bhl-forms 0.1.32 → 0.2.0
This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
- package/dist/forms/accidentsAndInjuries.es.js +30 -56
- package/dist/forms/accidentsAndInjuries.iife.js +1 -1
- package/dist/forms/accidentsAndInjuries.json +1 -1
- package/dist/forms/childAndFamily.es.js +5 -57
- package/dist/forms/childAndFamily.iife.js +1 -1
- package/dist/forms/childAndFamily.json +1 -1
- package/dist/forms/civilLawsuit.es.js +30 -56
- package/dist/forms/civilLawsuit.iife.js +1 -1
- package/dist/forms/civilLawsuit.json +1 -1
- package/dist/forms/contracts.es.js +2 -56
- package/dist/forms/contracts.iife.js +1 -1
- package/dist/forms/contracts.json +1 -1
- package/dist/forms/criminal.es.js +30 -56
- package/dist/forms/criminal.iife.js +1 -1
- package/dist/forms/criminal.json +1 -1
- package/dist/forms/employmentAndWorkplace.es.js +30 -56
- package/dist/forms/employmentAndWorkplace.iife.js +1 -1
- package/dist/forms/employmentAndWorkplace.json +1 -1
- package/dist/forms/generalLegal.es.js +30 -56
- package/dist/forms/generalLegal.iife.js +1 -1
- package/dist/forms/generalLegal.json +1 -1
- package/dist/forms/generalLegalPopUnder.es.js +30 -56
- package/dist/forms/generalLegalPopUnder.iife.js +1 -1
- package/dist/forms/generalLegalPopUnder.json +1 -1
- package/dist/forms/generalLegalPopUnderTF.es.js +5 -57
- package/dist/forms/generalLegalPopUnderTF.iife.js +1 -1
- package/dist/forms/generalLegalPopUnderTF.json +1 -1
- package/dist/forms/generalLegalThankYou.es.js +30 -56
- package/dist/forms/generalLegalThankYou.iife.js +1 -1
- package/dist/forms/generalLegalThankYou.json +1 -1
- package/dist/forms/harassmentAndDiscrimination.es.js +30 -56
- package/dist/forms/harassmentAndDiscrimination.iife.js +1 -1
- package/dist/forms/harassmentAndDiscrimination.json +1 -1
- package/dist/forms/malpractice.es.js +2 -56
- package/dist/forms/malpractice.iife.js +1 -1
- package/dist/forms/malpractice.json +1 -1
- package/dist/forms/realEstate.es.js +30 -56
- package/dist/forms/realEstate.iife.js +1 -1
- package/dist/forms/realEstate.json +1 -1
- package/dist/forms/repossession.es.js +2 -56
- package/dist/forms/repossession.iife.js +1 -1
- package/dist/forms/repossession.json +1 -1
- package/dist/forms/ssdi.es.js +1047 -0
- package/dist/forms/ssdi.iife.js +1 -0
- package/dist/forms/ssdi.json +1 -0
- package/dist/forms/testForm.es.js +2 -56
- package/dist/forms/testForm.iife.js +1 -1
- package/dist/forms/testForm.json +1 -1
- package/dist/forms/willsAndTrusts.es.js +31 -56
- package/dist/forms/willsAndTrusts.iife.js +1 -1
- package/dist/forms/willsAndTrusts.json +1 -1
- package/package.json +1 -1
|
@@ -1 +1 @@
|
|
|
1
|
-
var childAndFamily=function(){"use strict";function e(){return Object.assign({},...arguments)}const t='$getKey($meta, "commentsPlaceholders." + $get(Type_Of_Legal_Problem).value, $meta.defaultCommentsPlaceholder)',a="Please briefly describe your legal issue in a few words:",i='$getKey($meta, "finalHeadlines." + $get(Type_Of_Legal_Problem).value, $meta.defaultFinalHeadline)',r='$getKey($meta, "finalSubHeadlines." + $get(Type_Of_Legal_Problem).value, $meta.defaultFinalSubHeadline)',n={type:"form",id:"form",config:{validationVisibility:"submit"},onSubmit:'$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 o={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 l={$el:"div",children:[{$el:"div",attrs:{id:"form-anchor",class:"t-absolute",style:{top:"-30px",left:0}}}],attrs:{class:"t-relative"}};const s={$el:"h1",attrs:{class:"t-flex t-justify-center t-text-center !t-text-[2rem] t-font-semibold t-pt-5 t-px-7 md:t-px-3"}};const d={$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 m={$el:"div",if:"$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"}},{$el:"span",children:"Secure & Encrypted",attrs:{class:"t-pl-2 t-pt-1 t-font-medium"}}]};function p(t){return e(m,t)}const c=[{$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},{$formkit:"hidden",name:"s",value:null}],u={"*":"https://listings.ziplawyer.com/api/v1/redirect?zone_id=4&category=${properties.Type_Of_Legal_Problem}&Degree_Of_Interest=${properties.Degree_Of_Interest}&zip_code=${properties.Zip}&sub_id=${properties.vid}"};const f=t=>(t.legendClass="legend-left required",t.fieldsetClass="$reset side-by-side",t.optionsClass="t-pl-1",t.innerClass="t-flex t-items-center",t.wrapperClass="t-mb-3",(t=>e({$formkit:"checkbox",validation:"required",validationMessages:{required:"Field is required"}},t))(t)),h=t=>e({$formkit:"radio",validation:"required",validationMessages:{required:"Field is required"},optionsClass:"t-pt-3 t-pl-1",legendClass:"required"},t),y=e=>(e.options=["Yes","No"],(e=>(e.legendClass="legend-left t-pb-1 required",e.fieldsetClass="$reset side-by-side t-items-center",e.optionsClass="t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center",e.innerClass="t-flex t-items-center",e.optionClass="t-pr-1",h(e)))(e)),g=t=>(t.labelClass="required",t.wrapperClass="side-by-side t-items-center",t.innerClass="select-height-content",t.helpClass="t-mt-2.5 md:t-text-right md:t-mt-[-5px]",(t=>e({$formkit:"select",placeholder:"Please Select",validation:"required",validationMessages:{required:"Field is required"},inputClass:"t-bg-white",labelClass:"required"},t))(t)),b=t=>(t.wrapperClass="side-by-side t-items-center",(t=>e({$formkit:"text",validation:"required",validationMessages:{required:"Field is required"},labelClass:"required"},t))(t)),x=()=>f({label:"I'd also like a separate consultation for bankruptcy and debt elimination",help:"Please note: you will be contacted separately by a bankruptcy expert",name:"CrossSell_Bankruptcy",if:'$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"}),v=()=>{return(e={label:"Type of Help Needed:",name:"Type_Of_Legal_Problem",id:"Type_Of_Legal_Problem",options:["Child Custody","Child Support","Adoption","Family Issues","Guardianship","Divorce and Separation","Not Sure or Other"]}).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",h(e);var e},w=()=>g({label:"With Whom Do the Children Currently Live?",name:"Child_Home",options:["Mother","Father","Grandparents","Other"]}),$=()=>g({label:"Who is the Primary Caregiver?",name:"Child_Primary_Caregiver",options:["Mother","Father","Other"]}),k=()=>g({label:"Your Relationship to Child(ren):",name:"Child_Relationship",options:["Father","Mother","Grandparent","Aunt/Uncle","Other"]}),I=t=>(t=>e({$formkit:"textarea",rows:5,maxlength:500,validation:"required",validationMessages:{required:"Field is required"},innerClass:"t-max-w-xl",labelClass:"required"},t))(e({label:"Please briefly describe your situation in a few words:",name:"Comments",placeholder:'For Example: "I would like help with child support payments" or "I need help with visitation rights"'},t)),C=e=>g({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"]}),_=()=>b({$formkit:"email",name:"Email",label:"Email Address:",placeholder:"email@domain.com",autocomplete:"email","data-tf-sensitive":"false",validation:"required|email",validationMessages:{required:"Email is required",email:"Invalid Email"}}),E=()=>b({$formkit:"text",label:"First Name:",name:"First_Name",autocomplete:"given-name",validationMessages:{required:"First Name is required"}}),P=()=>y({name:"Have_Attorney",label:"Already Working with An Attorney?"}),S=()=>y({name:"Have_Children",label:"Do You Have Children?"}),L=()=>b({$formkit:"text",label:"Last Name:",name:"Last_Name",autocomplete:"family-name",validationMessages:{required:"Last Name is required"}}),O=()=>g({label:"How Will You Pay for Legal Fees if You Hire a Lawyer?",name:"Lawyer_Payment_Method",help:"No payment necessary to speak with lawyers.",options:["Cash","Check","Credit Card","Friend","Family","Other"]}),T=()=>g({label:"Marital Status:",name:"Marital_Status",options:["Unmarried, Living Together","Unmarried, Do Not Live Together","Married, Living Together","Separated","Divorced","Other"]}),A=()=>b({$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}$/|valid_phone",validationMessages:{required:"Field is required",matches:"Invalid Phone Format, use ###-###-####",valid_phone:"Invalid Phone Number"},helpClass:"t-mt-2.5 md:t-text-right md:t-mt-[-2px]"}),F=()=>({$formkit:"checkbox",label:"$meta.tcpaLanguage",name:"TCPA_Opt_In","data-tf-sensitive":"false",validation:"required|accepted",validationMessages:{required:"Consent is required",accepted:"Consent is required"},classes:{label:"t-text-xs t-text-slate-500 t-font-normal"}}),D=()=>b({label:"Zip Code:",placeholder:"#####",name:"Zip",maxlength:5,inputmode:"numeric",autocomplete:"postal-code",validation:"required|matches:/^[0-9]{5}$/",validationMessages:{required:"Zip Code is required",matches:"Invalid Zip Code"}}),q=(t,a)=>e({$cmp:"FormKit",props:{type:"group",key:t,id:t,name:t}},a),M=()=>q("AdoptionQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Adoption"',children:[P(),T(),S(),C(),O()]}),Y=()=>q("ChildCustodyAndSupportQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Child Custody and Support"',children:[P(),k(),w(),$(),C(),O()]}),N=()=>q("ChildCustodyQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Child Custody"',children:[P(),k(),w(),$(),C(),O()]}),j=()=>q("ChildSupportQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Child Support"',children:[P(),k(),w(),$(),C(),O()]}),H=()=>q("DivorceQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Divorce and Separation"',children:[P(),T(),S(),C(),O()]}),U=()=>q("FamilyIssuesQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Family Issues"',children:[P(),T(),S(),C(),O()]}),W=()=>q("GuardianshipQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Guardianship"',children:[P(),T(),S(),C(),O()]}),R=()=>q("NotSureOrOtherQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Not Sure or Other"',children:[P(),C("No payment necessary to speak with lawyers.")]}),V="$onEnter($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))",B=e=>"group"!==e.type&&"section"!==e.type&&"form"!==e.type&&"hidden"!==e.$formkit&&!e.children,Q=e=>{if(B(e))return e;for(var t=e.children.length-1;t>=0;t--){if("string"==typeof e.children)continue;const a=e.children[t];if(B(a))return a;const i=Q(a);if(i)return i}return null},G=e=>({$el:"section",if:'$stepIsEnabled("'+e+'")',attrs:{style:{if:'$activeStep !== "'+e+'"',then:"display: none;"}}});function z(e){return{$el:"h3",children:e.headline||"Tell Us About Your Case",attrs:{class:"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-5 t-pt-0 t-px-3"}}}function K(e){return{$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 Z(e){return{$el:"h3",children:e.headline||"Please Provide a Contact Name",attrs:{class:"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-5 t-pt-0 t-px-3"}}}function J(e){return{$el:"h3",children:e.headline||i,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 X(e){return{$el:"h5",children:e.subheadline||r,attrs:{class:"t-flex t-justify-center t-text-center !t-text-lg t-font-semibold t-pb-7 t-pt-0 t-px-3"}}}const ee="(function() {\n if (window.xxTrustedFormLoaded) {\n return\n }\n var vid = '';\n if (typeof window.zar !== 'undefined') {\n vid = window.zar.getVID();\n }\n window.xxTrustedFormLoaded = true;\n var sandbox = document.location.hostname.indexOf('localhost') > -1 ? 'true' : 'false'\n var tf = document.createElement('script');\n tf.type = 'text/javascript'; tf.async = true;\n tf.src = (\"https:\" == document.location.protocol ? 'https' : 'http') + \"://api.trustedform.com/trustedform.js?field=xxTrustedFormCertUrl&identifier=\" + vid + \"&ping_field=xxTrustedFormPingUrl&provideReferrer=false&invert_field_sensitivity=true&sandbox=\" + sandbox + \"&l=\" + new Date().getTime() + Math.random();\n var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(tf, s);\n})();";function te(t,a,i=!0){if(void 0===i&&(i=!0),a&&a.length&&i){Q(a[a.length-1]).onKeypress=V}return e(G(t),{children:[{$formkit:"group",id:t,name:t,children:a}]})}const ae=[{type:"meta",data:e(o,{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(l,ie),{$cmp:"FormKit",props:function(t){return e(n,t)}({formId:"childAndFamily",redirectMap:function(t){return e(u,t)}()}),children:[function(t){return e(s,t)}({children:'$urlParam("hl", "Get Child & Family Help Today")',if:"$activeStep === $firstStep()"}),function(t){return e(d,t)}({children:'$urlParam("shl", "Contact Us for Child Support, Custody and Family Issues")',if:"$activeStep === $firstStep()"}),...c,{$el:"div",attrs:{class:"form-body"},children:[function(e={}){return te("childAndFamilyTOLPAndZip",[v(),D()],e.nextOnEnter)}(),function(e={}){return te("TOLPQuestions",[z(e),M(),Y(),N(),j(),U(),W(),H(),R()],e.nextOnEnter)}(),function(e={}){return te("commentsWithBankruptcy",[K(e),I({label:e.label||a,placeholder:e.placeholder||t}),x()],e.nextOnEnter)}({nextOnEnter:!1}),function(e={}){return te("firstAndLast",[Z(e),E(),L()],e.nextOnEnter)}(),function(e={}){return te("contactInfo",[J(e),X(e),{$el:"script",if:'$activeStep === $lastStep() && $getKey($meta, "trustedFormTOLPs." + $get(Type_Of_Legal_Problem).value, false) == true',children:ee},_(),A(),F(),p()],e.nextOnEnter)}({nextOnEnter:!1}),{$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: ","$stepQueue"],attrs:{class:"t-text-xs",style:"overflow: scroll"}}]}]}]}];var ie;return ae}();
|
|
1
|
+
var childAndFamily=function(){"use strict";function e(){return Object.assign({},...arguments)}const t='$getKey($meta, "commentsPlaceholders." + $get(Type_Of_Legal_Problem).value, $meta.defaultCommentsPlaceholder)',a="Please briefly describe your legal issue in a few words:",i='$getKey($meta, "finalHeadlines." + $get(Type_Of_Legal_Problem).value, $meta.defaultFinalHeadline)',r='$getKey($meta, "finalSubHeadlines." + $get(Type_Of_Legal_Problem).value, $meta.defaultFinalSubHeadline)',n={type:"form",id:"form",config:{validationVisibility:"submit"},onSubmit:'$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 o={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 l={$el:"div",children:[{$el:"div",attrs:{id:"form-anchor",class:"t-absolute",style:{top:"-30px",left:0}}}],attrs:{class:"t-relative"}};const s={$el:"h1",attrs:{class:"t-flex t-justify-center t-text-center !t-text-[2rem] t-font-semibold t-pt-5 t-px-7 md:t-px-3"}};const d={$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 m={$el:"div",if:"$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"}},{$el:"span",children:"Secure & Encrypted",attrs:{class:"t-pl-2 t-pt-1 t-font-medium"}}]};function p(t){return e(m,t)}const c=[{$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},{$formkit:"hidden",name:"s",value:null}],u={"*":"https://listings.ziplawyer.com/api/v1/redirect?zone_id=4&category=${properties.Type_Of_Legal_Problem}&Degree_Of_Interest=${properties.Degree_Of_Interest}&zip_code=${properties.Zip}&sub_id=${properties.vid}"};const f=t=>(t.legendClass="legend-left required",t.fieldsetClass="$reset side-by-side",t.optionsClass="t-pl-1",t.innerClass="t-flex t-items-center",t.wrapperClass="t-mb-3",(t=>e({$formkit:"checkbox",validation:"required",validationMessages:{required:"Field is required"}},t))(t)),h=t=>e({$formkit:"radio",validation:"required",validationMessages:{required:"Field is required"},optionsClass:"t-pt-3 t-pl-1",legendClass:"required"},t),y=e=>(e.options=["Yes","No"],(e=>(e.legendClass="legend-left t-pb-1 required",e.fieldsetClass="$reset side-by-side t-items-center",e.optionsClass="t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center",e.innerClass="t-flex t-items-center",e.optionClass="t-pr-1",h(e)))(e)),g=t=>(t.labelClass="required",t.wrapperClass="side-by-side t-items-center",t.innerClass="select-height-content",t.helpClass="t-mt-2.5 md:t-text-right md:t-mt-[-5px]",(t=>e({$formkit:"select",placeholder:"Please Select",validation:"required",validationMessages:{required:"Field is required"},inputClass:"t-bg-white",labelClass:"required"},t))(t)),b=t=>(t.wrapperClass="side-by-side t-items-center",(t=>e({$formkit:"text",validation:"required",validationMessages:{required:"Field is required"},labelClass:"required"},t))(t)),x=()=>f({label:"I'd also like a separate consultation for bankruptcy and debt elimination",help:"Please note: you will be contacted separately by a bankruptcy expert",name:"CrossSell_Bankruptcy",if:'$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"}),v=()=>{return(e={label:"Type of Help Needed:",name:"Type_Of_Legal_Problem",id:"Type_Of_Legal_Problem",options:["Child Custody","Child Support","Adoption","Family Issues","Guardianship","Divorce and Separation","Not Sure or Other"]}).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",h(e);var e},w=()=>g({label:"With Whom Do the Children Currently Live?",name:"Child_Home",options:["Mother","Father","Grandparents","Other"]}),$=()=>g({label:"Who is the Primary Caregiver?",name:"Child_Primary_Caregiver",options:["Mother","Father","Other"]}),k=()=>g({label:"Your Relationship to Child(ren):",name:"Child_Relationship",options:["Father","Mother","Grandparent","Aunt/Uncle","Other"]}),I=t=>(t=>e({$formkit:"textarea",rows:5,maxlength:500,validation:"required",validationMessages:{required:"Field is required"},innerClass:"t-max-w-xl",labelClass:"required"},t))(e({label:"Please briefly describe your situation in a few words:",name:"Comments",placeholder:'For Example: "I would like help with child support payments" or "I need help with visitation rights"'},t)),C=e=>g({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"]}),E=()=>b({$formkit:"email",name:"Email",label:"Email Address:",placeholder:"email@domain.com",autocomplete:"email","data-tf-sensitive":"false",validation:"required|email",validationMessages:{required:"Email is required",email:"Invalid Email"}}),_=()=>b({$formkit:"text",label:"First Name:",name:"First_Name",autocomplete:"given-name",validationMessages:{required:"First Name is required"}}),P=()=>y({name:"Have_Attorney",label:"Already Working with An Attorney?"}),S=()=>y({name:"Have_Children",label:"Do You Have Children?"}),L=()=>b({$formkit:"text",label:"Last Name:",name:"Last_Name",autocomplete:"family-name",validationMessages:{required:"Last Name is required"}}),T=()=>g({label:"How Will You Pay for Legal Fees if You Hire a Lawyer?",name:"Lawyer_Payment_Method",help:"No payment necessary to speak with lawyers.",options:["Cash","Check","Credit Card","Friend","Family","Other"]}),O=()=>g({label:"Marital Status:",name:"Marital_Status",options:["Unmarried, Living Together","Unmarried, Do Not Live Together","Married, Living Together","Separated","Divorced","Other"]}),A=()=>b({$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}$/|valid_phone",validationMessages:{required:"Field is required",matches:"Invalid Phone Format, use ###-###-####",valid_phone:"Invalid Phone Number"},helpClass:"t-mt-2.5 md:t-text-right md:t-mt-[-2px]"}),D=()=>({$formkit:"checkbox",label:"$meta.tcpaLanguage",name:"TCPA_Opt_In","data-tf-sensitive":"false",validation:"required|accepted",validationMessages:{required:"Consent is required",accepted:"Consent is required"},classes:{label:"t-text-xs t-text-slate-500 t-font-normal"}}),q=()=>b({label:"Zip Code:",placeholder:"#####",name:"Zip",maxlength:5,inputmode:"numeric",autocomplete:"postal-code",validation:"required|matches:/^[0-9]{5}$/",validationMessages:{required:"Zip Code is required",matches:"Invalid Zip Code"}}),F=(t,a)=>e({$cmp:"FormKit",props:{type:"group",key:t,id:t,name:t}},a),M=()=>F("AdoptionQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Adoption"',children:[P(),O(),S(),C(),T()]}),Y=()=>F("ChildCustodyAndSupportQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Child Custody and Support"',children:[P(),k(),w(),$(),C(),T()]}),N=()=>F("ChildCustodyQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Child Custody"',children:[P(),k(),w(),$(),C(),T()]}),j=()=>F("ChildSupportQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Child Support"',children:[P(),k(),w(),$(),C(),T()]}),H=()=>F("DivorceQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Divorce and Separation"',children:[P(),O(),S(),C(),T()]}),U=()=>F("FamilyIssuesQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Family Issues"',children:[P(),O(),S(),C(),T()]}),W=()=>F("GuardianshipQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Guardianship"',children:[P(),O(),S(),C(),T()]}),R=()=>F("NotSureOrOtherQuestions",{if:'$get(Type_Of_Legal_Problem).value == "Not Sure or Other"',children:[P(),C("No payment necessary to speak with lawyers.")]}),V="$onEnter($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))",B=e=>"group"!==e.type&&"section"!==e.type&&"form"!==e.type&&"hidden"!==e.$formkit&&!e.children,Q=e=>{if(B(e))return e;for(var t=e.children.length-1;t>=0;t--){if("string"==typeof e.children)continue;const a=e.children[t];if(B(a))return a;const i=Q(a);if(i)return i}return null},G=e=>({$el:"section",if:'$stepIsEnabled("'+e+'")',attrs:{style:{if:'$activeStep !== "'+e+'"',then:"display: none;"}}});function z(e){return{$el:"h3",children:e.headline||"Tell Us About Your Case",attrs:{class:"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-5 t-pt-0 t-px-3"}}}function K(e){return{$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 Z(e){return{$el:"h3",children:e.headline||"Please Provide a Contact Name",attrs:{class:"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-5 t-pt-0 t-px-3"}}}function J(e){return{$el:"h3",children:e.headline||i,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 X(e){return{$el:"h5",children:e.subheadline||r,attrs:{class:"t-flex t-justify-center t-text-center !t-text-lg t-font-semibold t-pb-7 t-pt-0 t-px-3"}}}const ee="(function() {\n if (window.xxTrustedFormLoaded) {\n return\n }\n var vid = '';\n if (typeof window.zar !== 'undefined') {\n vid = window.zar.getVID();\n }\n window.xxTrustedFormLoaded = true;\n var sandbox = document.location.hostname.indexOf('localhost') > -1 ? 'true' : 'false'\n var tf = document.createElement('script');\n tf.type = 'text/javascript'; tf.async = true;\n tf.src = (\"https:\" == document.location.protocol ? 'https' : 'http') + \"://api.trustedform.com/trustedform.js?field=xxTrustedFormCertUrl&identifier=\" + vid + \"&ping_field=xxTrustedFormPingUrl&provideReferrer=false&invert_field_sensitivity=true&sandbox=\" + sandbox + \"&l=\" + new Date().getTime() + Math.random();\n var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(tf, s);\n})();";function te(t,a,i=!0){if(void 0===i&&(i=!0),a&&a.length&&i){Q(a[a.length-1]).onKeypress=V}return e(G(t),{children:[{$formkit:"group",id:t,name:t,children:a}]})}const ae=[{type:"meta",data:e(o,{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."}})},e(l,ie),{$cmp:"FormKit",props:function(t){return e(n,t)}({formId:"childAndFamily",redirectMap:function(t){return e(u,t)}()}),children:[function(t){return e(s,t)}({children:'$urlParam("hl", "Get Child & Family Help Today")',if:"$activeStep === $firstStep()"}),function(t){return e(d,t)}({children:'$urlParam("shl", "Contact Us for Child Support, Custody and Family Issues")',if:"$activeStep === $firstStep()"}),...c,{$el:"div",attrs:{class:"form-body"},children:[function(e={}){return te("childAndFamilyTOLPAndZip",[v(),q()],e.nextOnEnter)}(),function(e={}){return te("TOLPQuestions",[z(e),M(),Y(),N(),j(),U(),W(),H(),R()],e.nextOnEnter)}(),function(e={}){return te("commentsWithBankruptcy",[K(e),I({label:e.label||a,placeholder:e.placeholder||t}),x()],e.nextOnEnter)}({nextOnEnter:!1}),function(e={}){return te("firstAndLast",[Z(e),_(),L()],e.nextOnEnter)}(),function(e={}){return te("contactInfo",[J(e),X(e),{$el:"script",if:"$activeStep === $lastStep()",children:ee},E(),A(),D(),p()],e.nextOnEnter)}({nextOnEnter:!1}),{$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: ","$stepQueue"],attrs:{class:"t-text-xs",style:"overflow: scroll"}}]}]}]}];var ie;return ae}();
|
|
@@ -1 +1 @@
|
|
|
1
|
-
[{"type":"meta","data":{"tcpaLanguage":"By checking this box, I a) agree to the Terms of Use, and b) consent to be contacted by lawyers, lawyer networks, and partners of this website using live, autodialed, pre-recorded, or artificial voice calls, as well as text messages. Your consent is not required as a condition of purchasing any goods or services. To submit this request without this consent, call 878-213-4937.","defaultCommentsPlaceholder":"$getKey($meta, \"commentsPlaceholders.\" + $get(Type_Of_Legal_Problem).value, $meta.defaultCommentsPlaceholder)","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":true,"Child Custody and Support":true,"Child Custody":true,"Child Support":true,"Divorce and Separation":true,"Family Issues":true,"Guardianship":true,"Not Sure or Other":true}}},{"$el":"div","children":[{"$el":"div","attrs":{"id":"form-anchor","class":"t-absolute","style":{"top":"-30px","left":0}}}],"attrs":{"class":"t-relative"}},{"$cmp":"FormKit","props":{"type":"form","id":"form","config":{"validationVisibility":"submit"},"onSubmit":"$submit($submitUrl, $prepData, $handleRedirect, \"text/plain; charset=UTF-8\")","plugins":"$plugins","actions":false,"anchorElement":"form-anchor","prepop":{"fromURL":true},"errorCodes":{"403":{"message":"An Error Occurred","abort":false},"409":{"abort":false},"429":"An Error Occurred","504":{"message":"An Error Occurred","abort":false}},"formClass":"!t-max-w-[40rem]","formId":"childAndFamily","redirectMap":{"*":"https://listings.ziplawyer.com/api/v1/redirect?zone_id=4&category=${properties.Type_Of_Legal_Problem}&Degree_Of_Interest=${properties.Degree_Of_Interest}&zip_code=${properties.Zip}&sub_id=${properties.vid}"}},"children":[{"$el":"h1","attrs":{"class":"t-flex t-justify-center t-text-center !t-text-[2rem] t-font-semibold t-pt-5 t-px-7 md:t-px-3"},"children":"$urlParam(\"hl\", \"Get Child & Family Help Today\")","if":"$activeStep === $firstStep()"},{"$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"},"children":"$urlParam(\"shl\", \"Contact Us for Child Support, Custody and Family Issues\")","if":"$activeStep === $firstStep()"},{"$formkit":"hidden","name":"vertical","value":"Legal"},{"$formkit":"hidden","name":"TCPA_Language","value":"$meta.tcpaLanguage"},{"$formkit":"hidden","name":"gclid","value":null},{"$formkit":"hidden","name":"campaignid","value":null},{"$formkit":"hidden","name":"s","value":null},{"$el":"div","attrs":{"class":"form-body"},"children":[{"$el":"section","if":"$stepIsEnabled(\"childAndFamilyTOLPAndZip\")","attrs":{"style":{"if":"$activeStep !== \"childAndFamilyTOLPAndZip\"","then":"display: none;"}},"children":[{"$formkit":"group","id":"childAndFamilyTOLPAndZip","name":"childAndFamilyTOLPAndZip","children":[{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-pl-2 t-pt-3 t-grid t-grid-cols-1 md:t-grid-cols-2","legendClass":"required","label":"Type of Help Needed:","name":"Type_Of_Legal_Problem","id":"Type_Of_Legal_Problem","options":["Child Custody","Child Support","Adoption","Family Issues","Guardianship","Divorce and Separation","Not Sure or Other"],"fieldsetClass":"$reset","innerClass":"t-items-start","wrapperClass":"$reset t-flex t-cursor-pointer t-mb-3"},{"$formkit":"text","validation":"required|matches:/^[0-9]{5}$/","validationMessages":{"required":"Zip Code is required","matches":"Invalid Zip Code"},"labelClass":"required","label":"Zip Code:","placeholder":"#####","name":"Zip","maxlength":5,"inputmode":"numeric","autocomplete":"postal-code","wrapperClass":"side-by-side t-items-center","onKeypress":"$onEnter($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))"}]}]},{"$el":"section","if":"$stepIsEnabled(\"TOLPQuestions\")","attrs":{"style":{"if":"$activeStep !== \"TOLPQuestions\"","then":"display: none;"}},"children":[{"$formkit":"group","id":"TOLPQuestions","name":"TOLPQuestions","children":[{"$el":"h3","children":"Tell Us About Your Case","attrs":{"class":"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-5 t-pt-0 t-px-3"}},{"$cmp":"FormKit","props":{"type":"group","key":"AdoptionQuestions","id":"AdoptionQuestions","name":"AdoptionQuestions"},"if":"$get(Type_Of_Legal_Problem).value == \"Adoption\"","children":[{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Attorney","label":"Already Working with An Attorney?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"Marital Status:","name":"Marital_Status","options":["Unmarried, Living Together","Unmarried, Do Not Live Together","Married, Living Together","Separated","Divorced","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Children","label":"Do You Have Children?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Likely Are You to Pay if Your Issue Could be Resolved?","id":"Degree_Of_Interest","name":"Degree_Of_Interest","options":["Definitely","Probably","Maybe","Absolutely Can't Afford"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Will You Pay for Legal Fees if You Hire a Lawyer?","name":"Lawyer_Payment_Method","help":"No payment necessary to speak with lawyers.","options":["Cash","Check","Credit Card","Friend","Family","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"}]},{"$cmp":"FormKit","props":{"type":"group","key":"ChildCustodyAndSupportQuestions","id":"ChildCustodyAndSupportQuestions","name":"ChildCustodyAndSupportQuestions"},"if":"$get(Type_Of_Legal_Problem).value == \"Child Custody and Support\"","children":[{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Attorney","label":"Already Working with An Attorney?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"Your Relationship to Child(ren):","name":"Child_Relationship","options":["Father","Mother","Grandparent","Aunt/Uncle","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"With Whom Do the Children Currently Live?","name":"Child_Home","options":["Mother","Father","Grandparents","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"Who is the Primary Caregiver?","name":"Child_Primary_Caregiver","options":["Mother","Father","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Likely Are You to Pay if Your Issue Could be Resolved?","id":"Degree_Of_Interest","name":"Degree_Of_Interest","options":["Definitely","Probably","Maybe","Absolutely Can't Afford"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Will You Pay for Legal Fees if You Hire a Lawyer?","name":"Lawyer_Payment_Method","help":"No payment necessary to speak with lawyers.","options":["Cash","Check","Credit Card","Friend","Family","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"}]},{"$cmp":"FormKit","props":{"type":"group","key":"ChildCustodyQuestions","id":"ChildCustodyQuestions","name":"ChildCustodyQuestions"},"if":"$get(Type_Of_Legal_Problem).value == \"Child Custody\"","children":[{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Attorney","label":"Already Working with An Attorney?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"Your Relationship to Child(ren):","name":"Child_Relationship","options":["Father","Mother","Grandparent","Aunt/Uncle","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"With Whom Do the Children Currently Live?","name":"Child_Home","options":["Mother","Father","Grandparents","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"Who is the Primary Caregiver?","name":"Child_Primary_Caregiver","options":["Mother","Father","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Likely Are You to Pay if Your Issue Could be Resolved?","id":"Degree_Of_Interest","name":"Degree_Of_Interest","options":["Definitely","Probably","Maybe","Absolutely Can't Afford"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Will You Pay for Legal Fees if You Hire a Lawyer?","name":"Lawyer_Payment_Method","help":"No payment necessary to speak with lawyers.","options":["Cash","Check","Credit Card","Friend","Family","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"}]},{"$cmp":"FormKit","props":{"type":"group","key":"ChildSupportQuestions","id":"ChildSupportQuestions","name":"ChildSupportQuestions"},"if":"$get(Type_Of_Legal_Problem).value == \"Child Support\"","children":[{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Attorney","label":"Already Working with An Attorney?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"Your Relationship to Child(ren):","name":"Child_Relationship","options":["Father","Mother","Grandparent","Aunt/Uncle","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"With Whom Do the Children Currently Live?","name":"Child_Home","options":["Mother","Father","Grandparents","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"Who is the Primary Caregiver?","name":"Child_Primary_Caregiver","options":["Mother","Father","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Likely Are You to Pay if Your Issue Could be Resolved?","id":"Degree_Of_Interest","name":"Degree_Of_Interest","options":["Definitely","Probably","Maybe","Absolutely Can't Afford"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Will You Pay for Legal Fees if You Hire a Lawyer?","name":"Lawyer_Payment_Method","help":"No payment necessary to speak with lawyers.","options":["Cash","Check","Credit Card","Friend","Family","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"}]},{"$cmp":"FormKit","props":{"type":"group","key":"FamilyIssuesQuestions","id":"FamilyIssuesQuestions","name":"FamilyIssuesQuestions"},"if":"$get(Type_Of_Legal_Problem).value == \"Family Issues\"","children":[{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Attorney","label":"Already Working with An Attorney?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"Marital Status:","name":"Marital_Status","options":["Unmarried, Living Together","Unmarried, Do Not Live Together","Married, Living Together","Separated","Divorced","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Children","label":"Do You Have Children?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Likely Are You to Pay if Your Issue Could be Resolved?","id":"Degree_Of_Interest","name":"Degree_Of_Interest","options":["Definitely","Probably","Maybe","Absolutely Can't Afford"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Will You Pay for Legal Fees if You Hire a Lawyer?","name":"Lawyer_Payment_Method","help":"No payment necessary to speak with lawyers.","options":["Cash","Check","Credit Card","Friend","Family","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"}]},{"$cmp":"FormKit","props":{"type":"group","key":"GuardianshipQuestions","id":"GuardianshipQuestions","name":"GuardianshipQuestions"},"if":"$get(Type_Of_Legal_Problem).value == \"Guardianship\"","children":[{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Attorney","label":"Already Working with An Attorney?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"Marital Status:","name":"Marital_Status","options":["Unmarried, Living Together","Unmarried, Do Not Live Together","Married, Living Together","Separated","Divorced","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Children","label":"Do You Have Children?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Likely Are You to Pay if Your Issue Could be Resolved?","id":"Degree_Of_Interest","name":"Degree_Of_Interest","options":["Definitely","Probably","Maybe","Absolutely Can't Afford"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Will You Pay for Legal Fees if You Hire a Lawyer?","name":"Lawyer_Payment_Method","help":"No payment necessary to speak with lawyers.","options":["Cash","Check","Credit Card","Friend","Family","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"}]},{"$cmp":"FormKit","props":{"type":"group","key":"DivorceQuestions","id":"DivorceQuestions","name":"DivorceQuestions"},"if":"$get(Type_Of_Legal_Problem).value == \"Divorce and Separation\"","children":[{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Attorney","label":"Already Working with An Attorney?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"Marital Status:","name":"Marital_Status","options":["Unmarried, Living Together","Unmarried, Do Not Live Together","Married, Living Together","Separated","Divorced","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Children","label":"Do You Have Children?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Likely Are You to Pay if Your Issue Could be Resolved?","id":"Degree_Of_Interest","name":"Degree_Of_Interest","options":["Definitely","Probably","Maybe","Absolutely Can't Afford"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Will You Pay for Legal Fees if You Hire a Lawyer?","name":"Lawyer_Payment_Method","help":"No payment necessary to speak with lawyers.","options":["Cash","Check","Credit Card","Friend","Family","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"}]},{"$cmp":"FormKit","props":{"type":"group","key":"NotSureOrOtherQuestions","id":"NotSureOrOtherQuestions","name":"NotSureOrOtherQuestions"},"if":"$get(Type_Of_Legal_Problem).value == \"Not Sure or Other\"","children":[{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Attorney","label":"Already Working with An Attorney?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Likely Are You to Pay if Your Issue Could be Resolved?","id":"Degree_Of_Interest","name":"Degree_Of_Interest","help":"No payment necessary to speak with lawyers.","options":["Definitely","Probably","Maybe","Absolutely Can't Afford"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]","onKeypress":"$onEnter($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))"}]}]}]},{"$el":"section","if":"$stepIsEnabled(\"commentsWithBankruptcy\")","attrs":{"style":{"if":"$activeStep !== \"commentsWithBankruptcy\"","then":"display: none;"}},"children":[{"$formkit":"group","id":"commentsWithBankruptcy","name":"commentsWithBankruptcy","children":[{"$el":"h3","children":"Additional Case Details","attrs":{"class":"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-5 t-pt-0 t-px-3"}},{"$formkit":"textarea","rows":5,"maxlength":500,"validation":"required","validationMessages":{"required":"Field is required"},"innerClass":"t-max-w-xl","labelClass":"required","label":"Please briefly describe your legal issue in a few words:","name":"Comments","placeholder":"$getKey($meta, \"commentsPlaceholders.\" + $get(Type_Of_Legal_Problem).value, $meta.defaultCommentsPlaceholder)"},{"$formkit":"checkbox","validation":null,"validationMessages":{"required":"Field is required"},"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\")","helpClass":"!t-text-sm","legendClass":"legend-left required","fieldsetClass":"$reset side-by-side","optionsClass":"t-pl-1","innerClass":"t-flex t-items-center","wrapperClass":"t-mb-3"}]}]},{"$el":"section","if":"$stepIsEnabled(\"firstAndLast\")","attrs":{"style":{"if":"$activeStep !== \"firstAndLast\"","then":"display: none;"}},"children":[{"$formkit":"group","id":"firstAndLast","name":"firstAndLast","children":[{"$el":"h3","children":"Please Provide a Contact Name","attrs":{"class":"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-5 t-pt-0 t-px-3"}},{"$formkit":"text","validation":"required","validationMessages":{"required":"First Name is required"},"labelClass":"required","label":"First Name:","name":"First_Name","autocomplete":"given-name","wrapperClass":"side-by-side t-items-center"},{"$formkit":"text","validation":"required","validationMessages":{"required":"Last Name is required"},"labelClass":"required","label":"Last Name:","name":"Last_Name","autocomplete":"family-name","wrapperClass":"side-by-side t-items-center","onKeypress":"$onEnter($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))"}]}]},{"$el":"section","if":"$stepIsEnabled(\"contactInfo\")","attrs":{"style":{"if":"$activeStep !== \"contactInfo\"","then":"display: none;"}},"children":[{"$formkit":"group","id":"contactInfo","name":"contactInfo","children":[{"$el":"h3","children":"$getKey($meta, \"finalHeadlines.\" + $get(Type_Of_Legal_Problem).value, $meta.defaultFinalHeadline)","attrs":{"class":"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-3 t-pt-0 t-px-3"}},{"$el":"h5","children":"$getKey($meta, \"finalSubHeadlines.\" + $get(Type_Of_Legal_Problem).value, $meta.defaultFinalSubHeadline)","attrs":{"class":"t-flex t-justify-center t-text-center !t-text-lg t-font-semibold t-pb-7 t-pt-0 t-px-3"}},{"$el":"script","if":"$activeStep === $lastStep() && $getKey($meta, \"trustedFormTOLPs.\" + $get(Type_Of_Legal_Problem).value, false) == true","children":"(function() {\n if (window.xxTrustedFormLoaded) {\n return\n }\n var vid = '';\n if (typeof window.zar !== 'undefined') {\n vid = window.zar.getVID();\n }\n window.xxTrustedFormLoaded = true;\n var sandbox = document.location.hostname.indexOf('localhost') > -1 ? 'true' : 'false'\n var tf = document.createElement('script');\n tf.type = 'text/javascript'; tf.async = true;\n tf.src = (\"https:\" == document.location.protocol ? 'https' : 'http') + \"://api.trustedform.com/trustedform.js?field=xxTrustedFormCertUrl&identifier=\" + vid + \"&ping_field=xxTrustedFormPingUrl&provideReferrer=false&invert_field_sensitivity=true&sandbox=\" + sandbox + \"&l=\" + new Date().getTime() + Math.random();\n var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(tf, s);\n})();"},{"$formkit":"email","validation":"required|email","validationMessages":{"required":"Email is required","email":"Invalid Email"},"labelClass":"required","name":"Email","label":"Email Address:","placeholder":"email@domain.com","autocomplete":"email","data-tf-sensitive":"false","wrapperClass":"side-by-side t-items-center"},{"$formkit":"tel","validation":"required|matches:/^[0-9]{3}-?[0-9]{3}-?[0-9]{4}$/|valid_phone","validationMessages":{"required":"Field is required","matches":"Invalid Phone Format, use ###-###-####","valid_phone":"Invalid Phone Number"},"labelClass":"required","name":"Primary_Phone","label":"Phone Number:","placeholder":"###-###-####","maxlength":12,"help":"10-digit phone number, hyphens optional","autocomplete":"tel-national","data-tf-sensitive":"false","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-2px]","wrapperClass":"side-by-side t-items-center"},{"$formkit":"checkbox","label":"$meta.tcpaLanguage","name":"TCPA_Opt_In","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"}},{"$el":"div","if":"$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"}},{"$el":"span","children":"Secure & Encrypted","attrs":{"class":"t-pl-2 t-pt-1 t-font-medium"}}]}]}]},{"$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: ","$stepQueue"],"attrs":{"class":"t-text-xs","style":"overflow: scroll"}}]}]}]}]
|
|
1
|
+
[{"type":"meta","data":{"tcpaLanguage":"By checking this box, I a) agree to the Terms of Use, and b) consent to be contacted by lawyers, lawyer networks, and partners of this website using live, autodialed, pre-recorded, or artificial voice calls, as well as text messages. Your consent is not required as a condition of purchasing any goods or services. To submit this request without this consent, call 878-213-4937.","defaultCommentsPlaceholder":"$getKey($meta, \"commentsPlaceholders.\" + $get(Type_Of_Legal_Problem).value, $meta.defaultCommentsPlaceholder)","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."}}},{"$el":"div","children":[{"$el":"div","attrs":{"id":"form-anchor","class":"t-absolute","style":{"top":"-30px","left":0}}}],"attrs":{"class":"t-relative"}},{"$cmp":"FormKit","props":{"type":"form","id":"form","config":{"validationVisibility":"submit"},"onSubmit":"$submit($submitUrl, $prepData, $handleRedirect, \"text/plain; charset=UTF-8\")","plugins":"$plugins","actions":false,"anchorElement":"form-anchor","prepop":{"fromURL":true},"errorCodes":{"403":{"message":"An Error Occurred","abort":false},"409":{"abort":false},"429":"An Error Occurred","504":{"message":"An Error Occurred","abort":false}},"formClass":"!t-max-w-[40rem]","formId":"childAndFamily","redirectMap":{"*":"https://listings.ziplawyer.com/api/v1/redirect?zone_id=4&category=${properties.Type_Of_Legal_Problem}&Degree_Of_Interest=${properties.Degree_Of_Interest}&zip_code=${properties.Zip}&sub_id=${properties.vid}"}},"children":[{"$el":"h1","attrs":{"class":"t-flex t-justify-center t-text-center !t-text-[2rem] t-font-semibold t-pt-5 t-px-7 md:t-px-3"},"children":"$urlParam(\"hl\", \"Get Child & Family Help Today\")","if":"$activeStep === $firstStep()"},{"$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"},"children":"$urlParam(\"shl\", \"Contact Us for Child Support, Custody and Family Issues\")","if":"$activeStep === $firstStep()"},{"$formkit":"hidden","name":"vertical","value":"Legal"},{"$formkit":"hidden","name":"TCPA_Language","value":"$meta.tcpaLanguage"},{"$formkit":"hidden","name":"gclid","value":null},{"$formkit":"hidden","name":"campaignid","value":null},{"$formkit":"hidden","name":"s","value":null},{"$el":"div","attrs":{"class":"form-body"},"children":[{"$el":"section","if":"$stepIsEnabled(\"childAndFamilyTOLPAndZip\")","attrs":{"style":{"if":"$activeStep !== \"childAndFamilyTOLPAndZip\"","then":"display: none;"}},"children":[{"$formkit":"group","id":"childAndFamilyTOLPAndZip","name":"childAndFamilyTOLPAndZip","children":[{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-pl-2 t-pt-3 t-grid t-grid-cols-1 md:t-grid-cols-2","legendClass":"required","label":"Type of Help Needed:","name":"Type_Of_Legal_Problem","id":"Type_Of_Legal_Problem","options":["Child Custody","Child Support","Adoption","Family Issues","Guardianship","Divorce and Separation","Not Sure or Other"],"fieldsetClass":"$reset","innerClass":"t-items-start","wrapperClass":"$reset t-flex t-cursor-pointer t-mb-3"},{"$formkit":"text","validation":"required|matches:/^[0-9]{5}$/","validationMessages":{"required":"Zip Code is required","matches":"Invalid Zip Code"},"labelClass":"required","label":"Zip Code:","placeholder":"#####","name":"Zip","maxlength":5,"inputmode":"numeric","autocomplete":"postal-code","wrapperClass":"side-by-side t-items-center","onKeypress":"$onEnter($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))"}]}]},{"$el":"section","if":"$stepIsEnabled(\"TOLPQuestions\")","attrs":{"style":{"if":"$activeStep !== \"TOLPQuestions\"","then":"display: none;"}},"children":[{"$formkit":"group","id":"TOLPQuestions","name":"TOLPQuestions","children":[{"$el":"h3","children":"Tell Us About Your Case","attrs":{"class":"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-5 t-pt-0 t-px-3"}},{"$cmp":"FormKit","props":{"type":"group","key":"AdoptionQuestions","id":"AdoptionQuestions","name":"AdoptionQuestions"},"if":"$get(Type_Of_Legal_Problem).value == \"Adoption\"","children":[{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Attorney","label":"Already Working with An Attorney?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"Marital Status:","name":"Marital_Status","options":["Unmarried, Living Together","Unmarried, Do Not Live Together","Married, Living Together","Separated","Divorced","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Children","label":"Do You Have Children?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Likely Are You to Pay if Your Issue Could be Resolved?","id":"Degree_Of_Interest","name":"Degree_Of_Interest","options":["Definitely","Probably","Maybe","Absolutely Can't Afford"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Will You Pay for Legal Fees if You Hire a Lawyer?","name":"Lawyer_Payment_Method","help":"No payment necessary to speak with lawyers.","options":["Cash","Check","Credit Card","Friend","Family","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"}]},{"$cmp":"FormKit","props":{"type":"group","key":"ChildCustodyAndSupportQuestions","id":"ChildCustodyAndSupportQuestions","name":"ChildCustodyAndSupportQuestions"},"if":"$get(Type_Of_Legal_Problem).value == \"Child Custody and Support\"","children":[{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Attorney","label":"Already Working with An Attorney?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"Your Relationship to Child(ren):","name":"Child_Relationship","options":["Father","Mother","Grandparent","Aunt/Uncle","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"With Whom Do the Children Currently Live?","name":"Child_Home","options":["Mother","Father","Grandparents","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"Who is the Primary Caregiver?","name":"Child_Primary_Caregiver","options":["Mother","Father","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Likely Are You to Pay if Your Issue Could be Resolved?","id":"Degree_Of_Interest","name":"Degree_Of_Interest","options":["Definitely","Probably","Maybe","Absolutely Can't Afford"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Will You Pay for Legal Fees if You Hire a Lawyer?","name":"Lawyer_Payment_Method","help":"No payment necessary to speak with lawyers.","options":["Cash","Check","Credit Card","Friend","Family","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"}]},{"$cmp":"FormKit","props":{"type":"group","key":"ChildCustodyQuestions","id":"ChildCustodyQuestions","name":"ChildCustodyQuestions"},"if":"$get(Type_Of_Legal_Problem).value == \"Child Custody\"","children":[{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Attorney","label":"Already Working with An Attorney?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"Your Relationship to Child(ren):","name":"Child_Relationship","options":["Father","Mother","Grandparent","Aunt/Uncle","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"With Whom Do the Children Currently Live?","name":"Child_Home","options":["Mother","Father","Grandparents","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"Who is the Primary Caregiver?","name":"Child_Primary_Caregiver","options":["Mother","Father","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Likely Are You to Pay if Your Issue Could be Resolved?","id":"Degree_Of_Interest","name":"Degree_Of_Interest","options":["Definitely","Probably","Maybe","Absolutely Can't Afford"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Will You Pay for Legal Fees if You Hire a Lawyer?","name":"Lawyer_Payment_Method","help":"No payment necessary to speak with lawyers.","options":["Cash","Check","Credit Card","Friend","Family","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"}]},{"$cmp":"FormKit","props":{"type":"group","key":"ChildSupportQuestions","id":"ChildSupportQuestions","name":"ChildSupportQuestions"},"if":"$get(Type_Of_Legal_Problem).value == \"Child Support\"","children":[{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Attorney","label":"Already Working with An Attorney?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"Your Relationship to Child(ren):","name":"Child_Relationship","options":["Father","Mother","Grandparent","Aunt/Uncle","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"With Whom Do the Children Currently Live?","name":"Child_Home","options":["Mother","Father","Grandparents","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"Who is the Primary Caregiver?","name":"Child_Primary_Caregiver","options":["Mother","Father","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Likely Are You to Pay if Your Issue Could be Resolved?","id":"Degree_Of_Interest","name":"Degree_Of_Interest","options":["Definitely","Probably","Maybe","Absolutely Can't Afford"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Will You Pay for Legal Fees if You Hire a Lawyer?","name":"Lawyer_Payment_Method","help":"No payment necessary to speak with lawyers.","options":["Cash","Check","Credit Card","Friend","Family","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"}]},{"$cmp":"FormKit","props":{"type":"group","key":"FamilyIssuesQuestions","id":"FamilyIssuesQuestions","name":"FamilyIssuesQuestions"},"if":"$get(Type_Of_Legal_Problem).value == \"Family Issues\"","children":[{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Attorney","label":"Already Working with An Attorney?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"Marital Status:","name":"Marital_Status","options":["Unmarried, Living Together","Unmarried, Do Not Live Together","Married, Living Together","Separated","Divorced","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Children","label":"Do You Have Children?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Likely Are You to Pay if Your Issue Could be Resolved?","id":"Degree_Of_Interest","name":"Degree_Of_Interest","options":["Definitely","Probably","Maybe","Absolutely Can't Afford"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Will You Pay for Legal Fees if You Hire a Lawyer?","name":"Lawyer_Payment_Method","help":"No payment necessary to speak with lawyers.","options":["Cash","Check","Credit Card","Friend","Family","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"}]},{"$cmp":"FormKit","props":{"type":"group","key":"GuardianshipQuestions","id":"GuardianshipQuestions","name":"GuardianshipQuestions"},"if":"$get(Type_Of_Legal_Problem).value == \"Guardianship\"","children":[{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Attorney","label":"Already Working with An Attorney?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"Marital Status:","name":"Marital_Status","options":["Unmarried, Living Together","Unmarried, Do Not Live Together","Married, Living Together","Separated","Divorced","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Children","label":"Do You Have Children?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Likely Are You to Pay if Your Issue Could be Resolved?","id":"Degree_Of_Interest","name":"Degree_Of_Interest","options":["Definitely","Probably","Maybe","Absolutely Can't Afford"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Will You Pay for Legal Fees if You Hire a Lawyer?","name":"Lawyer_Payment_Method","help":"No payment necessary to speak with lawyers.","options":["Cash","Check","Credit Card","Friend","Family","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"}]},{"$cmp":"FormKit","props":{"type":"group","key":"DivorceQuestions","id":"DivorceQuestions","name":"DivorceQuestions"},"if":"$get(Type_Of_Legal_Problem).value == \"Divorce and Separation\"","children":[{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Attorney","label":"Already Working with An Attorney?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"Marital Status:","name":"Marital_Status","options":["Unmarried, Living Together","Unmarried, Do Not Live Together","Married, Living Together","Separated","Divorced","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Children","label":"Do You Have Children?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Likely Are You to Pay if Your Issue Could be Resolved?","id":"Degree_Of_Interest","name":"Degree_Of_Interest","options":["Definitely","Probably","Maybe","Absolutely Can't Afford"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Will You Pay for Legal Fees if You Hire a Lawyer?","name":"Lawyer_Payment_Method","help":"No payment necessary to speak with lawyers.","options":["Cash","Check","Credit Card","Friend","Family","Other"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]"}]},{"$cmp":"FormKit","props":{"type":"group","key":"NotSureOrOtherQuestions","id":"NotSureOrOtherQuestions","name":"NotSureOrOtherQuestions"},"if":"$get(Type_Of_Legal_Problem).value == \"Not Sure or Other\"","children":[{"$formkit":"radio","validation":"required","validationMessages":{"required":"Field is required"},"optionsClass":"t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center","legendClass":"legend-left t-pb-1 required","name":"Have_Attorney","label":"Already Working with An Attorney?","options":["Yes","No"],"fieldsetClass":"$reset side-by-side t-items-center","innerClass":"t-flex t-items-center","optionClass":"t-pr-1"},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-bg-white","labelClass":"required","label":"How Likely Are You to Pay if Your Issue Could be Resolved?","id":"Degree_Of_Interest","name":"Degree_Of_Interest","help":"No payment necessary to speak with lawyers.","options":["Definitely","Probably","Maybe","Absolutely Can't Afford"],"wrapperClass":"side-by-side t-items-center","innerClass":"select-height-content","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-5px]","onKeypress":"$onEnter($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))"}]}]}]},{"$el":"section","if":"$stepIsEnabled(\"commentsWithBankruptcy\")","attrs":{"style":{"if":"$activeStep !== \"commentsWithBankruptcy\"","then":"display: none;"}},"children":[{"$formkit":"group","id":"commentsWithBankruptcy","name":"commentsWithBankruptcy","children":[{"$el":"h3","children":"Additional Case Details","attrs":{"class":"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-5 t-pt-0 t-px-3"}},{"$formkit":"textarea","rows":5,"maxlength":500,"validation":"required","validationMessages":{"required":"Field is required"},"innerClass":"t-max-w-xl","labelClass":"required","label":"Please briefly describe your legal issue in a few words:","name":"Comments","placeholder":"$getKey($meta, \"commentsPlaceholders.\" + $get(Type_Of_Legal_Problem).value, $meta.defaultCommentsPlaceholder)"},{"$formkit":"checkbox","validation":null,"validationMessages":{"required":"Field is required"},"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\")","helpClass":"!t-text-sm","legendClass":"legend-left required","fieldsetClass":"$reset side-by-side","optionsClass":"t-pl-1","innerClass":"t-flex t-items-center","wrapperClass":"t-mb-3"}]}]},{"$el":"section","if":"$stepIsEnabled(\"firstAndLast\")","attrs":{"style":{"if":"$activeStep !== \"firstAndLast\"","then":"display: none;"}},"children":[{"$formkit":"group","id":"firstAndLast","name":"firstAndLast","children":[{"$el":"h3","children":"Please Provide a Contact Name","attrs":{"class":"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-5 t-pt-0 t-px-3"}},{"$formkit":"text","validation":"required","validationMessages":{"required":"First Name is required"},"labelClass":"required","label":"First Name:","name":"First_Name","autocomplete":"given-name","wrapperClass":"side-by-side t-items-center"},{"$formkit":"text","validation":"required","validationMessages":{"required":"Last Name is required"},"labelClass":"required","label":"Last Name:","name":"Last_Name","autocomplete":"family-name","wrapperClass":"side-by-side t-items-center","onKeypress":"$onEnter($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))"}]}]},{"$el":"section","if":"$stepIsEnabled(\"contactInfo\")","attrs":{"style":{"if":"$activeStep !== \"contactInfo\"","then":"display: none;"}},"children":[{"$formkit":"group","id":"contactInfo","name":"contactInfo","children":[{"$el":"h3","children":"$getKey($meta, \"finalHeadlines.\" + $get(Type_Of_Legal_Problem).value, $meta.defaultFinalHeadline)","attrs":{"class":"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-3 t-pt-0 t-px-3"}},{"$el":"h5","children":"$getKey($meta, \"finalSubHeadlines.\" + $get(Type_Of_Legal_Problem).value, $meta.defaultFinalSubHeadline)","attrs":{"class":"t-flex t-justify-center t-text-center !t-text-lg t-font-semibold t-pb-7 t-pt-0 t-px-3"}},{"$el":"script","if":"$activeStep === $lastStep()","children":"(function() {\n if (window.xxTrustedFormLoaded) {\n return\n }\n var vid = '';\n if (typeof window.zar !== 'undefined') {\n vid = window.zar.getVID();\n }\n window.xxTrustedFormLoaded = true;\n var sandbox = document.location.hostname.indexOf('localhost') > -1 ? 'true' : 'false'\n var tf = document.createElement('script');\n tf.type = 'text/javascript'; tf.async = true;\n tf.src = (\"https:\" == document.location.protocol ? 'https' : 'http') + \"://api.trustedform.com/trustedform.js?field=xxTrustedFormCertUrl&identifier=\" + vid + \"&ping_field=xxTrustedFormPingUrl&provideReferrer=false&invert_field_sensitivity=true&sandbox=\" + sandbox + \"&l=\" + new Date().getTime() + Math.random();\n var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(tf, s);\n})();"},{"$formkit":"email","validation":"required|email","validationMessages":{"required":"Email is required","email":"Invalid Email"},"labelClass":"required","name":"Email","label":"Email Address:","placeholder":"email@domain.com","autocomplete":"email","data-tf-sensitive":"false","wrapperClass":"side-by-side t-items-center"},{"$formkit":"tel","validation":"required|matches:/^[0-9]{3}-?[0-9]{3}-?[0-9]{4}$/|valid_phone","validationMessages":{"required":"Field is required","matches":"Invalid Phone Format, use ###-###-####","valid_phone":"Invalid Phone Number"},"labelClass":"required","name":"Primary_Phone","label":"Phone Number:","placeholder":"###-###-####","maxlength":12,"help":"10-digit phone number, hyphens optional","autocomplete":"tel-national","data-tf-sensitive":"false","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-2px]","wrapperClass":"side-by-side t-items-center"},{"$formkit":"checkbox","label":"$meta.tcpaLanguage","name":"TCPA_Opt_In","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"}},{"$el":"div","if":"$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"}},{"$el":"span","children":"Secure & Encrypted","attrs":{"class":"t-pl-2 t-pt-1 t-font-medium"}}]}]}]},{"$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"}}]}]}]}]
|
|
@@ -65,7 +65,8 @@ function defaultMetaProps() {
|
|
|
65
65
|
finalHeadlines: TOLPFinalHeadlines,
|
|
66
66
|
defaultFinalSubHeadline: DEFAULT_FINAL_SUBHEADLINE,
|
|
67
67
|
finalSubHeadlines: TOLPFinalSubHeadlines,
|
|
68
|
-
|
|
68
|
+
// Added everywhere for now
|
|
69
|
+
// trustedFormTOLPs: trustedFormTOLPs
|
|
69
70
|
})
|
|
70
71
|
}
|
|
71
72
|
|
|
@@ -565,61 +566,6 @@ const TOLPFinalSubHeadlines = {
|
|
|
565
566
|
// 'Non-Workplace Discrimination': '',
|
|
566
567
|
};
|
|
567
568
|
|
|
568
|
-
|
|
569
|
-
const trustedFormTOLPs = {
|
|
570
|
-
'Adoption': true,
|
|
571
|
-
// 'Asbestos and Mesothelioma': '',
|
|
572
|
-
// 'Auto and Car Accidents': '',
|
|
573
|
-
// 'Bankruptcy': '',
|
|
574
|
-
// 'Birth Certificate and Name Change': '',
|
|
575
|
-
// 'Business Lawyers': '',
|
|
576
|
-
'Child Custody and Support': true,
|
|
577
|
-
'Child Custody': true,
|
|
578
|
-
'Child Support': true,
|
|
579
|
-
// 'Civil Rights and Discrimination': '',
|
|
580
|
-
// 'Civil Lawsuit': '',
|
|
581
|
-
// 'Consumer Lawyers': '',
|
|
582
|
-
// 'Copyrights and Trademarks': '',
|
|
583
|
-
// 'Criminal and Felony': '',
|
|
584
|
-
// 'Debt and Collections': '',
|
|
585
|
-
'Divorce and Separation': true,
|
|
586
|
-
// 'DUI and DWI': '',
|
|
587
|
-
// 'Elder Law': '',
|
|
588
|
-
// 'Employment and Workplace': '',
|
|
589
|
-
// 'Expungement': '',
|
|
590
|
-
'Family Issues': true,
|
|
591
|
-
// 'Foreclosure': '',
|
|
592
|
-
'Guardianship': true,
|
|
593
|
-
// 'Harassment and Discrimination': '',
|
|
594
|
-
// 'Identity Theft': '',
|
|
595
|
-
// 'Immigration and Visas': '',
|
|
596
|
-
// 'Insurance': '',
|
|
597
|
-
// 'Landlord and Tenant': '',
|
|
598
|
-
// 'Lemon Law': '',
|
|
599
|
-
// 'Long Term Disability': '',
|
|
600
|
-
// 'Medical Malpractice': '',
|
|
601
|
-
// 'Nursing Home Abuse': '',
|
|
602
|
-
// 'Patents and Intellectual Property': '',
|
|
603
|
-
// 'Personal Injury': '',
|
|
604
|
-
// 'Power of Attorney': '',
|
|
605
|
-
// 'Probate and Estates': '',
|
|
606
|
-
// 'Product Liability': '',
|
|
607
|
-
// 'Property Damage': '',
|
|
608
|
-
// 'Real Estate': '',
|
|
609
|
-
// 'Social Security Disability and Insurance': '',
|
|
610
|
-
// 'Tax and IRS': '',
|
|
611
|
-
// 'Traffic and Tickets': '',
|
|
612
|
-
// 'Unemployment': '',
|
|
613
|
-
// 'Vaccination Injury': '',
|
|
614
|
-
// 'Veteran\'s Disability': '',
|
|
615
|
-
// 'Victim of a Crime': '',
|
|
616
|
-
// 'Wills and Trusts': '',
|
|
617
|
-
// 'Workers Compensation': '',
|
|
618
|
-
// 'Wrongful Death': '',
|
|
619
|
-
// 'Wrongful Termination': '',
|
|
620
|
-
'Not Sure or Other': true,
|
|
621
|
-
};
|
|
622
|
-
|
|
623
569
|
// ------ Common Base Settings
|
|
624
570
|
|
|
625
571
|
const checkbox = (updates) => {
|
|
@@ -1330,6 +1276,32 @@ function contactStepSubHeadline(updates) {
|
|
|
1330
1276
|
}
|
|
1331
1277
|
}
|
|
1332
1278
|
|
|
1279
|
+
const TRUSTED_FORM_JS = `(function() {
|
|
1280
|
+
if (window.xxTrustedFormLoaded) {
|
|
1281
|
+
return
|
|
1282
|
+
}
|
|
1283
|
+
var vid = '';
|
|
1284
|
+
if (typeof window.zar !== 'undefined') {
|
|
1285
|
+
vid = window.zar.getVID();
|
|
1286
|
+
}
|
|
1287
|
+
window.xxTrustedFormLoaded = true;
|
|
1288
|
+
var sandbox = document.location.hostname.indexOf('localhost') > -1 ? 'true' : 'false'
|
|
1289
|
+
var tf = document.createElement('script');
|
|
1290
|
+
tf.type = 'text/javascript'; tf.async = true;
|
|
1291
|
+
tf.src = ("https:" == document.location.protocol ? 'https' : 'http') + "://api.trustedform.com/trustedform.js?field=xxTrustedFormCertUrl&identifier=" + vid + "&ping_field=xxTrustedFormPingUrl&provideReferrer=false&invert_field_sensitivity=true&sandbox=" + sandbox + "&l=" + new Date().getTime() + Math.random();
|
|
1292
|
+
var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(tf, s);
|
|
1293
|
+
})();`;
|
|
1294
|
+
|
|
1295
|
+
function trustedFormScript() {
|
|
1296
|
+
return {
|
|
1297
|
+
$el: 'script',
|
|
1298
|
+
// if: '$activeStep === $lastStep() && $getKey($meta, "trustedFormTOLPs." + $get(Type_Of_Legal_Problem).value, false) == true',
|
|
1299
|
+
// Added everywhere:
|
|
1300
|
+
if: '$activeStep === $lastStep()',
|
|
1301
|
+
children: TRUSTED_FORM_JS
|
|
1302
|
+
}
|
|
1303
|
+
}
|
|
1304
|
+
|
|
1333
1305
|
function step(name, inputs, nextOnEnter = true) {
|
|
1334
1306
|
if (typeof nextOnEnter === 'undefined') {
|
|
1335
1307
|
nextOnEnter = true;
|
|
@@ -1397,6 +1369,8 @@ function contactInfoV2(updates = {}) {
|
|
|
1397
1369
|
[
|
|
1398
1370
|
contactStepHeadline(updates),
|
|
1399
1371
|
contactStepSubHeadline(updates),
|
|
1372
|
+
// Added TF everywhere
|
|
1373
|
+
trustedFormScript(),
|
|
1400
1374
|
email(),
|
|
1401
1375
|
phone(),
|
|
1402
1376
|
TCPAConsent(),
|