bhl-forms 0.3.1 → 0.3.2

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Files changed (73) hide show
  1. package/dist/bhl-forms.es.js +7 -3
  2. package/dist/bhl-forms.iife.js +7 -7
  3. package/dist/bhl-forms.modern.es.js +1371 -1362
  4. package/dist/bhl-forms.modern.iife.js +9 -9
  5. package/dist/bhl-forms.modern.umd.js +9 -9
  6. package/dist/bhl-forms.umd.js +7 -7
  7. package/dist/forms/accidentsAndInjuries.es.js +2 -66
  8. package/dist/forms/accidentsAndInjuries.iife.js +1 -1
  9. package/dist/forms/accidentsAndInjuries.json +1 -1
  10. package/dist/forms/appraisals.es.js +1 -5
  11. package/dist/forms/appraisals.iife.js +1 -1
  12. package/dist/forms/appraisals.json +1 -1
  13. package/dist/forms/childAndFamily.es.js +1 -65
  14. package/dist/forms/childAndFamily.iife.js +1 -1
  15. package/dist/forms/childAndFamily.json +1 -1
  16. package/dist/forms/civilLawsuit.es.js +2 -66
  17. package/dist/forms/civilLawsuit.iife.js +1 -1
  18. package/dist/forms/civilLawsuit.json +1 -1
  19. package/dist/forms/coins.es.js +1 -5
  20. package/dist/forms/coins.iife.js +1 -1
  21. package/dist/forms/coins.json +1 -1
  22. package/dist/forms/contracts.es.js +1 -65
  23. package/dist/forms/contracts.iife.js +1 -1
  24. package/dist/forms/contracts.json +1 -1
  25. package/dist/forms/criminal.es.js +12 -212
  26. package/dist/forms/criminal.iife.js +1 -1
  27. package/dist/forms/criminal.json +1 -1
  28. package/dist/forms/employmentAndWorkplace.es.js +2 -66
  29. package/dist/forms/employmentAndWorkplace.iife.js +1 -1
  30. package/dist/forms/employmentAndWorkplace.json +1 -1
  31. package/dist/forms/generalLegal.es.js +23 -443
  32. package/dist/forms/generalLegal.iife.js +1 -1
  33. package/dist/forms/generalLegal.json +1 -1
  34. package/dist/forms/generalLegalPopUnder.es.js +12 -215
  35. package/dist/forms/generalLegalPopUnder.iife.js +1 -1
  36. package/dist/forms/generalLegalPopUnder.json +1 -1
  37. package/dist/forms/generalLegalPopUnderTF.es.js +12 -215
  38. package/dist/forms/generalLegalPopUnderTF.iife.js +1 -1
  39. package/dist/forms/generalLegalPopUnderTF.json +1 -1
  40. package/dist/forms/generalLegalThankYou.es.js +12 -215
  41. package/dist/forms/generalLegalThankYou.iife.js +1 -1
  42. package/dist/forms/generalLegalThankYou.json +1 -1
  43. package/dist/forms/harassmentAndDiscrimination.es.js +1 -65
  44. package/dist/forms/harassmentAndDiscrimination.iife.js +1 -1
  45. package/dist/forms/harassmentAndDiscrimination.json +1 -1
  46. package/dist/forms/malpractice.es.js +2 -66
  47. package/dist/forms/malpractice.iife.js +1 -1
  48. package/dist/forms/malpractice.json +1 -1
  49. package/dist/forms/mechanics.es.js +1 -5
  50. package/dist/forms/mechanics.iife.js +1 -1
  51. package/dist/forms/mechanics.json +1 -1
  52. package/dist/forms/realEstate.es.js +12 -212
  53. package/dist/forms/realEstate.iife.js +1 -1
  54. package/dist/forms/realEstate.json +1 -1
  55. package/dist/forms/repossession.es.js +1 -65
  56. package/dist/forms/repossession.iife.js +1 -1
  57. package/dist/forms/repossession.json +1 -1
  58. package/dist/forms/ssdi.es.js +17 -138
  59. package/dist/forms/ssdi.iife.js +1 -1
  60. package/dist/forms/ssdi.json +1 -1
  61. package/dist/forms/testForm.es.js +1 -65
  62. package/dist/forms/testForm.iife.js +1 -1
  63. package/dist/forms/testForm.json +1 -1
  64. package/dist/forms/testRedirects.es.js +1 -9
  65. package/dist/forms/testRedirects.iife.js +1 -1
  66. package/dist/forms/testRedirects.json +1 -1
  67. package/dist/forms/vets.es.js +1 -5
  68. package/dist/forms/vets.iife.js +1 -1
  69. package/dist/forms/vets.json +1 -1
  70. package/dist/forms/willsAndTrusts.es.js +1 -65
  71. package/dist/forms/willsAndTrusts.iife.js +1 -1
  72. package/dist/forms/willsAndTrusts.json +1 -1
  73. package/package.json +2 -2
@@ -1 +1 @@
1
- var contracts=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={$el:"div",if:"$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"}},{$el:"span",children:"Secure & Encrypted",attrs:{class:"t-pl-2 t-pt-1 t-font-medium"}}]};function s(t){return e(l,t)}const d=[{$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},{$formkit:"hidden",name:"s",value:null}],m={"*":"https://listings.ziplawyer.com/api/v1/redirect?zone_id=4&category=${properties.Type_Of_Legal_Problem}&Degree_Of_Interest=${properties.Degree_Of_Interest}&zip_code=${properties.Zip}&sub_id=${properties.vid}"};const c=t=>(t.legendClass="legend-left required",t.fieldsetClass="$reset side-by-side",t.optionsClass="t-pl-1",t.innerClass="t-flex t-items-center",t.wrapperClass="t-mb-3",(t=>e({$formkit:"checkbox",validation:"required",validationMessages:{required:"Field is required"}},t))(t)),p=t=>e({$formkit:"radio",validation:"required",validationMessages:{required:"Field is required"},optionsClass:"t-pt-3 t-pl-1",legendClass:"required"},t),u=e=>(e.options=["Yes","No"],(e=>(e.legendClass="legend-left t-pb-1 required",e.fieldsetClass="$reset side-by-side t-items-center",e.optionsClass="t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center",e.innerClass="t-flex t-items-center",e.optionClass="t-pr-1",p(e)))(e)),f=t=>(t.labelClass="required",t.wrapperClass="side-by-side t-items-center",t.innerClass="select-height-content",t.helpClass="t-mt-2.5 md:t-text-right md:t-mt-[-5px]",(t=>e({$formkit:"select",placeholder:"Please Select",validation:"required",validationMessages:{required:"Field is required"},inputClass:"t-bg-white",labelClass:"required"},t))(t)),h=t=>(t.wrapperClass="side-by-side t-items-center",(t=>e({$formkit:"text",validation:"required",validationMessages:{required:"Field is required"},labelClass:"required"},t))(t)),y=t=>(t=>e({$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)),g=t=>(e=>(e.legendClass="required",e.fieldsetClass="$reset",e.optionsClass="t-pl-2 t-pt-3 t-grid t-grid-cols-1 md:t-grid-cols-2",e.innerClass="t-items-start",e.wrapperClass="$reset t-flex t-cursor-pointer t-mb-3",p(e)))(e({name:"Type_Of_Legal_Problem_Display",label:"Select The Contract Issue:",options:["Contract Creation","Contract Enforcement","Contract Cancellation","Contract Fraud","Breach of Contract","Other Contract Issues"]},t)),b=e=>((e,t)=>f({name:e?e+":Degree_Of_Interest":"Degree_Of_Interest",id:e?e+":Degree_Of_Interest":"Degree_Of_Interest",label:"How Likely Are You to Pay if Your Issue Could be Resolved?",help:t,options:["Definitely","Probably","Maybe","Absolutely Can't Afford"]}))(e,"No payment necessary to speak with lawyers."),x=e=>u({name:e?e+":Have_Attorney":"Have_Attorney",label:"Already Working with An Attorney?"}),v=(t,a)=>e({$cmp:"FormKit",props:{type:"group",key:t,id:t,name:t}},a),w="$onEnter($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))",$="$onInput($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))",k=e=>"group"!==e.type&&"section"!==e.type&&"form"!==e.type&&"hidden"!==e.$formkit&&!e.children,I=e=>{if(k(e))return e;for(var t=e.children.length-1;t>=0;t--){if("string"==typeof e.children)continue;const a=e.children[t];if(k(a))return a;const i=I(a);if(i)return i}return null},E=e=>({$el:"section",if:'$stepIsEnabled("'+e+'")',attrs:{style:{if:'$activeStep !== "'+e+'"',then:"display: none;"}}});function C(e){return{$el:"h3",children:e.headline||"Tell Us About Your Situation",attrs:{class:"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-5 t-pt-0 t-px-1"}}}function P(e){return{$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-1 "+(e.headlineClass||"")}}}function S(e){return{$el:"h3",children:e.headline||"Please Provide a Contact Name",attrs:{class:"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-5 t-pt-0 t-px-1 "+(e.headlineClass||"")}}}function _(e){return{$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-1"}}}function q(e){return{$el:"h5",children:e.subheadline||i,attrs:{class:"t-flex t-justify-center t-text-center !t-text-lg t-font-semibold t-pb-7 t-pt-0 t-px-3"}}}const D="(function() {\n if (window.xxTrustedFormLoaded) {\n return\n }\n var vid = '';\n if (typeof window.zar !== 'undefined') {\n vid = window.zar.getVID();\n }\n window.xxTrustedFormLoaded = true;\n var sandbox = document.location.hostname.indexOf('localhost') > -1 ? 'true' : 'false'\n var tf = document.createElement('script');\n tf.type = 'text/javascript'; tf.async = true;\n tf.src = (\"https:\" == document.location.protocol ? 'https' : 'http') + \"://api.trustedform.com/trustedform.js?field=xxTrustedFormCertUrl&identifier=\" + vid + \"&ping_field=xxTrustedFormPingUrl&provideReferrer=false&invert_field_sensitivity=true&sandbox=\" + sandbox + \"&l=\" + new Date().getTime() + Math.random();\n var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(tf, s);\n})();";function L(t,a,i=!0,n=!1){if(void 0===i&&(i=!0),a&&a.length&&(i||n)){const e=I(a[a.length-1]);e&&!0===i&&(e.onKeypress=w),e&&!0===n&&(e.onInput=$)}return e(E(t),{children:[{$formkit:"group",id:t,name:t,children:a}]})}const O=[{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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1
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@@ -441,7 +441,6 @@ const TOLPCommentsPlaceholders = {
441
441
  'Lemon Law': 'Example: "I purchased a new vehicle that broke down already and seller will not assist"',
442
442
  '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"',
443
443
  'Medical Malpractice': 'Example: "A doctor performed surgery on the wrong limb and I would like to file a lawsuit"',
444
- 'Nursing Home Abuse': 'Example: "My mother\'s nursing home is physically abusing her"',
445
444
  'Patents and Intellectual Property': 'Example: "I would like to file for a patent" or "I need to copyright a name"',
446
445
  'Personal Injury': 'Example: "I was bit by the neighbor\'s dog" or "I fell in the icy grocery store parking lot"',
447
446
  'Power of Attorney': 'Example: "I need help with a limited or general power of attorney"',
@@ -453,8 +452,6 @@ const TOLPCommentsPlaceholders = {
453
452
  'Tax and IRS': 'Example: "I need help fighting an IRS tax claim" or "I need audit defense"',
454
453
  'Traffic and Tickets': 'Example: "I need help reinstating a supsended license" or "I would like to fight a traffic ticket"',
455
454
  'Unemployment': 'Example: "I need help filing for unemployment benefits"',
456
- 'Vaccination Injury': 'Example: "I was injured after receiving a vaccine and would like to file a lawsuit"',
457
- 'Veteran\'s Disability': 'Example: "I would like help filing for disability benefits"',
458
455
  'Victim of a Crime': 'Example: "I was assaulted in the store" or "I am being discriminated against at work"',
459
456
  'Wills and Trusts': 'Example: "I need a simple will created" or "I would like guidance on creating a trust fund"',
460
457
  'Workers Compensation': 'Example: "I was injured at work and would like to file for workers compensation benefits"',
@@ -465,59 +462,6 @@ const TOLPCommentsPlaceholders = {
465
462
 
466
463
  const TOLPFinalHeadlines = {
467
464
  // 'Adoption': '',
468
- // 'Asbestos and Mesothelioma': '',
469
- // 'Auto and Car Accidents': '',
470
- // 'Bankruptcy': '',
471
- // 'Birth Certificate and Name Change': '',
472
- // 'Business Lawyers': '',
473
- // 'Child Custody and Support': '',
474
- // 'Civil Rights and Discrimination': '',
475
- // 'Civil Lawsuit': '',
476
- // 'Consumer Lawyers': '',
477
- // 'Copyrights and Trademarks': '',
478
- // 'Criminal and Felony': '',
479
- // 'Debt and Collections': '',
480
- // 'Divorce and Separation': '',
481
- // 'DUI and DWI': '',
482
- // 'Elder Law': '',
483
- // 'Employment and Workplace': '',
484
- // 'Expungement': '',
485
- // 'Family Issues': '',
486
- // 'Foreclosure': '',
487
- // 'Guardianship': '',
488
- // 'Harassment and Discrimination': '',
489
- // 'Identity Theft': '',
490
- // 'Immigration and Visas': '',
491
- // 'Insurance': '',
492
- // 'Landlord and Tenant': '',
493
- // 'Lemon Law': '',
494
- // 'Long Term Disability': '',
495
- // 'Medical Malpractice': '',
496
- // 'Nursing Home Abuse': '',
497
- // 'Patents and Intellectual Property': '',
498
- // 'Personal Injury': '',
499
- // 'Power of Attorney': '',
500
- // 'Probate and Estates': '',
501
- // 'Product Liability': '',
502
- // 'Property Damage': '',
503
- // 'Real Estate': '',
504
- // 'Social Security Disability and Insurance': '',
505
- // 'Tax and IRS': '',
506
- // 'Traffic and Tickets': '',
507
- // 'Unemployment': '',
508
- // 'Vaccination Injury': '',
509
- // 'Veteran\'s Disability': '',
510
- // 'Victim of a Crime': '',
511
- // 'Wills and Trusts': '',
512
- // 'Workers Compensation': '',
513
- // 'Wrongful Death': '',
514
- // 'Wrongful Termination': '',
515
- // 'Not Sure or Other': ''
516
- // 'Sexual Harassment': '',
517
- // 'Workplace Harassment': '',
518
- // 'Non-Workplace Harassment': '',
519
- // 'Workplace Discrimination': '',
520
- // 'Non-Workplace Discrimination': '',
521
465
  };
522
466
 
523
467
  const TOLPFinalSubHeadlines = {
@@ -550,7 +494,6 @@ const TOLPFinalSubHeadlines = {
550
494
  // 'Lemon Law': '',
551
495
  'Long Term Disability': 'You may benefit from speaking with a disability legal professional. Please verify your contact information.',
552
496
  'Medical Malpractice': 'You may benefit from speaking with a malpractice professional. Please verify your contact information.',
553
- // 'Nursing Home Abuse': '',
554
497
  'Patents and Intellectual Property': 'You may benefit from speaking with a patent professional. Please verify your contact information.',
555
498
  'Personal Injury': 'You may benefit from speaking with a personal injury professional. Please verify your contact information.',
556
499
  // 'Power of Attorney': '',
@@ -562,8 +505,6 @@ const TOLPFinalSubHeadlines = {
562
505
  'Tax and IRS': 'You may benefit from speaking with a tax professional. Please verify your contact information.',
563
506
  // 'Traffic and Tickets': '',
564
507
  'Unemployment': 'You may benefit from speaking with an unemployment professional. Please verify your contact information.',
565
- // 'Vaccination Injury': '',
566
- 'Veteran\'s Disability': 'You may benefit from speaking with a disability legal professional. Please verify your contact information.',
567
508
  // 'Victim of a Crime': '',
568
509
  // 'Wills and Trusts': '',
569
510
  'Workers Compensation': 'You may benefit from speaking with a workers compensation professional. Please verify your contact information.',
@@ -683,7 +624,6 @@ const sbsSelect = (updates) => {
683
624
  return select(updates)
684
625
  };
685
626
 
686
-
687
627
  const text = (updates) => {
688
628
  return merge({
689
629
  $formkit: 'text',
@@ -754,59 +694,18 @@ const applicantOccupation = (scope) => sbsText({
754
694
  });
755
695
 
756
696
 
757
- const applicantAge = (scope) => sbsSelect({
697
+ const applicantAge = (scope) => sbsText({
758
698
  name: scope ? scope + ':' + 'Applicant_Age' : 'Applicant_Age',
759
699
  label: 'Age of Applicant?',
760
- options: [
761
- "18",
762
- "19",
763
- "20",
764
- "21",
765
- "22",
766
- "23",
767
- "24",
768
- "25",
769
- "26",
770
- "27",
771
- "28",
772
- "29",
773
- "30",
774
- "31",
775
- "32",
776
- "33",
777
- "34",
778
- "35",
779
- "36",
780
- "37",
781
- "38",
782
- "39",
783
- "40",
784
- "41",
785
- "42",
786
- "43",
787
- "44",
788
- "45",
789
- "46",
790
- "47",
791
- "48",
792
- "49",
793
- "50",
794
- "51",
795
- "52",
796
- "53",
797
- "54",
798
- "55",
799
- "56",
800
- "57",
801
- "58",
802
- "59",
803
- "60",
804
- "61",
805
- "62",
806
- "63",
807
- "64",
808
- "65"
809
- ]
700
+ placeholder: 'Age between 18 and 65',
701
+ maxlength: 2,
702
+ inputmode: "numeric",
703
+ validation: "required|min:18,max:65",
704
+ validationMessages: {
705
+ required: 'Applicant Age is required',
706
+ min: 'Invalid Age - must be between 18 and 65',
707
+ max: 'Invalid Age - must be between 18 and 65',
708
+ }
810
709
  });
811
710
 
812
711
  const applicantDisabilityHowObtain = (scope) => sbsSelect({
@@ -1279,7 +1178,7 @@ const disabilityWorkHistory = () => sbsYesNoRadio({
1279
1178
 
1280
1179
  const doctorTreatment = (scope) => sbsYesNoRadio({
1281
1180
  name: scope ? scope + ':' + 'Doctor_Treatment' : 'Doctor_Treatment',
1282
- label: 'Have You Recently Been Treated by a Doctor, Hospital or Clinic?'
1181
+ label: 'Have You Recently Been Treated by a Doctor, Hospital or Clinic?',
1283
1182
  });
1284
1183
 
1285
1184
  const driversLicenseType = () => sbs2ItemRadio({
@@ -1529,19 +1428,6 @@ const numEmployeesOfBusiness = () => sbsSelect({
1529
1428
  ]
1530
1429
  });
1531
1430
 
1532
- const nursingHomeStatus = () => sbsSelect({
1533
- label: "The Elderly Person is Currently:",
1534
- name: 'Nursing_Home_Status',
1535
- options: [
1536
- "Living at a nursing home",
1537
- "Living at their own home with medical supervision",
1538
- "Living at their own home without medical supervision ",
1539
- "Living at the home of a child, grandchild or friend",
1540
- "Deceased",
1541
- "Other"
1542
- ]
1543
- });
1544
-
1545
1431
  const ownRealEstate = () => sbsYesNoRadio({
1546
1432
  name: 'Own_Real_Estate',
1547
1433
  label: 'Do You Own Real Estate?'
@@ -1830,49 +1716,6 @@ const valueOfAssets = (scope) => sbsSelect({
1830
1716
  ]
1831
1717
  });
1832
1718
 
1833
- const veteransDisabilityApplied = () => sbsSelect({
1834
- label: 'Has the Applicant Applied for VA Disability Compensation?',
1835
- name: 'Veterans_Disability_Applied',
1836
- options: [
1837
- "Yes, Claim filed and awaiting decision",
1838
- "Yes, Claim denied",
1839
- "Yes, Claim on appeal",
1840
- "Yes, Claim approved",
1841
- "Yes, Benefits awarded",
1842
- "No, Claim has not been filed"
1843
- ]
1844
- });
1845
-
1846
- const veteransDisabilityConditions = () => sbsCheckbox({
1847
- label: 'What Service Connected Conditions Does the Applicant Have? (select all that apply)',
1848
- name: 'Veterans_Disability_Conditions',
1849
- options: [
1850
- "Traumatic Physical Injury (broken bones, loss of limb)",
1851
- "Mental Injury",
1852
- "Occupational Disease",
1853
- "Repeated Trauma Injury",
1854
- "Other"
1855
- ]
1856
- });
1857
-
1858
- const veteransDisabilityRelationship = () => sbsSelect({
1859
- label: 'What is Your Relationship to the Applicant?',
1860
- name: 'Veterans_Disability_Relationship',
1861
- options: [
1862
- "Self, Active Duty",
1863
- "Self, Active Reserve",
1864
- "Self, Discharged from Active Duty",
1865
- "Self, Discharged as Reservist",
1866
- "Surviving Family Member",
1867
- "Other"
1868
- ]
1869
- });
1870
-
1871
- const veteransDisabilityInjured = () => sbsYesNoRadio({
1872
- name: 'Veterans_Disability_Injured',
1873
- label: 'Was the Applicant Hurt While on Duty or is the Condition Related to Military Service?'
1874
- });
1875
-
1876
1719
  const wouldLikeLawyerTo = () => sbsRadio({
1877
1720
  label: 'I Would Like a Lawyer to:',
1878
1721
  name: 'Would_Like_Lawyer_To',
@@ -2421,18 +2264,6 @@ const MedicalMalpracticeQuestions = () => group(
2421
2264
  }
2422
2265
  );
2423
2266
 
2424
- const NursingHomeAbuseQuestions = () => group(
2425
- 'NursingHomeAbuseQuestions',
2426
- {
2427
- if: '$get(Type_Of_Legal_Problem).value == "Nursing Home Abuse"',
2428
- children: [
2429
- haveAttorney(),
2430
- incidentDate(),
2431
- nursingHomeStatus()
2432
- ]
2433
- }
2434
- );
2435
-
2436
2267
  const PatentsAndIntellectualPropertyQuestions = () => group(
2437
2268
  'PatentsAndIntellectualPropertyQuestions',
2438
2269
  {
@@ -2580,30 +2411,6 @@ const UnemploymentQuestions = () => group(
2580
2411
  }
2581
2412
  );
2582
2413
 
2583
- const VaccinationInjuryQuestions = () => group(
2584
- 'VaccinationInjuryQuestions',
2585
- {
2586
- if: '$get(Type_Of_Legal_Problem).value == "Vaccination Injury"',
2587
- children: [
2588
- haveAttorney(),
2589
- incidentDate()
2590
- ]
2591
- }
2592
- );
2593
-
2594
- const VeteransDisabilityQuestions = () => group(
2595
- 'VeteransDisabilityQuestions',
2596
- {
2597
- if: '$get(Type_Of_Legal_Problem).value == "Veteran\'s Disability"',
2598
- children: [
2599
- veteransDisabilityRelationship(),
2600
- veteransDisabilityInjured(),
2601
- veteransDisabilityConditions(),
2602
- veteransDisabilityApplied()
2603
- ]
2604
- }
2605
- );
2606
-
2607
2414
  const VictimOfACrimeQuestions = () => group(
2608
2415
  'VictimOfACrimeQuestions',
2609
2416
  {
@@ -2714,12 +2521,8 @@ const findLastInput = (n) => {
2714
2521
 
2715
2522
  const stepDefaults = (step) => ({
2716
2523
  $el: 'section',
2717
- if: '$stepIsEnabled("' + step + '")',
2718
2524
  attrs: {
2719
- style: {
2720
- if: '$activeStep !== "' + step + '"',
2721
- then: 'display: none;'
2722
- }
2525
+ hidden: '$activeStep !== "' + step + '"'
2723
2526
  }
2724
2527
  });
2725
2528
 
@@ -2932,7 +2735,6 @@ const AllTOLPQuestions = () => {
2932
2735
  LemonLawQuestions(),
2933
2736
  LongTermDisabilityQuestions(),
2934
2737
  MedicalMalpracticeQuestions(),
2935
- NursingHomeAbuseQuestions(),
2936
2738
  PatentsAndIntellectualPropertyQuestions(),
2937
2739
  PersonalInjuryQuestions(),
2938
2740
  PowerofAttorneyQuestions(),
@@ -2944,8 +2746,6 @@ const AllTOLPQuestions = () => {
2944
2746
  TaxAndIRSQuestions(),
2945
2747
  TrafficAndTicketsQuestions(),
2946
2748
  UnemploymentQuestions(),
2947
- VaccinationInjuryQuestions(),
2948
- VeteransDisabilityQuestions(),
2949
2749
  VictimOfACrimeQuestions(),
2950
2750
  WillsAndTrustsQuestions(),
2951
2751
  WorkersCompensationQuestions(),