bhl-forms 0.11.15 → 0.11.17

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.
Files changed (126) hide show
  1. package/dist/bhl-forms.iife.js +4 -4
  2. package/dist/bhl-forms.modern.iife.js +3 -3
  3. package/dist/bhl-forms.modern.umd.js +3 -3
  4. package/dist/bhl-forms.umd.js +4 -4
  5. package/dist/forms/accidentsAndInjuries.es.js +2 -2
  6. package/dist/forms/accidentsAndInjuries.iife.js +1 -1
  7. package/dist/forms/accidentsAndInjuries.json +1 -1
  8. package/dist/forms/applianceRepair.es.js +1439 -0
  9. package/dist/forms/applianceRepair.iife.js +1 -0
  10. package/dist/forms/applianceRepair.json +1 -0
  11. package/dist/forms/applianceRepairMinimal.es.js +10 -10
  12. package/dist/forms/applianceRepairMinimal.iife.js +1 -1
  13. package/dist/forms/applianceRepairMinimal.json +1 -1
  14. package/dist/forms/business.es.js +2 -2
  15. package/dist/forms/business.iife.js +1 -1
  16. package/dist/forms/business.json +1 -1
  17. package/dist/forms/childAndFamily.es.js +2 -2
  18. package/dist/forms/childAndFamily.iife.js +1 -1
  19. package/dist/forms/childAndFamily.json +1 -1
  20. package/dist/forms/childAndFamilySingle.es.js +2 -2
  21. package/dist/forms/childAndFamilySingle.iife.js +1 -1
  22. package/dist/forms/childAndFamilySingle.json +1 -1
  23. package/dist/forms/civilLawsuit.es.js +2 -2
  24. package/dist/forms/civilLawsuit.iife.js +1 -1
  25. package/dist/forms/civilLawsuit.json +1 -1
  26. package/dist/forms/civilLawsuit1to1.es.js +2 -2
  27. package/dist/forms/civilLawsuit1to1.iife.js +1 -1
  28. package/dist/forms/civilLawsuit1to1.json +1 -1
  29. package/dist/forms/contracts.es.js +2 -2
  30. package/dist/forms/contracts.iife.js +1 -1
  31. package/dist/forms/contracts.json +1 -1
  32. package/dist/forms/criminal.es.js +2 -2
  33. package/dist/forms/criminal.iife.js +1 -1
  34. package/dist/forms/criminal.json +1 -1
  35. package/dist/forms/divorce.es.js +2 -2
  36. package/dist/forms/divorce.iife.js +1 -1
  37. package/dist/forms/divorce.json +1 -1
  38. package/dist/forms/electrical.es.js +1549 -0
  39. package/dist/forms/electrical.iife.js +1 -0
  40. package/dist/forms/electrical.json +1 -0
  41. package/dist/forms/employmentAndWorkplace.es.js +2 -2
  42. package/dist/forms/employmentAndWorkplace.iife.js +1 -1
  43. package/dist/forms/employmentAndWorkplace.json +1 -1
  44. package/dist/forms/foreclosure.es.js +2 -2
  45. package/dist/forms/foreclosure.iife.js +1 -1
  46. package/dist/forms/foreclosure.json +1 -1
  47. package/dist/forms/generalContractors.es.js +26 -26
  48. package/dist/forms/generalContractors.iife.js +1 -1
  49. package/dist/forms/generalContractors.json +1 -1
  50. package/dist/forms/generalHomeImprovement.es.js +28 -28
  51. package/dist/forms/generalHomeImprovement.iife.js +1 -1
  52. package/dist/forms/generalHomeImprovement.json +1 -1
  53. package/dist/forms/generalHomeImprovementThankYou.es.js +28 -28
  54. package/dist/forms/generalHomeImprovementThankYou.iife.js +1 -1
  55. package/dist/forms/generalHomeImprovementThankYou.json +1 -1
  56. package/dist/forms/generalLegal.es.js +2 -2
  57. package/dist/forms/generalLegal.iife.js +1 -1
  58. package/dist/forms/generalLegal.json +1 -1
  59. package/dist/forms/generalLegalJustAnswer.es.js +2 -2
  60. package/dist/forms/generalLegalJustAnswer.iife.js +1 -1
  61. package/dist/forms/generalLegalJustAnswer.json +1 -1
  62. package/dist/forms/generalLegalPopUnder.es.js +2 -2
  63. package/dist/forms/generalLegalPopUnder.iife.js +1 -1
  64. package/dist/forms/generalLegalPopUnder.json +1 -1
  65. package/dist/forms/generalLegalPopUnderSingle.es.js +2 -2
  66. package/dist/forms/generalLegalPopUnderSingle.iife.js +1 -1
  67. package/dist/forms/generalLegalPopUnderSingle.json +1 -1
  68. package/dist/forms/generalLegalSingle.es.js +2 -2
  69. package/dist/forms/generalLegalSingle.iife.js +1 -1
  70. package/dist/forms/generalLegalSingle.json +1 -1
  71. package/dist/forms/generalLegalSingle1to1.es.js +2 -2
  72. package/dist/forms/generalLegalSingle1to1.iife.js +1 -1
  73. package/dist/forms/generalLegalSingle1to1.json +1 -1
  74. package/dist/forms/generalLegalSingleMinimal.es.js +2 -2
  75. package/dist/forms/generalLegalSingleMinimal.iife.js +1 -1
  76. package/dist/forms/generalLegalSingleMinimal.json +1 -1
  77. package/dist/forms/generalLegalThankYou.es.js +2 -2
  78. package/dist/forms/generalLegalThankYou.iife.js +1 -1
  79. package/dist/forms/generalLegalThankYou.json +1 -1
  80. package/dist/forms/generalLegalThankYouConsultation.es.js +2 -2
  81. package/dist/forms/generalLegalThankYouConsultation.iife.js +1 -1
  82. package/dist/forms/generalLegalThankYouConsultation.json +1 -1
  83. package/dist/forms/harassmentAndDiscrimination.es.js +2 -2
  84. package/dist/forms/harassmentAndDiscrimination.iife.js +1 -1
  85. package/dist/forms/harassmentAndDiscrimination.json +1 -1
  86. package/dist/forms/landlordTenant.es.js +2 -2
  87. package/dist/forms/landlordTenant.iife.js +1 -1
  88. package/dist/forms/landlordTenant.json +1 -1
  89. package/dist/forms/malpractice.es.js +2 -2
  90. package/dist/forms/malpractice.iife.js +1 -1
  91. package/dist/forms/malpractice.json +1 -1
  92. package/dist/forms/mechanics.es.js +2 -2
  93. package/dist/forms/mechanics.iife.js +1 -1
  94. package/dist/forms/mechanics.json +1 -1
  95. package/dist/forms/patentsAndIP.es.js +2 -2
  96. package/dist/forms/patentsAndIP.iife.js +1 -1
  97. package/dist/forms/patentsAndIP.json +1 -1
  98. package/dist/forms/plumbing.es.js +1548 -0
  99. package/dist/forms/plumbing.iife.js +1 -0
  100. package/dist/forms/plumbing.json +1 -0
  101. package/dist/forms/realEstate.es.js +2 -2
  102. package/dist/forms/realEstate.iife.js +1 -1
  103. package/dist/forms/realEstate.json +1 -1
  104. package/dist/forms/repossession.es.js +2 -2
  105. package/dist/forms/repossession.iife.js +1 -1
  106. package/dist/forms/repossession.json +1 -1
  107. package/dist/forms/roofing.es.js +1605 -0
  108. package/dist/forms/roofing.iife.js +1 -0
  109. package/dist/forms/roofing.json +1 -0
  110. package/dist/forms/ssdi.es.js +148 -131
  111. package/dist/forms/ssdi.iife.js +1 -1
  112. package/dist/forms/ssdi.json +1 -1
  113. package/dist/forms/testForm.es.js +2 -2
  114. package/dist/forms/testForm.iife.js +1 -1
  115. package/dist/forms/testForm.json +1 -1
  116. package/dist/forms/willsAndTrusts.es.js +2 -2
  117. package/dist/forms/willsAndTrusts.iife.js +1 -1
  118. package/dist/forms/willsAndTrusts.json +1 -1
  119. package/dist/forms/windows.es.js +26 -26
  120. package/dist/forms/windows.iife.js +1 -1
  121. package/dist/forms/windows.json +1 -1
  122. package/dist/forms/workersCompensation.es.js +2 -2
  123. package/dist/forms/workersCompensation.iife.js +1 -1
  124. package/dist/forms/workersCompensation.json +1 -1
  125. package/dist/main.css +1 -1
  126. package/package.json +1 -1
@@ -0,0 +1 @@
1
+ var roofing=function(){"use strict";function e(){return Object.assign({},...arguments)}const t=e=>(e.name&&!e.id&&(e.id=e.name),e),a=a=>(t(a),e({$formkit:"radio",validation:"required",validationMessages:{required:"Field is required"},optionsClass:"t-pt-3 t-pl-1",legendClass:"required"},a)),n=e=>(e.legendClass="legend-left required",e.fieldsetClass="$reset side-by-side",e.optionsClass="t-pl-1",e.innerClass="t-flex t-items-center",e.wrapperClass="t-mb-3",a(e)),s=e=>(e.legendClass="required",e.fieldsetClass="$reset t-flex t-justify-center",e.optionsClass="t-pl-2 t-pt-3",e.innerClass="t-items-center",e.wrapperClass="$reset t-flex t-cursor-pointer t-mb-3",e.optionClass="t-pl-4 md:t-pl-12",e.messagesClass="t-flex t-justify-center",a(e)),r=a=>(t(a),e({$formkit:"select",placeholder:"Please Select",validation:"required",validationMessages:{required:"Field is required"},inputClass:"t-bg-white",labelClass:"required"},a)),i=e=>(e.labelClass="required",e.wrapperClass="side-by-side t-items-center",e.innerClass="select-height-content",e.helpClass="t-mt-2.5 md:t-text-right md:t-mt-[-5px]",r(e)),l=e=>(e.labelClass="required",e.wrapperClass="t-flex t-justify-center",e.messagesClass="t-flex t-justify-center",e.inputClass="t-min-w-[150px] t-bg-white "+(e.inputClass||""),e.helpClass="t-mt-2.5 t-text-center",r(e)),o=a=>(t(a),e({$formkit:"text",validation:"required",validationMessages:{required:"Field is required"},labelClass:"required"},a)),m=e=>(e.wrapperClass="side-by-side t-items-center",o(e)),c=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",o(e)),d=(e,t={})=>o({$formkit:"FloatingLabelText",name:e?e+":Email":"Email",placeholder:"Email Address",autocomplete:"email","data-tf-sensitive":"false",validation:"required|email",validationMessages:{required:"Email is required",email:"Invalid Email"},inputClass:"t-text-center",wrapperClass:"t-flex t-justify-center",...t}),p=(e,t={})=>o({$formkit:"FloatingLabelText",placeholder:"First Name",name:e?e+":First_Name":"First_Name",autocomplete:"given-name",validationMessages:{required:"First Name is required"},inputClass:"t-text-center",...t}),u=(e,t={})=>o({$formkit:"FloatingLabelText",placeholder:"Last Name",name:e?e+":Last_Name":"Last_Name",autocomplete:"family-name",validationMessages:{required:"Last Name is required"},inputClass:"t-text-center",...t}),f=(e,t={})=>({$el:"div",attrs:{class:"t-flex t-flex-col sm:t-flex-row t-flex-wrap t-gap-x-[2%] t-justify-center sm:!t-max-w-[70%]"},children:[p(e,{outerClass:"sm:!t-max-w-[49%]",...t}),u(e,{outerClass:"sm:!t-max-w-[49%]",...t})]}),y=(e,t={})=>o({$formkit:"FloatingLabelText",datatype:"tel",name:e?e+":Primary_Phone":"Primary_Phone",placeholder:t.placeholder||"Phone Number",maxlength:14,help:t.help||null,autocomplete:"tel-national","data-tf-sensitive":"false",validation:"required|matches:/^[0-9]{3}[0-9]{3}[0-9]{4}$/|valid_phone",validationMessages:{required:"Phone Number is required",matches:"Invalid Phone Format, use (XXX) YYY-ZZZZ",valid_phone:"Invalid Phone Number"},helpClass:"t-mt-2.5 md:t-text-right md:t-mt-[-2px]",inputClass:"t-text-center",wrapperClass:"t-flex t-justify-center",...t}),h=(e,t,a={})=>(t?c:m)({label:t?a.label:"Zip Code:",help:t?a.help??"We try to match you with local help":null,placeholder:"#####",name:e?e+":Zip":"Zip",maxlength:5,inputmode:"numeric",autocomplete:"postal-code",validation:"required|matches:/^[0-9]{5}$/",validationMessages:{required:"Zip Code is required",matches:"Invalid Zip Code"},...a}),g=(e,t={})=>({$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-[0.7rem] t-text-slate-500 t-font-normal !t-leading-[0.9rem]"+(t.labelClass?" "+t.labelClass:"")}}),x=e=>"group"!==e.type&&"section"!==e.type&&"form"!==e.type&&"hidden"!==e.$formkit&&!e.children,C=e=>{if(x(e))return e;for(var t=e.children.length-1;t>=0;t--){if("string"==typeof e.children)continue;const a=e.children[t];if(x(a))return a;const n=C(a);if(n)return n}return null},v={$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"}},{$el:"span",children:"Secure & Encrypted",attrs:{class:"t-pl-2 t-pt-1 t-font-medium"}}]};function w(t={}){return e(v,t)}function b(e){return{$el:"h3",children:e.headline||"Tell Us About Your Situation",attrs:{class:"t-flex t-justify-center t-text-center t-text-lg sm:t-text-xl t-font-bold t-text-dark t-pb-5 t-pt-0 t-px-1 "+(e.headlineClass||"")}}}function $(e){return{$el:"h3",children:e.headline||"Please Provide a Contact Name",attrs:{class:"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 "+(e.headlineClass||"")}}}function S(e){return{$el:"h3",children:e.headline||'$getKey($meta, "finalHeadlines." + ($get(Type_Of_Legal_Problem).value || $get(Category).value), $meta.defaultFinalHeadline)',attrs:{class:"t-flex t-justify-center t-text-center !t-text-xl md:!t-text-2xl t-font-bold t-text-blue-500 t-pb-3 t-pt-4 t-px-1 "+(e.headlineClass||"")+" f-contact-info-headline"}}}function I(e){return{$el:"h5",children:e.subheadline||'$getKey($meta, "finalSubHeadlines." + ($get(Type_Of_Legal_Problem).value || $get(Category).value), $meta.defaultFinalSubHeadline)',attrs:{class:"t-flex t-justify-center t-text-center !t-text-base md:!t-text-lg t-font-semibold t-pb-6 t-pt-0 t-px-3 "+(e.subheadlineClass||"")+" f-contact-info-subheadline"}}}function E(t,a,n={}){const{nextOnEnter:s=!0,nextOnInput:r=!1,stepKey:i,nextStepMap:l,triggerRedirectMap:o,autoFocus:m}=n;if(a&&a.length&&(s||r)){const e=C(a[a.length-1]);e&&!0===s&&(e.onKeypress="$onEnter($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))"),e&&!0===r&&(e.onInput="$onInput($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))")}return e(((e,t)=>({$el:"section",if:'$stepEnabled("'+e+'")',attrs:{hidden:'$activeStep !== "'+e+'"',key:t||e}}))(t,i),{children:[{$formkit:"group",id:t,name:t,nextStepMap:l,triggerRedirectMap:o,autoFocus:m,children:a}]})}function k(e,t,a,n={}){return void 0===n.nextOnInput&&(n.nextOnInput=!0),E(e,[b({headline:n.headline??a,headlineClass:n.headlineClass}),...Array.isArray(t)?t:[t]],n)}const P={type:"form",id:"form",config:{validationVisibility:"submit"},onSubmit:'$submit($submitUrl, $prepData, $handleRedirect, "text/plain; charset=UTF-8")',plugins:"$plugins",actions:!1,anchorElement:"form-anchor",useLocalStorage:!0,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]"};function T(e,t){return Object.fromEntries(Object.entries(e).filter((([e])=>t.includes(e))))}const D={};const L={$el:"div",children:[{$el:"div",attrs:{id:"form-anchor",class:"t-absolute",style:{top:"-30px",left:0}}}],attrs:{class:"t-relative"}};const A={$el:"div",attrs:{class:"t-mt-7 t-mb-5 t-w-full t-flex t-flex-col t-justify-center t-items-center",style:{if:"$fns.eq($activeStep, $firstStep()) || $fns.eq($activeStep, $lastStep())",then:"display: none"}},children:[{$el:"div",attrs:{class:"t-flex t-justify-center"},children:[{$el:"span",attrs:{id:"progress-bar-text",class:"t-text-sm t-mb-1"},children:["0% Complete"]}]},{$el:"div",attrs:{class:"t-bg-gray-100 t-w-9/12 t-rounded"},children:[{$el:"div",attrs:{id:"progress-bar",class:"t-flex t-flex-col t-justify-center t-text-center t-whitespace-nowrap t-w-[10%] t-h-1.5 t-rounded t-text-white t-bg-[#007bff]",style:{transition:"width 0.5s ease"}}}]}]};const O=[{$formkit:"hidden",name:"vertical",value:"HomeImprovement"},{$formkit:"hidden",name:"TCPA_Language",value:"$meta.tcpaLanguage"},{$formkit:"hidden",name:"gclid",value:null},{$formkit:"hidden",name:"campaignid",value:null},{$formkit:"hidden",name:"s",value:null}],_=["haveAttorney","degreeOfInterest","commentsWithBankruptcy","zipcode","legalCrossSells","firstAndLast","contactInfo"],W=["haveAttorney","degreeOfInterest","lawyerPaymentMethod","commentsWithBankruptcy","zipcode","legalCrossSells","firstAndLast","contactInfo"],F=["haveAttorney","commentsWithBankruptcy","zipcode","legalCrossSells","firstAndLast","contactInfo"],j={values:{Type_Of_Legal_Problem:{Adoption:["maritalStatus","haveChildren",...W],"Asbestos and Mesothelioma":["incidentDate","doctorTreatment",..._],"Auto and Car Accidents":["incidentDate","atFault","primaryInjury","doctorTreatment","policeReportFiled",...F],Bankruptcy:["totalMonthlyIncome","totalDebt","ownRealEstate","valueOfAssets",..._],"Business Lawyers":["businessServices","businessType","numEmployeesOfBusiness",..._],"Child Custody":["childRelationship","childHome","childPrimaryCaregiver",...W],"Child Support":["childRelationship","childHome","childPrimaryCaregiver",...W],"Civil Rights and Discrimination":["civilRightsType",..._],"Civil Lawsuit":["civilDefense","lawsuitOtherParty",..._],"File a Lawsuit":["civilLawsuitTOLPDisplay","lawsuitOtherParty",..._],"Defend a Lawsuit":["lawsuitOtherParty",..._],"Consumer Lawyers":["consumerLawyerType","incidentDate","lawsuitOtherParty",..._],"Criminal and Felony":["criminalTOLPDisplay","crimeCommittedDate","roleInMatterCriminal","pendingCharges",...W],"Debt and Collections":["totalMonthlyIncome","totalDebt","ownRealEstate","valueOfAssets",..._],"Divorce and Separation":["maritalStatus","haveChildren",...W],"DUI and DWI":["incidentDate","priorAlcoholOffenses","typeOfAlcoholTest","bloodContentAlcoholTest","pendingCharges",..._],"Employment and Workplace":["employmentAndWorkplaceTOLPDisplay","numEmployeesOfBusiness","employerType","employeeAtCompany",..._],Expungement:["incidentDate","criminalChargeType",...W],"Family Issues":["maritalStatus","haveChildren",...W],Foreclosure:["ownRealEstate","typeOfProperty","amountPaymentsPastDue","loanAmount","defaultNotice",..._],Guardianship:["maritalStatus","haveChildren",...W],"Immigration and Visas":["countryOfCitizenship","immigrationLocation","immigrationEntry","immigrationType","immigrationStatus","immigrationDetails",..._],"Landlord and Tenant":["landlordTenantIssue","landlordTenantParty",..._],"Lemon Law":["incidentDate","lawsuitOtherParty",..._],"Long Term Disability":["applicantOccupation","applicantAge","applicantLTDisabilityPolicy","applicantDisabilityHowObtain","applicantPreviouslyAppliedLtdBenefits","applicantReceivedDisabilityBenefits","applicantMonthlySalary",...F],"Medical Malpractice":["incidentDate","claimStatus","doctorTreatment","medicalMalpracticeInjuries",..._],"Patents and Intellectual Property":["patentAssistanceType","patentFor",..._],"Personal Injury":["incidentDate","claimStatus","atFault","primaryInjury","doctorTreatment",...F],"Probate and Estates":["valueOfAssets","typeOfAssets","roleInMatterProbate","estateLegalServicesNeeded",..._],"Property Damage":["wouldLikeLawyerTo",..._],"Real Estate":["realEstateTOLPDisplay","realEstateArea","wouldLikeLawyerTo",..._],"Social Security Disability and Insurance":["applicantAge","disabilityConditionStopWork","disabilityWorkHistory","socialSecurityDisabilityReceivingBenefits","doctorTreatment",...F],"Tax and IRS":["totalDebt","taxProblemDetails","taxLevel","taxIssueType",..._],"Traffic and Tickets":["driversLicenseType","trafficViolations","haveCourtDate",..._],Unemployment:["numEmployeesOfBusiness","employerType","degreeOfInterest","commentsWithBankruptcy","zipcode","legalCrossSells","firstAndLast","contactInfo"],"Victim of a Crime":["crimeCommittedDate","roleInMatterCriminal","pendingCharges",...W],"Wills and Trusts":["valueOfAssets","typeOfAssets","roleInMatterProbate","estateLegalServicesNeeded",..._],"Workers Compensation":["incidentDate","claimStatus","primaryInjury","causeOfInjury","doctorTreatment",...F],"Workplace Harassment":["numEmployeesOfBusiness","employerType","employeeAtCompany",..._],"Workplace Discrimination":["numEmployeesOfBusiness","employerType","employeeAtCompany",..._],"Wrongful Death":["incidentDate","relationshipToVictim","criminalChargesFiled","causeOfDeath",...F],"Wrongful Termination":["numEmployeesOfBusiness","employerType",..._]},"*":_}};function q(e,t=[],a={}){const n={...e};return n.values=function e(n){const s={};for(const r in n)Array.isArray(n[r])?s[r]=n[r].filter((e=>!t.includes(e))).map((e=>a[e]||e)):"object"==typeof n[r]?s[r]=e(n[r]):s[r]=n[r];return s}(e.values),n}q(j,["legalCrossSells"],{commentsWithBankruptcy:"comments"});const R=j.values.Type_Of_Legal_Problem;R["Auto and Car Accidents"].filter((e=>"legalCrossSells"!==e)),R["Workers Compensation"].filter((e=>"legalCrossSells"!==e)),R["Personal Injury"].filter((e=>"legalCrossSells"!==e)),R["Personal Injury"].filter((e=>"legalCrossSells"!==e)),R["Auto and Car Accidents"].filter((e=>"legalCrossSells"!==e)),R["Auto and Car Accidents"].filter((e=>"legalCrossSells"!==e)),R["Personal Injury"].filter((e=>"legalCrossSells"!==e)),R["Personal Injury"].filter((e=>"legalCrossSells"!==e)),R["Child Custody"],R["Child Support"],j.values["*"],R["Family Issues"],R["Child Support"],R["Child Custody"],j.values["*"],R["Divorce and Separation"],R["Defend a Lawsuit"],R["File a 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t-pt-3","legendClass":"required","name":"Roofing_Work_Type","options":["Install or Replace Roof","Repair Roof","Ice Dams","Gutters","Not Sure or Other"],"fieldsetClass":"$reset t-flex t-justify-center","innerClass":"t-items-center","wrapperClass":"$reset t-flex t-cursor-pointer t-mb-3","optionClass":"t-pl-4 md:t-pl-12","messagesClass":"t-flex t-justify-center","id":"Roofing_Work_Type","onKeypress":"$onEnter($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))","onInput":"$onInput($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))"}]}]},{"$el":"section","if":"$stepEnabled(\"roofingMaterial\")","attrs":{"hidden":"$activeStep !== \"roofingMaterial\"","key":"roofingMaterial"},"children":[{"$formkit":"group","id":"roofingMaterial","name":"roofingMaterial","children":[{"$el":"h3","children":"What type of roofing material?","attrs":{"class":"t-flex t-justify-center t-text-center t-text-lg sm:t-text-xl t-font-bold t-text-dark t-pb-5 t-pt-0 t-px-1 "}},{"$formkit":"select","placeholder":"Please Select","validation":"required","validationMessages":{"required":"Field is required"},"inputClass":"t-min-w-[150px] t-bg-white t-text-center","labelClass":"required","name":"Roofing_Material","options":["Asphalt Shingle","Composite","Flat","Foam","Metal","Slate","Tile","Wood","Not Sure or Other"],"wrapperClass":"t-flex t-justify-center","messagesClass":"t-flex t-justify-center","helpClass":"t-mt-2.5 t-text-center","id":"Roofing_Material","onKeypress":"$onEnter($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))","onInput":"$onInput($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))"}]}]},{"$el":"section","if":"$stepEnabled(\"firstAndLast\")","attrs":{"hidden":"$activeStep !== \"firstAndLast\"","key":"firstAndLast"},"children":[{"$formkit":"group","id":"firstAndLast","name":"firstAndLast","children":[{"$el":"h3","children":"Who is looking for a roofer?","attrs":{"class":"t-flex t-justify-center t-text-center t-text-xl t-font-bold t-text-blue-500 t-pb-5 t-pt-0 t-px-1 !t-text-dark"}},{"$el":"div","attrs":{"class":"t-flex t-flex-col t-justify-center t-items-center t-pt-3"},"children":[{"$el":"div","attrs":{"class":"t-flex t-flex-col sm:t-flex-row t-flex-wrap t-gap-x-[2%] t-justify-center sm:!t-max-w-[70%]"},"children":[{"$formkit":"FloatingLabelText","validation":"required","validationMessages":{"required":"First Name is required"},"labelClass":"required","placeholder":"First Name","name":"First_Name","autocomplete":"given-name","inputClass":"t-text-center","outerClass":"sm:!t-max-w-[49%]","id":"First_Name"},{"$formkit":"FloatingLabelText","validation":"required","validationMessages":{"required":"Last Name is required"},"labelClass":"required","placeholder":"Last Name","name":"Last_Name","autocomplete":"family-name","inputClass":"t-text-center","outerClass":"sm:!t-max-w-[49%]","id":"Last_Name","onKeypress":"$onEnter($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))"}]}]}]}]},{"$el":"section","if":"$stepEnabled(\"contactInfo\")","attrs":{"hidden":"$activeStep !== \"contactInfo\"","key":"contactInfo"},"children":[{"$formkit":"group","id":"contactInfo","name":"contactInfo","children":[{"$el":"h3","children":"$getKey($meta, \"finalHeadlines.\" + ($get(Type_Of_Legal_Problem).value || $get(Category).value), $meta.defaultFinalHeadline)","attrs":{"class":"t-flex t-justify-center t-text-center !t-text-xl md:!t-text-2xl t-font-bold t-text-blue-500 t-pb-3 t-pt-4 t-px-1 !t-text-[#465f87] f-contact-info-headline"}},{"$el":"h5","children":"$getKey($meta, \"finalSubHeadlines.\" + ($get(Type_Of_Legal_Problem).value || $get(Category).value), $meta.defaultFinalSubHeadline)","attrs":{"class":"t-flex t-justify-center t-text-center !t-text-base md:!t-text-lg t-font-semibold t-pb-6 t-pt-0 t-px-3 !t-text-[#353739] f-contact-info-subheadline"}},{"$el":"script","if":"$activeStep === $lastStep()","children":"(function() {\n if (window.xxTrustedFormLoaded) {\n return\n }\n var vid = '';\n if (typeof window.zar !== 'undefined') {\n vid = window.zar.getVID();\n }\n window.xxTrustedFormLoaded = true;\n var sandbox = document.location.hostname.indexOf('localhost') > -1 ? 'true' : 'false'\n var tf = document.createElement('script');\n tf.type = 'text/javascript'; tf.async = true;\n tf.src = (\"https:\" == document.location.protocol ? 'https' : 'http') + \"://api.trustedform.com/trustedform.js?field=xxTrustedFormCertUrl&identifier=\" + vid + \"&ping_field=xxTrustedFormPingUrl&provideReferrer=false&invert_field_sensitivity=true&sandbox=\" + sandbox + \"&l=\" + new Date().getTime() + Math.random();\n var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(tf, s);\n})();"},{"$el":"div","attrs":{"class":"t-flex t-flex-col t-justify-center t-items-center"},"children":[{"$formkit":"FloatingLabelText","validation":"required|email","validationMessages":{"required":"Email is required","email":"Invalid Email"},"labelClass":"required","name":"Email","placeholder":"Email Address","autocomplete":"email","data-tf-sensitive":"false","inputClass":"t-text-center","wrapperClass":"t-flex t-justify-center","outerClass":"!t-max-w-[95%] !t-w-[96%] sm:!t-w-[70%]","innerClass":"!t-w-[98%] !t-max-w-[98%] sm:!t-w-[100%] sm:!t-max-w-[100%]","id":"Email"},{"$formkit":"FloatingLabelText","validation":"required|matches:/^[0-9]{3}[0-9]{3}[0-9]{4}$/|valid_phone","validationMessages":{"required":"Phone Number is required","matches":"Invalid Phone Format, use (XXX) YYY-ZZZZ","valid_phone":"Invalid Phone Number"},"labelClass":"required","datatype":"tel","name":"Primary_Phone","placeholder":"Phone Number","maxlength":14,"help":null,"autocomplete":"tel-national","data-tf-sensitive":"false","helpClass":"t-mt-2.5 md:t-text-right md:t-mt-[-2px]","inputClass":"t-text-center","wrapperClass":"t-flex t-justify-center","outerClass":"!t-max-w-[95%] !t-w-[96%] sm:!t-w-[70%]","innerClass":"!t-w-[98%] !t-max-w-[98%] sm:!t-w-[100%] sm:!t-max-w-[100%]","id":"Primary_Phone"}]},{"$formkit":"checkbox","label":"$meta.tcpaLanguage","__raw__sectionsSchema":{"label":{"attrs":{"innerHTML":"$label"}}},"name":"TCPA_Opt_In","data-tf-sensitive":"false","validation":"required|accepted","validationMessages":{"required":"Consent is required","accepted":"Consent is required"},"classes":{"outer":"!t-flex !t-flex-col !t-justify-center !t-items-center","wrapper":"t-w-[95%] sm:t-w-[80%]","messages":"t-w-[95%] sm:t-w-[80%]","label":"!t-text-[0.7rem] t-text-slate-500 t-font-normal !t-leading-[0.9rem]"}}]}]},{"$el":"div","attrs":{"class":{"if":"$activeStep === $firstStep()","then":"step-nav !t-justify-center","else":{"if":"$activeStep === $lastStep()","then":"step-nav !t-justify-center ","else":"step-nav !t-justify-between"}}},"children":[{"$formkit":"button","name":"back_button","onClick":"$setPreviousStep($prevStepFunc($get(form)))","children":"Back","outerClass":{"if":"$fns.eq($activeStep, $firstStep()) || $fns.eq($activeStep, $lastStep())","then":"t-hidden sm:t-block","else":""},"style":{"if":"$fns.eq($activeStep, $firstStep()) || $fns.eq($activeStep, $lastStep())","then":"display: none;"},"classes":{"input":"!t-text-black !t-font-extrabold !t-bg-[#ffce51] f-navigation-input"}},{"$formkit":"button","name":"next_button","onClick":"$setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form)))","children":{"if":"$activeStep === $firstStep()","then":"Get Quotes Now","else":"Next"},"outerClass":{"if":"$activeStep === $lastStep()","then":"t-hidden","else":""},"style":{"if":"$activeStep === $lastStep()","then":"display: none;"},"classes":{"input":"!t-text-black !t-font-extrabold !t-bg-[#ffce51] f-navigation-input"}},{"$formkit":"submit","name":"submit_button","label":"Get A Quote","if":"$activeStep === $lastStep()","style":{"if":"$activeStep !== $lastStep()","then":"display: none;"},"classes":{"input":"!t-text-black !t-font-extrabold !t-bg-[#ffce51] f-navigation-input !t-w-60","outer":"!t-mt-0 !t-mb-0"}}]},{"if":"$activeStep === $lastStep()","style":{"if":"$activeStep !== $lastStep()","then":"display: none;"},"children":[{"$el":"div","if":"$activeStep === $lastStep()","attrs":{"class":"t-flex t-justify-center t-items-center t-text-sm t-text-gray-500 t-pb-6 sm:t-pb-8"},"children":[{"$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":"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: ","$stepQueue"],"attrs":{"class":"t-text-xs","style":"overflow: scroll"}},{"$el":"pre","children":["steps: ","$stepKeys()"],"attrs":{"class":"t-text-xs","style":"overflow: scroll"}}]}]}]}]
@@ -27,29 +27,6 @@ const ensureIds = (cfg) => {
27
27
  return cfg
28
28
  };
29
29
 
30
- const checkbox = (updates) => {
31
- ensureIds(updates);
32
- return merge(
33
- {
34
- $formkit: "checkbox",
35
- validation: "required",
36
- validationMessages: {
37
- required: "Field is required",
38
- },
39
- },
40
- updates
41
- )
42
- };
43
-
44
- const sbsCheckbox = (updates) => {
45
- updates.legendClass = "legend-left required";
46
- updates.fieldsetClass = "$reset side-by-side";
47
- updates.optionsClass = "t-pl-1";
48
- updates.innerClass = "t-flex t-items-center";
49
- updates.wrapperClass = "t-mb-3";
50
- return checkbox(updates)
51
- };
52
-
53
30
  const radio = (updates) => {
54
31
  ensureIds(updates);
55
32
  return merge(
@@ -147,14 +124,11 @@ const textArea = (updates) => {
147
124
  )
148
125
  };
149
126
 
150
- const email = (scope, vertical, updates = {}) => {
151
- const func = vertical ? verticalText : sbsText;
152
- const label = vertical ? updates.label : "Email Address:";
153
- return func({
154
- $formkit: "email",
127
+ const emailFL = (scope, updates = {}) => {
128
+ return text({
129
+ $formkit: "FloatingLabelText",
155
130
  name: scope ? scope + ":" + "Email" : "Email",
156
- label,
157
- placeholder: "email@domain.com",
131
+ placeholder: "Email Address",
158
132
  autocomplete: "email",
159
133
  "data-tf-sensitive": "false",
160
134
  validation: "required|email",
@@ -162,59 +136,72 @@ const email = (scope, vertical, updates = {}) => {
162
136
  required: "Email is required",
163
137
  email: "Invalid Email",
164
138
  },
139
+ inputClass: "t-text-center",
140
+ wrapperClass: "t-flex t-justify-center",
165
141
  ...updates,
166
142
  })
167
143
  };
168
144
 
169
- const firstName = (scope, vertical, updates = {}) => {
170
- const func = vertical ? verticalText : sbsText;
171
- const label = vertical ? updates.label : "First Name:";
172
- return func({
173
- label,
145
+ const firstNameFL = (scope, updates = {}) => {
146
+ return text({
147
+ $formkit: "FloatingLabelText",
174
148
  placeholder: "First Name",
175
149
  name: scope ? scope + ":" + "First_Name" : "First_Name",
176
150
  autocomplete: "given-name",
177
151
  validationMessages: {
178
152
  required: "First Name is required",
179
153
  },
154
+ inputClass: "t-text-center",
180
155
  ...updates,
181
156
  })
182
157
  };
183
158
 
184
- const lastName = (scope, vertical, updates = {}) => {
185
- const func = vertical ? verticalText : sbsText;
186
- const label = vertical ? updates.label : "Last Name:";
187
- return func({
188
- label,
159
+ const lastNameFL = (scope, updates = {}) => {
160
+ return text({
161
+ $formkit: "FloatingLabelText",
189
162
  placeholder: "Last Name",
190
163
  name: scope ? scope + ":" + "Last_Name" : "Last_Name",
191
164
  autocomplete: "family-name",
192
165
  validationMessages: {
193
166
  required: "Last Name is required",
194
167
  },
168
+ inputClass: "t-text-center",
195
169
  ...updates,
196
170
  })
197
171
  };
198
172
 
199
- const phone = (scope, vertical, updates = {}) => {
200
- const func = vertical ? verticalText : sbsText;
201
- const label = vertical ? updates.label : "Phone Number:";
202
- return func({
203
- $formkit: "tel",
173
+ const fullNameFLMobileCol = (scope, updates = {}) => {
174
+ return {
175
+ $el: "div",
176
+ attrs: {
177
+ class: "t-flex t-flex-col sm:t-flex-row t-flex-wrap t-gap-x-[2%] t-justify-center sm:!t-max-w-[70%]",
178
+ },
179
+ children: [
180
+ firstNameFL(scope, { outerClass: "sm:!t-max-w-[49%]", ...updates }),
181
+ lastNameFL(scope, { outerClass: "sm:!t-max-w-[49%]", ...updates }),
182
+ ],
183
+ }
184
+ };
185
+
186
+ const phoneFL = (scope, updates = {}) => {
187
+ return text({
188
+ $formkit: "FloatingLabelText",
189
+ datatype: "tel",
204
190
  name: scope ? scope + ":" + "Primary_Phone" : "Primary_Phone",
205
- label,
206
- placeholder: updates.placeholder || "###-###-####",
207
- maxlength: 12,
208
- help: updates.help || "10-digit phone number, hyphens optional",
191
+ placeholder: updates.placeholder || "Phone Number",
192
+ maxlength: 14,
193
+ help: updates.help || null,
209
194
  autocomplete: "tel-national",
210
195
  "data-tf-sensitive": "false",
211
- validation: "required|matches:/^[0-9]{3}-?[0-9]{3}-?[0-9]{4}$/|valid_phone",
196
+ validation: "required|matches:/^[0-9]{3}[0-9]{3}[0-9]{4}$/|valid_phone",
212
197
  validationMessages: {
213
198
  required: "Phone Number is required",
214
- matches: "Invalid Phone Format, use ###-###-####",
199
+ matches: "Invalid Phone Format, use (XXX) YYY-ZZZZ",
215
200
  valid_phone: "Invalid Phone Number",
216
201
  },
217
202
  helpClass: "t-mt-2.5 md:t-text-right md:t-mt-[-2px]",
203
+ inputClass: "t-text-center",
204
+ wrapperClass: "t-flex t-justify-center",
218
205
  ...updates,
219
206
  })
220
207
  };
@@ -263,17 +250,6 @@ const applicantAge = (scope, vertical, updates = {}) => {
263
250
  )
264
251
  };
265
252
 
266
- const bankruptcyCrossSell = (scope) =>
267
- sbsCheckbox({
268
- label: "I'd also like a consult for bankruptcy or debt elimination (optional)",
269
- help: "Note: you will be contacted separately by a bankruptcy/debt expert",
270
- name: scope ? scope + ":CrossSell_Bankruptcy" : "CrossSell_Bankruptcy",
271
- id: scope ? scope + ":CrossSell_Bankruptcy" : "CrossSell_Bankruptcy",
272
- 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")',
273
- validation: null,
274
- helpClass: "!t-text-sm",
275
- });
276
-
277
253
  // TODO: vertical not supported yet
278
254
  const comments = (scope, vertical, updates) =>
279
255
  textArea(
@@ -447,6 +423,24 @@ function secureIcon(updates = {}) {
447
423
  return merge(secureIconDefault, updates)
448
424
  }
449
425
 
426
+ function secureIconStandalone(updates = {}) {
427
+ return {
428
+ if: "$activeStep === $lastStep()",
429
+ style: {
430
+ if: "$activeStep !== $lastStep()",
431
+ then: "display: none;",
432
+ },
433
+ children: [
434
+ secureIcon({
435
+ attrs: {
436
+ class: "t-flex t-justify-center t-items-center t-text-sm t-text-gray-500 t-pb-6 sm:t-pb-8",
437
+ },
438
+ ...updates,
439
+ }),
440
+ ],
441
+ }
442
+ }
443
+
450
444
  function verticalStepHeadline(updates) {
451
445
  return {
452
446
  $el: "h3",
@@ -473,13 +467,6 @@ function commentsStepHeadline(updates) {
473
467
  }
474
468
  }
475
469
 
476
- function commentsStepHeadlineLegal(updates) {
477
- return commentsStepHeadline({
478
- headline: updates.headline || "Additional Case Details",
479
- headlineClass: updates.headlineClass,
480
- })
481
- }
482
-
483
470
  function firstAndLastStepHeadline(updates) {
484
471
  return {
485
472
  $el: "h3",
@@ -499,7 +486,7 @@ function contactStepHeadline(updates) {
499
486
  children: updates.headline || DEFAULT_FINAL_HEADLINE_DYNAMIC,
500
487
  attrs: {
501
488
  class:
502
- "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" +
489
+ "t-flex t-justify-center t-text-center !t-text-xl md:!t-text-2xl t-font-bold t-text-blue-500 t-pb-3 t-pt-4 t-px-1" +
503
490
  " " +
504
491
  (updates.headlineClass || "") +
505
492
  " f-contact-info-headline",
@@ -513,7 +500,7 @@ function contactStepSubHeadline(updates) {
513
500
  children: updates.subheadline || DEFAULT_FINAL_SUBHEADLINE_DYNAMIC,
514
501
  attrs: {
515
502
  class:
516
- "t-flex t-justify-center t-text-center !t-text-lg t-font-semibold t-pb-6 t-pt-0 t-px-3" +
503
+ "t-flex t-justify-center t-text-center !t-text-base md:!t-text-lg t-font-semibold t-pb-6 t-pt-0 t-px-3" +
517
504
  " " +
518
505
  (updates.subheadlineClass || "") +
519
506
  " f-contact-info-subheadline",
@@ -589,55 +576,75 @@ function step(name, inputs, updates = {}) {
589
576
  })
590
577
  }
591
578
 
592
- function commentsWithBankruptcy(updates = {}) {
579
+ function commentsLegal(updates = {}) {
580
+ const mergedUpdates = { ...updates, nextOnEnter: false };
581
+
593
582
  return step(
594
- "commentsWithBankruptcy",
583
+ "comments",
595
584
  [
596
- commentsStepHeadlineLegal(updates),
585
+ commentsStepHeadline(updates),
597
586
  comments(updates.scope, false, {
598
587
  label: typeof updates.label === "undefined" ? DEFAULT_COMMENTS_LABEL_LEGAL : updates.label,
599
588
  placeholder: updates.placeholder || DEFAULT_COMMENTS_PLACEHOLDER_DYNAMIC_LEGAL,
600
589
  // TODO: this is a mess
601
590
  inputClass: typeof updates.inputClass === "undefined" ? "!t-h-32" : updates.inputClass,
591
+ innerClass: typeof updates.innerClass === "undefined" ? "t-max-w-xl" : updates.innerClass,
592
+ wrapperClass: typeof updates.wrapperClass === "undefined" ? undefined : updates.wrapperClass,
602
593
  }),
603
- // TODO: needs scope support
604
- bankruptcyCrossSell(),
605
- {
606
- $el: "div",
607
- if: "$get(CrossSell_Bankruptcy).value == true",
608
- children: [
609
- comments("CrossSell:Bankruptcy", false, {
610
- label: "Bankruptcy or debt details:",
611
- placeholder: "Please describe your bankrtupcy or debt situation in a few words...",
612
- inputClass: "!t-h-16",
613
- }),
614
- ],
615
- },
616
594
  ],
617
- { nextOnEnter: false }
595
+ mergedUpdates
618
596
  )
619
597
  }
620
598
 
621
- function contactInfo(updates = {}) {
599
+ function contactInfoV2(updates = {}) {
622
600
  return step(
623
601
  "contactInfo",
624
602
  [
625
603
  contactStepHeadline(updates),
626
604
  contactStepSubHeadline(updates),
627
605
  trustedFormScript(),
628
- email(updates.scope),
629
- phone(updates.scope),
630
- TCPAConsent(updates.scope),
631
- secureIcon(),
606
+ {
607
+ $el: "div",
608
+ attrs: {
609
+ class: "t-flex t-flex-col t-justify-center t-items-center",
610
+ },
611
+ children: [
612
+ emailFL(updates.scope, {
613
+ outerClass: "!t-max-w-[95%] !t-w-[96%] sm:!t-w-[70%]",
614
+ innerClass: "!t-w-[98%] !t-max-w-[98%] sm:!t-w-[100%] sm:!t-max-w-[100%]",
615
+ }),
616
+ phoneFL(updates.scope, {
617
+ outerClass: "!t-max-w-[95%] !t-w-[96%] sm:!t-w-[70%]",
618
+ innerClass: "!t-w-[98%] !t-max-w-[98%] sm:!t-w-[100%] sm:!t-max-w-[100%]",
619
+ }),
620
+ ],
621
+ },
622
+ TCPAConsent(updates.scope, {
623
+ outerClass: "!t-flex !t-flex-col !t-justify-center !t-items-center",
624
+ wrapperClass: "t-w-[95%] sm:t-w-[80%]",
625
+ messagesClass: "t-w-[95%] sm:t-w-[80%]",
626
+ }),
632
627
  ],
633
628
  { nextOnEnter: false }
634
629
  )
635
630
  }
636
631
 
637
- function firstAndLastV2(updates = {}) {
632
+ function firstAndLastV4(updates = {}) {
638
633
  return step(
639
634
  "firstAndLast",
640
- [firstAndLastStepHeadline(updates), firstName(updates.scope), lastName(updates.scope)],
635
+ [
636
+ firstAndLastStepHeadline({
637
+ headline: updates.headline ?? "Who is looking for help?",
638
+ headlineClass: updates.headlineClass,
639
+ }),
640
+ {
641
+ $el: "div",
642
+ attrs: {
643
+ class: "t-flex t-flex-col t-justify-center t-items-center t-pt-3",
644
+ },
645
+ children: [fullNameFLMobileCol(updates.scope)],
646
+ },
647
+ ],
641
648
  updates
642
649
  )
643
650
  }
@@ -709,13 +716,17 @@ function ssdiHaveAttorney(updates = {}) {
709
716
  )
710
717
  }
711
718
 
712
- const formNavigation = (updates = {}) => ({
719
+ const formNavigationNoFinalBack = (updates = {}) => ({
713
720
  $el: "div",
714
721
  attrs: {
715
722
  class: {
716
723
  if: "$activeStep === $firstStep()",
717
724
  then: "step-nav " + (updates.firstStepButtonClass || "!t-justify-center sm:!t-justify-between"),
718
- else: "step-nav !t-justify-between",
725
+ else: {
726
+ if: "$activeStep === $lastStep()",
727
+ then: "step-nav !t-justify-center ",
728
+ else: "step-nav !t-justify-between",
729
+ },
719
730
  },
720
731
  },
721
732
  children: [
@@ -725,12 +736,12 @@ const formNavigation = (updates = {}) => ({
725
736
  onClick: "$setPreviousStep($prevStepFunc($get(form)))",
726
737
  children: "Back",
727
738
  outerClass: {
728
- if: "$activeStep === $firstStep()",
739
+ if: "$fns.eq($activeStep, $firstStep()) || $fns.eq($activeStep, $lastStep())",
729
740
  then: "t-hidden sm:t-block",
730
741
  else: "",
731
742
  },
732
743
  style: {
733
- if: "$activeStep === $firstStep()",
744
+ if: "$fns.eq($activeStep, $firstStep()) || $fns.eq($activeStep, $lastStep())",
734
745
  then: "display: none;",
735
746
  },
736
747
  classes: {
@@ -769,7 +780,8 @@ const formNavigation = (updates = {}) => ({
769
780
  then: "display: none;",
770
781
  },
771
782
  classes: {
772
- input: (updates.inputClass || "") + " !t-ml-2 sm:!t-ml-auto f-navigation-input",
783
+ input: (updates.inputClass || "") + " f-navigation-input !t-w-60",
784
+ outer: "!t-mt-0 !t-mb-0",
773
785
  },
774
786
  },
775
787
  ],
@@ -1642,76 +1654,81 @@ const schema = [
1642
1654
  defaultMetaPropsLegal(),
1643
1655
  formAnchor(),
1644
1656
  {
1645
- $cmp: 'FormKit',
1657
+ $cmp: "FormKit",
1646
1658
  props: formProps({
1647
- formId: 'ssdi',
1659
+ formId: "ssdi",
1648
1660
  redirectMap: {
1649
- '*': LegalRedirectUrl()
1661
+ "*": LegalRedirectUrl(),
1650
1662
  },
1651
1663
  }),
1652
1664
  children: [
1653
1665
  progressBar(),
1654
1666
  headline({
1655
1667
  children: '$urlParam("hl", "Start Your FREE Case Evaluation")',
1656
- if: '$activeStep === $firstStep()',
1657
- headlineClass: '!t-text-dark'
1668
+ if: "$activeStep === $firstStep()",
1669
+ headlineClass: "!t-text-dark",
1658
1670
  }),
1659
1671
  subHeadline({
1660
- children: '$urlParam("shl", "You Could Receive up to $3,148 Per Month!")',
1661
- if: '$activeStep === $firstStep()',
1662
- subheadlineClass: '!t-text-[#00428A]'
1672
+ children: '$urlParam("shl", "Receive up to $4,018 Per Month!")',
1673
+ if: "$activeStep === $firstStep()",
1674
+ subheadlineClass: "!t-text-[#00428A]",
1663
1675
  }),
1664
1676
  ...hiddenInputsLegal,
1665
1677
  {
1666
- $el: 'div',
1678
+ $el: "div",
1667
1679
  attrs: {
1668
- class: 'form-body'
1680
+ class: "form-body",
1669
1681
  },
1670
1682
  children: [
1671
1683
  ssdiTOLPAndZip(),
1672
1684
  ssdiApplicantAge({
1673
1685
  nextOnInput: true,
1674
- headline: 'What is the Age of the Applicant?'
1686
+ headline: "What is the Age of the Applicant?",
1675
1687
  }),
1676
1688
  ssdiDisabilityConditionStopWork({
1677
1689
  nextOnInput: true,
1678
- headline: "Do You Expect To Be Out Of Work For At Least a Year Due To Your Health?"
1690
+ headline: "Do You Expect To Be Out Of Work For At Least a Year Due To Your Health?",
1679
1691
  }),
1680
1692
  ssdiDisabilityWorkHistory({
1681
1693
  nextOnInput: true,
1682
- headline: "Have You Had a Full-Time Job Within the Past 5 Years?"
1694
+ headline: "Have You Had a Full-Time Job Within the Past 5 Years?",
1683
1695
  }),
1684
1696
  ssdiSocialSecurityDisabilityReceivingBenefits({
1685
1697
  nextOnInput: true,
1686
- headline: "Are You Currently Receiving Social Security Disability Benefits?"
1698
+ headline: "Are You Currently Receiving Social Security Disability Benefits?",
1687
1699
  }),
1688
1700
  ssdiDoctorTreatment({
1689
1701
  nextOnInput: true,
1690
- headline: "Have You Recently Been Treated by a Doctor, Hospital or Clinic?"
1702
+ headline: "Have You Recently Been Treated by a Doctor, Hospital or Clinic?",
1691
1703
  }),
1692
1704
  ssdiHaveAttorney({
1693
1705
  nextOnInput: true,
1694
- headline: "Already Working with An Attorney?"
1706
+ headline: "Already Working with An Attorney?",
1695
1707
  }),
1696
- commentsWithBankruptcy({
1708
+ commentsLegal({
1697
1709
  label: null,
1698
- headline: 'Please briefly describe your situation:',
1699
- headlineClass: '!t-text-dark'
1710
+ headline: "Please briefly describe your situation:",
1711
+ headlineClass: "!t-text-dark",
1700
1712
  }),
1701
- firstAndLastV2({
1702
- headlineClass: '!t-text-dark'
1713
+ firstAndLastV4({
1714
+ headlineClass: "!t-text-dark",
1703
1715
  }),
1704
- contactInfo({
1705
- headline: 'Submit Your Free Application',
1706
- headlineClass: '!t-text-[#00428A]',
1707
- subheadline: 'Based on your input you may qualify for SSDI benefits. Please verify your contact information.',
1716
+ contactInfoV2({
1717
+ headline: "Submit Your Free Application",
1718
+ headlineClass: "!t-text-[#00428A]",
1719
+ subheadline:
1720
+ "Based on your input you may qualify for SSDI benefits. Please verify your contact information.",
1708
1721
  }),
1709
- formNavigation(),
1710
- formDetails()
1711
- ]
1712
- }
1713
- ]
1714
- }
1722
+ formNavigationNoFinalBack({
1723
+ inputClass: "!t-font-extrabold",
1724
+ firstStepButtonClass: "!t-justify-center",
1725
+ }),
1726
+ secureIconStandalone(),
1727
+ formDetails(),
1728
+ ],
1729
+ },
1730
+ ],
1731
+ },
1715
1732
  ];
1716
1733
 
1717
1734
  export { schema as default };