bhl-forms 0.11.15 → 0.11.17

package/dist/forms/generalLegalThankYou.iife.js

@@ -1 +1 @@
-var generalLegalThankYou=function(){"use strict";function e(){return Object.assign({},...arguments)}const a='$getKey($meta, "commentsPlaceholders." + $get(Type_Of_Legal_Problem).value, $meta.defaultCommentsPlaceholder)',t=e=>(e.name&&!e.id&&(e.id=e.name),e),i=a=>(t(a),e({$formkit:"checkbox",validation:"required",validationMessages:{required:"Field is required"}},a)),n=e=>(e&&e.legendClass||(e.legendClass="required"),e.fieldsetClass="$reset",e.optionsClass="t-pl-8 md:t-pl-2 t-pt-3 t-grid t-grid-cols-1 md:t-grid-cols-2",e.innerClass="t-items-start",e.wrapperClass="$reset t-flex t-cursor-pointer t-mb-3",i(e)),l=e=>(e&&e.legendClass||(e.legendClass="required t-w-[100%] t-text-center"),e.fieldsetClass="$reset t-flex t-justify-center t-flex-col",e.innerClass="t-items-start",e.wrapperClass="$reset t-flex t-cursor-pointer t-mb-3",e.optionClass="t-pl-4 md:t-pl-16 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 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$100,000"]},i)),A=(a,t,i={})=>(t?T:C)(e({label:t?i.label:"What is the Applicant's Occupation?",placeholder:"Occupation",name:a?a+":Applicant_Occupation":"Applicant_Occupation"},i)),$=(a,t,i={})=>(t?T:C)(e({label:t?i.label:"Age of Applicant?",placeholder:"Age between 18 and 65",name:a?a+":Applicant_Age":"Applicant_Age",value:t?i.value??"50":null,maxlength:2,inputmode:"numeric",validation:"required|min:18,max:65",validationMessages:{required:"Applicant Age is required",min:"Invalid Age - must be between 18 and 65",max:"Invalid Age - must be between 18 and 65"},...i})),k=(a,t,i={})=>(t?c:g)(e({label:t?i.label:"How Did Applicant Obtain the Disability Policy?",name:a?a+":Applicant_Disability_How_Obtain":"Applicant_Disability_How_Obtain",options:["Employer","Self","Other"]},i)),E=(a,t,i={})=>(t?f:d)(e({label:t?i.label:"Has Applicant Previously Applied for Long Term Disability 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violated?",name:a?a+":Civil_Rights_Type":"Civil_Rights_Type",options:["Age","Disability","Gender","Race","Religion","Other"]},i)),Y=(a,t,i={})=>(t?o:g)(e({label:t?i.label:"With Whom Do the Children Currently Live?",name:a?a+":Child_Home":"Child_Home",options:["Mother","Father","Grandparents","Other"]},i)),G=(a,t,i={})=>(t?c:g)(e({label:t?i.label:"Who is the Primary Caregiver?",name:a?a+":Child_Primary_Caregiver":"Child_Primary_Caregiver",options:["Mother","Father","Other"]},i)),z=(a,t,i={})=>(t?o:g)(e({label:t?i.label:"Your Relationship to Child(ren):",name:a?a+":Child_Relationship":"Child_Relationship",options:["Father","Mother","Grandparent","Aunt/Uncle","Other"]},i)),Z=(a,t,i={})=>(t?o:g)(e({label:t?i.label:"Status of Claim:",name:a?a+":Claim_Status":"Claim_Status",options:["No action taken yet","Demand for compensation made","Lawsuit filed","Other"]},i)),J=(a,i,n)=>(a=>(t(a),e({$formkit:"textarea",rows:5,maxlength:500,validation:"required",validationMessages:{required:"Field is 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