Damage': JALegalUrl('897042'),
     'Real Estate': JALegalUrl('565923'),
+    'Sexual Harassment': JALegalUrl('897015'),
     'Social Security Disability and Insurance': JALegalUrl('897033'),
     'Tax and IRS': JALegalUrl('1147978'),
     'Traffic and Tickets': JALegalUrl('808601'),
     'Unemployment': JALegalUrl('897014'),
+    'Vaccination Injury': JALegalUrl('1026554'),
     'Victim of a Crime': JALegalUrl('897012'),
     'Wills and Trusts': JALegalUrl('1097602'),
     'Workers Compensation': JALegalUrl('897014'),
+    'Workplace Discrimination': JALegalUrl('1498134'),
+    'Workplace Harassment': JALegalUrl('897014'),
     'Wrongful Termination': JALegalUrl('897014')
   },
   '*': JALegalUrl('808601')
@@ -248,6 +266,28 @@ const legalAllValueOverrideMap = {
     }
   },
   'Type_Of_Legal_Problem_Display': {
+    // Accidents and PI
+    'Auto Accident': {
+      'Type_Of_Legal_Problem': 'Auto and Car Accidents'
+    },
+    'Dog Bite': {
+      'Type_Of_Legal_Problem': 'Personal Injury'
+    },
+    'Slip and Fall': {
+      'Type_Of_Legal_Problem': 'Personal Injury'
+    },
+    'Workplace Injury': {
+      'Type_Of_Legal_Problem': 'Workers Compensation'
+    },
+    'Trucking Accident': {
+      'Type_Of_Legal_Problem': 'Auto and Car Accidents'
+    },
+    'Motorcycle Accident': {
+      'Type_Of_Legal_Problem': 'Auto and Car Accidents',
+    },
+    'Other Accidents or Injuries': {
+      'Type_Of_Legal_Problem': 'Personal Injury'
+    },
     // Civil
     'Automobile Accident': {
       'Type_Of_Legal_Problem': 'Auto and Car Accidents'
@@ -738,8 +778,6 @@ const sbsDate = (updates) => {
   return date(updates)
 };
 
-// ------ Inputs
-
 const amountPaymentsPastDue = () => sbsSelect({
   label: 'Total Amount of Payments that are Past Due:',
   name: 'Amount_Payments_Past_Due',

package/dist/forms/generalLegalPopUnder.iife.js

@@ -1 +1 @@
-var generalLegalPopUnder=function(){"use strict";function e(){return Object.assign({},...arguments)}function a(e){return"https://justanswer.9pctbx.net/c/2880795/"+e+"/9320?sharedid=${properties.vid}&subid1=${properties.Domain_Abbrev}"}const t='$getKey($meta, "commentsPlaceholders." + $get(Type_Of_Legal_Problem).value, $meta.defaultCommentsPlaceholder)',i={type:"form",id:"form",config:{validationVisibility:"submit"},onSubmit:'$submit($submitUrl, $prepData, $handleRedirect, "text/plain; charset=UTF-8")',plugins:"$plugins",actions:!1,anchorElement:"form-anchor",prepop:{fromURL:!0},errorCodes:{403:{message:"An Error Occurred",abort:!1},409:{abort:!1},429:"An Error Occurred",504:{message:"An Error Occurred",abort:!1}},formClass:"!t-max-w-[40rem]"};const n={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."};const r={$el:"div",children:[{$el:"div",attrs:{id:"form-anchor",class:"t-absolute",style:{top:"-30px",left:0}}}],attrs:{class:"t-relative"}};const o={$el:"h1",attrs:{class:"t-flex t-justify-center t-text-center !t-text-[2rem] t-font-semibold t-pt-5 t-px-7 md:t-px-3"}};const l={$el:"h3",attrs:{class:"t-flex t-justify-center t-text-center !t-text-[1.2rem] t-font-medium t-text-blue-500 t-px-10"}};const s={$el:"div",if:"$activeStep === $lastStep()",attrs:{class:"t-flex t-justify-center t-items-center t-text-sm t-text-gray-500"},children:[{$el:"img",attrs:{loading:"lazy",alt:"",style:{border:0},width:"25",height:"25",src:"https://d27hmee62k45vz.cloudfront.net/lock_icon_1.jpeg"}},{$el:"span",children:"Secure & Encrypted",attrs:{class:"t-pl-2 t-pt-1 t-font-medium"}}]};function d(a){return e(s,a)}const m={"properties.Type_Of_Legal_Problem":{Adoption:a("565949"),Bankruptcy:a("1147978"),"Child Custody and Support":a("565949"),"Child Custody":a("565949"),"Child Support":a("565949"),"Civil Lawsuit":a("897042"),"File a Lawsuit":a("897042"),"Defend a Lawsuit":a("897042"),"Consumer Lawyers":a("897042"),"Criminal and Felony":a("897012"),"Debt and Collections":a("1147978"),"Divorce and Separation":a("966410"),"DUI and DWI":a("897012"),"Elder Law":a("565949"),"Employment and Workplace":a("897014"),Expungement:a("897012"),Foreclosure:a("565923"),Guardianship:a("565949"),"Landlord and Tenant":a("1315025"),"Power of Attorney":a("1097602"),"Probate and Estates":a("1097602"),"Product Liability":a("897042"),"Property Damage":a("897042"),"Real Estate":a("565923"),"Social Security Disability and Insurance":a("897033"),"Tax and IRS":a("1147978"),"Traffic and Tickets":a("808601"),Unemployment:a("897014"),"Victim of a Crime":a("897012"),"Wills and Trusts":a("1097602"),"Workers Compensation":a("897014"),"Wrongful Termination":a("897014")},"*":a("808601")};const u=a=>e({$formkit:"checkbox",validation:"required",validationMessages:{required:"Field is required"}},a),p=e=>(e.legendClass="legend-left required",e.fieldsetClass="$reset side-by-side",e.optionsClass="t-pl-1",e.innerClass="t-flex t-items-center",e.wrapperClass="t-mb-3",u(e)),c=a=>e({$formkit:"radio",validation:"required",validationMessages:{required:"Field is required"},optionsClass:"t-pt-3 t-pl-1",legendClass:"required"},a),f=e=>(e.legendClass="required",e.fieldsetClass="$reset",e.optionsClass="t-pl-2 t-pt-3 t-grid t-grid-cols-1 md:t-grid-cols-2",e.innerClass="t-items-start",e.wrapperClass="$reset t-flex t-cursor-pointer t-mb-3",c(e)),y=e=>(e.legendClass="legend-left required",e.fieldsetClass="$reset side-by-side",e.optionsClass="t-pl-1",e.innerClass="t-flex t-items-center",e.wrapperClass="t-mb-3",c(e)),g=e=>(e.legendClass="legend-left-flex md:t-max-w-[40%] required",e.fieldsetClass="$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="$reset t-flex t-cursor-pointer t-mb-3",c(e)),h=e=>(e.legendClass="legend-left t-pb-1 required",e.fieldsetClass="$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",c(e)),b=e=>(e.options=["Yes","No"],h(e)),_=a=>(a.labelClass="required",a.wrapperClass="side-by-side t-items-center",a.innerClass="select-height-content",a.helpClass="t-mt-2.5 md:t-text-right md:t-mt-[-5px]",(a=>e({$formkit:"select",placeholder:"Please Select",validation:"required",validationMessages:{required:"Field is required"},inputClass:"t-bg-white",labelClass:"required"},a))(a)),v=a=>(a.wrapperClass="side-by-side t-items-center",(a=>e({$formkit:"text",validation:"required",validationMessages:{required:"Field is required"},labelClass:"required"},a))(a)),P=a=>(a.wrapperClass="side-by-side t-items-center",(a=>e({$formkit:"DatePicker",validation:"required",validationMessages:{required:"Field is required"},labelClass:"required t-block t-mb-3 t-font-semibold t-text-base formkit-invalid:t-text-red-500",innerClass:"t-border t-border-gray-400 formkit-invalid:t-border-red-500 t-rounded t-mb-1 focus-within:t-border-blue-500"},a))(a)),C=()=>_({label:"Age of Applicant?",name:"Applicant_Age",options:["18","19","20","21","22","23","24","25","26","27","28","29","30","31","32","33","34","35","36","37","38","39","40","41","42","43","44","45","46","47","48","49","50","51","52","53","54","55","56","57","58","59","60","61","62","63","64","65"]}),L=()=>b({name:"At_Fault",label:"Were You at Fault?"}),T=a=>h(e({name:"Civil_Defense",id:"Civil_Defense",if:'$get(Type_Of_Legal_Problem).value == "Civil Lawsuit"',label:"Do You Need Representation to File a Lawsuit or Defend One?",options:{Yes:"Defend a Lawsuit",No:"File a Lawsuit"}},a)),$=a=>f(e({name:"Type_Of_Legal_Problem_Display",if:'$get(Type_Of_Legal_Problem).value == "Civil Lawsuit" && $get(Civil_Defense).value == "No"',label:"Select The Type of Lawsuit You Would Like to File:",options:["Automobile Accident","Contract Disputes","Defamation and Slander","Dog Bite","Employment and Workplace","Fraud","Medical Malpractice","Personal Injury","Property Damage","Small Claims","Real Estate","Other (describe on next page)"]},a)),I=()=>_({label:"With Whom Do the Children Currently Live?",name:"Child_Home",options:["Mother","Father","Grandparents","Other"]}),w=()=>_({label:"Who is the Primary Caregiver?",name:"Child_Primary_Caregiver",options:["Mother","Father","Other"]}),O=()=>_({label:"Your Relationship to Child(ren):",name:"Child_Relationship",options:["Father","Mother","Grandparent","Aunt/Uncle","Other"]}),D=()=>_({label:"Status of Claim:",name:"Claim_Status",options:["No action taken yet","Demand for compensation made","Lawsuit filed","Other"]}),k=a=>(a=>e({$formkit:"textarea",rows:5,maxlength:500,validation:"required",validationMessages:{required:"Field is required"},innerClass:"t-max-w-xl",labelClass:"required"},a))(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"'},a)),x=()=>P({label:"When was the Alleged Crime?",name:"Crime_Committed_Date"}),A=e=>_({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"]}),S=()=>A("No payment necessary to speak with lawyers."),E=()=>b({name:"Doctor_Treatment",label:"Have You Recently Been Treated by a Doctor, Hospital or Clinic?"}),W=()=>_({label:"The Employer Is a:",name:"Employer_Type",options:["Sole proprietorship (mom and pop)","Partnership","Franchise","Privately held company","Public corporation","Government Agency","Don't know"]}),M=a=>f(e({name:"Type_Of_Legal_Problem_Display",if:'$get(Type_Of_Legal_Problem).value == "Employment and Workplace"',label:"Select The Workplace Issue:",options:["Workplace Harassment","Workplace Discrimination","Wrongful Termination","Payment Disputes","Workers Compensation","Personal Injury","Unemployment","Other Workplace Issues"]},a)),R=()=>_({label:"Legal Services Needed for Your Estate:",name:"Estate_Legal_Services_Needed",options:["Charitable Giving","Contested Wills","Drafting Wills or Trust","Estate Administration","Asset Protection","Other"]}),N=a=>_(e({label:"Type of Help Needed:",name:"Type_Of_Legal_Problem",id:"Type_Of_Legal_Problem",options:["Adoption","Asbestos and Mesothelioma","Auto and Car Accidents","Bankruptcy","Birth Certificate and Name Change","Business Lawyers","Child Custody","Child 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","Non-Workplace Discrimination","Non-Workplace Harassment","Nursing Home Abuse","Patents and Intellectual Property","Personal Injury","Power of Attorney","Probate and Estates","Product Liability","Property Damage","Real Estate","Sexual Harassment","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","Workplace Discrimination","Workplace Harassment","Wrongful Death","Wrongful Termination","Not Sure or Other"]},a)),F=()=>b({name:"Have_Attorney",label:"Already Working with An Attorney?"}),B=()=>b({name:"Have_Children",label:"Do You Have Children?"}),H=()=>P({label:"Date of Incident:",name:"Incident_Date"}),Y=()=>_({label:"The Other Party is a:",name:"Lawsuit_Other_Party",options:["Individual","Small Business","Large Corporation","Government Entity"]}),Q=()=>_({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"]}),j=()=>_({label:"Marital Status:",name:"Marital_Status",options:["Unmarried, Living Together","Unmarried, Do Not Live Together","Married, Living Together","Separated","Divorced","Other"]}),q=()=>_({label:"Total Employees of Business? (estimated)",name:"Num_Employees_Of_Business",options:["1-5","6-20","21-50","51-100","101-500","501-1,000","More than 1,000"]}),V=()=>b({name:"Own_Real_Estate",label:"Do You Own Real Estate?"}),U=()=>b({name:"Pending_Charges",label:"Do you currently have any pending charges?"}),K=()=>g({label:"Primary Injury:",name:"Primary_Injury",options:["Anxiety","Back or Neck Pain","Broken Bones","Cuts and Bruises","Headaches","Memory Loss","Loss of Limb","Other (describe on next page)"]}),G=()=>_({label:"Area of Real Estate:",name:"Real_Estate_Area",options:["Condos and Coops","Construction Disputes","Purchase/Sale Contract","Refinancing Agreement","Title and Boundary Disputes","Zoning, Planning and Land Use","Property Deeds and Transfers","Liens","Other"]}),z=a=>f(e({name:"Type_Of_Legal_Problem_Display",if:'$get(Type_Of_Legal_Problem).value == "Real Estate"',label:"Select The Type of Real Estate Issue:",options:["Contracts and Agreements","Deeds, Liens, and Titles","Foreclosure","Insurance","Landlord and Tenant","Loans and Mortgages","Wills, Trusts, and Estates","Property Damage","Other Real Estate Issues"]},a)),Z=()=>y({label:"What is Your Role in this Matter?",name:"Role_In_Matter_Criminal",options:["I have been accused","I am acting on behalf of someone who has been accused","Other"]}),J=()=>_({label:"What Is Your Role in this Matter?",name:"Role_In_Matter_Probate",options:["Preparing My Will","Executor","Heir","Other"]}),X=()=>_({label:"Total Debt?",name:"Total_Debt",options:["Less than 5K","5K to 10K","10K to 20K","20K to 50K","More than 50K"]}),ee=()=>_({label:"Total Monthly Income?",name:"Total_Monthly_Income",options:["Less than 1K","1K to 2K","2K to 3K","3K to 4K","4K to 5K","5K to 7K","7K to 10K","10K to 15K","More than 15K"]}),ae=()=>{return(e={label:"Type of Assets:",name:"Type_Of_Assets",options:["Business Interests","Cash","Life Insurance Policies","Pensions/Retirement","Personal Possessions","Property","Stock/Bonds"]}).legendClass="required",e.fieldsetClass="$reset",e.optionsClass="t-pl-2 t-pt-3 t-grid t-grid-cols-1 md:t-grid-cols-2",e.innerClass="t-items-start",e.wrapperClass="$reset t-flex t-cursor-pointer t-mb-3",u(e);var e},te=()=>_({label:"Value of Your Assets?",name:"Value_Of_Assets",options:["Less than 50K","50K to 100K","100K to 250K","250K to 500K","500K to 1M","More than 1M"]}),ie=()=>y({label:"I Would Like a Lawyer to:",name:"Would_Like_Lawyer_To",options:["Give me general advice to protect my interests","Act as my agent in the transaction","Assist me in the remaining stages of the transaction","Bring a lawsuit against another party","Defend against a lawsuit filed by another party","Other"]}),ne=(a,t)=>e({$cmp:"FormKit",props:{type:"group",key:a,id:a,name:a}},t),re=()=>[F(),S()],oe=a=>f(e({name:"Type_Of_Legal_Problem_Display",if:'$get(Type_Of_Legal_Problem).value == "Criminal and Felony"',label:"Which Type of Criminal Issue?",options:["Criminal Defense","Victim of a Crime","DUI and DWI","Expungement","Harassment","Not Sure or Other"]},a)),le=e=>"group"!==e.type&&"section"!==e.type&&"form"!==e.type&&"hidden"!==e.$formkit&&!e.children,se=e=>{if(le(e))return e;for(var a=e.children.length-1;a>=0;a--){if("string"==typeof e.children)continue;const t=e.children[a];if(le(t))return t;const i=se(t);if(i)return i}return null};function de(e){return{$el:"h3",children:e.headline||"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"}}}function me(e){return{$el:"h3",children:e.headline||"Please Provide a Contact Name",attrs:{class:"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-5 t-pt-0 t-px-3"}}}function ue(e){return{$el:"h3",children:e.headline||'$getKey($meta, "finalHeadlines." + $get(Type_Of_Legal_Problem).value, $meta.defaultFinalHeadline)',attrs:{class:"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-3 t-pt-0 t-px-3"}}}function pe(e){return{$el:"h5",children:e.subheadline||'$getKey($meta, "finalSubHeadlines." + $get(Type_Of_Legal_Problem).value, $meta.defaultFinalSubHeadline)',attrs:{class:"t-flex t-justify-center t-text-center !t-text-lg t-font-semibold t-pb-7 t-pt-0 t-px-3"}}}function ce(a,t,i=!0){if(void 0===i&&(i=!0),t&&t.length&&i){se(t[t.length-1]).onKeypress="$onEnter($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))"}return e((e=>({$el:"section",if:'$stepIsEnabled("'+e+'")',attrs:{style:{if:'$activeStep !== "'+e+'"',then:"display: none;"}}}))(a),{children:[{$formkit:"group",id:a,name:a,children:t}]})}const fe=[{type:"meta",data:e(n,{defaultCommentsPlaceholder:t,commentsPlaceholders:{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"',"Child Custody":'Example: "Need help getting custody"',"Child Support":'Example: "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"',"File a Lawsuit":'Example: "A contractor took my money and never completed the job"',"Defend a Lawsuit":'Example: "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"',"Sexual Harassment":'Example: "I am being sexually harassed by a coworker"',"Workplace Harassment":'Example: "My coworker is being aggressive towards me"',"Non-Workplace Harassment":'Example: "My neighbor is harassing me"',"Workplace Discrimination":'Example: "I am being discriminated at work based on my age"',"Non-Workplace Discrimination":'Example: "I am being discriminated against by a local official"',"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"'},defaultFinalHeadline:"Submit Your Case",finalHeadlines:{},defaultFinalSubHeadline:"You may benefit from speaking with a legal professional. Please verify your contact information.",finalSubHeadlines:{Adoption:"You may benefit from speaking with an adoption professional. Please verify your contact information.","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.","Copyrights and Trademarks":"You may benefit from speaking with a copyright and trademark professional. Please verify your contact information.","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.",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.","Immigration and Visas":"You may benefit from speaking with a immigration professional. Please verify your contact information.","Landlord and Tenant":"You may benefit from speaking with a landlord and tenant legal professional. Please verify your contact information.","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.","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.","Probate and Estates":"You may benefit from speaking with a probate and estate professional. Please verify your contact information.","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.",Unemployment:"You may benefit from speaking with an unemployment professional. Please verify your contact information.","Veteran's Disability":"You may benefit from speaking with a disability legal professional. Please verify your contact information.","Workers Compensation":"You may benefit from speaking with a workers compensation professional. Please verify your contact information."},trustedFormTOLPs:{Adoption:!0,"Child Custody and Support":!0,"Child Custody":!0,"Child Support":!0,"Divorce and Separation":!0,"Family Issues":!0,Guardianship:!0,"Not Sure or Other":!0}})},e(r,ye),{$cmp:"FormKit",props:function(a){return e(i,a)}({formId:"generalLegalPopUnder",redirectMap:function(a){return e(m,a)}(),popUnder:"/thank-you",valueOverrideMap:{Civil_Defense:{Yes:{Type_Of_Legal_Problem:"Defend a Lawsuit"}},Type_Of_Legal_Problem_Display:{"Automobile Accident":{Type_Of_Legal_Problem:"Auto and Car Accidents"},"Contract Disputes":{Type_Of_Legal_Problem:"Business Lawyers"},"Defamation and Slander":{Type_Of_Legal_Problem:"File a Lawsuit"},"Dog Bite":{Type_Of_Legal_Problem:"Personal Injury"},"Employment and Workplace":{Type_Of_Legal_Problem:"Employment and Workplace"},Fraud:{Type_Of_Legal_Problem:"Consumer Lawyers"},"Medical Malpractice":{Type_Of_Legal_Problem:"Medical Malpractice"},"Personal Injury":{Type_Of_Legal_Problem:"Personal Injury"},"Property Damage":{Type_Of_Legal_Problem:"Property Damage"},"Small Claims":{Type_Of_Legal_Problem:"File a Lawsuit"},"Real Estate":{Type_Of_Legal_Problem:"Real Estate"},"Other (describe on next page)":{Type_Of_Legal_Problem:"Not Sure or Other"},"Criminal Defense":{Type_Of_Legal_Problem:"Criminal and Felony"},"Victim of a Crime":{Type_Of_Legal_Problem:"Victim of a Crime"},"DUI and DWI":{Type_Of_Legal_Problem:"DUI and DWI"},Expungement:{Type_Of_Legal_Problem:"Expungement"},Harassment:{Type_Of_Legal_Problem:"Criminal and Felony"},"Not Sure or Other":{Type_Of_Legal_Problem:"Not Sure or Other"},"Workplace Harassment":{Type_Of_Legal_Problem:"Workplace Harassment"},"Workplace Discrimination":{Type_Of_Legal_Problem:"Workplace Discrimination"},"Wrongful Termination":{Type_Of_Legal_Problem:"Wrongful Termination"},"Payment Disputes":{Type_Of_Legal_Problem:"Employment and Workplace"},"Workers Compensation":{Type_Of_Legal_Problem:"Workers Compensation"},Unemployment:{Type_Of_Legal_Problem:"Unemployment"},"Other Workplace Issues":{Type_Of_Legal_Problem:"Employment and Workplace"},"Contracts and Agreements":{Type_Of_Legal_Problem:"Real Estate"},"Deeds, Liens, and Titles":{Type_Of_Legal_Problem:"Real Estate"},Foreclosure:{Type_Of_Legal_Problem:"Foreclosure"},Insurance:{Type_Of_Legal_Problem:"Insurance"},"Landlord and Tenant":{Type_Of_Legal_Problem:"Landlord and Tenant"},"Loans and Mortgages":{Type_Of_Legal_Problem:"Real Estate"},"Wills, Trusts, and Estates":{Type_Of_Legal_Problem:"Wills and Trusts"},"Property Damage":{Type_Of_Legal_Problem:"Property Damage"},"Other Real Estate Issues":{Type_Of_Legal_Problem:"Real Estate"}}}}),children:[function(a){return e(o,a)}({children:'$urlParam("hl", "Need Legal Help? Start Here!")',if:"$activeStep === $firstStep()"}),e(l,{children:'$urlParam("shl", "Our Service is Fast and Free!")',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 ce("generalLegalTOLPAndZip",[N(),T(),$(),z(),oe(),M(),v({label:"Zip Code:",placeholder:"#####",name:"Zip",maxlength:5,inputmode:"numeric",autocomplete:"postal-code",validation:"required|matches:/^[0-9]{5}$/",validationMessages:{required:"Zip Code is required",matches:"Invalid Zip Code"}})],e.nextOnEnter)}(),function(e={}){var a=[ne("AdoptionQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Adoption"',children:[F(),j(),B(),A(),Q()]}),ne("AsbestosAndMesotheliomaQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Asbestos and Mesothelioma"',children:[H(),E(),S()]}),ne("AutoAndCarAccidentsQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Auto and Car Accidents"',children:[F(),H(),L(),K(),E(),b({name:"Police_Report_Filed",label:"Was a Police Report Filed?"})]}),ne("BankruptcyQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Bankruptcy"',children:[F(),ee(),X(),V(),te(),S()]}),ne("BirthCertificateAndNameChangeQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Birth Certificate and Name Change"',children:[F(),S()]}),ne("BusinessLawyersQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Business Lawyers"',children:[F(),_({label:"Legal Services Needed for Your Business:",name:"Business_Services",options:["Business Formation","Contracts","Insurance and Liability","Mergers and Acquisition","Regulatory Compliance","Employee Dispute","Other"]}),g({label:"Is the Business Public or Private?",name:"Business_Type",options:["Public","Private"]}),q(),S()]}),ne("ChildCustodyAndSupportQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Child Custody and Support"',children:[F(),O(),I(),w(),A(),Q()]}),ne("ChildCustodyQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Child Custody"',children:[F(),O(),I(),w(),A(),Q()]}),ne("ChildSupportQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Child Support"',children:[F(),O(),I(),w(),A(),Q()]}),ne("CivilRightsAndDiscriminationQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Civil Rights and Discrimination"',children:[_({label:"On what basis were your rights violated?",name:"Civil_Rights_Type",options:["Age","Disability","Gender","Race","Religion","Other"]}),F(),S()]}),ne("CivilLawsuitQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Civil Lawsuit"',children:[F(),Y(),S()]}),ne("FileLawsuitQuestions",{if:'$get(Type_Of_Legal_Problem).value == "File a Lawsuit"',children:[F(),Y(),S()]}),ne("DefendLawsuitQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Defend a Lawsuit"',children:[F(),Y(),S()]}),ne("ConsumerLawyersQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Consumer Lawyers"',children:[_({label:"What best describes your issue?",name:"Consumer_Lawyer_Type",options:["Unsafe Environment","Unsafe Products","Auto Fraud","Credit Reporting Issues","Debt Collection Abuse","Identity Theft","Lemon Law","Military Consumer Rights","Predatory Lending","Student Loans","Other"]}),H(),F(),Y(),S()]}),ne("CopyrightsAndTrademarksQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Copyrights and Trademarks"',children:[F(),S()]}),ne("CriminalAndFelonyQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Criminal and Felony"',children:[F(),x(),Z(),U(),A(),Q()]}),ne("DebtAndCollectionsQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Debt and Collections"',children:[F(),ee(),X(),V(),te(),S()]}),ne("DivorceQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Divorce and Separation"',children:[F(),j(),B(),A(),Q()]}),ne("DUIAndDWIQuestions",{if:'$get(Type_Of_Legal_Problem).value == "DUI and DWI"',children:[F(),H(),b({name:"Prior_Alcohol_Offenses",label:"Any Prior Alcohol Related Offenses?"}),_({label:"Type of Alcohol Test Performed?",name:"Type_Of_Alcohol_Test",options:["No Test","Refused Test","Breath Test","Blood Test","Urine Test","Don't Know"]}),_({label:"Blood Alcohol Content Measured by Test:",name:"Blood_Alcohol_Content_Test",options:["No Test","0.00% - 0.04%","0.05% - 0.08%","0.09% - 0.12%","0.13% - 0.16%","0.17% - 0.20%","More than 0.20%","Don't know"]}),U(),S()]}),ne("ElderLawQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Elder Law"',children:[F(),S()]}),ne("EmploymentAndWorkplaceQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Employment and Workplace"',children:[F(),q(),W(),S()]}),ne("ExpungementQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Expungement"',children:[F(),H(),_({label:"What Type of Charge?",name:"Criminal_Charge_Type",options:["Felony","Misdemeanor","Juvenile","Other"]}),A(),Q()]}),ne("FamilyIssuesQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Family Issues"',children:[F(),j(),B(),A(),Q()]}),ne("ForeclosureQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Foreclosure"',children:[F(),V(),_({label:"Type of Property:",name:"Type_Of_Property",options:["Residential","Commercial","Industrial","Agricultural","Recreational","Other"]}),_({label:"Total Amount of Payments that are Past Due:",name:"Amount_Payments_Past_Due",options:["$0 - $499","$500 - $999","$1,000 - $2,499","$2,500 - $4,999","$5,000 - $9,999","$10,000 - $24,999","$25,000 - $49,999","$50,000 - $99,999","More than $100,000"]}),_({label:"Total Amount of Loan?",name:"Loan_Amount",options:["Less than $10,000","$10,000 - $24,999","$25,000 - $49,999","$50,000 - $99,999","$100,000 - $199,999","$200,000 - $299,999","$300,000 - $399,999","$400,000 - $499,999","$500,000 - $599,999","More than $600,000"]}),b({name:"Default_Notice",label:"Have You Received a Notice of Default from the Lender?"}),S()]}),ne("GuardianshipQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Guardianship"',children:[F(),j(),B(),A(),Q()]}),ne("HarassmentAndDiscriminationQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Harassment and Discrimination"',children:re()}),ne("SexualHarassmentQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Sexual Harassment"',children:re()}),ne("WorkplaceHarassmentQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Workplace Harassment"',children:re()}),ne("NonWorkplaceHarassmentQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Non-Workplace Harassment"',children:re()}),ne("WorkplaceDiscriminationQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Workplace Discrimination"',children:re()}),ne("NonWorkplaceDiscriminationQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Non-Workplace Discrimination"',children:re()}),ne("IdentityTheftQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Identity Theft"',children:[F(),S()]}),ne("ImmigrationAndVisasQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Immigration and Visas"',children:[F(),_({label:"What is Your Current Country of Citizenship?",name:"Country_Of_Citizenship",options:["Afghanistan","Albania","Algeria","Andorra","Angola","Antigua and Barbuda","Argentina","Armenia","Australia","Austria","Azerbaijan","Bahamas","The Bahrain","Bangladesh","Barbados","Belarus","Belgium","Belize","Benin","Bhutan","Bolivia","Bosnia and Herzegovina","Botswana","Brazil","Brunei","Bulgaria","Burkina Faso","Burundi","Cambodia","Cameroon","Canada","Cape Verde","Central African Republic","Chad","Chile","China","Colombia","Comoros","Congo (Congoâ Kinshasa)","Congo (Congoâ Brazzaville)","Costa Rica","Coted'Ivoire (Ivory Coast)","Croatia","Cuba","Cyprus","Czech Republic","Denmark","Djibouti","Dominica","Dominican Republic","Ecuador","Egypt","El Salvador","Equatorial Guinea","Eritrea","Estonia","Ethiopia","Fiji","Finland","France","Gabon","Gambia","Georgia","Germany","Ghana","Greece","Grenada","Guatemala","Guinea","Guinea-Bissau","Guyana","Haiti","Honduras","Hungary","Iceland","India","Indonesia","Iran","Iraq","Ireland","Israel","Italy","Jamaica","Japan","Jordan","Kazakhstan","Kenya","Kiribati","Korea (North Korea)","Korea (South Korea)","Kuwait","Kyrgyzstan","Laos","Latvia","Lebanon","Lesotho","Liberia","Libya","Liechtenstein","Lithuania","Luxembourg","Macedonia","Madagascar","Malawi","Malaysia","Maldives","Mali","Malta","Marshall Islands","Mauritania","Mauritius","Mexico","Micronesia","Moldova","Monaco","Mongolia","Montenegro","Morocco","Mozambique","Myanmar (Burma)","Namibia","Nauru","Nepal","Netherlands","New Zealand","Nicaragua","Niger","Nigeria","Norway","Oman","Pakistan","Palau","Panama","Papua New Guinea","Paraguay","Peru","Philippines","Poland","Portugal","Qatar","Romania","Russia","Rwanda","Saint Kitts and Nevis","SaintLucia","Saint Vincent and the Grenadines","Samoa","San Marino","Sao Tome and Principe","Saudi Arabia","Senegal","Serbia","Seychelles","Sierra Leone","Singapore","Slovakia","Slovenia","Solomon Islands","Somalia","South Africa","Spain","SriLanka","Sudan","Suriname","Swaziland","Sweden","Switzerland","Syria","Tajikistan","Tanzania","Thailand","Timor-Leste (East Timor)","Togo","Tonga","Trinidad and Tobago","Tunisia","Turkey","Turkmenistan","Tuvalu","Uganda","Ukraine","United Arab Emirates","United Kingdom","United States","Uruguay","Uzbekistan","Vanuatu","Vatican City","Venezuela","Vietnam","Yemen","Zambia","Zimbabwe"]}),_({label:"Where Are You Migrating To?",name:"Immigration_Location",options:["In the USA","Outside the USA"]}),_({label:"How are you Trying to Enter the Country?",name:"Immigration_Entry",options:["With Proper Documents/Visa and Inspection through Customs Border Patrol","Illegally","No Entry","Other"]}),_({label:"What Type of Immigration Issue?",name:"Immigration_Type",options:["Citizenship (for current green card holders)","Permanent Visa Family Based (green cards)","Permanent Visa Business Based (green cards)","Temporary Business Visa","Temporary Tourist Visa","Investor","Asylum","Self Petition (violence & abuse victims)","Removal/Deportation Proceeding","Other"]}),_({label:"What is the Current Status of the Immigration Case?",name:"Immigration_Status",options:["Out of Status (overstayed my visa)","Current Visa Holder (in status)","Lawful Permanent Resident (green card)","Not Applicable (outside the USA)","Other"]}),_({label:"Where is the Person Seeking Immigration Located?",name:"Immigration_Details",options:["In the USA with proper documentation","In the USA without proper documentation","Not in the USA","In Deportation/Removal Proceedings","Currently Detained (friend or family submitting this request)","Out on Bond","None Apply"]}),S()]}),ne("InsuranceQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Insurance"',children:[F(),S()]}),ne("LandlordAndTenantQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Landlord and Tenant"',children:[F(),_({label:"I am the:",name:"Landlord_Tenant_Party",options:["Landlord","Tenant","Other"]}),_({label:"What is the Landlord / Tenant Issue?",name:"Landlord_Tenant_Issue",options:["Environmental Hazards","Eviction","Discrimination","Lease and Rental Agreements","Repairs and Maintenance","Right of Entry and Privacy","Screening and Applications","Other Dispute"]}),S()]}),ne("LemonLawQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Lemon Law"',children:[F(),H(),Y(),S()]}),ne("LongTermDisabilityQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Long Term Disability"',children:[F(),v({label:"What is the Applicant's Occupation?",name:"Applicant_Occupation",placeholder:"Occupation"}),C(),b({name:"Applicant_Lt_Disability_Policy",label:"Does Applicant have a Long Term Disability Policy?"}),_({label:"How Did Applicant Obtain the Disability Policy?",name:"Applicant_Disability_How_Obtain",options:["Employer","Self","Other"]}),y({name:"Applicant_Previously_Apply_Ltd_Benefits",label:"Has Applicant Previously Applied for Long Term Disability Benefits?",options:["Yes, claim pending","Yes, claim denied","No"]}),y({name:"Applicant_Received_Disability_Benefits",label:"Has Applicant Ever Received Long Term Disability Benefits for this Claim?",options:["Yes, currently receiving","Yes, appealing a decision to stop payment of benefits","No"]}),_({label:"Applicant's Monthly Salary/Pay When Last at Work:",name:"Applicant_Monthly_Salary",options:["< $1,000","$1,000 - $2,000","$2,000 - $3,000","$3,000 - $4,000","$4,000 - $5,000","$5,000 - $6,000","$6,000 - $7,000","$7,000 - $8,000","$8,000 - $9,000","$9,000 - $10,000",">$10,000"]})]}),ne("MedicalMalpracticeQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Medical Malpractice"',children:[F(),H(),D(),E(),_({label:"Injuries from Medical Malpractice:",name:"Medical_Malpractice_Injuries",options:["No Injury","Minor Injury","Disfigurement or cosmetic injury","Short term loss of physical ability","Long term loss of physical injury","Possibility of future harm","Death of Patient"]}),S()]}),ne("NursingHomeAbuseQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Nursing Home Abuse"',children:[F(),H(),_({label:"The Elderly Person is Currently:",name:"Nursing_Home_Status",options:["Living at a nursing home","Living at their own home with medical supervision","Living at their own home without medical supervision ","Living at the home of a child, grandchild or friend","Deceased","Other"]})]}),ne("PatentsAndIntellectualPropertyQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Patents and Intellectual Property"',children:[F(),_({label:"Legal Assistance Needed:",name:"Patent_Assistance_Type",options:["Obtaining a Patent","Avoiding Patent Infringement","Suing for Patent Infringement","Defending Against a Claim of Patent Infringement","Other"]}),_({label:"The Patent is for a:",name:"Patent_For",options:["Product or Machine","Process","Computer Software","Living Organism or Plant","Ornamental Design","Other"]}),S()]}),ne("PersonalInjuryQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Personal Injury"',children:[F(),H(),D(),L(),K(),E()]}),ne("PowerofAttorneyQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Power of Attorney"',children:[F(),S()]}),ne("ProbateAndEstatesQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Probate and Estates"',children:[F(),te(),ae(),J(),R(),S()]}),ne("ProductLiabilityQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Product Liability"',children:[F(),S()]}),ne("PropertyDamageQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Property Damage"',children:[F(),G(),ie(),S()]}),ne("RealEstateQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Real Estate"',children:[F(),G(),ie(),S()]}),ne("SocialSecurityDisabilityAndInsuranceQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Social Security Disability and Insurance"',children:[F(),C(),b({name:"Disability_Condition_Stop_Work",label:"Do You Expect To Be Out Of Work For At Least a Year Due To Your Health?"}),b({name:"Disability_Work_History",label:"Have You Had a Full-Time Job Within the Past 5 Years?"}),b({name:"Social_Security_Disability_Receiving_Benefits",label:"Are You Currently Receiving Social Security Disability Benefits?"}),E()]}),ne("TaxAndIRSQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Tax and IRS"',children:[F(),X(),_({label:"Details of Tax Problem:",name:"Tax_Problem_Details",options:["Assets Seized","Bank Account Levied","Cannot Pay Taxes","Innocent Spouse","Lien Filed","Received Audit Notice","Unpaid Interest","Wage Garnishment","Other"]}),_({label:"Which Level of Tax Issue?",name:"Tax_Level",options:["Federal","State","Local"]}),_({label:"Type of Tax Issue:",name:"Tax_Issue_Type",options:["Income","Property","Corporate"]}),S()]}),ne("TrafficAndTicketsQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Traffic and Tickets"',children:[F(),h({name:"Drivers_License_Type",label:"Type of Driver's License:",options:["Private","Commercial"]}),_({label:"Which Type of Violation?",name:"Traffic_Violations",options:["Disregarding a Red Light","Disregarding a Stop Sign","DMV Letter About License","DUI/DWI","Failure to Appear in Court","License Suspended/Revoked","Minor in Possession of Alcohol","No Child Safety Seat","No Liability Insurance","No Seat Belt","Open Container of Alcohol","Parking Ticket","Racing","Speeding","Unpaid Traffic Tickets","Warrant Issue for Arrest","Other Violation"]}),b({name:"Have_Court_Date",label:"Do You Have a Court Date?"}),S()]}),ne("UnemploymentQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Unemployment"',children:[q(),W(),S()]}),ne("VaccinationInjuryQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Vaccination Injury"',children:[F(),H()]}),ne("VeteransDisabilityQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Veteran\'s Disability"',children:[_({label:"What is Your Relationship to the Applicant?",name:"Veterans_Disability_Relationship",options:["Self, Active Duty","Self, Active Reserve","Self, Discharged from Active Duty","Self, Discharged as Reservist","Surviving Family Member","Other"]}),b({name:"Veterans_Disability_Injured",label:"Was the Applicant Hurt While on Duty or is the Condition Related to Military Service?"}),p({label:"What Service Connected Conditions Does the Applicant Have? (select all that apply)",name:"Veterans_Disability_Conditions",options:["Traumatic Physical Injury (broken bones, loss of limb)","Mental Injury","Occupational Disease","Repeated Trauma Injury","Other"]}),_({label:"Has the Applicant Applied for VA Disability Compensation?",name:"Veterans_Disability_Applied",options:["Yes, Claim filed and awaiting decision","Yes, Claim denied","Yes, Claim on appeal","Yes, Claim approved","Yes, Benefits awarded","No, Claim has not been filed"]})]}),ne("VictimOfACrimeQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Victim of a Crime"',children:[F(),x(),Z(),U(),A(),Q()]}),ne("WillsAndTrustsQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Wills and Trusts"',children:[F(),te(),ae(),J(),R(),S()]}),ne("WorkersCompensationQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Workers Compensation"',children:[F(),H(),D(),K(),_({label:"Cause of Injury:",name:"Cause_Of_Injury",options:["Traumatic Physical Injury (Accident)","Repeated Trauma Injury","Mental Injury","Occupational Disease","Not Sure"]}),E()]}),ne("WrongfulDeathQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Wrongful Death"',children:[F(),H(),_({label:"Relationship to the Victim:",name:"Relationship_To_Victim",options:["Parent","Spouse","Sibling","Friend","Other"]}),y({name:"Criminal_Charges_Filed",label:"Were Criminal Charges Filed?",options:["Yes","No","Not Sure"]}),_({label:"What was the Cause of the Victim's Death?",name:"Cause_Of_Death",options:["Vehicle Accident","Negligent/Careless Act","Reckless Act","Other"]})]}),ne("WrongfulTerminationQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Wrongful Termination"',children:[F(),q(),W(),S()]}),ne("NotSureOrOtherQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Not Sure or Other"',children:[F(),S()]})];return a.unshift(function(e){return{$el:"h3",children:e.headline||"Tell Us About Your Case",attrs:{class:"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-5 t-pt-0 t-px-3"}}}(e)),ce("TOLPQuestions",a,e.nextOnEnter)}(),function(e={}){return ce("commentsWithBankruptcy",[de(e),k({label:e.label||"Please briefly describe your legal issue in a few words:",placeholder:e.placeholder||t}),p({label:"I'd also like a separate consultation for bankruptcy and debt elimination",help:"Please note: you will be contacted separately by a bankruptcy expert",name:"CrossSell_Bankruptcy",if:'$getVal($get(form), "Type_Of_Legal_Problem") != "Bankruptcy" && ($getVal($get(form), "Degree_Of_Interest") == "Absolutely Can\'t Afford" || $getVal($get(form), "Degree_Of_Interest") == "Maybe" || $getVal($get(form), "Degree_Of_Interest") == "Probably")',validation:null,helpClass:"!t-text-sm"})],e.nextOnEnter)}({nextOnEnter:!1}),function(e={}){return ce("firstAndLast",[me(e),v({$formkit:"text",label:"First Name:",name:"First_Name",autocomplete:"given-name",validationMessages:{required:"First Name is required"}}),v({$formkit:"text",label:"Last Name:",name:"Last_Name",autocomplete:"family-name",validationMessages:{required:"Last Name is required"}})],e.nextOnEnter)}(),function(e={}){return ce("contactInfo",[ue(e),pe(e),v({$formkit:"email",name:"Email",label:"Email Address:",placeholder:"email@domain.com",autocomplete:"email","data-tf-sensitive":"false",validation:"required|email",validationMessages:{required:"Email is required",email:"Invalid Email"}}),v({$formkit:"tel",name:"Primary_Phone",label:"Phone Number:",placeholder:"###-###-####",maxlength:12,help:"10-digit phone number, hyphens optional",autocomplete:"tel-national","data-tf-sensitive":"false",validation:"required|matches:/^[0-9]{3}-?[0-9]{3}-?[0-9]{4}$/|valid_phone",validationMessages:{required:"Field is required",matches:"Invalid Phone Format, use ###-###-####",valid_phone:"Invalid Phone Number"},helpClass:"t-mt-2.5 md:t-text-right md:t-mt-[-2px]"}),{$formkit:"checkbox",label:"$meta.tcpaLanguage",name:"TCPA_Opt_In","data-tf-sensitive":"false",validation:"required|accepted",validationMessages:{required:"Consent is required",accepted:"Consent is required"},classes:{label:"t-text-xs t-text-slate-500 t-font-normal"}},d()],e.nextOnEnter)}({nextOnEnter:!1}),{$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:{if:"$activeStep === $firstStep()",then:"Start",else:"Next"},outerClass:{if:"$activeStep === $lastStep()",then:"t-hidden",else:""},style:{if:"$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: ","$stepQueue"],attrs:{class:"t-text-xs",style:"overflow: scroll"}}]}]}]}];var ye;return fe}();
+var generalLegalPopUnder=function(){"use strict";function e(){return Object.assign({},...arguments)}function a(e){return"https://justanswer.9pctbx.net/c/2880795/"+e+"/9320?sharedid=${properties.vid}&subid1=${properties.Domain_Abbrev}"}const t='$getKey($meta, "commentsPlaceholders." + $get(Type_Of_Legal_Problem).value, $meta.defaultCommentsPlaceholder)',i={type:"form",id:"form",config:{validationVisibility:"submit"},onSubmit:'$submit($submitUrl, $prepData, $handleRedirect, "text/plain; charset=UTF-8")',plugins:"$plugins",actions:!1,anchorElement:"form-anchor",prepop:{fromURL:!0},errorCodes:{403:{message:"An Error Occurred",abort:!1},409:{abort:!1},429:"An Error Occurred",504:{message:"An Error Occurred",abort:!1}},formClass:"!t-max-w-[40rem]"};const n={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."};const r={$el:"div",children:[{$el:"div",attrs:{id:"form-anchor",class:"t-absolute",style:{top:"-30px",left:0}}}],attrs:{class:"t-relative"}};const o={$el:"h1",attrs:{class:"t-flex t-justify-center t-text-center !t-text-[2rem] t-font-semibold t-pt-5 t-px-7 md:t-px-3"}};const l={$el:"h3",attrs:{class:"t-flex t-justify-center t-text-center !t-text-[1.2rem] t-font-medium t-text-blue-500 t-px-10"}};const s={$el:"div",if:"$activeStep === $lastStep()",attrs:{class:"t-flex t-justify-center t-items-center t-text-sm t-text-gray-500"},children:[{$el:"img",attrs:{loading:"lazy",alt:"",style:{border:0},width:"25",height:"25",src:"https://d27hmee62k45vz.cloudfront.net/lock_icon_1.jpeg"}},{$el:"span",children:"Secure & Encrypted",attrs:{class:"t-pl-2 t-pt-1 t-font-medium"}}]};function d(a){return e(s,a)}const m={"properties.Type_Of_Legal_Problem":{Adoption:a("565949"),"Asbestos and Mesothelioma":a("897042"),"Auto and Car Accidents":a("1026554"),Bankruptcy:"https://shareasale.com/r.cfm?b=407913&u=3084319&m=43003&urllink=&afftrack=${properties.vid}","Birth Certificate and Name Change":a("1503011"),"Business Lawyers":a("1487960"),"Child Custody and Support":a("565949"),"Child Custody":a("565949"),"Child Support":a("565949"),"Civil Lawsuit":a("897042"),"Civil Rights and Discrimination":a("897038"),"Copyrights and Trademarks":a("1503020"),"Family Issues":a("565949"),"File a Lawsuit":a("897042"),"Defend a Lawsuit":a("897042"),"Consumer Lawyers":a("897042"),"Criminal and Felony":a("897012"),"Debt and Collections":a("1147978"),"Divorce and Separation":a("966410"),"DUI and DWI":a("897012"),"Elder Law":a("565949"),"Employment and Workplace":a("897014"),Expungement:a("897012"),Foreclosure:a("565923"),Guardianship:a("565949"),"Immigration and Visas":a("565916"),"Landlord and Tenant":a("1315025"),"Lemon Law":a("1347399"),"Medical Malpractice":a("1503025"),"Non-Workplace Discrimination":a("1498134"),"Non-Workplace Harassment":a("1503017"),"Patents and Intellectual Property":a("1503020"),"Personal Injury":a("1026554"),"Power of Attorney":a("1097602"),"Probate and Estates":a("1097602"),"Product Liability":a("897042"),"Property Damage":a("897042"),"Real Estate":a("565923"),"Sexual Harassment":a("897015"),"Social Security Disability and Insurance":a("897033"),"Tax and IRS":a("1147978"),"Traffic and Tickets":a("808601"),Unemployment:a("897014"),"Vaccination Injury":a("1026554"),"Victim of a Crime":a("897012"),"Wills and Trusts":a("1097602"),"Workers Compensation":a("897014"),"Workplace Discrimination":a("1498134"),"Workplace Harassment":a("897014"),"Wrongful Termination":a("897014")},"*":a("808601")};const u=a=>e({$formkit:"checkbox",validation:"required",validationMessages:{required:"Field is required"}},a),p=e=>(e.legendClass="legend-left required",e.fieldsetClass="$reset side-by-side",e.optionsClass="t-pl-1",e.innerClass="t-flex t-items-center",e.wrapperClass="t-mb-3",u(e)),c=a=>e({$formkit:"radio",validation:"required",validationMessages:{required:"Field is required"},optionsClass:"t-pt-3 t-pl-1",legendClass:"required"},a),f=e=>(e.legendClass="required",e.fieldsetClass="$reset",e.optionsClass="t-pl-2 t-pt-3 t-grid t-grid-cols-1 md:t-grid-cols-2",e.innerClass="t-items-start",e.wrapperClass="$reset t-flex t-cursor-pointer t-mb-3",c(e)),y=e=>(e.legendClass="legend-left required",e.fieldsetClass="$reset side-by-side",e.optionsClass="t-pl-1",e.innerClass="t-flex t-items-center",e.wrapperClass="t-mb-3",c(e)),g=e=>(e.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",c(e)),h=e=>(e.legendClass="legend-left t-pb-1 required",e.fieldsetClass="$reset side-by-side t-items-center",e.optionsClass="t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center",e.innerClass="t-flex t-items-center",e.optionClass="t-pr-1",c(e)),b=e=>(e.options=["Yes","No"],h(e)),_=a=>(a.labelClass="required",a.wrapperClass="side-by-side t-items-center",a.innerClass="select-height-content",a.helpClass="t-mt-2.5 md:t-text-right md:t-mt-[-5px]",(a=>e({$formkit:"select",placeholder:"Please Select",validation:"required",validationMessages:{required:"Field is required"},inputClass:"t-bg-white",labelClass:"required"},a))(a)),P=a=>(a.wrapperClass="side-by-side t-items-center",(a=>e({$formkit:"text",validation:"required",validationMessages:{required:"Field is required"},labelClass:"required"},a))(a)),v=a=>(a.wrapperClass="side-by-side t-items-center",(a=>e({$formkit:"DatePicker",validation:"required",validationMessages:{required:"Field is required"},labelClass:"required t-block t-mb-3 t-font-semibold t-text-base formkit-invalid:t-text-red-500",innerClass:"t-border t-border-gray-400 formkit-invalid:t-border-red-500 t-rounded t-mb-1 focus-within:t-border-blue-500"},a))(a)),C=()=>_({label:"Age of Applicant?",name:"Applicant_Age",options:["18","19","20","21","22","23","24","25","26","27","28","29","30","31","32","33","34","35","36","37","38","39","40","41","42","43","44","45","46","47","48","49","50","51","52","53","54","55","56","57","58","59","60","61","62","63","64","65"]}),L=()=>b({name:"At_Fault",label:"Were You at Fault?"}),T=a=>h(e({name:"Civil_Defense",id:"Civil_Defense",if:'$get(Type_Of_Legal_Problem).value == "Civil Lawsuit"',label:"Do You Need Representation to File a Lawsuit or Defend One?",options:{Yes:"Defend a Lawsuit",No:"File a Lawsuit"}},a)),I=a=>f(e({name:"Type_Of_Legal_Problem_Display",if:'$get(Type_Of_Legal_Problem).value == "Civil Lawsuit" && $get(Civil_Defense).value == "No"',label:"Select The Type of Lawsuit You Would Like to File:",options:["Automobile Accident","Contract Disputes","Defamation and Slander","Dog Bite","Employment and Workplace","Fraud","Medical Malpractice","Personal Injury","Property Damage","Small Claims","Real Estate","Other (describe on next page)"]},a)),$=()=>_({label:"With Whom Do the Children Currently Live?",name:"Child_Home",options:["Mother","Father","Grandparents","Other"]}),w=()=>_({label:"Who is the Primary Caregiver?",name:"Child_Primary_Caregiver",options:["Mother","Father","Other"]}),O=()=>_({label:"Your Relationship to Child(ren):",name:"Child_Relationship",options:["Father","Mother","Grandparent","Aunt/Uncle","Other"]}),k=()=>_({label:"Status of Claim:",name:"Claim_Status",options:["No action taken yet","Demand for compensation made","Lawsuit filed","Other"]}),D=a=>(a=>e({$formkit:"textarea",rows:5,maxlength:500,validation:"required",validationMessages:{required:"Field is required"},innerClass:"t-max-w-xl",labelClass:"required"},a))(e({label:"Please briefly describe your situation in a few words:",name:"Comments",placeholder:'For Example: "I would like help with child support payments" or "I need help with visitation rights"'},a)),A=()=>v({label:"When was the Alleged Crime?",name:"Crime_Committed_Date"}),x=e=>_({label:"How Likely Are You to Pay if Your Issue Could be Resolved?",id:"Degree_Of_Interest",name:"Degree_Of_Interest",help:e,options:["Definitely","Probably","Maybe","Absolutely Can't Afford"]}),S=()=>x("No payment necessary to speak with lawyers."),E=()=>b({name:"Doctor_Treatment",label:"Have You Recently Been Treated by a Doctor, Hospital or Clinic?"}),W=()=>_({label:"The Employer Is a:",name:"Employer_Type",options:["Sole proprietorship (mom and pop)","Partnership","Franchise","Privately held company","Public corporation","Government Agency","Don't know"]}),M=a=>f(e({name:"Type_Of_Legal_Problem_Display",if:'$get(Type_Of_Legal_Problem).value == "Employment and Workplace"',label:"Select The Workplace Issue:",options:["Workplace Harassment","Workplace Discrimination","Wrongful Termination","Payment Disputes","Workers Compensation","Personal Injury","Unemployment","Other Workplace Issues"]},a)),N=()=>_({label:"Legal Services Needed for Your Estate:",name:"Estate_Legal_Services_Needed",options:["Charitable Giving","Contested Wills","Drafting Wills or Trust","Estate Administration","Asset Protection","Other"]}),R=a=>_(e({label:"Type of Help Needed:",name:"Type_Of_Legal_Problem",id:"Type_Of_Legal_Problem",options:["Adoption","Asbestos and Mesothelioma","Auto and Car Accidents","Bankruptcy","Birth Certificate and Name Change","Business Lawyers","Child Custody","Child 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","Non-Workplace Discrimination","Non-Workplace Harassment","Nursing Home Abuse","Patents and Intellectual Property","Personal Injury","Power of Attorney","Probate and Estates","Product Liability","Property Damage","Real Estate","Sexual Harassment","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","Workplace Discrimination","Workplace Harassment","Wrongful Death","Wrongful Termination","Not Sure or Other"]},a)),F=()=>b({name:"Have_Attorney",label:"Already Working with An Attorney?"}),B=()=>b({name:"Have_Children",label:"Do You Have Children?"}),H=()=>v({label:"Date of Incident:",name:"Incident_Date"}),Y=()=>_({label:"The Other Party is a:",name:"Lawsuit_Other_Party",options:["Individual","Small Business","Large Corporation","Government Entity"]}),j=()=>_({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"]}),Q=()=>_({label:"Marital Status:",name:"Marital_Status",options:["Unmarried, Living Together","Unmarried, Do Not Live Together","Married, Living Together","Separated","Divorced","Other"]}),V=()=>_({label:"Total Employees of Business? (estimated)",name:"Num_Employees_Of_Business",options:["1-5","6-20","21-50","51-100","101-500","501-1,000","More than 1,000"]}),q=()=>b({name:"Own_Real_Estate",label:"Do You Own Real Estate?"}),U=()=>b({name:"Pending_Charges",label:"Do you currently have any pending charges?"}),K=()=>g({label:"Primary Injury:",name:"Primary_Injury",options:["Anxiety","Back or Neck Pain","Broken Bones","Cuts and Bruises","Headaches","Memory Loss","Loss of Limb","Other (describe on next page)"]}),G=()=>_({label:"Area of Real Estate:",name:"Real_Estate_Area",options:["Condos and Coops","Construction Disputes","Purchase/Sale Contract","Refinancing Agreement","Title and Boundary Disputes","Zoning, Planning and Land Use","Property Deeds and Transfers","Liens","Other"]}),z=a=>f(e({name:"Type_Of_Legal_Problem_Display",if:'$get(Type_Of_Legal_Problem).value == "Real Estate"',label:"Select The Type of Real Estate Issue:",options:["Contracts and Agreements","Deeds, Liens, and Titles","Foreclosure","Insurance","Landlord and Tenant","Loans and Mortgages","Wills, Trusts, and Estates","Property Damage","Other Real Estate Issues"]},a)),Z=()=>y({label:"What is Your Role in this Matter?",name:"Role_In_Matter_Criminal",options:["I have been accused","I am acting on behalf of someone who has been accused","Other"]}),J=()=>_({label:"What Is Your Role in this Matter?",name:"Role_In_Matter_Probate",options:["Preparing My Will","Executor","Heir","Other"]}),X=()=>_({label:"Total Debt?",name:"Total_Debt",options:["Less than 5K","5K to 10K","10K to 20K","20K to 50K","More than 50K"]}),ee=()=>_({label:"Total Monthly Income?",name:"Total_Monthly_Income",options:["Less than 1K","1K to 2K","2K to 3K","3K to 4K","4K to 5K","5K to 7K","7K to 10K","10K to 15K","More than 15K"]}),ae=()=>{return(e={label:"Type of Assets:",name:"Type_Of_Assets",options:["Business Interests","Cash","Life Insurance Policies","Pensions/Retirement","Personal Possessions","Property","Stock/Bonds"]}).legendClass="required",e.fieldsetClass="$reset",e.optionsClass="t-pl-2 t-pt-3 t-grid t-grid-cols-1 md:t-grid-cols-2",e.innerClass="t-items-start",e.wrapperClass="$reset t-flex t-cursor-pointer t-mb-3",u(e);var e},te=()=>_({label:"Value of Your Assets?",name:"Value_Of_Assets",options:["Less than 50K","50K to 100K","100K to 250K","250K to 500K","500K to 1M","More than 1M"]}),ie=()=>y({label:"I Would Like a Lawyer to:",name:"Would_Like_Lawyer_To",options:["Give me general advice to protect my interests","Act as my agent in the transaction","Assist me in the remaining stages of the transaction","Bring a lawsuit against another party","Defend against a lawsuit filed by another party","Other"]}),ne=(a,t)=>e({$cmp:"FormKit",props:{type:"group",key:a,id:a,name:a}},t),re=()=>[F(),S()],oe=a=>f(e({name:"Type_Of_Legal_Problem_Display",if:'$get(Type_Of_Legal_Problem).value == "Criminal and Felony"',label:"Which Type of Criminal Issue?",options:["Criminal Defense","Victim of a Crime","DUI and DWI","Expungement","Harassment","Not Sure or Other"]},a)),le=e=>"group"!==e.type&&"section"!==e.type&&"form"!==e.type&&"hidden"!==e.$formkit&&!e.children,se=e=>{if(le(e))return e;for(var a=e.children.length-1;a>=0;a--){if("string"==typeof e.children)continue;const t=e.children[a];if(le(t))return t;const i=se(t);if(i)return i}return null};function de(e){return{$el:"h3",children:e.headline||"Additional Case Details",attrs:{class:"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-5 t-pt-0 t-px-3"}}}function me(e){return{$el:"h3",children:e.headline||"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"}}}function ue(e){return{$el:"h3",children:e.headline||'$getKey($meta, "finalHeadlines." + $get(Type_Of_Legal_Problem).value, $meta.defaultFinalHeadline)',attrs:{class:"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-3 t-pt-0 t-px-3"}}}function pe(e){return{$el:"h5",children:e.subheadline||'$getKey($meta, "finalSubHeadlines." + $get(Type_Of_Legal_Problem).value, $meta.defaultFinalSubHeadline)',attrs:{class:"t-flex t-justify-center t-text-center !t-text-lg t-font-semibold t-pb-7 t-pt-0 t-px-3"}}}function ce(a,t,i=!0){if(void 0===i&&(i=!0),t&&t.length&&i){se(t[t.length-1]).onKeypress="$onEnter($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))"}return e((e=>({$el:"section",if:'$stepIsEnabled("'+e+'")',attrs:{style:{if:'$activeStep !== "'+e+'"',then:"display: none;"}}}))(a),{children:[{$formkit:"group",id:a,name:a,children:t}]})}const fe=[{type:"meta",data:e(n,{defaultCommentsPlaceholder:t,commentsPlaceholders:{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"',"Child Custody":'Example: "Need help getting custody"',"Child Support":'Example: "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"',"File a Lawsuit":'Example: "A contractor took my money and never completed the job"',"Defend a Lawsuit":'Example: "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"',"Sexual Harassment":'Example: "I am being sexually harassed by a coworker"',"Workplace Harassment":'Example: "My coworker is being aggressive towards me"',"Non-Workplace Harassment":'Example: "My neighbor is harassing me"',"Workplace Discrimination":'Example: "I am being discriminated at work based on my age"',"Non-Workplace Discrimination":'Example: "I am being discriminated against by a local official"',"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"'},defaultFinalHeadline:"Submit Your Case",finalHeadlines:{},defaultFinalSubHeadline:"You may benefit from speaking with a legal professional. Please verify your contact information.",finalSubHeadlines:{Adoption:"You may benefit from speaking with an adoption professional. Please verify your contact information.","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.","Copyrights and Trademarks":"You may benefit from speaking with a copyright and trademark professional. Please verify your contact information.","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.",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.","Immigration and Visas":"You may benefit from speaking with a immigration professional. Please verify your contact information.","Landlord and Tenant":"You may benefit from speaking with a landlord and tenant legal professional. Please verify your contact information.","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.","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.","Probate and Estates":"You may benefit from speaking with a probate and estate professional. Please verify your contact information.","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.",Unemployment:"You may benefit from speaking with an unemployment professional. Please verify your contact information.","Veteran's Disability":"You may benefit from speaking with a disability legal professional. Please verify your contact information.","Workers Compensation":"You may benefit from speaking with a workers compensation professional. Please verify your contact information."},trustedFormTOLPs:{Adoption:!0,"Child Custody and Support":!0,"Child Custody":!0,"Child Support":!0,"Divorce and Separation":!0,"Family Issues":!0,Guardianship:!0,"Not Sure or Other":!0}})},e(r,ye),{$cmp:"FormKit",props:function(a){return e(i,a)}({formId:"generalLegalPopUnder",redirectMap:function(a){return e(m,a)}(),popUnder:"/thank-you",valueOverrideMap:{Civil_Defense:{Yes:{Type_Of_Legal_Problem:"Defend a Lawsuit"}},Type_Of_Legal_Problem_Display:{"Auto Accident":{Type_Of_Legal_Problem:"Auto and Car Accidents"},"Dog Bite":{Type_Of_Legal_Problem:"Personal Injury"},"Slip and Fall":{Type_Of_Legal_Problem:"Personal Injury"},"Workplace Injury":{Type_Of_Legal_Problem:"Workers Compensation"},"Trucking Accident":{Type_Of_Legal_Problem:"Auto and Car Accidents"},"Motorcycle Accident":{Type_Of_Legal_Problem:"Auto and Car Accidents"},"Other Accidents or Injuries":{Type_Of_Legal_Problem:"Personal Injury"},"Automobile Accident":{Type_Of_Legal_Problem:"Auto and Car Accidents"},"Contract Disputes":{Type_Of_Legal_Problem:"Business Lawyers"},"Defamation and Slander":{Type_Of_Legal_Problem:"File a Lawsuit"},"Dog Bite":{Type_Of_Legal_Problem:"Personal Injury"},"Employment and Workplace":{Type_Of_Legal_Problem:"Employment and Workplace"},Fraud:{Type_Of_Legal_Problem:"Consumer Lawyers"},"Medical Malpractice":{Type_Of_Legal_Problem:"Medical Malpractice"},"Personal Injury":{Type_Of_Legal_Problem:"Personal Injury"},"Property Damage":{Type_Of_Legal_Problem:"Property Damage"},"Small Claims":{Type_Of_Legal_Problem:"File a Lawsuit"},"Real Estate":{Type_Of_Legal_Problem:"Real Estate"},"Other (describe on next page)":{Type_Of_Legal_Problem:"Not Sure or Other"},"Criminal Defense":{Type_Of_Legal_Problem:"Criminal and Felony"},"Victim of a Crime":{Type_Of_Legal_Problem:"Victim of a Crime"},"DUI and DWI":{Type_Of_Legal_Problem:"DUI and DWI"},Expungement:{Type_Of_Legal_Problem:"Expungement"},Harassment:{Type_Of_Legal_Problem:"Criminal and Felony"},"Not Sure or Other":{Type_Of_Legal_Problem:"Not Sure or Other"},"Workplace Harassment":{Type_Of_Legal_Problem:"Workplace Harassment"},"Workplace Discrimination":{Type_Of_Legal_Problem:"Workplace Discrimination"},"Wrongful Termination":{Type_Of_Legal_Problem:"Wrongful Termination"},"Payment Disputes":{Type_Of_Legal_Problem:"Employment and Workplace"},"Workers Compensation":{Type_Of_Legal_Problem:"Workers Compensation"},Unemployment:{Type_Of_Legal_Problem:"Unemployment"},"Other Workplace Issues":{Type_Of_Legal_Problem:"Employment and Workplace"},"Contracts and Agreements":{Type_Of_Legal_Problem:"Real Estate"},"Deeds, Liens, and Titles":{Type_Of_Legal_Problem:"Real Estate"},Foreclosure:{Type_Of_Legal_Problem:"Foreclosure"},Insurance:{Type_Of_Legal_Problem:"Insurance"},"Landlord and Tenant":{Type_Of_Legal_Problem:"Landlord and Tenant"},"Loans and Mortgages":{Type_Of_Legal_Problem:"Real Estate"},"Wills, Trusts, and Estates":{Type_Of_Legal_Problem:"Wills and Trusts"},"Property Damage":{Type_Of_Legal_Problem:"Property Damage"},"Other Real Estate Issues":{Type_Of_Legal_Problem:"Real Estate"}}}}),children:[function(a){return e(o,a)}({children:'$urlParam("hl", "Need Legal Help? Start Here!")',if:"$activeStep === $firstStep()"}),e(l,{children:'$urlParam("shl", "Our Service is Fast and Free!")',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 ce("generalLegalTOLPAndZip",[R(),T(),I(),z(),oe(),M(),P({label:"Zip Code:",placeholder:"#####",name:"Zip",maxlength:5,inputmode:"numeric",autocomplete:"postal-code",validation:"required|matches:/^[0-9]{5}$/",validationMessages:{required:"Zip Code is required",matches:"Invalid Zip Code"}})],e.nextOnEnter)}(),function(e={}){var a=[ne("AdoptionQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Adoption"',children:[F(),Q(),B(),x(),j()]}),ne("AsbestosAndMesotheliomaQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Asbestos and Mesothelioma"',children:[H(),E(),S()]}),ne("AutoAndCarAccidentsQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Auto and Car Accidents"',children:[F(),H(),L(),K(),E(),b({name:"Police_Report_Filed",label:"Was a Police Report Filed?"})]}),ne("BankruptcyQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Bankruptcy"',children:[F(),ee(),X(),q(),te(),S()]}),ne("BirthCertificateAndNameChangeQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Birth Certificate and Name Change"',children:[F(),S()]}),ne("BusinessLawyersQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Business Lawyers"',children:[F(),_({label:"Legal Services Needed for Your Business:",name:"Business_Services",options:["Business Formation","Contracts","Insurance and Liability","Mergers and Acquisition","Regulatory Compliance","Employee Dispute","Other"]}),g({label:"Is the Business Public or Private?",name:"Business_Type",options:["Public","Private"]}),V(),S()]}),ne("ChildCustodyAndSupportQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Child Custody and Support"',children:[F(),O(),$(),w(),x(),j()]}),ne("ChildCustodyQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Child Custody"',children:[F(),O(),$(),w(),x(),j()]}),ne("ChildSupportQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Child Support"',children:[F(),O(),$(),w(),x(),j()]}),ne("CivilRightsAndDiscriminationQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Civil Rights and Discrimination"',children:[_({label:"On what basis were your rights violated?",name:"Civil_Rights_Type",options:["Age","Disability","Gender","Race","Religion","Other"]}),F(),S()]}),ne("CivilLawsuitQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Civil Lawsuit"',children:[F(),Y(),S()]}),ne("FileLawsuitQuestions",{if:'$get(Type_Of_Legal_Problem).value == "File a Lawsuit"',children:[F(),Y(),S()]}),ne("DefendLawsuitQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Defend a Lawsuit"',children:[F(),Y(),S()]}),ne("ConsumerLawyersQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Consumer Lawyers"',children:[_({label:"What best describes your issue?",name:"Consumer_Lawyer_Type",options:["Unsafe Environment","Unsafe Products","Auto Fraud","Credit Reporting Issues","Debt Collection Abuse","Identity Theft","Lemon Law","Military Consumer Rights","Predatory Lending","Student Loans","Other"]}),H(),F(),Y(),S()]}),ne("CopyrightsAndTrademarksQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Copyrights and Trademarks"',children:[F(),S()]}),ne("CriminalAndFelonyQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Criminal and Felony"',children:[F(),A(),Z(),U(),x(),j()]}),ne("DebtAndCollectionsQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Debt and Collections"',children:[F(),ee(),X(),q(),te(),S()]}),ne("DivorceQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Divorce and Separation"',children:[F(),Q(),B(),x(),j()]}),ne("DUIAndDWIQuestions",{if:'$get(Type_Of_Legal_Problem).value == "DUI and DWI"',children:[F(),H(),b({name:"Prior_Alcohol_Offenses",label:"Any Prior Alcohol Related Offenses?"}),_({label:"Type of Alcohol Test Performed?",name:"Type_Of_Alcohol_Test",options:["No Test","Refused Test","Breath Test","Blood Test","Urine Test","Don't Know"]}),_({label:"Blood Alcohol Content Measured by Test:",name:"Blood_Alcohol_Content_Test",options:["No Test","0.00% - 0.04%","0.05% - 0.08%","0.09% - 0.12%","0.13% - 0.16%","0.17% - 0.20%","More than 0.20%","Don't know"]}),U(),S()]}),ne("ElderLawQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Elder Law"',children:[F(),S()]}),ne("EmploymentAndWorkplaceQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Employment and Workplace"',children:[F(),V(),W(),S()]}),ne("ExpungementQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Expungement"',children:[F(),H(),_({label:"What Type of Charge?",name:"Criminal_Charge_Type",options:["Felony","Misdemeanor","Juvenile","Other"]}),x(),j()]}),ne("FamilyIssuesQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Family Issues"',children:[F(),Q(),B(),x(),j()]}),ne("ForeclosureQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Foreclosure"',children:[F(),q(),_({label:"Type of Property:",name:"Type_Of_Property",options:["Residential","Commercial","Industrial","Agricultural","Recreational","Other"]}),_({label:"Total Amount of Payments that are Past Due:",name:"Amount_Payments_Past_Due",options:["$0 - $499","$500 - $999","$1,000 - $2,499","$2,500 - $4,999","$5,000 - $9,999","$10,000 - $24,999","$25,000 - $49,999","$50,000 - $99,999","More than $100,000"]}),_({label:"Total Amount of Loan?",name:"Loan_Amount",options:["Less than $10,000","$10,000 - $24,999","$25,000 - $49,999","$50,000 - $99,999","$100,000 - $199,999","$200,000 - $299,999","$300,000 - $399,999","$400,000 - $499,999","$500,000 - $599,999","More than $600,000"]}),b({name:"Default_Notice",label:"Have You Received a Notice of Default from the Lender?"}),S()]}),ne("GuardianshipQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Guardianship"',children:[F(),Q(),B(),x(),j()]}),ne("HarassmentAndDiscriminationQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Harassment and Discrimination"',children:re()}),ne("SexualHarassmentQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Sexual Harassment"',children:re()}),ne("WorkplaceHarassmentQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Workplace Harassment"',children:re()}),ne("NonWorkplaceHarassmentQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Non-Workplace Harassment"',children:re()}),ne("WorkplaceDiscriminationQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Workplace Discrimination"',children:re()}),ne("NonWorkplaceDiscriminationQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Non-Workplace Discrimination"',children:re()}),ne("IdentityTheftQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Identity Theft"',children:[F(),S()]}),ne("ImmigrationAndVisasQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Immigration and Visas"',children:[F(),_({label:"What is Your Current Country of Citizenship?",name:"Country_Of_Citizenship",options:["Afghanistan","Albania","Algeria","Andorra","Angola","Antigua and Barbuda","Argentina","Armenia","Australia","Austria","Azerbaijan","Bahamas","The Bahrain","Bangladesh","Barbados","Belarus","Belgium","Belize","Benin","Bhutan","Bolivia","Bosnia and Herzegovina","Botswana","Brazil","Brunei","Bulgaria","Burkina Faso","Burundi","Cambodia","Cameroon","Canada","Cape Verde","Central African Republic","Chad","Chile","China","Colombia","Comoros","Congo (Congoâ Kinshasa)","Congo (Congoâ Brazzaville)","Costa Rica","Coted'Ivoire (Ivory Coast)","Croatia","Cuba","Cyprus","Czech Republic","Denmark","Djibouti","Dominica","Dominican Republic","Ecuador","Egypt","El Salvador","Equatorial Guinea","Eritrea","Estonia","Ethiopia","Fiji","Finland","France","Gabon","Gambia","Georgia","Germany","Ghana","Greece","Grenada","Guatemala","Guinea","Guinea-Bissau","Guyana","Haiti","Honduras","Hungary","Iceland","India","Indonesia","Iran","Iraq","Ireland","Israel","Italy","Jamaica","Japan","Jordan","Kazakhstan","Kenya","Kiribati","Korea (North Korea)","Korea (South Korea)","Kuwait","Kyrgyzstan","Laos","Latvia","Lebanon","Lesotho","Liberia","Libya","Liechtenstein","Lithuania","Luxembourg","Macedonia","Madagascar","Malawi","Malaysia","Maldives","Mali","Malta","Marshall Islands","Mauritania","Mauritius","Mexico","Micronesia","Moldova","Monaco","Mongolia","Montenegro","Morocco","Mozambique","Myanmar (Burma)","Namibia","Nauru","Nepal","Netherlands","New Zealand","Nicaragua","Niger","Nigeria","Norway","Oman","Pakistan","Palau","Panama","Papua New Guinea","Paraguay","Peru","Philippines","Poland","Portugal","Qatar","Romania","Russia","Rwanda","Saint Kitts and Nevis","SaintLucia","Saint Vincent and the Grenadines","Samoa","San Marino","Sao Tome and Principe","Saudi Arabia","Senegal","Serbia","Seychelles","Sierra Leone","Singapore","Slovakia","Slovenia","Solomon Islands","Somalia","South Africa","Spain","SriLanka","Sudan","Suriname","Swaziland","Sweden","Switzerland","Syria","Tajikistan","Tanzania","Thailand","Timor-Leste (East Timor)","Togo","Tonga","Trinidad and Tobago","Tunisia","Turkey","Turkmenistan","Tuvalu","Uganda","Ukraine","United Arab Emirates","United Kingdom","United States","Uruguay","Uzbekistan","Vanuatu","Vatican City","Venezuela","Vietnam","Yemen","Zambia","Zimbabwe"]}),_({label:"Where Are You Migrating To?",name:"Immigration_Location",options:["In the USA","Outside the USA"]}),_({label:"How are you Trying to Enter the Country?",name:"Immigration_Entry",options:["With Proper Documents/Visa and Inspection through Customs Border Patrol","Illegally","No Entry","Other"]}),_({label:"What Type of Immigration Issue?",name:"Immigration_Type",options:["Citizenship (for current green card holders)","Permanent Visa Family Based (green cards)","Permanent Visa Business Based (green cards)","Temporary Business Visa","Temporary Tourist Visa","Investor","Asylum","Self Petition (violence & abuse victims)","Removal/Deportation Proceeding","Other"]}),_({label:"What is the Current Status of the Immigration Case?",name:"Immigration_Status",options:["Out of Status (overstayed my visa)","Current Visa Holder (in status)","Lawful Permanent Resident (green card)","Not Applicable (outside the USA)","Other"]}),_({label:"Where is the Person Seeking Immigration Located?",name:"Immigration_Details",options:["In the USA with proper documentation","In the USA without proper documentation","Not in the USA","In Deportation/Removal Proceedings","Currently Detained (friend or family submitting this request)","Out on Bond","None Apply"]}),S()]}),ne("InsuranceQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Insurance"',children:[F(),S()]}),ne("LandlordAndTenantQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Landlord and Tenant"',children:[F(),_({label:"I am the:",name:"Landlord_Tenant_Party",options:["Landlord","Tenant","Other"]}),_({label:"What is the Landlord / Tenant Issue?",name:"Landlord_Tenant_Issue",options:["Environmental Hazards","Eviction","Discrimination","Lease and Rental Agreements","Repairs and Maintenance","Right of Entry and Privacy","Screening and Applications","Other Dispute"]}),S()]}),ne("LemonLawQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Lemon Law"',children:[F(),H(),Y(),S()]}),ne("LongTermDisabilityQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Long Term Disability"',children:[F(),P({label:"What is the Applicant's Occupation?",name:"Applicant_Occupation",placeholder:"Occupation"}),C(),b({name:"Applicant_Lt_Disability_Policy",label:"Does Applicant have a Long Term Disability Policy?"}),_({label:"How Did Applicant Obtain the Disability Policy?",name:"Applicant_Disability_How_Obtain",options:["Employer","Self","Other"]}),y({name:"Applicant_Previously_Apply_Ltd_Benefits",label:"Has Applicant Previously Applied for Long Term Disability Benefits?",options:["Yes, claim pending","Yes, claim denied","No"]}),y({name:"Applicant_Received_Disability_Benefits",label:"Has Applicant Ever Received Long Term Disability Benefits for this Claim?",options:["Yes, currently receiving","Yes, appealing a decision to stop payment of benefits","No"]}),_({label:"Applicant's Monthly Salary/Pay When Last at Work:",name:"Applicant_Monthly_Salary",options:["< $1,000","$1,000 - $2,000","$2,000 - $3,000","$3,000 - $4,000","$4,000 - $5,000","$5,000 - $6,000","$6,000 - $7,000","$7,000 - $8,000","$8,000 - $9,000","$9,000 - $10,000",">$10,000"]})]}),ne("MedicalMalpracticeQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Medical Malpractice"',children:[F(),H(),k(),E(),_({label:"Injuries from Medical Malpractice:",name:"Medical_Malpractice_Injuries",options:["No Injury","Minor Injury","Disfigurement or cosmetic injury","Short term loss of physical ability","Long term loss of physical injury","Possibility of future harm","Death of Patient"]}),S()]}),ne("NursingHomeAbuseQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Nursing Home Abuse"',children:[F(),H(),_({label:"The Elderly Person is Currently:",name:"Nursing_Home_Status",options:["Living at a nursing home","Living at their own home with medical supervision","Living at their own home without medical supervision ","Living at the home of a child, grandchild or friend","Deceased","Other"]})]}),ne("PatentsAndIntellectualPropertyQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Patents and Intellectual Property"',children:[F(),_({label:"Legal Assistance Needed:",name:"Patent_Assistance_Type",options:["Obtaining a Patent","Avoiding Patent Infringement","Suing for Patent Infringement","Defending Against a Claim of Patent Infringement","Other"]}),_({label:"The Patent is for a:",name:"Patent_For",options:["Product or Machine","Process","Computer Software","Living Organism or Plant","Ornamental Design","Other"]}),S()]}),ne("PersonalInjuryQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Personal Injury"',children:[F(),H(),k(),L(),K(),E()]}),ne("PowerofAttorneyQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Power of Attorney"',children:[F(),S()]}),ne("ProbateAndEstatesQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Probate and Estates"',children:[F(),te(),ae(),J(),N(),S()]}),ne("ProductLiabilityQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Product Liability"',children:[F(),S()]}),ne("PropertyDamageQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Property Damage"',children:[F(),G(),ie(),S()]}),ne("RealEstateQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Real Estate"',children:[F(),G(),ie(),S()]}),ne("SocialSecurityDisabilityAndInsuranceQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Social Security Disability and Insurance"',children:[F(),C(),b({name:"Disability_Condition_Stop_Work",label:"Do You Expect To Be Out Of Work For At Least a Year Due To Your Health?"}),b({name:"Disability_Work_History",label:"Have You Had a Full-Time Job Within the Past 5 Years?"}),b({name:"Social_Security_Disability_Receiving_Benefits",label:"Are You Currently Receiving Social Security Disability Benefits?"}),E()]}),ne("TaxAndIRSQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Tax and IRS"',children:[F(),X(),_({label:"Details of Tax Problem:",name:"Tax_Problem_Details",options:["Assets Seized","Bank Account Levied","Cannot Pay Taxes","Innocent Spouse","Lien Filed","Received Audit Notice","Unpaid Interest","Wage Garnishment","Other"]}),_({label:"Which Level of Tax Issue?",name:"Tax_Level",options:["Federal","State","Local"]}),_({label:"Type of Tax Issue:",name:"Tax_Issue_Type",options:["Income","Property","Corporate"]}),S()]}),ne("TrafficAndTicketsQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Traffic and Tickets"',children:[F(),h({name:"Drivers_License_Type",label:"Type of Driver's License:",options:["Private","Commercial"]}),_({label:"Which Type of Violation?",name:"Traffic_Violations",options:["Disregarding a Red Light","Disregarding a Stop Sign","DMV Letter About License","DUI/DWI","Failure to Appear in Court","License Suspended/Revoked","Minor in Possession of Alcohol","No Child Safety Seat","No Liability Insurance","No Seat Belt","Open Container of Alcohol","Parking Ticket","Racing","Speeding","Unpaid Traffic Tickets","Warrant Issue for Arrest","Other Violation"]}),b({name:"Have_Court_Date",label:"Do You Have a Court Date?"}),S()]}),ne("UnemploymentQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Unemployment"',children:[V(),W(),S()]}),ne("VaccinationInjuryQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Vaccination Injury"',children:[F(),H()]}),ne("VeteransDisabilityQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Veteran\'s Disability"',children:[_({label:"What is Your Relationship to the Applicant?",name:"Veterans_Disability_Relationship",options:["Self, Active Duty","Self, Active Reserve","Self, Discharged from Active Duty","Self, Discharged as Reservist","Surviving Family Member","Other"]}),b({name:"Veterans_Disability_Injured",label:"Was the Applicant Hurt While on Duty or is the Condition Related to Military Service?"}),p({label:"What Service Connected Conditions Does the Applicant Have? (select all that apply)",name:"Veterans_Disability_Conditions",options:["Traumatic Physical Injury (broken bones, loss of limb)","Mental Injury","Occupational Disease","Repeated Trauma Injury","Other"]}),_({label:"Has the Applicant Applied for VA Disability Compensation?",name:"Veterans_Disability_Applied",options:["Yes, Claim filed and awaiting decision","Yes, Claim denied","Yes, Claim on appeal","Yes, Claim approved","Yes, Benefits awarded","No, Claim has not been filed"]})]}),ne("VictimOfACrimeQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Victim of a Crime"',children:[F(),A(),Z(),U(),x(),j()]}),ne("WillsAndTrustsQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Wills and Trusts"',children:[F(),te(),ae(),J(),N(),S()]}),ne("WorkersCompensationQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Workers Compensation"',children:[F(),H(),k(),K(),_({label:"Cause of Injury:",name:"Cause_Of_Injury",options:["Traumatic Physical Injury (Accident)","Repeated Trauma Injury","Mental Injury","Occupational Disease","Not Sure"]}),E()]}),ne("WrongfulDeathQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Wrongful Death"',children:[F(),H(),_({label:"Relationship to the Victim:",name:"Relationship_To_Victim",options:["Parent","Spouse","Sibling","Friend","Other"]}),y({name:"Criminal_Charges_Filed",label:"Were Criminal Charges Filed?",options:["Yes","No","Not Sure"]}),_({label:"What was the Cause of the Victim's Death?",name:"Cause_Of_Death",options:["Vehicle Accident","Negligent/Careless Act","Reckless Act","Other"]})]}),ne("WrongfulTerminationQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Wrongful Termination"',children:[F(),V(),W(),S()]}),ne("NotSureOrOtherQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Not Sure or Other"',children:[F(),S()]})];return a.unshift(function(e){return{$el:"h3",children:e.headline||"Tell Us About Your Case",attrs:{class:"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-5 t-pt-0 t-px-3"}}}(e)),ce("TOLPQuestions",a,e.nextOnEnter)}(),function(e={}){return ce("commentsWithBankruptcy",[de(e),D({label:e.label||"Please briefly describe your legal issue in a few words:",placeholder:e.placeholder||t}),p({label:"I'd also like a separate consultation for bankruptcy and debt elimination",help:"Please note: you will be contacted separately by a bankruptcy expert",name:"CrossSell_Bankruptcy",if:'$getVal($get(form), "Type_Of_Legal_Problem") != "Bankruptcy" && ($getVal($get(form), "Degree_Of_Interest") == "Absolutely Can\'t Afford" || $getVal($get(form), "Degree_Of_Interest") == "Maybe" || $getVal($get(form), "Degree_Of_Interest") == "Probably")',validation:null,helpClass:"!t-text-sm"})],e.nextOnEnter)}({nextOnEnter:!1}),function(e={}){return ce("firstAndLast",[me(e),P({$formkit:"text",label:"First Name:",name:"First_Name",autocomplete:"given-name",validationMessages:{required:"First Name is required"}}),P({$formkit:"text",label:"Last Name:",name:"Last_Name",autocomplete:"family-name",validationMessages:{required:"Last Name is required"}})],e.nextOnEnter)}(),function(e={}){return ce("contactInfo",[ue(e),pe(e),P({$formkit:"email",name:"Email",label:"Email Address:",placeholder:"email@domain.com",autocomplete:"email","data-tf-sensitive":"false",validation:"required|email",validationMessages:{required:"Email is required",email:"Invalid Email"}}),P({$formkit:"tel",name:"Primary_Phone",label:"Phone Number:",placeholder:"###-###-####",maxlength:12,help:"10-digit phone number, hyphens optional",autocomplete:"tel-national","data-tf-sensitive":"false",validation:"required|matches:/^[0-9]{3}-?[0-9]{3}-?[0-9]{4}$/|valid_phone",validationMessages:{required:"Field is required",matches:"Invalid Phone Format, use ###-###-####",valid_phone:"Invalid Phone Number"},helpClass:"t-mt-2.5 md:t-text-right md:t-mt-[-2px]"}),{$formkit:"checkbox",label:"$meta.tcpaLanguage",name:"TCPA_Opt_In","data-tf-sensitive":"false",validation:"required|accepted",validationMessages:{required:"Consent is required",accepted:"Consent is required"},classes:{label:"t-text-xs t-text-slate-500 t-font-normal"}},d()],e.nextOnEnter)}({nextOnEnter:!1}),{$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:{if:"$activeStep === $firstStep()",then:"Start",else:"Next"},outerClass:{if:"$activeStep === $lastStep()",then:"t-hidden",else:""},style:{if:"$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 ye;return fe}();