bhl-forms 0.10.5 → 0.11.1
This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
- package/dist/bhl-forms.es.js +3958 -4643
- package/dist/bhl-forms.iife.js +4 -4
- package/dist/bhl-forms.modern.es.js +5280 -6107
- package/dist/bhl-forms.modern.iife.js +7 -7
- package/dist/bhl-forms.modern.umd.js +7 -7
- package/dist/bhl-forms.umd.js +4 -4
- package/dist/forms/accidentsAndInjuries.es.js +165 -120
- package/dist/forms/accidentsAndInjuries.iife.js +1 -1
- package/dist/forms/accidentsAndInjuries.json +1 -1
- package/dist/forms/applianceRepairMinimal.es.js +16 -17
- package/dist/forms/applianceRepairMinimal.iife.js +1 -1
- package/dist/forms/applianceRepairMinimal.json +1 -1
- package/dist/forms/appraisals.es.js +11 -4
- package/dist/forms/appraisals.iife.js +1 -1
- package/dist/forms/appraisals.json +1 -1
- package/dist/forms/business.es.js +167 -122
- package/dist/forms/business.iife.js +1 -1
- package/dist/forms/business.json +1 -1
- package/dist/forms/childAndFamily.es.js +165 -120
- package/dist/forms/childAndFamily.iife.js +1 -1
- package/dist/forms/childAndFamily.json +1 -1
- package/dist/forms/childAndFamilySingle.es.js +167 -122
- package/dist/forms/childAndFamilySingle.iife.js +1 -1
- package/dist/forms/childAndFamilySingle.json +1 -1
- package/dist/forms/civilLawsuit.es.js +167 -122
- package/dist/forms/civilLawsuit.iife.js +1 -1
- package/dist/forms/civilLawsuit.json +1 -1
- package/dist/forms/coins.es.js +11 -4
- package/dist/forms/coins.iife.js +1 -1
- package/dist/forms/coins.json +1 -1
- package/dist/forms/contracts.es.js +165 -120
- package/dist/forms/contracts.iife.js +1 -1
- package/dist/forms/contracts.json +1 -1
- package/dist/forms/criminal.es.js +167 -122
- package/dist/forms/criminal.iife.js +1 -1
- package/dist/forms/criminal.json +1 -1
- package/dist/forms/divorce.es.js +167 -122
- package/dist/forms/divorce.iife.js +1 -1
- package/dist/forms/divorce.json +1 -1
- package/dist/forms/employmentAndWorkplace.es.js +167 -122
- package/dist/forms/employmentAndWorkplace.iife.js +1 -1
- package/dist/forms/employmentAndWorkplace.json +1 -1
- package/dist/forms/foreclosure.es.js +167 -122
- package/dist/forms/foreclosure.iife.js +1 -1
- package/dist/forms/foreclosure.json +1 -1
- package/dist/forms/generalContractors.es.js +20 -23
- package/dist/forms/generalContractors.iife.js +1 -1
- package/dist/forms/generalContractors.json +1 -1
- package/dist/forms/generalHomeImprovement.es.js +20 -23
- package/dist/forms/generalHomeImprovement.iife.js +1 -1
- package/dist/forms/generalHomeImprovement.json +1 -1
- package/dist/forms/generalHomeImprovementThankYou.es.js +21 -20
- package/dist/forms/generalHomeImprovementThankYou.iife.js +1 -1
- package/dist/forms/generalHomeImprovementThankYou.json +1 -1
- package/dist/forms/generalLegal.es.js +165 -120
- package/dist/forms/generalLegal.iife.js +1 -1
- package/dist/forms/generalLegal.json +1 -1
- package/dist/forms/generalLegalJustAnswer.es.js +167 -122
- package/dist/forms/generalLegalJustAnswer.iife.js +1 -1
- package/dist/forms/generalLegalJustAnswer.json +1 -1
- package/dist/forms/generalLegalPopUnder.es.js +165 -120
- package/dist/forms/generalLegalPopUnder.iife.js +1 -1
- package/dist/forms/generalLegalPopUnder.json +1 -1
- package/dist/forms/generalLegalPopUnderSingle.es.js +167 -122
- package/dist/forms/generalLegalPopUnderSingle.iife.js +1 -1
- package/dist/forms/generalLegalPopUnderSingle.json +1 -1
- package/dist/forms/generalLegalSingle.es.js +167 -122
- package/dist/forms/generalLegalSingle.iife.js +1 -1
- package/dist/forms/generalLegalSingle.json +1 -1
- package/dist/forms/generalLegalSingleMinimal.es.js +1325 -0
- package/dist/forms/generalLegalSingleMinimal.iife.js +1 -0
- package/dist/forms/generalLegalSingleMinimal.json +1 -0
- package/dist/forms/generalLegalThankYou.es.js +164 -119
- package/dist/forms/generalLegalThankYou.iife.js +1 -1
- package/dist/forms/generalLegalThankYou.json +1 -1
- package/dist/forms/generalLegalThankYouConsultation.es.js +167 -122
- package/dist/forms/generalLegalThankYouConsultation.iife.js +1 -1
- package/dist/forms/generalLegalThankYouConsultation.json +1 -1
- package/dist/forms/harassmentAndDiscrimination.es.js +161 -116
- package/dist/forms/harassmentAndDiscrimination.iife.js +1 -1
- package/dist/forms/harassmentAndDiscrimination.json +1 -1
- package/dist/forms/landlordTenant.es.js +167 -122
- package/dist/forms/landlordTenant.iife.js +1 -1
- package/dist/forms/landlordTenant.json +1 -1
- package/dist/forms/malpractice.es.js +166 -121
- package/dist/forms/malpractice.iife.js +1 -1
- package/dist/forms/malpractice.json +1 -1
- package/dist/forms/mechanics.es.js +137 -86
- package/dist/forms/mechanics.iife.js +1 -1
- package/dist/forms/mechanics.json +1 -1
- package/dist/forms/patentsAndIP.es.js +167 -122
- package/dist/forms/patentsAndIP.iife.js +1 -1
- package/dist/forms/patentsAndIP.json +1 -1
- package/dist/forms/realEstate.es.js +161 -116
- package/dist/forms/realEstate.iife.js +1 -1
- package/dist/forms/realEstate.json +1 -1
- package/dist/forms/repossession.es.js +165 -120
- package/dist/forms/repossession.iife.js +1 -1
- package/dist/forms/repossession.json +1 -1
- package/dist/forms/ssdi.es.js +158 -109
- package/dist/forms/ssdi.iife.js +1 -1
- package/dist/forms/ssdi.json +1 -1
- package/dist/forms/testForm.es.js +131 -76
- package/dist/forms/testForm.iife.js +1 -1
- package/dist/forms/testForm.json +1 -1
- package/dist/forms/testRedirects.es.js +13 -10
- package/dist/forms/testRedirects.iife.js +1 -1
- package/dist/forms/vets.es.js +11 -4
- package/dist/forms/vets.iife.js +1 -1
- package/dist/forms/vets.json +1 -1
- package/dist/forms/willsAndTrusts.es.js +161 -116
- package/dist/forms/willsAndTrusts.iife.js +1 -1
- package/dist/forms/willsAndTrusts.json +1 -1
- package/dist/forms/windows.es.js +20 -23
- package/dist/forms/windows.iife.js +1 -1
- package/dist/forms/windows.json +1 -1
- package/dist/forms/workersCompensation.es.js +166 -121
- package/dist/forms/workersCompensation.iife.js +1 -1
- package/dist/forms/workersCompensation.json +1 -1
- package/dist/main.css +1 -1
- package/package.json +4 -3
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@@ -17,20 +17,26 @@ const DEFAULT_COMMENTS_PLACEHOLDER_DYNAMIC =
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const DEFAULT_COMMENTS_PLACEHOLDER_DYNAMIC_LEGAL =
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'$getKey($meta, "commentsPlaceholders." + $get(Type_Of_Legal_Problem).value, $meta.defaultCommentsPlaceholder)';
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const DEFAULT_FINAL_HEADLINE_LEGAL = "
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const DEFAULT_FINAL_HEADLINE_LEGAL = "Connect With The Legal Help You Deserve";
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const DEFAULT_FINAL_HEADLINE_DYNAMIC_LEGAL =
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'$getKey($meta, "finalHeadlines." + $get(Type_Of_Legal_Problem).value, $meta.defaultFinalHeadline)';
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const DEFAULT_FINAL_SUBHEADLINE_LEGAL =
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"You may benefit from speaking with a legal professional. Please verify your contact information.";
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const DEFAULT_FINAL_SUBHEADLINE_LEGAL = "Get a no-obligation consultation with a legal expert.";
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const DEFAULT_FINAL_SUBHEADLINE_DYNAMIC_LEGAL =
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'$getKey($meta, "finalSubHeadlines." + $get(Type_Of_Legal_Problem).value, $meta.defaultFinalSubHeadline)';
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const TCPA_LANGUAGE_LEGAL =
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"By checking this box, I a) agree to the Terms of Use, and b) consent to be contacted by lawyers, lawyer networks, and partners of this website using live, autodialed, pre-recorded, or artificial voice calls, as well as text messages. Your consent is not required as a condition of purchasing any goods or services. To submit this request without this consent, call 878-213-4937.";
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// ------ Common Base Settings
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const ensureIds = (cfg) => {
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cfg.id = cfg.name;
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return cfg
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};
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const radio = (updates) => {
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ensureIds(updates);
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return merge(
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{
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$formkit: "radio",
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};
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const text = (updates) => {
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updates.id = updates.name;
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}
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ensureIds(updates);
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return merge(
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{
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$formkit: "text",
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};
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const textArea = (updates) => {
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updates.id = updates.name;
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}
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ensureIds(updates);
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return merge(
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{
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$formkit: "textarea",
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};
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const date = (updates) => {
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updates.id = updates.name;
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}
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ensureIds(updates);
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return merge(
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{
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$formkit: "DatePicker",
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wrapper: updates.wrapperClass ? updates.wrapperClass : "",
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messages: updates.messagesClass ? updates.messagesClass : "",
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label:
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"t-text-
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"!t-text-[0.7rem] t-text-slate-500 t-font-normal !t-leading-[0.9rem]" +
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(updates.labelClass ? " " + updates.labelClass : ""),
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},
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});
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children: updates.headline || "Tell Us About Your Situation",
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attrs: {
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class:
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"t-flex t-justify-center t-text-center t-text-
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"t-flex t-justify-center t-text-center t-text-xl t-font-bold t-text-dark t-pb-5 t-pt-0 t-px-1" +
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" " +
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(updates.headlineClass || ""),
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},
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children: updates.headline || "Additional Details",
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attrs: {
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class:
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"t-flex t-justify-center t-text-center t-text-
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"t-flex t-justify-center t-text-center t-text-lg sm:t-text-xl t-font-bold t-text-blue-500 t-pb-5 t-pt-0 t-px-1" +
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" " +
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(updates.headlineClass || ""),
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},
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children: updates.headline || "Please Provide a Contact Name",
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attrs: {
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class:
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"t-flex t-justify-center t-text-center t-text-xl t-font-bold t-text-blue-500 t-pb-5 t-pt-0 t-px-1" +
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" " +
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},
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children: updates.headline || DEFAULT_FINAL_HEADLINE_DYNAMIC_LEGAL,
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attrs: {
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class:
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"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-3 t-pt-4 t-px-1" +
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" " +
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" f-contact-info-headline",
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verticalStepSubHeadline({
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subheadline: updates.subheadline ?? "
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subheadline: updates.subheadline ?? "We never share info without consent",
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subheadlineClass: "!t-text-sm !t-text-gray-500",
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}),
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firstName(updates.scope),
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"t-flex t-justify-center t-text-center t-text-[1.1rem] md:t-text-[1.2rem] t-font-medium t-text-blue-500 t-px-10 t-pb-3" +
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const TOLPFinalHeadlines = {
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"Auto and Car Accidents": "Connect With Accident Professionals Today",
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Bankruptcy: "Take Control of Your Financial Future",
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"Birth Certificate and Name Change": "Start Your Change Today",
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"Civil Lawsuit": "Connect With Lawsuit Professionals Today",
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"Copyrights and Trademarks": "Protect Your Intellectual Property",
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// "Criminal and Felony": "Connect With Legal Help",
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"Debt and Collections": "Connect With Debt Professionals Today",
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"Divorce and Separation": "Connect With Divorce Professionals Today",
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"DUI and DWI": "Defend Against DUI Charges",
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"Elder Law": "Connect With Elder Law Professionals",
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1209
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+
Foreclosure: "Fight to Keep Your Home",
|
|
1210
|
+
Guardianship: "Connect With Guardianship Professionals",
|
|
1211
|
+
// "Harassment and Discrimination": "Connect With Legal Help",
|
|
1212
|
+
// "Identity Theft": "Connect With Legal Help",
|
|
1213
|
+
"Immigration and Visas": "Get Immigration Legal Help",
|
|
1214
|
+
Insurance: "Get Insurance Legal Help",
|
|
1215
|
+
// "Landlord and Tenant": "Connect With Legal Help",
|
|
1216
|
+
"Lemon Law": "Connect With Lemon Law Professionals",
|
|
1217
|
+
"Long Term Disability": "Connect With Disability Professionals",
|
|
1218
|
+
"Medical Malpractice": "Hold Negligent Providers Accountable",
|
|
1219
|
+
"Patents and Intellectual Property": "Connect With IP Professionals Today",
|
|
1220
|
+
"Personal Injury": "Maximize Your Injury Compensation",
|
|
1221
|
+
// "Power of Attorney": "Connect With Legal Help",
|
|
1222
|
+
"Probate and Estates": "Manage Probate with Expert Guidance",
|
|
1223
|
+
"Product Liability": "Get Justice for Faulty Products",
|
|
1224
|
+
// 'Property Damage': 'Connect With Legal Help',
|
|
1225
|
+
"Real Estate": "Connect With Real Estate Professionals",
|
|
1226
|
+
"Sexual Harassment": "Stand Up Against Sexual Harassment",
|
|
1227
|
+
"Social Security Disability and Insurance": "Get the Benefits You Deserve",
|
|
1228
|
+
"Tax and IRS": "Connect With Tax Legal Help",
|
|
1229
|
+
"Traffic and Tickets": "Protect Your Record Today",
|
|
1230
|
+
Unemployment: "Connect With Unemployment Professionals",
|
|
1231
|
+
"Victim of a Crime": "Seek Justice as a Crime Victim",
|
|
1232
|
+
"Wills and Trusts": "Plan Your Estate with Confidence",
|
|
1233
|
+
"Workers Compensation": "Maximize Your Workers' Comp Benefits",
|
|
1234
|
+
"Wrongful Death": "Seek Justice for a Loved One",
|
|
1235
|
+
"Wrongful Termination": "Fight Back Against Unfair Firing Today",
|
|
1253
1236
|
// 'Not Sure or Other': ''
|
|
1254
|
-
// 'Sexual Harassment': '',
|
|
1255
1237
|
// 'Workplace Harassment': '',
|
|
1256
1238
|
// 'Non-Workplace Harassment': '',
|
|
1257
1239
|
// 'Workplace Discrimination': '',
|
|
1258
1240
|
// 'Non-Workplace Discrimination': '',
|
|
1259
1241
|
};
|
|
1260
1242
|
|
|
1243
|
+
const TOLPFinalSubHeadlines = {
|
|
1244
|
+
// Adoption: "You may benefit from speaking with an adoption professional. Please verify your contact information.",
|
|
1245
|
+
// // 'Asbestos and Mesothelioma': '',
|
|
1246
|
+
// "Auto and Car Accidents":
|
|
1247
|
+
// "You may benefit from speaking with an accident professional. Please verify your contact information.",
|
|
1248
|
+
// Bankruptcy: "You may benefit from speaking with a bankruptcy professional. Please verify your contact information.",
|
|
1249
|
+
// // 'Birth Certificate and Name Change': '',
|
|
1250
|
+
// // 'Business Lawyers': '',
|
|
1251
|
+
// // 'Child Custody and Support': '',
|
|
1252
|
+
// // 'Civil Rights and Discrimination': '',
|
|
1253
|
+
// // 'Civil Lawsuit': '',
|
|
1254
|
+
// // 'Consumer Lawyers': '',
|
|
1255
|
+
// "Copyrights and Trademarks":
|
|
1256
|
+
// "You may benefit from speaking with a copyright and trademark professional. Please verify your contact information.",
|
|
1257
|
+
// // 'Criminal and Felony': '',
|
|
1258
|
+
// // 'Debt and Collections': '',
|
|
1259
|
+
// "Divorce and Separation":
|
|
1260
|
+
// "You may benefit from speaking with a divorce professional. Please verify your contact information.",
|
|
1261
|
+
// "DUI and DWI": "You may benefit from speaking with a DUI professional. Please verify your contact information.",
|
|
1262
|
+
// "Elder Law": "You may benefit from speaking with an elder law professional. Please verify your contact information.",
|
|
1263
|
+
// // 'Employment and Workplace': '',
|
|
1264
|
+
// // 'Expungement': '',
|
|
1265
|
+
// // 'Family Issues': '',
|
|
1266
|
+
// Foreclosure: "You may benefit from speaking with a foreclosure professional. Please verify your contact information.",
|
|
1267
|
+
// Guardianship:
|
|
1268
|
+
// "You may benefit from speaking with a guardianship professional. Please verify your contact information.",
|
|
1269
|
+
// // 'Harassment and Discrimination': '',
|
|
1270
|
+
// // 'Identity Theft': '',
|
|
1271
|
+
// "Immigration and Visas":
|
|
1272
|
+
// "You may benefit from speaking with a immigration professional. Please verify your contact information.",
|
|
1273
|
+
// // 'Insurance': '',
|
|
1274
|
+
// "Landlord and Tenant":
|
|
1275
|
+
// "You may benefit from speaking with a landlord and tenant legal professional. Please verify your contact information.",
|
|
1276
|
+
// // 'Lemon Law': '',
|
|
1277
|
+
// "Long Term Disability":
|
|
1278
|
+
// "You may benefit from speaking with a disability legal professional. Please verify your contact information.",
|
|
1279
|
+
// "Medical Malpractice":
|
|
1280
|
+
// "You may benefit from speaking with a malpractice professional. Please verify your contact information.",
|
|
1281
|
+
// "Patents and Intellectual Property":
|
|
1282
|
+
// "You may benefit from speaking with a patent professional. Please verify your contact information.",
|
|
1283
|
+
// "Personal Injury":
|
|
1284
|
+
// "You may benefit from speaking with a personal injury professional. Please verify your contact information.",
|
|
1285
|
+
// // 'Power of Attorney': '',
|
|
1286
|
+
// "Probate and Estates":
|
|
1287
|
+
// "You may benefit from speaking with a probate and estate professional. Please verify your contact information.",
|
|
1288
|
+
// // 'Product Liability': '',
|
|
1289
|
+
// // 'Property Damage': '',
|
|
1290
|
+
// "Real Estate":
|
|
1291
|
+
// "You may benefit from speaking with a real estate professional. Please verify your contact information.",
|
|
1292
|
+
// "Social Security Disability and Insurance":
|
|
1293
|
+
// "You may benefit from speaking with an SSDI professional. Please verify your contact information.",
|
|
1294
|
+
// "Tax and IRS": "You may benefit from speaking with a tax professional. Please verify your contact information.",
|
|
1295
|
+
// // 'Traffic and Tickets': '',
|
|
1296
|
+
// Unemployment:
|
|
1297
|
+
// "You may benefit from speaking with an unemployment professional. Please verify your contact information.",
|
|
1298
|
+
// // 'Victim of a Crime': '',
|
|
1299
|
+
// // 'Wills and Trusts': '',
|
|
1300
|
+
// "Workers Compensation":
|
|
1301
|
+
// "You may benefit from speaking with a workers compensation professional. Please verify your contact information.",
|
|
1302
|
+
// // 'Wrongful Death': '',
|
|
1303
|
+
// // 'Wrongful Termination': '',
|
|
1304
|
+
// // 'Not Sure or Other': ''
|
|
1305
|
+
// // 'Sexual Harassment': '',
|
|
1306
|
+
// // 'Workplace Harassment': '',
|
|
1307
|
+
// // 'Non-Workplace Harassment': '',
|
|
1308
|
+
// // 'Workplace Discrimination': '',
|
|
1309
|
+
// // 'Non-Workplace Discrimination': '',
|
|
1310
|
+
};
|
|
1311
|
+
|
|
1261
1312
|
const tolps = [
|
|
1262
1313
|
'Auto and Car Accidents',
|
|
1263
1314
|
];
|
|
@@ -1 +1 @@
|
|
|
1
|
-
var mechanics=function(){"use strict";function e(){return Object.assign({},...arguments)}function t(e,t,a,n=4){return"https://listings."+e+"/api/v1/redirect?zone_id="+n+"&sub_id=${properties.vid}&vertical="+encodeURIComponent(t)+"&category="+encodeURIComponent(a)}const a="Please briefly describe your issue in a few words:",n='$getKey($meta, "commentsPlaceholders." + $get(Category).value, $meta.defaultCommentsPlaceholder)',i='$getKey($meta, "finalHeadlines." + $get(Type_Of_Legal_Problem).value, $meta.defaultFinalHeadline)',r='$getKey($meta, "finalSubHeadlines." + $get(Type_Of_Legal_Problem).value, $meta.defaultFinalSubHeadline)',o=t=>(t.name&&!t.id&&(t.id=t.name),e({$formkit:"radio",validation:"required",validationMessages:{required:"Field is required"},optionsClass:"t-pt-3 t-pl-1",legendClass:"required"},t)),s=e=>(e.legendClass="required t-w-[100%] t-text-center",void 0===e.fieldsetClass&&(e.fieldsetClass="$reset t-flex t-justify-center"),e.innerClass="t-items-start",e.wrapperClass="$reset t-flex t-cursor-pointer t-mb-3",e.optionClass="t-pl-4 md:t-pl-8 md:t-min-w-[200px]",e.optionsClass="t-pl-4 t-pt-3 t-grid t-grid-cols-1 md:t-grid-cols-2",e.messagesClass="t-flex t-justify-center",e.helpClass="t-mt-0 t-mb-4 !t-text-sm t-text-center",o(e)),l=e=>(e.legendClass="legend-left-flex md:t-max-w-[40%] required",e.fieldsetClass="$reset side-by-side-flex",e.optionsClass="md:t-ml-4 md:t-mt-2 t-grid t-grid-cols-1 md:t-grid-cols-2-125",e.innerClass="t-flex t-items-start",e.wrapperClass="$reset t-flex t-cursor-pointer t-mb-3",o(e)),d=e=>(e.options=["Yes","No"],(e=>(e.legendClass="legend-left t-pb-1 required",e.fieldsetClass="$reset side-by-side t-items-center",e.optionsClass="t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center",e.innerClass="t-flex t-items-center",e.optionClass="t-pr-1",o(e)))(e)),c=e=>(e.options=["Yes","No"],e.optionsClass="t-flex t-justify-center t-my-3",(e=>(e.legendClass="legend-left",e.fieldsetClass="$reset t-flex t-justify-center t-flex-col-reverse t-items-center",void 0===e.optionsClass&&(e.optionsClass="t-flex t-flex-col sm:t-flex-row t-justify-center t-my-3"),e.optionClass="radiobtn t-my-2 sm:t-my-0 t-mx-2 md:t-mx-5",e.wrapperClass="$reset formkit-wrapper t-mb-0 t-flex t-items-center t-h-[100%]",e.labelClass="t-font-semibold t-text-[#1e448f] t-w-[100%]",e.decoratorIcon=!1,e.messagesClass="t-flex t-justify-center",e.helpClass="t-mt-2.5 !t-text-sm t-text-center",o(e)))(e)),m=t=>(t.name&&!t.id&&(t.id=t.name),e({$formkit:"text",validation:"required",validationMessages:{required:"Field is required"},labelClass:"required"},t)),p=e=>(e.wrapperClass="side-by-side t-items-center",m(e)),u=e=>(e.wrapperClass="t-flex t-justify-center",e.messagesClass="t-flex t-justify-center",e.inputClass="t-text-center",e.helpClass="t-mt-2.5 !t-text-sm t-text-center",m(e)),f=t=>(t.name&&!t.id&&(t.id=t.name),e({$formkit:"DatePicker",validation:"required",validationMessages:{required:"Field is required"},labelClass:"required t-block t-mb-3 t-font-semibold t-text-base formkit-invalid:t-text-red-500",innerClass:"t-border t-border-gray-400 formkit-invalid:t-border-red-500 t-rounded t-mb-1 focus-within:t-border-blue-500"},t)),h=e=>(e.wrapperClass="side-by-side t-items-center",f(e)),y=e=>(e.wrapperClass="t-flex t-justify-center",e.inputClass="t-text-center",e.messagesClass="t-flex t-justify-center",f(e)),b=(e,t,a={})=>(t?u:p)({$formkit:"email",name:e?e+":Email":"Email",label:t?a.label:"Email Address:",placeholder:"email@domain.com",autocomplete:"email","data-tf-sensitive":"false",validation:"required|email",validationMessages:{required:"Email is required",email:"Invalid Email"},...a}),g=(e,t,a={})=>(t?u:p)({label:t?a.label:"First Name:",placeholder:"First Name",name:e?e+":First_Name":"First_Name",autocomplete:"given-name",validationMessages:{required:"First Name is required"},...a}),x=(e,t,a={})=>(t?u:p)({label:t?a.label:"Last Name:",placeholder:"Last Name",name:e?e+":Last_Name":"Last_Name",autocomplete:"family-name",validationMessages:{required:"Last Name is required"},...a}),v=(e,t,a={})=>(t?u:p)({$formkit:"tel",name:e?e+":Primary_Phone":"Primary_Phone",label:t?a.label:"Phone Number:",placeholder:a.placeholder||"###-###-####",maxlength:12,help:a.help||"10-digit phone number, hyphens optional",autocomplete:"tel-national","data-tf-sensitive":"false",validation:"required|matches:/^[0-9]{3}-?[0-9]{3}-?[0-9]{4}$/|valid_phone",validationMessages:{required:"Phone Number 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]",...a}),w=(t,a,n={})=>(a?c:d)(e({label:a?n.label:"Auto Damage from Accident?",name:t?t+":Auto_Damage_From_Accident":"Auto_Damage_From_Accident"},n)),C=(t,a,n={})=>(a?c:d)(e({label:a?n.label:"Would You Like a Free MVA Consultation?",name:t?t+":Would_Like_MVA_Consultation":"Would_Like_MVA_Consultation",help:"Note: we'll still connect you for a mechanic."},n)),$=(t,a,n)=>(t=>(t.name&&!t.id&&(t.id=t.name),e({$formkit:"textarea",rows:5,maxlength:500,validation:"required",validationMessages:{required:"Field is required"},innerClass:"t-max-w-xl",labelClass:"required"},t)))(e({name:t?t+":Comments":"Comments",label:"Please briefly describe your situation in a few words:",placeholder:'For Example: "I would like help with child support payments" or "I need help with visitation rights"'},n)),k=e=>o({id:e?e+":Mechanics_CrossSells":"Mechanics_CrossSells",name:e?e+":Mechanics_CrossSells":"Mechanics_CrossSells",fieldsetClass:"$reset",wrapperClass:"t-mb-2",optionsClass:"t-pt-3",legendClass:"",validation:null,options:{"Auto Insurance":"I'd like to save on my auto insurance (optional)"}}),I=(e,t={})=>({$formkit:"checkbox",label:"$meta.tcpaLanguage",__raw__sectionsSchema:{label:{attrs:{innerHTML:"$label"}}},name:e?e+":TCPA_Opt_In":"TCPA_Opt_In","data-tf-sensitive":"false",validation:"required|accepted",validationMessages:{required:"Consent is required",accepted:"Consent is required"},classes:{outer:t.outerClass?t.outerClass:"",wrapper:t.wrapperClass?t.wrapperClass:"",messages:t.messagesClass?t.messagesClass:"",label:"t-text-xs t-text-slate-500 t-font-normal !t-leading-[0.9rem]"+(t.labelClass?" 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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 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