bhl-forms 0.2.9 → 0.3.2

package/dist/forms/ssdi.es.js

@@ -291,7 +291,6 @@ const TOLPCommentsPlaceholders = {
   '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"',
@@ -303,8 +302,6 @@ const TOLPCommentsPlaceholders = {
   '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"',
@@ -315,59 +312,6 @@ const TOLPCommentsPlaceholders = {
 
 const TOLPFinalHeadlines = {
   // 'Adoption': '',
-  // 'Asbestos and Mesothelioma': '',
-  // 'Auto and Car Accidents': '',
-  // 'Bankruptcy': '',
-  // 'Birth Certificate and Name Change': '',
-  // 'Business Lawyers': '',
-  // 'Child Custody and Support': '',
-  // 'Civil Rights and Discrimination': '',
-  // 'Civil Lawsuit': '',
-  // 'Consumer Lawyers': '',
-  // 'Copyrights and Trademarks': '',
-  // 'Criminal and Felony': '',
-  // 'Debt and Collections': '',
-  // 'Divorce and Separation': '',
-  // 'DUI and DWI': '',
-  // 'Elder Law': '',
-  // 'Employment and Workplace': '',
-  // 'Expungement': '',
-  // 'Family Issues': '',
-  // 'Foreclosure': '',
-  // 'Guardianship': '',
-  // 'Harassment and Discrimination': '',
-  // 'Identity Theft': '',
-  // 'Immigration and Visas': '',
-  // 'Insurance': '',
-  // 'Landlord and Tenant': '',
-  // 'Lemon Law': '',
-  // 'Long Term Disability': '',
-  // 'Medical Malpractice': '',
-  // 'Nursing Home Abuse': '',
-  // 'Patents and Intellectual Property': '',
-  // 'Personal Injury': '',
-  // 'Power of Attorney': '',
-  // 'Probate and Estates': '',
-  // 'Product Liability': '',
-  // 'Property Damage': '',
-  // 'Real Estate': '',
-  // 'Social Security Disability and Insurance': '',
-  // 'Tax and IRS': '',
-  // 'Traffic and Tickets': '',
-  // 'Unemployment': '',
-  // 'Vaccination Injury': '',
-  // 'Veteran\'s Disability': '',
-  // 'Victim of a Crime': '',
-  // 'Wills and Trusts': '',
-  // 'Workers Compensation': '',
-  // 'Wrongful Death': '',
-  // 'Wrongful Termination': '',
-  // 'Not Sure or Other': ''
-  // 'Sexual Harassment': '',
-  // 'Workplace Harassment': '',
-  // 'Non-Workplace Harassment': '',
-  // 'Workplace Discrimination': '',
-  // 'Non-Workplace Discrimination': '',
 };
 
 const TOLPFinalSubHeadlines = {
@@ -400,7 +344,6 @@ const TOLPFinalSubHeadlines = {
   // 'Lemon Law': '',
   '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.',
-  // 'Nursing Home Abuse': '',
   '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.',
   // 'Power of Attorney': '',
@@ -412,8 +355,6 @@ const TOLPFinalSubHeadlines = {
   'Tax and IRS': 'You may benefit from speaking with a tax professional. Please verify your contact information.',
   // 'Traffic and Tickets': '',
   'Unemployment': 'You may benefit from speaking with an unemployment professional. Please verify your contact information.',
-  // 'Vaccination Injury': '',
-  'Veteran\'s Disability': 'You may benefit from speaking with a disability legal professional. Please verify your contact information.',
   // 'Victim of a Crime': '',
   // 'Wills and Trusts': '',
   'Workers Compensation': 'You may benefit from speaking with a workers compensation professional. Please verify your contact information.',
@@ -477,27 +418,6 @@ const verticalYesNoRadio = (updates) => {
   return vertical2ItemRadio(updates)
 };
 
-const select = (updates) => {
-  return merge({
-    $formkit: 'select',
-    placeholder: "Please Select",
-    validation: 'required',
-    validationMessages: {
-      required: 'Field is required'
-    },
-    inputClass: 't-bg-white',
-    labelClass: 'required'
-  }, updates)
-};
-
-const verticalSelect = (updates) => {
-  updates.labelClass = 'required';
-  updates.wrapperClass = 't-flex t-justify-center';
-  updates.messagesClass = 't-flex t-justify-center';
-  return select(updates)
-};
-
-
 const text = (updates) => {
   return merge({
     $formkit: 'text',
@@ -528,59 +448,21 @@ const textArea = (updates) => {
   }, updates)
 };
 
-const applicantAgeVertical = () => verticalSelect({
-  name: 'Applicant_Age',
+const applicantAgeVertical = (scope) => text({
+  name: scope ? scope + ':' + 'Applicant_Age' : 'Applicant_Age',
   value: "50",
-  options: [
-    "18",
-    "19",
-    "20",
-    "21",
-    "22",
-    "23",
-    "24",
-    "25",
-    "26",
-    "27",
-    "28",
-    "29",
-    "30",
-    "31",
-    "32",
-    "33",
-    "34",
-    "35",
-    "36",
-    "37",
-    "38",
-    "39",
-    "40",
-    "41",
-    "42",
-    "43",
-    "44",
-    "45",
-    "46",
-    "47",
-    "48",
-    "49",
-    "50",
-    "51",
-    "52",
-    "53",
-    "54",
-    "55",
-    "56",
-    "57",
-    "58",
-    "59",
-    "60",
-    "61",
-    "62",
-    "63",
-    "64",
-    "65"
-  ]
+  placeholder: 'Age between 18 and 65',
+  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',
+  },
+  wrapperClass: 't-flex t-justify-center',
+  messagesClass: 't-flex t-justify-center',
+  inputClass: 't-text-center'
 });
 
 const bankruptcyCrossSell = () => sbsCheckbox({
@@ -704,7 +586,8 @@ const zipcodeCenter = () => text({
     matches: 'Invalid Zip Code'
   },
   wrapperClass: 't-flex t-justify-center',
-  messagesClass: 't-flex t-justify-center'
+  messagesClass: 't-flex t-justify-center',
+  inputClass: 't-text-center',
 });
 
 const NEXT_ON_ENTER = '$onEnter($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))';
@@ -734,21 +617,17 @@ const findLastInput = (n) => {
 
 const stepDefaults = (step) => ({
   $el: 'section',
-  if: '$stepIsEnabled("' + step + '")',
   attrs: {
-    style: {
-      if: '$activeStep !== "' + step + '"',
-      then: 'display: none;'
-    }
+    hidden: '$activeStep !== "' + step + '"'
   }
 });
 
 function verticalStepHeadline(updates) {
   return {
     $el: 'h3',
-    children: updates.headline || 'Tell Us About Your Case',
+    children: updates.headline || 'Tell Us About Your Situation',
     attrs: {
-      class: 't-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-dark t-pb-5 t-pt-0 t-px-3'
+      class: 't-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-dark t-pb-5 t-pt-0 t-px-1'
     }
   }
 }
@@ -759,7 +638,7 @@ function commentsStepHeadline(updates) {
     $el: 'h3',
     children: updates.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' + ' ' + (updates.headlineClass || '')
+      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-1' + ' ' + (updates.headlineClass || '')
     }
   }
 }
@@ -769,7 +648,7 @@ function firstAndLastStepHeadline(updates) {
     $el: 'h3',
     children: updates.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' + ' ' + (updates.headlineClass || '')
+      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-1' + ' ' + (updates.headlineClass || '')
     }
   }
 }
@@ -779,7 +658,7 @@ function contactStepHeadline(updates) {
     $el: 'h3',
     children: updates.headline || DEFAULT_FINAL_HEADLINE_DYNAMIC,
     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'
+      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-1'
     }
   }
 }
@@ -826,10 +705,10 @@ function step(name, inputs, nextOnEnter = true, nextOnInput = false) {
   }
   if (inputs && inputs.length && (nextOnEnter || nextOnInput)) {
     const lastInput = findLastInput(inputs[inputs.length - 1]);
-    if (nextOnEnter === true) {
+    if (lastInput && nextOnEnter === true) {
       lastInput.onKeypress = NEXT_ON_ENTER;
     }
-    if (nextOnInput === true) {
+    if (lastInput && nextOnInput === true) {
       lastInput.onInput = NEXT_ON_INPUT;
     }
   }

package/dist/forms/ssdi.iife.js

@@ -1 +1 @@
-var ssdi=function(){"use strict";function e(){return Object.assign({},...arguments)}const t='$getKey($meta, "commentsPlaceholders." + $get(Type_Of_Legal_Problem).value, $meta.defaultCommentsPlaceholder)',a='$getKey($meta, "finalHeadlines." + $get(Type_Of_Legal_Problem).value, $meta.defaultFinalHeadline)',i='$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 r={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 o={$el:"div",children:[{$el:"div",attrs:{id:"form-anchor",class:"t-absolute",style:{top:"-30px",left:0}}}],attrs:{class:"t-relative"}};const l={$el:"div",attrs:{class:"t-mt-7 t-mb-5 t-w-full t-flex t-flex-col t-justify-center t-items-center",style:{if:"$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:[{$el:"div",attrs:{id:"progress-bar",class:"t-flex t-flex-col t-justify-center t-text-center t-whitespace-nowrap t-w-[10%] t-h-1.5 t-rounded t-text-white t-bg-[#007bff]",style:{transition:"width 0.5s ease"}}}]}]};const s={$el:"div",if:"$activeStep === $lastStep()",attrs:{class:"t-flex t-justify-center t-items-center t-text-sm t-text-gray-500"},children:[{$el:"img",attrs:{loading:"lazy",alt:"",style:{border:0},width:"25",height:"25",src:"https://d27hmee62k45vz.cloudfront.net/lock_icon_1.jpeg"}},{$el:"span",children:"Secure & Encrypted",attrs:{class:"t-pl-2 t-pt-1 t-font-medium"}}]};function d(t){return e(s,t)}const c=[{$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},{$formkit:"hidden",name:"s",value:null}],m=t=>(t.legendClass="legend-left required",t.fieldsetClass="$reset side-by-side",t.optionsClass="t-pl-1",t.innerClass="t-flex t-items-center",t.wrapperClass="t-mb-3",(t=>e({$formkit:"checkbox",validation:"required",validationMessages:{required:"Field is required"}},t))(t)),p=t=>(t.legendClass="legend-left",t.fieldsetClass="$reset vertical t-items-center",t.optionsClass="t-flex t-justify-center t-my-4",t.optionClass="radiobtn t-mx-5",t.wrapperClass="$reset formkit-wrapper t-mb-0",t.labelClass="t-font-semibold t-text-[#1e448f]",t.decoratorIcon=!1,t.messagesClass="t-flex t-justify-center",(t=>e({$formkit:"radio",validation:"required",validationMessages:{required:"Field is required"},optionsClass:"t-pt-3 t-pl-1",legendClass:"required"},t))(t)),u=e=>(e.options=["Yes","No"],p(e)),f=t=>(t.labelClass="required",t.wrapperClass="t-flex t-justify-center",t.messagesClass="t-flex t-justify-center",(t=>e({$formkit:"select",placeholder:"Please Select",validation:"required",validationMessages:{required:"Field is required"},inputClass:"t-bg-white",labelClass:"required"},t))(t)),y=t=>e({$formkit:"text",validation:"required",validationMessages:{required:"Field is required"},labelClass:"required"},t),h=e=>(e.wrapperClass="side-by-side t-items-center",y(e)),g=t=>(t=>e({$formkit:"textarea",rows:5,maxlength:500,validation:"required",validationMessages:{required:"Field is required"},innerClass:"t-max-w-xl",labelClass:"required"},t))(e({label:"Please briefly describe your situation in a few words:",name:"Comments",placeholder:'For Example: "I would like help with child support payments" or "I need help with visitation rights"'},t)),b="$onEnter($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))",x="$onInput($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))",v=e=>"group"!==e.type&&"section"!==e.type&&"form"!==e.type&&"hidden"!==e.$formkit&&!e.children,w=e=>{if(v(e))return e;for(var t=e.children.length-1;t>=0;t--){if("string"==typeof e.children)continue;const a=e.children[t];if(v(a))return a;const i=w(a);if(i)return i}return null},$=e=>({$el:"section",if:'$stepIsEnabled("'+e+'")',attrs:{style:{if:'$activeStep !== "'+e+'"',then:"display: none;"}}});function k(e){return{$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-dark t-pb-5 t-pt-0 t-px-3"}}}function I(e){return{$el:"h3",children:e.headline||"Additional Case Details",attrs:{class:"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-5 t-pt-0 t-px-3 "+(e.headlineClass||"")}}}function E(e){return{$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 "+(e.headlineClass||"")}}}function C(e){return{$el:"h3",children:e.headline||a,attrs:{class:"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-3 t-pt-0 t-px-3"}}}function S(e){return{$el:"h5",children:e.subheadline||i,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 P="(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 _(t,a,i=!0,n=!1){if(void 0===i&&(i=!0),a&&a.length&&(i||n)){const e=w(a[a.length-1]);!0===i&&(e.onKeypress=b),!0===n&&(e.onInput=x)}return e($(t),{children:[{$formkit:"group",id:t,name:t,children:a}]})}const D=[{type:"meta",data:e(r,{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. 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package/dist/forms/ssdi.json

@@ -1 +1 @@
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