bhl-forms 0.6.5 → 0.6.7
This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
- package/dist/bhl-forms.iife.js +1 -1
- package/dist/bhl-forms.modern.iife.js +1 -1
- package/dist/bhl-forms.modern.umd.js +1 -1
- package/dist/bhl-forms.umd.js +1 -1
- package/dist/forms/accidentsAndInjuries.es.js +1442 -862
- package/dist/forms/accidentsAndInjuries.iife.js +1 -1
- package/dist/forms/accidentsAndInjuries.json +1 -1
- package/dist/forms/appraisals.es.js +115 -115
- package/dist/forms/appraisals.iife.js +1 -1
- package/dist/forms/childAndFamily.es.js +790 -764
- package/dist/forms/childAndFamily.iife.js +1 -1
- package/dist/forms/childAndFamily.json +1 -1
- package/dist/forms/childAndFamilySingle.es.js +1136 -757
- package/dist/forms/childAndFamilySingle.iife.js +1 -1
- package/dist/forms/childAndFamilySingle.json +1 -1
- package/dist/forms/civilLawsuit.es.js +2001 -1352
- package/dist/forms/civilLawsuit.iife.js +1 -1
- package/dist/forms/civilLawsuit.json +1 -1
- package/dist/forms/coins.es.js +115 -115
- package/dist/forms/coins.iife.js +1 -1
- package/dist/forms/contracts.es.js +1454 -715
- package/dist/forms/contracts.iife.js +1 -1
- package/dist/forms/contracts.json +1 -1
- package/dist/forms/criminal.es.js +1891 -2482
- package/dist/forms/criminal.iife.js +1 -1
- package/dist/forms/criminal.json +1 -1
- package/dist/forms/employmentAndWorkplace.es.js +2178 -934
- package/dist/forms/employmentAndWorkplace.iife.js +1 -1
- package/dist/forms/employmentAndWorkplace.json +1 -1
- package/dist/forms/generalLegal.es.js +854 -808
- package/dist/forms/generalLegal.iife.js +1 -1
- package/dist/forms/generalLegal.json +1 -1
- package/dist/forms/generalLegalPopUnder.es.js +854 -807
- package/dist/forms/generalLegalPopUnder.iife.js +1 -1
- package/dist/forms/generalLegalPopUnder.json +1 -1
- package/dist/forms/generalLegalPopUnderSingle.es.js +4383 -0
- package/dist/forms/generalLegalPopUnderSingle.iife.js +1 -0
- package/dist/forms/generalLegalPopUnderSingle.json +1 -0
- package/dist/forms/generalLegalSingle.es.js +1672 -1629
- package/dist/forms/generalLegalSingle.iife.js +1 -1
- package/dist/forms/generalLegalSingle.json +1 -1
- package/dist/forms/generalLegalThankYou.es.js +710 -695
- package/dist/forms/generalLegalThankYou.iife.js +1 -1
- package/dist/forms/generalLegalThankYou.json +1 -1
- package/dist/forms/harassmentAndDiscrimination.es.js +1465 -681
- package/dist/forms/harassmentAndDiscrimination.iife.js +1 -1
- package/dist/forms/harassmentAndDiscrimination.json +1 -1
- package/dist/forms/malpractice.es.js +1764 -1066
- package/dist/forms/malpractice.iife.js +1 -1
- package/dist/forms/malpractice.json +1 -1
- package/dist/forms/mechanics.es.js +115 -115
- package/dist/forms/mechanics.iife.js +1 -1
- package/dist/forms/realEstate.es.js +1557 -1209
- package/dist/forms/realEstate.iife.js +1 -1
- package/dist/forms/realEstate.json +1 -1
- package/dist/forms/repossession.es.js +1811 -1085
- package/dist/forms/repossession.iife.js +1 -1
- package/dist/forms/repossession.json +1 -1
- package/dist/forms/ssdi.es.js +672 -672
- package/dist/forms/ssdi.iife.js +1 -1
- package/dist/forms/ssdi.json +1 -1
- package/dist/forms/testForm.es.js +473 -468
- package/dist/forms/testForm.iife.js +1 -1
- package/dist/forms/testForm.json +1 -1
- package/dist/forms/testRedirects.es.js +105 -102
- package/dist/forms/testRedirects.iife.js +1 -1
- package/dist/forms/testRedirects.json +1 -1
- package/dist/forms/vets.es.js +115 -115
- package/dist/forms/vets.iife.js +1 -1
- package/dist/forms/willsAndTrusts.es.js +1298 -705
- package/dist/forms/willsAndTrusts.iife.js +1 -1
- package/dist/forms/willsAndTrusts.json +1 -1
- package/dist/main.css +1 -1
- package/package.json +1 -1
- package/dist/forms/generalLegalPopUnderTF.es.js +0 -3087
- package/dist/forms/generalLegalPopUnderTF.iife.js +0 -1
- package/dist/forms/generalLegalPopUnderTF.json +0 -1
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@@ -15,1198 +15,1901 @@ const DEFAULT_FINAL_HEADLINE_DYNAMIC = '$getKey($meta, "finalHeadlines." + $get(
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const DEFAULT_FINAL_SUBHEADLINE = 'You may benefit from speaking with a legal professional. Please verify your contact information.';
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const DEFAULT_FINAL_SUBHEADLINE_DYNAMIC = '$getKey($meta, "finalSubHeadlines." + $get(Type_Of_Legal_Problem).value, $meta.defaultFinalSubHeadline)';
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type: 'form',
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id: 'form',
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config: { validationVisibility: 'submit' },
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onSubmit: '$submit($submitUrl, $prepData, $handleRedirect, "text/plain; charset=UTF-8")',
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plugins: '$plugins',
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actions: false,
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anchorElement: 'form-anchor',
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useLocalStorage: true,
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prepop: {
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fromURL: true
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},
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errorCodes: {
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403: { message: "An Error Occurred", abort: false },
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409: { abort: false },
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429: "An Error Occurred",
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504: { message: "An Error Occurred", abort: false },
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},
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formClass: '!t-max-w-[40rem]'
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};
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// ------ Common Base Settings
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updates
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);
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if (props.formId && !props.name) {
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props.name = props.formId;
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const checkbox = (updates) => {
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if (updates.name && !updates.id) {
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updates.id = updates.name;
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}
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return
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return merge({
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$formkit: 'checkbox',
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validation: 'required',
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validationMessages: {
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required: 'Field is required'
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}
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}, updates)
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};
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const
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const sbsCheckbox = (updates) => {
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updates.legendClass = 'legend-left required';
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updates.fieldsetClass = '$reset side-by-side';
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updates.optionsClass = 't-pl-1';
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updates.innerClass = 't-flex t-items-center';
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updates.wrapperClass = 't-mb-3';
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return checkbox(updates)
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};
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updates
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);
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return {
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type: 'meta',
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data
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const col2Checkbox = (updates) => {
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if (!updates || !updates.legendClass) {
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updates.legendClass = 'required';
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}
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defaultFinalHeadline: DEFAULT_FINAL_HEADLINE,
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finalHeadlines: TOLPFinalHeadlines,
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defaultFinalSubHeadline: DEFAULT_FINAL_SUBHEADLINE,
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finalSubHeadlines: TOLPFinalSubHeadlines,
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// Added everywhere for now
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// trustedFormTOLPs: trustedFormTOLPs
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})
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}
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updates.fieldsetClass = '$reset';
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updates.optionsClass = 't-pl-8 md:t-pl-2 t-pt-3 t-grid t-grid-cols-1 md:t-grid-cols-2';
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updates.innerClass = 't-items-start';
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updates.wrapperClass = '$reset t-flex t-cursor-pointer t-mb-3';
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return checkbox(updates)
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};
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const
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{
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$el: 'div',
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attrs: {
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id: 'form-anchor',
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class: 't-absolute',
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style: { top: '-30px', left: 0 }
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}
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}
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],
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attrs: {
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class: 't-relative'
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const radio = (updates) => {
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if (updates.name && !updates.id) {
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updates.id = updates.name;
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}
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return merge({
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$formkit: 'radio',
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validation: 'required',
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validationMessages: {
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required: 'Field is required'
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},
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optionsClass: 't-pt-3 t-pl-1',
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legendClass: 'required'
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}, updates)
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};
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const col2Radio = (updates) => {
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updates.legendClass = 'required';
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updates.fieldsetClass = '$reset';
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updates.optionsClass = 't-pl-2 t-pt-3 t-grid t-grid-cols-1 md:t-grid-cols-2';
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updates.innerClass = 't-items-start';
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updates.wrapperClass = '$reset t-flex t-cursor-pointer t-mb-3';
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return radio(updates)
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};
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}
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const sbs2ColRadio = (updates) => {
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updates.legendClass = 'legend-left-flex md:t-max-w-[40%] required';
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updates.fieldsetClass = '$reset side-by-side-flex';
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updates.optionsClass = 'md:t-ml-4 md:t-mt-2 t-grid t-grid-cols-1 md:t-grid-cols-2-125';
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updates.innerClass = 't-flex t-items-start';
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updates.wrapperClass = '$reset t-flex t-cursor-pointer t-mb-3';
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return radio(updates)
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};
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const sbs2ItemRadio = (updates) => {
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updates.legendClass = 'legend-left t-pb-1 required';
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updates.fieldsetClass = '$reset side-by-side t-items-center';
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updates.optionsClass = 't-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center';
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updates.innerClass = 't-flex t-items-center';
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updates.optionClass = 't-pr-1';
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return radio(updates)
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};
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const sbsYesNoRadio = (updates) => {
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updates.options = ['Yes', 'No'];
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return sbs2ItemRadio(updates)
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};
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const select = (updates) => {
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if (updates.name && !updates.id) {
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updates.id = updates.name;
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return merge({
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$formkit: 'select',
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placeholder: "Please Select",
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validation: 'required',
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validationMessages: {
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required: 'Field is required'
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},
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inputClass: 't-bg-white',
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labelClass: 'required'
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}, updates)
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};
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const sbsSelect = (updates) => {
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updates.labelClass = 'required';
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updates.wrapperClass = 'side-by-side t-items-center';
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updates.innerClass = 'select-height-content';
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updates.helpClass = 't-mt-2.5 md:t-text-right md:t-mt-[-5px]';
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return select(updates)
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};
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{
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attrs: {
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loading: 'lazy',
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alt: '',
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style: {
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border: 0
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},
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width: '25',
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height: '25',
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src: 'https://d27hmee62k45vz.cloudfront.net/lock_icon_1.jpeg',
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}
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const text = (updates) => {
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if (updates.name && !updates.id) {
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updates.id = updates.name;
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}
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return merge({
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$formkit: 'text',
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validation: 'required',
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validationMessages: {
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required: 'Field is required'
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children: 'Secure & Encrypted',
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attrs: {
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class: 't-pl-2 t-pt-1 t-font-medium'
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labelClass: 'required'
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}, updates)
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const sbsText = (updates) => {
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updates.wrapperClass = 'side-by-side t-items-center';
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return text(updates)
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};
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$formkit: 'hidden',
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name: "gclid",
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value: null
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name: "campaignid",
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value: null
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name: "s",
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value: null
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updates.id = updates.name;
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...hiddenInputsBase
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];
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+
return merge({
|
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148
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+
$formkit: 'textarea',
|
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rows: 5,
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150
|
+
maxlength: 500,
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151
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+
validation: 'required',
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validationMessages: {
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required: 'Field is required'
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},
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innerClass: 't-max-w-xl',
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156
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labelClass: 'required'
|
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157
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+
}, updates)
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+
};
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203
159
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204
|
-
const
|
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-
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+
const date = (updates) => {
|
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if (updates.name && !updates.id) {
|
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updates.id = updates.name;
|
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}
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return merge({
|
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$formkit: 'DatePicker',
|
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validation: 'required',
|
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167
|
+
validationMessages: {
|
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168
|
+
required: 'Field is required'
|
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+
},
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|
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labelClass: 'required t-block t-mb-3 t-font-semibold t-text-base formkit-invalid:t-text-red-500',
|
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171
|
+
innerClass: 't-border t-border-gray-400 formkit-invalid:t-border-red-500 t-rounded t-mb-1 focus-within:t-border-blue-500'
|
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172
|
+
}, updates)
|
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206
173
|
};
|
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207
174
|
|
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175
|
+
const sbsDate = (updates) => {
|
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176
|
+
updates.wrapperClass = 'side-by-side t-items-center';
|
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177
|
+
return date(updates)
|
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178
|
+
};
|
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208
179
|
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209
|
-
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210
|
-
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211
|
-
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212
|
-
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213
|
-
|
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214
|
-
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180
|
+
const applicantAge = (scope) => sbsText({
|
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181
|
+
name: scope ? scope + ':' + 'Applicant_Age' : 'Applicant_Age',
|
|
182
|
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label: 'Age of Applicant?',
|
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183
|
+
placeholder: 'Age between 18 and 65',
|
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184
|
+
maxlength: 2,
|
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185
|
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inputmode: "numeric",
|
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186
|
+
validation: "required|min:18,max:65",
|
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|
+
validationMessages: {
|
|
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|
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required: 'Applicant Age is required',
|
|
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|
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min: 'Invalid Age - must be between 18 and 65',
|
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190
|
+
max: 'Invalid Age - must be between 18 and 65',
|
|
191
|
+
}
|
|
192
|
+
});
|
|
215
193
|
|
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216
|
-
const
|
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217
|
-
'
|
|
218
|
-
|
|
219
|
-
|
|
220
|
-
|
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221
|
-
|
|
222
|
-
|
|
194
|
+
const atFault = (scope) => sbsYesNoRadio({
|
|
195
|
+
name: scope ? scope + ':' + 'At_Fault' : 'At_Fault',
|
|
196
|
+
label: 'Were You at Fault?'
|
|
197
|
+
});
|
|
198
|
+
|
|
199
|
+
const bankruptcyCrossSell = () => sbsCheckbox({
|
|
200
|
+
label: "I'd also like a consult for bankruptcy or debt elimination (optional)",
|
|
201
|
+
help: "Note: you will be contacted separately by a bankruptcy/debt expert",
|
|
202
|
+
name: 'CrossSell_Bankruptcy',
|
|
203
|
+
id: 'CrossSell_Bankruptcy',
|
|
204
|
+
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")',
|
|
205
|
+
validation: null,
|
|
206
|
+
helpClass: "!t-text-sm"
|
|
207
|
+
});
|
|
208
|
+
|
|
209
|
+
const bloodContentAlcoholTest = (scope) => sbsSelect({
|
|
210
|
+
name: scope ? scope + ':' + 'Blood_Alcohol_Content_Test' : 'Blood_Alcohol_Content_Test',
|
|
211
|
+
label: 'Blood Alcohol Content Measured by Test:',
|
|
212
|
+
options: [
|
|
213
|
+
"No Test",
|
|
214
|
+
"0.00% - 0.04%",
|
|
215
|
+
"0.05% - 0.08%",
|
|
216
|
+
"0.09% - 0.12%",
|
|
217
|
+
"0.13% - 0.16%",
|
|
218
|
+
"0.17% - 0.20%",
|
|
219
|
+
"More than 0.20%",
|
|
220
|
+
"Don't know"
|
|
221
|
+
]
|
|
222
|
+
});
|
|
223
|
+
|
|
224
|
+
const causeOfInjury = (scope) => sbsSelect({
|
|
225
|
+
name: scope ? scope + ':' + 'Cause_Of_Injury' : 'Cause_Of_Injury',
|
|
226
|
+
label: 'Cause of Injury:',
|
|
227
|
+
options: [
|
|
228
|
+
"Traumatic Physical Injury (Accident)",
|
|
229
|
+
"Repeated Trauma Injury",
|
|
230
|
+
"Mental Injury",
|
|
231
|
+
"Occupational Disease",
|
|
232
|
+
"Not Sure"
|
|
233
|
+
]
|
|
234
|
+
});
|
|
235
|
+
|
|
236
|
+
const childHome = (scope) => sbsSelect({
|
|
237
|
+
name: scope ? scope + ':' + 'Child_Home' : 'Child_Home',
|
|
238
|
+
label: 'With Whom Do the Children Currently Live?',
|
|
239
|
+
options: [
|
|
240
|
+
'Mother',
|
|
241
|
+
'Father',
|
|
242
|
+
'Grandparents',
|
|
243
|
+
'Other'
|
|
244
|
+
]
|
|
245
|
+
});
|
|
246
|
+
|
|
247
|
+
const childPrimaryCaregiver = (scope) => sbsSelect({
|
|
248
|
+
name: scope ? scope + ':' + 'Child_Primary_Caregiver' : 'Child_Primary_Caregiver',
|
|
249
|
+
label: 'Who is the Primary Caregiver?',
|
|
250
|
+
options: [
|
|
251
|
+
'Mother',
|
|
252
|
+
'Father',
|
|
253
|
+
'Other'
|
|
254
|
+
]
|
|
255
|
+
});
|
|
256
|
+
|
|
257
|
+
const childRelationship = (scope) => sbsSelect({
|
|
258
|
+
name: scope ? scope + ':' + 'Child_Relationship' : 'Child_Relationship',
|
|
259
|
+
label: 'Your Relationship to Child(ren):',
|
|
260
|
+
options: [
|
|
261
|
+
'Father',
|
|
262
|
+
'Mother',
|
|
263
|
+
'Grandparent',
|
|
264
|
+
'Aunt/Uncle',
|
|
265
|
+
'Other'
|
|
266
|
+
]
|
|
267
|
+
});
|
|
268
|
+
|
|
269
|
+
const claimStatus = (scope) => sbsSelect({
|
|
270
|
+
name: scope ? scope + ':' + 'Claim_Status' : 'Claim_Status',
|
|
271
|
+
label: "Status of Claim:",
|
|
272
|
+
options: [
|
|
273
|
+
"No action taken yet",
|
|
274
|
+
"Demand for compensation made",
|
|
275
|
+
"Lawsuit filed",
|
|
276
|
+
"Other"
|
|
277
|
+
]
|
|
278
|
+
});
|
|
279
|
+
|
|
280
|
+
const comments = (updates, scope) => textArea(
|
|
281
|
+
merge({
|
|
282
|
+
name: scope ? scope + ':' + 'Comments' : 'Comments',
|
|
283
|
+
label: 'Please briefly describe your situation in a few words:',
|
|
284
|
+
placeholder: 'For Example: "I would like help with child support payments" or "I need help with visitation rights"'
|
|
285
|
+
}, updates)
|
|
286
|
+
);
|
|
287
|
+
|
|
288
|
+
const degreeOfInterest = (scope, help) => sbsSelect({
|
|
289
|
+
name: scope ? scope + ':' + 'Degree_Of_Interest' : 'Degree_Of_Interest',
|
|
290
|
+
id: scope ? scope + ':' + 'Degree_Of_Interest' : 'Degree_Of_Interest',
|
|
291
|
+
label: 'How Likely Are You to Pay if Your Issue Could be Resolved?',
|
|
292
|
+
help: help,
|
|
293
|
+
options: [
|
|
294
|
+
'Definitely',
|
|
295
|
+
'Probably',
|
|
296
|
+
'Maybe',
|
|
297
|
+
"Absolutely Can't Afford"
|
|
298
|
+
]
|
|
299
|
+
});
|
|
300
|
+
|
|
301
|
+
const degreeOfInterestHelp = (scope) => degreeOfInterest(scope, 'No payment necessary to speak with lawyers.');
|
|
302
|
+
|
|
303
|
+
const disabilityConditionStopWork = (scope) => sbsYesNoRadio({
|
|
304
|
+
name: scope ? scope + ':' + 'Disability_Condition_Stop_Work' : 'Disability_Condition_Stop_Work',
|
|
305
|
+
label: 'Do You Expect To Be Out Of Work For At Least a Year Due To Your Health?'
|
|
306
|
+
});
|
|
307
|
+
|
|
308
|
+
const disabilityWorkHistory = (scope) => sbsYesNoRadio({
|
|
309
|
+
name: scope ? scope + ':' + 'Disability_Work_History' : 'Disability_Work_History',
|
|
310
|
+
label: 'Have You Had a Full-Time Job Within the Past 5 Years?'
|
|
311
|
+
});
|
|
312
|
+
|
|
313
|
+
const doctorTreatment = (scope) => sbsYesNoRadio({
|
|
314
|
+
name: scope ? scope + ':' + 'Doctor_Treatment' : 'Doctor_Treatment',
|
|
315
|
+
label: 'Have You Recently Been Treated by a Doctor, Hospital or Clinic?',
|
|
316
|
+
});
|
|
317
|
+
|
|
318
|
+
const email = () => sbsText({
|
|
319
|
+
$formkit: 'email',
|
|
320
|
+
name: 'Email',
|
|
321
|
+
label: 'Email Address:',
|
|
322
|
+
placeholder: 'email@domain.com',
|
|
323
|
+
autocomplete: 'email',
|
|
324
|
+
'data-tf-sensitive': 'false',
|
|
325
|
+
validation: 'required|email',
|
|
326
|
+
validationMessages: {
|
|
327
|
+
required: 'Email is required',
|
|
328
|
+
email: 'Invalid Email'
|
|
329
|
+
}
|
|
330
|
+
});
|
|
331
|
+
|
|
332
|
+
const estateLegalServicesNeeded = (scope) => sbsSelect({
|
|
333
|
+
name: scope ? scope + ':' + 'Estate_Legal_Services_Needed' : 'Estate_Legal_Services_Needed',
|
|
334
|
+
label: "Legal Services Needed for Your Estate:",
|
|
335
|
+
options: [
|
|
336
|
+
"Charitable Giving",
|
|
337
|
+
"Contested Wills",
|
|
338
|
+
"Drafting Wills or Trust",
|
|
339
|
+
"Estate Administration",
|
|
340
|
+
"Asset Protection",
|
|
341
|
+
"Other"
|
|
342
|
+
]
|
|
343
|
+
});
|
|
344
|
+
|
|
345
|
+
const firstName = () => sbsText({
|
|
346
|
+
$formkit: 'text',
|
|
347
|
+
label: 'First Name:',
|
|
348
|
+
placeholder: 'First',
|
|
349
|
+
name: 'First_Name',
|
|
350
|
+
autocomplete: "given-name",
|
|
351
|
+
validationMessages: {
|
|
352
|
+
required: 'First Name is required'
|
|
353
|
+
}
|
|
354
|
+
});
|
|
355
|
+
|
|
356
|
+
const haveAttorney = (scope) => sbsYesNoRadio({
|
|
357
|
+
name: scope ? scope + ':' + 'Have_Attorney' : 'Have_Attorney',
|
|
358
|
+
label: 'Already Working with An Attorney?'
|
|
359
|
+
});
|
|
360
|
+
|
|
361
|
+
const haveChildren = (scope) => sbsYesNoRadio({
|
|
362
|
+
name: scope ? scope + ':' + 'Have_Children' : 'Have_Children',
|
|
363
|
+
label: 'Do You Have Children?'
|
|
364
|
+
});
|
|
365
|
+
|
|
366
|
+
const incidentDate = (scope) => sbsDate({
|
|
367
|
+
name: scope ? scope + ':' + 'Incident_Date' : 'Incident_Date',
|
|
368
|
+
label: 'Date of Incident:',
|
|
369
|
+
});
|
|
370
|
+
|
|
371
|
+
const lastName = () => sbsText({
|
|
372
|
+
$formkit: 'text',
|
|
373
|
+
label: 'Last Name:',
|
|
374
|
+
placeholder: 'Last',
|
|
375
|
+
name: 'Last_Name',
|
|
376
|
+
autocomplete: "family-name",
|
|
377
|
+
validationMessages: {
|
|
378
|
+
required: 'Last Name is required'
|
|
379
|
+
}
|
|
380
|
+
});
|
|
381
|
+
|
|
382
|
+
const lawsuitOtherParty = () => sbsSelect({
|
|
383
|
+
label: 'The Other Party is a:',
|
|
384
|
+
name: 'Lawsuit_Other_Party',
|
|
385
|
+
options: [
|
|
386
|
+
"Individual",
|
|
387
|
+
"Small Business",
|
|
388
|
+
"Large Corporation",
|
|
389
|
+
"Government Entity"
|
|
390
|
+
]
|
|
391
|
+
});
|
|
392
|
+
|
|
393
|
+
const lawyerPaymentMethod = (scope) => sbsSelect({
|
|
394
|
+
name: scope ? scope + ':' + 'Lawyer_Payment_Method' : 'Lawyer_Payment_Method',
|
|
395
|
+
label: 'How Will You Pay for Legal Fees if You Hire a Lawyer?',
|
|
396
|
+
help: 'No payment necessary to speak with lawyers.',
|
|
397
|
+
options: [
|
|
398
|
+
'Cash',
|
|
399
|
+
'Check',
|
|
400
|
+
'Credit Card',
|
|
401
|
+
'Friend',
|
|
402
|
+
'Family',
|
|
403
|
+
'Other'
|
|
404
|
+
]
|
|
405
|
+
});
|
|
406
|
+
|
|
407
|
+
const legalCrossSells$1 = () => col2Checkbox({
|
|
408
|
+
id: 'Legal_CrossSells',
|
|
409
|
+
name: 'Legal_CrossSells',
|
|
410
|
+
help: 'Just hit "Next" if none apply',
|
|
411
|
+
helpClass: 't-text-center !t-text-sm',
|
|
412
|
+
validation: null,
|
|
413
|
+
options: {
|
|
414
|
+
if: '$getVal($get(form), "Type_Of_Legal_Problem") === "Auto and Car Accidents"',
|
|
415
|
+
then: {
|
|
416
|
+
'Social Security Disability and Insurance': 'Interest in Disability Benefits',
|
|
417
|
+
'Wills and Trusts': 'Need a Will or Trust',
|
|
418
|
+
'Workers Compensation': 'Workplace Injury',
|
|
419
|
+
'Power of Attorney': 'Update Power of Attorney',
|
|
420
|
+
'Divorce and Separation': 'Need a Divorce or Separation',
|
|
421
|
+
'Child Custody': 'Need help with Child Custody',
|
|
422
|
+
},
|
|
423
|
+
else: {
|
|
424
|
+
if: '$getVal($get(form), "Type_Of_Legal_Problem") === "Personal Injury" || $getVal($get(form), "Type_Of_Legal_Problem") === "Workers Compensation"',
|
|
425
|
+
then: {
|
|
426
|
+
'DUI and DWI': 'Involved in a DUI/DWI',
|
|
427
|
+
'Wills and Trusts': 'Need a Will or Trust',
|
|
428
|
+
'Power of Attorney': 'Update Power of Attorney',
|
|
429
|
+
'Divorce and Separation': 'Need a Divorce or Separation',
|
|
430
|
+
'Child Custody': 'Need help with Child Custody',
|
|
431
|
+
// TODO add one more?
|
|
432
|
+
},
|
|
433
|
+
else: {
|
|
434
|
+
if: '$getVal($get(form), "Type_Of_Legal_Problem") === "DUI and DWI"',
|
|
435
|
+
then: {
|
|
436
|
+
'Personal Injury': 'Personal or Workplace Injury',
|
|
437
|
+
'Wills and Trusts': 'Need a Will or Trust',
|
|
438
|
+
'Social Security Disability and Insurance': 'Interest in Disability Benefits',
|
|
439
|
+
'Power of Attorney': 'Update Power of Attorney',
|
|
440
|
+
'Divorce and Separation': 'Need a Divorce or Separation',
|
|
441
|
+
'Child Custody': 'Need help with Child Custody',
|
|
442
|
+
},
|
|
443
|
+
else: {
|
|
444
|
+
if: '$getVal($get(form), "Type_Of_Legal_Problem") === "Wills and Trusts" || $getVal($get(form), "Type_Of_Legal_Problem") === "Probate and Estates" || $getVal($get(form), "Type_Of_Legal_Problem") === "Power of Attorney"',
|
|
445
|
+
then: {
|
|
446
|
+
'Auto and Car Accidents': 'Injured in a Car Accident',
|
|
447
|
+
'Personal Injury': 'Personal or Workplace Injury',
|
|
448
|
+
'DUI and DWI': 'Involved in a DUI/DWI',
|
|
449
|
+
'Social Security Disability and Insurance': 'Interest in Disability Benefits',
|
|
450
|
+
'Divorce and Separation': 'Need a Divorce or Separation',
|
|
451
|
+
'Child Custody': 'Need help with Child Custody',
|
|
452
|
+
},
|
|
453
|
+
else: {
|
|
454
|
+
if: '$getVal($get(form), "Type_Of_Legal_Problem") === "Long Term Disability" || $getVal($get(form), "Type_Of_Legal_Problem") === "Social Security Disability and Insurance"',
|
|
455
|
+
then: {
|
|
456
|
+
'Auto and Car Accidents': 'Injured in a Car Accident',
|
|
457
|
+
'DUI and DWI': 'Involved in a DUI/DWI',
|
|
458
|
+
'Wills and Trusts': 'Need a Will or Trust',
|
|
459
|
+
'Power of Attorney': 'Update Power of Attorney',
|
|
460
|
+
'Divorce and Separation': 'Need a Divorce or Separation',
|
|
461
|
+
'Child Custody': 'Need help with Child Custody',
|
|
462
|
+
},
|
|
463
|
+
else: {
|
|
464
|
+
'Auto and Car Accidents': 'Injured in a Car Accident',
|
|
465
|
+
'Personal Injury': 'Personal or Workplace Injury',
|
|
466
|
+
'DUI and DWI': 'Involved in a DUI/DWI',
|
|
467
|
+
'Wills and Trusts': 'Need a Will or Trust',
|
|
468
|
+
'Power of Attorney': 'Update Power of Attorney',
|
|
469
|
+
'Social Security Disability and Insurance': 'Interest in Disability Benefits',
|
|
470
|
+
}
|
|
471
|
+
}
|
|
472
|
+
}
|
|
473
|
+
}
|
|
223
474
|
}
|
|
475
|
+
}
|
|
476
|
+
});
|
|
477
|
+
|
|
478
|
+
const maritalStatus = (scope) => sbsSelect({
|
|
479
|
+
name: scope ? scope + ':' + 'Marital_Status' : 'Marital_Status',
|
|
480
|
+
label: 'Marital Status:',
|
|
481
|
+
options: [
|
|
482
|
+
'Unmarried, Living Together',
|
|
483
|
+
'Unmarried, Do Not Live Together',
|
|
484
|
+
'Married, Living Together',
|
|
485
|
+
'Separated',
|
|
486
|
+
'Divorced',
|
|
487
|
+
'Other'
|
|
488
|
+
]
|
|
489
|
+
});
|
|
490
|
+
|
|
491
|
+
const medicalMalpracticeInjuries = () => sbsSelect({
|
|
492
|
+
label: "Injuries from Medical Malpractice:",
|
|
493
|
+
name: 'Medical_Malpractice_Injuries',
|
|
494
|
+
options: [
|
|
495
|
+
"No Injury",
|
|
496
|
+
"Minor Injury",
|
|
497
|
+
"Disfigurement or cosmetic injury",
|
|
498
|
+
"Short term loss of physical ability",
|
|
499
|
+
"Long term loss of physical injury",
|
|
500
|
+
"Possibility of future harm",
|
|
501
|
+
"Death of Patient"
|
|
502
|
+
]
|
|
503
|
+
});
|
|
504
|
+
|
|
505
|
+
const malpracticeTOLPDisplay = (updates) => col2Radio(merge({
|
|
506
|
+
name: 'Type_Of_Legal_Problem_Display',
|
|
507
|
+
label: 'Select The Malpractice Issue:',
|
|
508
|
+
options: [
|
|
509
|
+
'Medical Malpractice',
|
|
510
|
+
'Attorney Malpractice',
|
|
511
|
+
'Other Malpractice Issues'
|
|
512
|
+
]
|
|
513
|
+
}, updates));
|
|
514
|
+
|
|
515
|
+
const pendingCharges = (scope) => sbsYesNoRadio({
|
|
516
|
+
name: scope ? scope + ':' + 'Pending_Charges' : 'Pending_Charges',
|
|
517
|
+
label: 'Do you currently have any pending charges?'
|
|
518
|
+
});
|
|
519
|
+
|
|
520
|
+
const phone = () => sbsText({
|
|
521
|
+
$formkit: 'tel',
|
|
522
|
+
name: 'Primary_Phone',
|
|
523
|
+
label: 'Phone Number:',
|
|
524
|
+
placeholder: '###-###-####',
|
|
525
|
+
maxlength: 12,
|
|
526
|
+
help: '10-digit phone number, hyphens optional',
|
|
527
|
+
autocomplete: 'tel-national',
|
|
528
|
+
'data-tf-sensitive': 'false',
|
|
529
|
+
validation: 'required|matches:/^[0-9]{3}-?[0-9]{3}-?[0-9]{4}$/|valid_phone',
|
|
530
|
+
validationMessages: {
|
|
531
|
+
required: 'Field is required',
|
|
532
|
+
matches: 'Invalid Phone Format, use ###-###-####',
|
|
533
|
+
valid_phone: 'Invalid Phone Number'
|
|
224
534
|
},
|
|
225
|
-
|
|
226
|
-
|
|
227
|
-
|
|
228
|
-
|
|
229
|
-
|
|
230
|
-
|
|
231
|
-
|
|
232
|
-
|
|
233
|
-
|
|
234
|
-
|
|
235
|
-
|
|
236
|
-
|
|
237
|
-
|
|
238
|
-
|
|
239
|
-
|
|
240
|
-
|
|
241
|
-
|
|
242
|
-
|
|
243
|
-
|
|
244
|
-
|
|
245
|
-
|
|
246
|
-
|
|
247
|
-
|
|
248
|
-
|
|
249
|
-
|
|
250
|
-
|
|
251
|
-
|
|
252
|
-
|
|
253
|
-
|
|
254
|
-
|
|
255
|
-
|
|
256
|
-
|
|
257
|
-
|
|
258
|
-
|
|
259
|
-
|
|
260
|
-
|
|
261
|
-
|
|
262
|
-
|
|
263
|
-
|
|
264
|
-
|
|
265
|
-
|
|
266
|
-
|
|
267
|
-
|
|
268
|
-
|
|
269
|
-
|
|
270
|
-
|
|
271
|
-
|
|
272
|
-
|
|
273
|
-
|
|
274
|
-
|
|
275
|
-
|
|
276
|
-
'
|
|
277
|
-
|
|
278
|
-
|
|
279
|
-
|
|
280
|
-
|
|
281
|
-
},
|
|
282
|
-
'Other (describe on next page)': {
|
|
283
|
-
'Type_Of_Legal_Problem': 'Not Sure or Other'
|
|
284
|
-
},
|
|
285
|
-
// Contracts
|
|
286
|
-
'Contract Creation': {
|
|
287
|
-
'Type_Of_Legal_Problem': 'Business Lawyers',
|
|
288
|
-
'Business_Services': 'Contracts'
|
|
289
|
-
},
|
|
290
|
-
'Contract Enforcement': {
|
|
291
|
-
'Type_Of_Legal_Problem': 'Business Lawyers',
|
|
292
|
-
'Business_Services': 'Contracts'
|
|
293
|
-
},
|
|
294
|
-
'Contract Cancellation': {
|
|
295
|
-
'Type_Of_Legal_Problem': 'Business Lawyers',
|
|
296
|
-
'Business_Services': 'Contracts'
|
|
297
|
-
},
|
|
298
|
-
'Contract Fraud': {
|
|
299
|
-
'Type_Of_Legal_Problem': 'Business Lawyers',
|
|
300
|
-
'Business_Services': 'Contracts'
|
|
301
|
-
},
|
|
302
|
-
'Breach of Contract': {
|
|
303
|
-
'Type_Of_Legal_Problem': 'Business Lawyers',
|
|
304
|
-
'Business_Services': 'Contracts'
|
|
305
|
-
},
|
|
306
|
-
'Other Contract Issues': {
|
|
307
|
-
'Type_Of_Legal_Problem': 'Business Lawyers',
|
|
308
|
-
'Business_Services': 'Contracts'
|
|
309
|
-
},
|
|
310
|
-
// Criminal
|
|
311
|
-
'Criminal Defense': {
|
|
312
|
-
'Type_Of_Legal_Problem': 'Criminal and Felony'
|
|
313
|
-
},
|
|
314
|
-
'Victim of a Crime': {
|
|
315
|
-
'Type_Of_Legal_Problem': 'Victim of a Crime'
|
|
316
|
-
},
|
|
317
|
-
'DUI and DWI': {
|
|
318
|
-
'Type_Of_Legal_Problem': 'DUI and DWI'
|
|
319
|
-
},
|
|
320
|
-
'Expungement': {
|
|
321
|
-
'Type_Of_Legal_Problem': 'Expungement'
|
|
322
|
-
},
|
|
323
|
-
'Harassment': {
|
|
324
|
-
'Type_Of_Legal_Problem': 'Criminal and Felony'
|
|
325
|
-
},
|
|
326
|
-
'Not Sure or Other': {
|
|
327
|
-
'Type_Of_Legal_Problem': 'Not Sure or Other'
|
|
328
|
-
},
|
|
329
|
-
// Employment and Workplace
|
|
330
|
-
'Workplace Harassment': {
|
|
331
|
-
'Type_Of_Legal_Problem': 'Workplace Harassment'
|
|
332
|
-
},
|
|
333
|
-
'Workplace Discrimination': {
|
|
334
|
-
'Type_Of_Legal_Problem': 'Workplace Discrimination'
|
|
335
|
-
},
|
|
336
|
-
'Wrongful Termination': {
|
|
337
|
-
'Type_Of_Legal_Problem': 'Wrongful Termination'
|
|
338
|
-
},
|
|
339
|
-
'Payment Disputes': {
|
|
340
|
-
'Type_Of_Legal_Problem': 'Employment and Workplace'
|
|
341
|
-
},
|
|
342
|
-
'Workers Compensation': {
|
|
343
|
-
'Type_Of_Legal_Problem': 'Workers Compensation'
|
|
344
|
-
},
|
|
345
|
-
'Unemployment': {
|
|
346
|
-
'Type_Of_Legal_Problem': 'Unemployment'
|
|
347
|
-
},
|
|
348
|
-
'Other Workplace Issues': {
|
|
349
|
-
'Type_Of_Legal_Problem': 'Employment and Workplace'
|
|
350
|
-
},
|
|
351
|
-
// Malpractice
|
|
352
|
-
'Attorney Malpractice': {
|
|
353
|
-
'Type_Of_Legal_Problem': 'Civil Lawsuit'
|
|
354
|
-
},
|
|
355
|
-
'Other Malpractice Issues': {
|
|
356
|
-
'Type_Of_Legal_Problem': 'Not Sure or Other'
|
|
357
|
-
},
|
|
358
|
-
// Repossession
|
|
359
|
-
'Vehicle Repossession': {
|
|
360
|
-
'Type_Of_Legal_Problem': 'Bankruptcy'
|
|
361
|
-
},
|
|
362
|
-
'Property Repossession': {
|
|
363
|
-
'Type_Of_Legal_Problem': 'Bankruptcy'
|
|
364
|
-
},
|
|
365
|
-
'Other Repossession Issues': {
|
|
366
|
-
'Type_Of_Legal_Problem': 'Not Sure or Other'
|
|
367
|
-
},
|
|
368
|
-
// Real Estate
|
|
369
|
-
'Contracts and Agreements': {
|
|
370
|
-
'Type_Of_Legal_Problem': 'Real Estate'
|
|
371
|
-
},
|
|
372
|
-
'Deeds, Liens, and Titles': {
|
|
373
|
-
'Type_Of_Legal_Problem': 'Real Estate'
|
|
374
|
-
},
|
|
375
|
-
'Foreclosure': {
|
|
376
|
-
'Type_Of_Legal_Problem': 'Foreclosure'
|
|
377
|
-
},
|
|
378
|
-
'Insurance': {
|
|
379
|
-
'Type_Of_Legal_Problem': 'Insurance'
|
|
380
|
-
},
|
|
381
|
-
'Landlord and Tenant': {
|
|
382
|
-
'Type_Of_Legal_Problem': 'Landlord and Tenant',
|
|
383
|
-
},
|
|
384
|
-
'Loans and Mortgages': {
|
|
385
|
-
'Type_Of_Legal_Problem': 'Real Estate',
|
|
386
|
-
},
|
|
387
|
-
'Wills, Trusts, and Estates': {
|
|
388
|
-
'Type_Of_Legal_Problem': 'Wills and Trusts'
|
|
389
|
-
},
|
|
390
|
-
'Property Damage': {
|
|
391
|
-
'Type_Of_Legal_Problem': 'Property Damage'
|
|
392
|
-
},
|
|
393
|
-
'Other Real Estate Issues': {
|
|
394
|
-
'Type_Of_Legal_Problem': 'Real Estate'
|
|
395
|
-
}
|
|
535
|
+
helpClass: "t-mt-2.5 md:t-text-right md:t-mt-[-2px]"
|
|
536
|
+
});
|
|
537
|
+
|
|
538
|
+
const primaryInjury = (scope) => sbs2ColRadio({
|
|
539
|
+
name: scope ? scope + ':' + 'Primary_Injury' : 'Primary_Injury',
|
|
540
|
+
label: 'Primary Injury:',
|
|
541
|
+
options: [
|
|
542
|
+
"Anxiety",
|
|
543
|
+
"Back or Neck Pain",
|
|
544
|
+
"Broken Bones",
|
|
545
|
+
"Cuts and Bruises",
|
|
546
|
+
"Headaches",
|
|
547
|
+
"Memory Loss",
|
|
548
|
+
"Loss of Limb",
|
|
549
|
+
"Not Sure or Other"
|
|
550
|
+
]
|
|
551
|
+
});
|
|
552
|
+
|
|
553
|
+
const priorAlcoholOffenses = (scope) => sbsYesNoRadio({
|
|
554
|
+
name: scope ? scope + ':' + 'Prior_Alcohol_Offenses' : 'Prior_Alcohol_Offenses',
|
|
555
|
+
label: 'Any Prior Alcohol Related Offenses?'
|
|
556
|
+
});
|
|
557
|
+
|
|
558
|
+
const policeReportFiled = (scope) => sbsYesNoRadio({
|
|
559
|
+
name: scope ? scope + ':' + 'Police_Report_Filed' : 'Police_Report_Filed',
|
|
560
|
+
label: 'Was a Police Report Filed?'
|
|
561
|
+
});
|
|
562
|
+
|
|
563
|
+
const roleInMatterProbate = (scope) => sbsSelect({
|
|
564
|
+
name: scope ? scope + ':' + 'Role_In_Matter_Probate' : 'Role_In_Matter_Probate',
|
|
565
|
+
label: "What Is Your Role in this Matter?",
|
|
566
|
+
options: [
|
|
567
|
+
"Preparing My Will",
|
|
568
|
+
"Executor",
|
|
569
|
+
"Heir",
|
|
570
|
+
"Other"
|
|
571
|
+
]
|
|
572
|
+
});
|
|
573
|
+
|
|
574
|
+
const socialSecurityDisabilityReceivingBenefits = (scope) => sbsYesNoRadio({
|
|
575
|
+
name: scope ? scope + ':' + 'Social_Security_Disability_Receiving_Benefits' : 'Social_Security_Disability_Receiving_Benefits',
|
|
576
|
+
label: 'Are You Currently Receiving Social Security Disability Benefits?'
|
|
577
|
+
});
|
|
578
|
+
|
|
579
|
+
const TCPAConsent = () => ({
|
|
580
|
+
$formkit: 'checkbox',
|
|
581
|
+
label: '$meta.tcpaLanguage',
|
|
582
|
+
name: 'TCPA_Opt_In',
|
|
583
|
+
'data-tf-sensitive': 'false',
|
|
584
|
+
validation: 'required|accepted',
|
|
585
|
+
validationMessages: {
|
|
586
|
+
required: 'Consent is required',
|
|
587
|
+
accepted: 'Consent is required'
|
|
588
|
+
},
|
|
589
|
+
classes: {
|
|
590
|
+
label: "t-text-xs t-text-slate-500 t-font-normal"
|
|
396
591
|
}
|
|
397
|
-
};
|
|
592
|
+
});
|
|
398
593
|
|
|
399
|
-
const
|
|
400
|
-
|
|
401
|
-
|
|
402
|
-
|
|
403
|
-
|
|
404
|
-
|
|
405
|
-
|
|
406
|
-
|
|
407
|
-
|
|
408
|
-
|
|
409
|
-
|
|
410
|
-
|
|
411
|
-
'File a Lawsuit': 'Example: "A contractor took my money and never completed the job"',
|
|
412
|
-
'Defend a Lawsuit': 'Example: "I am being sued by a neighbor"',
|
|
413
|
-
'Consumer Lawyers': 'Example: "Someone committed fraud against me" or "A contractor took my money and never completed the job"',
|
|
414
|
-
'Copyrights and Trademarks': 'Example: "I would like to register a trademark or copyright a name"',
|
|
415
|
-
'Criminal and Felony': 'Example: "I was arrested for DUI and need legal defense" or "I am being charged with assault"',
|
|
416
|
-
'Debt and Collections': 'Example: "I would like to consolidate my debt" or "A collection agency is harassing me"',
|
|
417
|
-
'Divorce and Separation': 'Example: "I would like to file for an uncontested divorce"',
|
|
418
|
-
'DUI and DWI': 'Example: "I was arrested for DUI and need legal defense"',
|
|
419
|
-
'Elder Law': 'Example: "I would like help with Estate Planning" or "I need help with a guardianship"',
|
|
420
|
-
'Employment and Workplace': 'Example: "I was injured while on the job" or "My company is discriminating against me"',
|
|
421
|
-
'Expungement': 'Example: "I would like to file for an expungement and clear my record"',
|
|
422
|
-
'Family Issues': 'Example: "I need help with guardianship" or "I need a simple will created"',
|
|
423
|
-
'Foreclosure': 'Example: "I need help to avoid foreclosure on my house"',
|
|
424
|
-
'Guardianship': 'Example: "I need help with guardianship documents"',
|
|
425
|
-
'Harassment and Discrimination': 'Example: "I am being discriminated at work" or "My neighbor is harassing me"',
|
|
426
|
-
'Sexual Harassment': 'Example: "I am being sexually harassed by a coworker"',
|
|
427
|
-
'Workplace Harassment': 'Example: "My coworker is being aggressive towards me"',
|
|
428
|
-
'Non-Workplace Harassment': 'Example: "My neighbor is harassing me"',
|
|
429
|
-
'Workplace Discrimination': 'Example: "I am being discriminated at work based on my age"',
|
|
430
|
-
'Non-Workplace Discrimination': 'Example: "I am being discriminated against by a local official"',
|
|
431
|
-
'Identity Theft': 'Example: "Someone stole my identity and I need help fixing the issue"',
|
|
432
|
-
'Immigration and Visas': 'Example: "I need help filing for a visa" or "Help with a green card"',
|
|
433
|
-
'Insurance': 'Example: "I need help filing an insurance claim for damage to my house"',
|
|
434
|
-
'Landlord and Tenant': 'Example: "I need help to fight an eviction" or "I would like a lawyer to review a rental contract"',
|
|
435
|
-
'Lemon Law': 'Example: "I purchased a new vehicle that broke down already and seller will not assist"',
|
|
436
|
-
'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"',
|
|
437
|
-
'Medical Malpractice': 'Example: "A doctor performed surgery on the wrong limb and I would like to file a lawsuit"',
|
|
438
|
-
'Patents and Intellectual Property': 'Example: "I would like to file for a patent" or "I need to copyright a name"',
|
|
439
|
-
'Personal Injury': 'Example: "I was bit by the neighbor\'s dog" or "I fell in the icy grocery store parking lot"',
|
|
440
|
-
'Power of Attorney': 'Example: "I need help with a limited or general power of attorney"',
|
|
441
|
-
'Probate and Estates': 'Example: "I need help with planning for my estate" or "A family member passed without a will in place"',
|
|
442
|
-
'Product Liability': 'Example: "My car battery caught on fire" or "I purchased a faulty product"',
|
|
443
|
-
'Property Damage': 'Example: "The neighbor\'s tree fell on my fence" or "My car was hit in the parking lot"',
|
|
444
|
-
'Real Estate': 'Example: "I need help with a quitclaim deed" or "I need a lawyer to review a purchase and sales agreement"',
|
|
445
|
-
'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"',
|
|
446
|
-
'Tax and IRS': 'Example: "I need help fighting an IRS tax claim" or "I need audit defense"',
|
|
447
|
-
'Traffic and Tickets': 'Example: "I need help reinstating a supsended license" or "I would like to fight a traffic ticket"',
|
|
448
|
-
'Unemployment': 'Example: "I need help filing for unemployment benefits"',
|
|
449
|
-
'Victim of a Crime': 'Example: "I was assaulted in the store" or "I am being discriminated against at work"',
|
|
450
|
-
'Wills and Trusts': 'Example: "I need a simple will created" or "I would like guidance on creating a trust fund"',
|
|
451
|
-
'Workers Compensation': 'Example: "I was injured at work and would like to file for workers compensation benefits"',
|
|
452
|
-
'Wrongful Death': 'Example: "A family member was killed on the job and we need legal representation"',
|
|
453
|
-
'Wrongful Termination': 'Example: "I was fired by my employer without cause"',
|
|
454
|
-
'Not Sure or Other': 'Example: "I was involved in a car accident" or "I need help setting up power of attorney"'
|
|
455
|
-
};
|
|
594
|
+
const typeOfAlcoholTest = (scope) => sbsSelect({
|
|
595
|
+
name: scope ? scope + ':' + 'Type_Of_Alcohol_Test' : 'Type_Of_Alcohol_Test',
|
|
596
|
+
label: 'Type of Alcohol Test Performed?',
|
|
597
|
+
options: [
|
|
598
|
+
"No Test",
|
|
599
|
+
"Refused Test",
|
|
600
|
+
"Breath Test",
|
|
601
|
+
"Blood Test",
|
|
602
|
+
"Urine Test",
|
|
603
|
+
"Don't Know"
|
|
604
|
+
]
|
|
605
|
+
});
|
|
456
606
|
|
|
457
|
-
const
|
|
458
|
-
|
|
459
|
-
|
|
607
|
+
const typeOfAssets = (scope) => col2Checkbox({
|
|
608
|
+
name: scope ? scope + ':' + 'Type_Of_Assets' : 'Type_Of_Assets',
|
|
609
|
+
label: 'Type of Assets:',
|
|
610
|
+
options: [
|
|
611
|
+
"Business Interests",
|
|
612
|
+
"Cash",
|
|
613
|
+
"Life Insurance Policies",
|
|
614
|
+
"Pensions/Retirement",
|
|
615
|
+
"Personal Possessions",
|
|
616
|
+
"Property",
|
|
617
|
+
"Stock/Bonds"
|
|
618
|
+
]
|
|
619
|
+
});
|
|
460
620
|
|
|
461
|
-
const
|
|
462
|
-
|
|
463
|
-
|
|
464
|
-
|
|
465
|
-
|
|
466
|
-
|
|
467
|
-
|
|
468
|
-
|
|
469
|
-
|
|
470
|
-
|
|
471
|
-
|
|
472
|
-
|
|
473
|
-
|
|
474
|
-
|
|
475
|
-
|
|
476
|
-
|
|
477
|
-
|
|
478
|
-
|
|
479
|
-
|
|
480
|
-
|
|
481
|
-
|
|
482
|
-
|
|
483
|
-
|
|
484
|
-
|
|
485
|
-
|
|
486
|
-
|
|
487
|
-
'Landlord and Tenant': 'You may benefit from speaking with a landlord and tenant legal professional. Please verify your contact information.',
|
|
488
|
-
// 'Lemon Law': '',
|
|
489
|
-
'Long Term Disability': 'You may benefit from speaking with a disability legal professional. Please verify your contact information.',
|
|
490
|
-
'Medical Malpractice': 'You may benefit from speaking with a malpractice professional. Please verify your contact information.',
|
|
491
|
-
'Patents and Intellectual Property': 'You may benefit from speaking with a patent professional. Please verify your contact information.',
|
|
492
|
-
'Personal Injury': 'You may benefit from speaking with a personal injury professional. Please verify your contact information.',
|
|
493
|
-
// 'Power of Attorney': '',
|
|
494
|
-
'Probate and Estates': 'You may benefit from speaking with a probate and estate professional. Please verify your contact information.',
|
|
495
|
-
// 'Product Liability': '',
|
|
496
|
-
// 'Property Damage': '',
|
|
497
|
-
'Real Estate': 'You may benefit from speaking with a real estate professional. Please verify your contact information.',
|
|
498
|
-
'Social Security Disability and Insurance': 'You may benefit from speaking with an SSDI professional. Please verify your contact information.',
|
|
499
|
-
'Tax and IRS': 'You may benefit from speaking with a tax professional. Please verify your contact information.',
|
|
500
|
-
// 'Traffic and Tickets': '',
|
|
501
|
-
'Unemployment': 'You may benefit from speaking with an unemployment professional. Please verify your contact information.',
|
|
502
|
-
// 'Victim of a Crime': '',
|
|
503
|
-
// 'Wills and Trusts': '',
|
|
504
|
-
'Workers Compensation': 'You may benefit from speaking with a workers compensation professional. Please verify your contact information.',
|
|
505
|
-
// 'Wrongful Death': '',
|
|
506
|
-
// 'Wrongful Termination': '',
|
|
507
|
-
// 'Not Sure or Other': ''
|
|
508
|
-
// 'Sexual Harassment': '',
|
|
509
|
-
// 'Workplace Harassment': '',
|
|
510
|
-
// 'Non-Workplace Harassment': '',
|
|
511
|
-
// 'Workplace Discrimination': '',
|
|
512
|
-
// 'Non-Workplace Discrimination': '',
|
|
513
|
-
};
|
|
621
|
+
const valueOfAssets = (scope) => sbsSelect({
|
|
622
|
+
name: scope ? scope + ':' + 'Value_Of_Assets' : 'Value_Of_Assets',
|
|
623
|
+
label: 'Value of Your Assets?',
|
|
624
|
+
options: [
|
|
625
|
+
"Less than 50K",
|
|
626
|
+
"50K to 100K",
|
|
627
|
+
"100K to 250K",
|
|
628
|
+
"250K to 500K",
|
|
629
|
+
"500K to 1M",
|
|
630
|
+
"More than 1M"
|
|
631
|
+
]
|
|
632
|
+
});
|
|
633
|
+
|
|
634
|
+
const zipcode = () => sbsText({
|
|
635
|
+
label: 'Zip Code:',
|
|
636
|
+
placeholder: '#####',
|
|
637
|
+
name: 'Zip',
|
|
638
|
+
maxlength: 5,
|
|
639
|
+
inputmode: "numeric",
|
|
640
|
+
autocomplete: 'postal-code',
|
|
641
|
+
validation: 'required|matches:/^[0-9]{5}$/',
|
|
642
|
+
validationMessages: {
|
|
643
|
+
required: 'Zip Code is required',
|
|
644
|
+
matches: 'Invalid Zip Code'
|
|
645
|
+
}
|
|
646
|
+
});
|
|
514
647
|
|
|
515
|
-
// ------ Common Base Settings
|
|
516
648
|
|
|
517
|
-
|
|
518
|
-
|
|
519
|
-
|
|
520
|
-
|
|
649
|
+
// ------ Question Groups
|
|
650
|
+
|
|
651
|
+
// NOTE: name must be unique within a form!
|
|
652
|
+
const group = (name, updates) => {
|
|
521
653
|
return merge({
|
|
522
|
-
$
|
|
523
|
-
|
|
524
|
-
|
|
525
|
-
|
|
654
|
+
$cmp: 'FormKit',
|
|
655
|
+
props: {
|
|
656
|
+
type: 'group',
|
|
657
|
+
key: name,
|
|
658
|
+
id: name,
|
|
659
|
+
name: name
|
|
526
660
|
}
|
|
527
661
|
}, updates)
|
|
528
662
|
};
|
|
529
663
|
|
|
530
|
-
const
|
|
531
|
-
|
|
532
|
-
|
|
533
|
-
|
|
534
|
-
|
|
535
|
-
|
|
536
|
-
|
|
537
|
-
|
|
664
|
+
const AutoAndCarAccidentsQuestions = (condition, scope) => group(
|
|
665
|
+
'AutoAndCarAccidentsQuestions',
|
|
666
|
+
{
|
|
667
|
+
if: (condition || '$get(Type_Of_Legal_Problem).value == "Auto and Car Accidents"'),
|
|
668
|
+
children: [
|
|
669
|
+
haveAttorney(scope),
|
|
670
|
+
incidentDate(scope),
|
|
671
|
+
atFault(scope),
|
|
672
|
+
primaryInjury(scope),
|
|
673
|
+
doctorTreatment(scope),
|
|
674
|
+
policeReportFiled(scope)
|
|
675
|
+
]
|
|
676
|
+
}
|
|
677
|
+
);
|
|
538
678
|
|
|
539
|
-
const
|
|
540
|
-
|
|
541
|
-
|
|
679
|
+
const ChildCustodyQuestions = (condition, scope) => group(
|
|
680
|
+
'ChildCustodyQuestions',
|
|
681
|
+
{
|
|
682
|
+
if: (condition || '$get(Type_Of_Legal_Problem).value == "Child Custody"'),
|
|
683
|
+
children: [
|
|
684
|
+
haveAttorney(scope),
|
|
685
|
+
childRelationship(scope),
|
|
686
|
+
childHome(scope),
|
|
687
|
+
childPrimaryCaregiver(scope),
|
|
688
|
+
degreeOfInterest(scope),
|
|
689
|
+
lawyerPaymentMethod(scope)
|
|
690
|
+
]
|
|
542
691
|
}
|
|
543
|
-
|
|
544
|
-
$formkit: 'radio',
|
|
545
|
-
validation: 'required',
|
|
546
|
-
validationMessages: {
|
|
547
|
-
required: 'Field is required'
|
|
548
|
-
},
|
|
549
|
-
optionsClass: 't-pt-3 t-pl-1',
|
|
550
|
-
legendClass: 'required'
|
|
551
|
-
}, updates)
|
|
552
|
-
};
|
|
692
|
+
);
|
|
553
693
|
|
|
554
|
-
const
|
|
555
|
-
|
|
556
|
-
|
|
557
|
-
|
|
558
|
-
|
|
559
|
-
|
|
560
|
-
|
|
561
|
-
|
|
694
|
+
const CivilLawsuitQuestions = () => group(
|
|
695
|
+
'CivilLawsuitQuestions',
|
|
696
|
+
{
|
|
697
|
+
if: '$get(Type_Of_Legal_Problem).value == "Civil Lawsuit"',
|
|
698
|
+
children: [
|
|
699
|
+
haveAttorney(),
|
|
700
|
+
lawsuitOtherParty(),
|
|
701
|
+
degreeOfInterestHelp()
|
|
702
|
+
]
|
|
703
|
+
}
|
|
704
|
+
);
|
|
562
705
|
|
|
563
|
-
const
|
|
564
|
-
|
|
565
|
-
|
|
566
|
-
|
|
567
|
-
|
|
568
|
-
|
|
569
|
-
|
|
570
|
-
|
|
706
|
+
const DivorceQuestions = (condition, scope) => group(
|
|
707
|
+
'DivorceQuestions',
|
|
708
|
+
{
|
|
709
|
+
if: (condition || '$get(Type_Of_Legal_Problem).value == "Divorce and Separation"'),
|
|
710
|
+
children: [
|
|
711
|
+
haveAttorney(scope),
|
|
712
|
+
maritalStatus(scope),
|
|
713
|
+
haveChildren(scope),
|
|
714
|
+
degreeOfInterest(scope),
|
|
715
|
+
lawyerPaymentMethod(scope)
|
|
716
|
+
]
|
|
717
|
+
}
|
|
718
|
+
);
|
|
571
719
|
|
|
572
|
-
const
|
|
573
|
-
|
|
574
|
-
|
|
575
|
-
|
|
720
|
+
const DUIAndDWIQuestions = (condition, scope) => group(
|
|
721
|
+
'DUIAndDWIQuestions',
|
|
722
|
+
{
|
|
723
|
+
if: (condition || '$get(Type_Of_Legal_Problem).value == "DUI and DWI"'),
|
|
724
|
+
children: [
|
|
725
|
+
haveAttorney(scope),
|
|
726
|
+
incidentDate(scope),
|
|
727
|
+
priorAlcoholOffenses(scope),
|
|
728
|
+
typeOfAlcoholTest(scope),
|
|
729
|
+
bloodContentAlcoholTest(scope),
|
|
730
|
+
pendingCharges(scope),
|
|
731
|
+
degreeOfInterestHelp(scope)
|
|
732
|
+
]
|
|
733
|
+
}
|
|
734
|
+
);
|
|
576
735
|
|
|
577
|
-
const
|
|
578
|
-
|
|
579
|
-
|
|
736
|
+
const MedicalMalpracticeQuestions = () => group(
|
|
737
|
+
'MedicalMalpracticeQuestions',
|
|
738
|
+
{
|
|
739
|
+
if: '$get(Type_Of_Legal_Problem).value == "Medical Malpractice"',
|
|
740
|
+
children: [
|
|
741
|
+
haveAttorney(),
|
|
742
|
+
incidentDate(),
|
|
743
|
+
claimStatus(),
|
|
744
|
+
doctorTreatment(),
|
|
745
|
+
medicalMalpracticeInjuries(),
|
|
746
|
+
degreeOfInterestHelp()
|
|
747
|
+
]
|
|
580
748
|
}
|
|
581
|
-
|
|
582
|
-
$formkit: 'select',
|
|
583
|
-
placeholder: "Please Select",
|
|
584
|
-
validation: 'required',
|
|
585
|
-
validationMessages: {
|
|
586
|
-
required: 'Field is required'
|
|
587
|
-
},
|
|
588
|
-
inputClass: 't-bg-white',
|
|
589
|
-
labelClass: 'required'
|
|
590
|
-
}, updates)
|
|
591
|
-
};
|
|
749
|
+
);
|
|
592
750
|
|
|
593
|
-
const
|
|
594
|
-
|
|
595
|
-
|
|
596
|
-
|
|
597
|
-
|
|
598
|
-
|
|
599
|
-
|
|
751
|
+
const PersonalInjuryQuestions = (condition, scope) => group(
|
|
752
|
+
'PersonalInjuryQuestions',
|
|
753
|
+
{
|
|
754
|
+
if: (condition || '$get(Type_Of_Legal_Problem).value == "Personal Injury"'),
|
|
755
|
+
children: [
|
|
756
|
+
haveAttorney(scope),
|
|
757
|
+
incidentDate(scope),
|
|
758
|
+
claimStatus(scope),
|
|
759
|
+
atFault(scope),
|
|
760
|
+
primaryInjury(scope),
|
|
761
|
+
doctorTreatment(scope)
|
|
762
|
+
]
|
|
763
|
+
}
|
|
764
|
+
);
|
|
600
765
|
|
|
601
|
-
const
|
|
602
|
-
|
|
603
|
-
|
|
766
|
+
const PowerofAttorneyQuestions = (condition, scope) => group(
|
|
767
|
+
'PowerofAttorneyQuestions',
|
|
768
|
+
{
|
|
769
|
+
if: (condition || '$get(Type_Of_Legal_Problem).value == "Power of Attorney"'),
|
|
770
|
+
children: [
|
|
771
|
+
haveAttorney(scope),
|
|
772
|
+
degreeOfInterestHelp(scope)
|
|
773
|
+
]
|
|
604
774
|
}
|
|
605
|
-
|
|
606
|
-
$formkit: 'text',
|
|
607
|
-
validation: 'required',
|
|
608
|
-
validationMessages: {
|
|
609
|
-
required: 'Field is required'
|
|
610
|
-
},
|
|
611
|
-
labelClass: 'required'
|
|
612
|
-
}, updates)
|
|
613
|
-
};
|
|
775
|
+
);
|
|
614
776
|
|
|
615
|
-
const
|
|
616
|
-
|
|
617
|
-
|
|
618
|
-
|
|
777
|
+
const SocialSecurityDisabilityAndInsuranceQuestions = (condition, scope) => group(
|
|
778
|
+
'SocialSecurityDisabilityAndInsuranceQuestions',
|
|
779
|
+
{
|
|
780
|
+
if: (condition || '$get(Type_Of_Legal_Problem).value == "Social Security Disability and Insurance"'),
|
|
781
|
+
children: [
|
|
782
|
+
haveAttorney(scope),
|
|
783
|
+
applicantAge(scope),
|
|
784
|
+
disabilityConditionStopWork(scope),
|
|
785
|
+
disabilityWorkHistory(scope),
|
|
786
|
+
socialSecurityDisabilityReceivingBenefits(scope),
|
|
787
|
+
doctorTreatment(scope)
|
|
788
|
+
]
|
|
789
|
+
}
|
|
790
|
+
);
|
|
619
791
|
|
|
620
|
-
const
|
|
621
|
-
|
|
622
|
-
|
|
792
|
+
const WillsAndTrustsQuestions = (condition, scope) => group(
|
|
793
|
+
'WillsAndTrustsQuestions',
|
|
794
|
+
{
|
|
795
|
+
if: (condition || '$get(Type_Of_Legal_Problem).value == "Wills and Trusts"'),
|
|
796
|
+
children: [
|
|
797
|
+
haveAttorney(scope),
|
|
798
|
+
valueOfAssets(scope),
|
|
799
|
+
typeOfAssets(scope),
|
|
800
|
+
roleInMatterProbate(scope),
|
|
801
|
+
estateLegalServicesNeeded(scope),
|
|
802
|
+
degreeOfInterestHelp(scope)
|
|
803
|
+
]
|
|
623
804
|
}
|
|
624
|
-
|
|
625
|
-
$formkit: 'textarea',
|
|
626
|
-
rows: 5,
|
|
627
|
-
maxlength: 500,
|
|
628
|
-
validation: 'required',
|
|
629
|
-
validationMessages: {
|
|
630
|
-
required: 'Field is required'
|
|
631
|
-
},
|
|
632
|
-
innerClass: 't-max-w-xl',
|
|
633
|
-
labelClass: 'required'
|
|
634
|
-
}, updates)
|
|
635
|
-
};
|
|
805
|
+
);
|
|
636
806
|
|
|
637
|
-
const
|
|
638
|
-
|
|
639
|
-
|
|
807
|
+
const WorkersCompensationQuestions = (condition, scope) => group(
|
|
808
|
+
'WorkersCompensationQuestions',
|
|
809
|
+
{
|
|
810
|
+
if: (condition || '$get(Type_Of_Legal_Problem).value == "Workers Compensation"'),
|
|
811
|
+
children: [
|
|
812
|
+
haveAttorney(scope),
|
|
813
|
+
incidentDate(scope),
|
|
814
|
+
claimStatus(scope),
|
|
815
|
+
primaryInjury(scope),
|
|
816
|
+
causeOfInjury(scope),
|
|
817
|
+
doctorTreatment(scope)
|
|
818
|
+
]
|
|
640
819
|
}
|
|
641
|
-
|
|
642
|
-
|
|
643
|
-
|
|
644
|
-
|
|
645
|
-
|
|
820
|
+
);
|
|
821
|
+
|
|
822
|
+
const NotSureOrOtherQuestions = () => group(
|
|
823
|
+
'NotSureOrOtherQuestions',
|
|
824
|
+
{
|
|
825
|
+
if: '$get(Type_Of_Legal_Problem).value == "Not Sure or Other"',
|
|
826
|
+
children: [
|
|
827
|
+
haveAttorney(),
|
|
828
|
+
degreeOfInterestHelp()
|
|
829
|
+
]
|
|
830
|
+
}
|
|
831
|
+
);
|
|
832
|
+
|
|
833
|
+
const NEXT_ON_ENTER = '$onEnter($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))';
|
|
834
|
+
const NEXT_ON_INPUT = '$onInput($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))';
|
|
835
|
+
|
|
836
|
+
const isInput = (n) => { return (n.type !== 'group' && n.type !== 'section' && n.type !== 'form' && n.$formkit !== 'hidden' && !n.children) };
|
|
837
|
+
|
|
838
|
+
const findLastInput = (n) => {
|
|
839
|
+
if (isInput(n)) {
|
|
840
|
+
return n
|
|
841
|
+
}
|
|
842
|
+
for (var i = n.children.length - 1; i >= 0; i--) {
|
|
843
|
+
if (typeof n.children === 'string') {
|
|
844
|
+
continue
|
|
845
|
+
}
|
|
846
|
+
const child = n.children[i];
|
|
847
|
+
if (isInput(child)) {
|
|
848
|
+
return child
|
|
849
|
+
}
|
|
850
|
+
const res = findLastInput(child);
|
|
851
|
+
if (res) {
|
|
852
|
+
return res
|
|
853
|
+
}
|
|
854
|
+
}
|
|
855
|
+
return null
|
|
856
|
+
};
|
|
857
|
+
|
|
858
|
+
const secureIconDefault = {
|
|
859
|
+
$el: 'div',
|
|
860
|
+
if: '$activeStep === $lastStep()',
|
|
861
|
+
attrs: {
|
|
862
|
+
class: 't-flex t-justify-center t-items-center t-text-sm t-text-gray-500'
|
|
863
|
+
},
|
|
864
|
+
children: [
|
|
865
|
+
{
|
|
866
|
+
$el: 'img',
|
|
867
|
+
attrs: {
|
|
868
|
+
loading: 'lazy',
|
|
869
|
+
alt: '',
|
|
870
|
+
style: {
|
|
871
|
+
border: 0
|
|
872
|
+
},
|
|
873
|
+
width: '25',
|
|
874
|
+
height: '25',
|
|
875
|
+
src: 'https://d27hmee62k45vz.cloudfront.net/lock_icon_1.jpeg',
|
|
876
|
+
}
|
|
646
877
|
},
|
|
647
|
-
|
|
648
|
-
|
|
649
|
-
|
|
878
|
+
{
|
|
879
|
+
$el: 'span',
|
|
880
|
+
children: 'Secure & Encrypted',
|
|
881
|
+
attrs: {
|
|
882
|
+
class: 't-pl-2 t-pt-1 t-font-medium'
|
|
883
|
+
}
|
|
884
|
+
}
|
|
885
|
+
]
|
|
650
886
|
};
|
|
651
887
|
|
|
652
|
-
|
|
653
|
-
|
|
654
|
-
|
|
655
|
-
|
|
888
|
+
function secureIcon(updates) {
|
|
889
|
+
return merge(
|
|
890
|
+
secureIconDefault,
|
|
891
|
+
updates
|
|
892
|
+
)
|
|
893
|
+
}
|
|
656
894
|
|
|
657
|
-
|
|
658
|
-
|
|
659
|
-
|
|
660
|
-
|
|
661
|
-
|
|
662
|
-
|
|
663
|
-
|
|
664
|
-
|
|
665
|
-
}
|
|
895
|
+
function questionsStepHeadline(updates) {
|
|
896
|
+
return {
|
|
897
|
+
$el: 'h3',
|
|
898
|
+
children: updates.headline || 'Tell Us About Your Situation',
|
|
899
|
+
attrs: {
|
|
900
|
+
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'
|
|
901
|
+
}
|
|
902
|
+
}
|
|
903
|
+
}
|
|
666
904
|
|
|
667
|
-
|
|
668
|
-
|
|
669
|
-
|
|
670
|
-
|
|
671
|
-
|
|
672
|
-
|
|
673
|
-
|
|
674
|
-
|
|
675
|
-
|
|
676
|
-
});
|
|
905
|
+
function crossSellQuestionsStepHeadline(updates) {
|
|
906
|
+
return {
|
|
907
|
+
$el: 'h3',
|
|
908
|
+
children: updates.headline || 'Tell Us About Your Situation',
|
|
909
|
+
attrs: {
|
|
910
|
+
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'
|
|
911
|
+
}
|
|
912
|
+
}
|
|
913
|
+
}
|
|
677
914
|
|
|
678
|
-
|
|
679
|
-
|
|
680
|
-
|
|
681
|
-
|
|
682
|
-
|
|
683
|
-
|
|
684
|
-
|
|
915
|
+
function crossSellQuestionsStepSubHeadline(updates) {
|
|
916
|
+
return {
|
|
917
|
+
$el: 'h5',
|
|
918
|
+
children: updates.subheadline || 'Tell us about your situation:',
|
|
919
|
+
attrs: {
|
|
920
|
+
class: 't-flex t-justify-center t-text-dark t-text-center !t-text-lg t-font-semibold t-pb-4 t-pt-0 t-px-3'
|
|
921
|
+
}
|
|
922
|
+
}
|
|
923
|
+
}
|
|
685
924
|
|
|
686
|
-
|
|
687
|
-
|
|
688
|
-
|
|
689
|
-
|
|
690
|
-
|
|
691
|
-
|
|
692
|
-
|
|
693
|
-
|
|
694
|
-
|
|
695
|
-
"Absolutely Can't Afford"
|
|
696
|
-
]
|
|
697
|
-
});
|
|
925
|
+
function commentsStepHeadline(updates) {
|
|
926
|
+
return {
|
|
927
|
+
$el: 'h3',
|
|
928
|
+
children: updates.headline || 'Additional Case Details',
|
|
929
|
+
attrs: {
|
|
930
|
+
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 || '')
|
|
931
|
+
}
|
|
932
|
+
}
|
|
933
|
+
}
|
|
698
934
|
|
|
699
|
-
|
|
935
|
+
function firstAndLastStepHeadline(updates) {
|
|
936
|
+
return {
|
|
937
|
+
$el: 'h3',
|
|
938
|
+
children: updates.headline || 'Please Provide a Contact Name',
|
|
939
|
+
attrs: {
|
|
940
|
+
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 || '')
|
|
941
|
+
}
|
|
942
|
+
}
|
|
943
|
+
}
|
|
700
944
|
|
|
701
|
-
|
|
702
|
-
|
|
703
|
-
|
|
704
|
-
|
|
945
|
+
function legalCrossSellsStepHeadline(updates) {
|
|
946
|
+
return {
|
|
947
|
+
$el: 'h3',
|
|
948
|
+
children: updates.headline || 'Do any of the following situations apply?',
|
|
949
|
+
attrs: {
|
|
950
|
+
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 || '')
|
|
951
|
+
}
|
|
952
|
+
}
|
|
953
|
+
}
|
|
705
954
|
|
|
706
|
-
|
|
707
|
-
|
|
708
|
-
|
|
709
|
-
|
|
710
|
-
|
|
711
|
-
|
|
712
|
-
|
|
713
|
-
validation: 'required|email',
|
|
714
|
-
validationMessages: {
|
|
715
|
-
required: 'Email is required',
|
|
716
|
-
email: 'Invalid Email'
|
|
955
|
+
function contactStepHeadline(updates) {
|
|
956
|
+
return {
|
|
957
|
+
$el: 'h3',
|
|
958
|
+
children: updates.headline || DEFAULT_FINAL_HEADLINE_DYNAMIC,
|
|
959
|
+
attrs: {
|
|
960
|
+
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' + ' ' + (updates.headlineClass || '')
|
|
961
|
+
}
|
|
717
962
|
}
|
|
718
|
-
}
|
|
963
|
+
}
|
|
719
964
|
|
|
720
|
-
|
|
721
|
-
|
|
722
|
-
|
|
723
|
-
|
|
724
|
-
|
|
725
|
-
|
|
726
|
-
|
|
727
|
-
required: 'First Name is required'
|
|
965
|
+
function contactStepSubHeadline(updates) {
|
|
966
|
+
return {
|
|
967
|
+
$el: 'h5',
|
|
968
|
+
children: updates.subheadline || DEFAULT_FINAL_SUBHEADLINE_DYNAMIC,
|
|
969
|
+
attrs: {
|
|
970
|
+
class: 't-flex t-justify-center t-text-center !t-text-lg t-font-semibold t-pb-7 t-pt-0 t-px-3' + ' ' + (updates.subheadlineClass || '')
|
|
971
|
+
}
|
|
728
972
|
}
|
|
729
|
-
}
|
|
973
|
+
}
|
|
730
974
|
|
|
731
|
-
const
|
|
732
|
-
|
|
733
|
-
|
|
734
|
-
}
|
|
975
|
+
const TRUSTED_FORM_JS = `(function() {
|
|
976
|
+
if (window.xxTrustedFormLoaded) {
|
|
977
|
+
return
|
|
978
|
+
}
|
|
979
|
+
var vid = '';
|
|
980
|
+
if (typeof window.zar !== 'undefined') {
|
|
981
|
+
vid = window.zar.getVID();
|
|
982
|
+
}
|
|
983
|
+
window.xxTrustedFormLoaded = true;
|
|
984
|
+
var sandbox = document.location.hostname.indexOf('localhost') > -1 ? 'true' : 'false'
|
|
985
|
+
var tf = document.createElement('script');
|
|
986
|
+
tf.type = 'text/javascript'; tf.async = true;
|
|
987
|
+
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();
|
|
988
|
+
var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(tf, s);
|
|
989
|
+
})();`;
|
|
735
990
|
|
|
736
|
-
|
|
737
|
-
|
|
738
|
-
|
|
739
|
-
|
|
991
|
+
function trustedFormScript() {
|
|
992
|
+
return {
|
|
993
|
+
$el: 'script',
|
|
994
|
+
if: '$activeStep === $lastStep()',
|
|
995
|
+
children: TRUSTED_FORM_JS
|
|
996
|
+
}
|
|
997
|
+
}
|
|
740
998
|
|
|
741
|
-
const
|
|
742
|
-
$
|
|
743
|
-
|
|
744
|
-
|
|
745
|
-
|
|
746
|
-
|
|
747
|
-
validationMessages: {
|
|
748
|
-
required: 'Last Name is required'
|
|
999
|
+
const stepDefaults = (step, stepKey) => ({
|
|
1000
|
+
$el: 'section',
|
|
1001
|
+
if: '$stepEnabled("' + step + '")',
|
|
1002
|
+
attrs: {
|
|
1003
|
+
hidden: '$activeStep !== "' + step + '"',
|
|
1004
|
+
key: stepKey ? stepKey : step
|
|
749
1005
|
}
|
|
750
1006
|
});
|
|
751
1007
|
|
|
752
|
-
|
|
753
|
-
|
|
754
|
-
|
|
755
|
-
|
|
756
|
-
|
|
757
|
-
|
|
758
|
-
|
|
759
|
-
|
|
760
|
-
|
|
761
|
-
|
|
1008
|
+
function step(name, inputs, nextOnEnter = true, nextOnInput = false, stepKey = undefined, nextStepMap = undefined, autoFocus = undefined) {
|
|
1009
|
+
if (typeof nextOnEnter === 'undefined') {
|
|
1010
|
+
nextOnEnter = true;
|
|
1011
|
+
}
|
|
1012
|
+
if (inputs && inputs.length && (nextOnEnter || nextOnInput)) {
|
|
1013
|
+
const lastInput = findLastInput(inputs[inputs.length - 1]);
|
|
1014
|
+
if (lastInput && nextOnEnter === true) {
|
|
1015
|
+
lastInput.onKeypress = NEXT_ON_ENTER;
|
|
1016
|
+
}
|
|
1017
|
+
if (lastInput && nextOnInput === true) {
|
|
1018
|
+
lastInput.onInput = NEXT_ON_INPUT;
|
|
1019
|
+
}
|
|
1020
|
+
}
|
|
762
1021
|
|
|
763
|
-
|
|
764
|
-
|
|
765
|
-
|
|
766
|
-
|
|
767
|
-
|
|
768
|
-
|
|
769
|
-
|
|
770
|
-
|
|
771
|
-
|
|
772
|
-
|
|
773
|
-
|
|
774
|
-
|
|
775
|
-
|
|
1022
|
+
return merge(
|
|
1023
|
+
stepDefaults(name, stepKey),
|
|
1024
|
+
{
|
|
1025
|
+
children: [
|
|
1026
|
+
{
|
|
1027
|
+
$formkit: 'group',
|
|
1028
|
+
id: name,
|
|
1029
|
+
name: name,
|
|
1030
|
+
nextStepMap: nextStepMap,
|
|
1031
|
+
autoFocus: autoFocus,
|
|
1032
|
+
children: inputs
|
|
1033
|
+
}
|
|
1034
|
+
]
|
|
1035
|
+
}
|
|
1036
|
+
)
|
|
1037
|
+
}
|
|
1038
|
+
|
|
1039
|
+
function malpracticeTOLPAndZip(updates = {}) {
|
|
1040
|
+
return step(
|
|
1041
|
+
'malpracticeTOLPAndZip',
|
|
1042
|
+
[
|
|
1043
|
+
{
|
|
1044
|
+
$formkit: 'hidden',
|
|
1045
|
+
name: "Type_Of_Legal_Problem",
|
|
1046
|
+
id: "Type_Of_Legal_Problem",
|
|
1047
|
+
value: "Medical Malpractice"
|
|
1048
|
+
},
|
|
1049
|
+
malpracticeTOLPDisplay(),
|
|
1050
|
+
zipcode()
|
|
1051
|
+
],
|
|
1052
|
+
updates.nextOnEnter,
|
|
1053
|
+
updates.nextOnInput,
|
|
1054
|
+
updates.stepKey,
|
|
1055
|
+
updates.nextStepMap
|
|
1056
|
+
)
|
|
1057
|
+
}
|
|
776
1058
|
|
|
777
|
-
|
|
778
|
-
|
|
779
|
-
|
|
780
|
-
|
|
781
|
-
|
|
782
|
-
|
|
783
|
-
|
|
784
|
-
|
|
785
|
-
|
|
1059
|
+
function malpracticeTOLPQuestions(updates = {}) {
|
|
1060
|
+
return step(
|
|
1061
|
+
'TOLPQuestions',
|
|
1062
|
+
[
|
|
1063
|
+
questionsStepHeadline(updates),
|
|
1064
|
+
MedicalMalpracticeQuestions(),
|
|
1065
|
+
CivilLawsuitQuestions(),
|
|
1066
|
+
NotSureOrOtherQuestions()
|
|
1067
|
+
],
|
|
1068
|
+
updates.nextOnEnter
|
|
1069
|
+
)
|
|
1070
|
+
}
|
|
786
1071
|
|
|
787
|
-
|
|
788
|
-
|
|
789
|
-
|
|
790
|
-
|
|
791
|
-
|
|
792
|
-
|
|
793
|
-
|
|
794
|
-
|
|
795
|
-
|
|
796
|
-
|
|
797
|
-
|
|
798
|
-
|
|
799
|
-
|
|
800
|
-
|
|
801
|
-
|
|
802
|
-
|
|
803
|
-
|
|
1072
|
+
function commentsWithBankruptcy(updates = {}) {
|
|
1073
|
+
return step(
|
|
1074
|
+
'commentsWithBankruptcy',
|
|
1075
|
+
[
|
|
1076
|
+
commentsStepHeadline(updates),
|
|
1077
|
+
comments({
|
|
1078
|
+
label: typeof updates.label === 'undefined' ? DEFAULT_COMMENTS_LABEL : updates.label,
|
|
1079
|
+
placeholder: updates.placeholder || DEFAULT_COMMENTS_PLACEHOLDER_DYNAMIC,
|
|
1080
|
+
inputClass: typeof updates.inputClass === 'undefined' ? '!t-h-32' : updates.inputClass,
|
|
1081
|
+
}),
|
|
1082
|
+
bankruptcyCrossSell(),
|
|
1083
|
+
{
|
|
1084
|
+
$el: 'div',
|
|
1085
|
+
if: '$get(CrossSell_Bankruptcy).value == true',
|
|
1086
|
+
children: [
|
|
1087
|
+
comments({
|
|
1088
|
+
label: 'Bankruptcy or debt details:',
|
|
1089
|
+
placeholder: 'Please describe your bankrtupcy or debt situation in a few words...',
|
|
1090
|
+
inputClass: '!t-h-16'
|
|
1091
|
+
}, 'CrossSell:Bankruptcy')
|
|
1092
|
+
],
|
|
1093
|
+
}
|
|
1094
|
+
],
|
|
1095
|
+
false // nextOnEnter
|
|
1096
|
+
)
|
|
1097
|
+
}
|
|
804
1098
|
|
|
805
|
-
|
|
806
|
-
|
|
807
|
-
|
|
808
|
-
|
|
809
|
-
|
|
810
|
-
|
|
811
|
-
|
|
812
|
-
|
|
813
|
-
|
|
814
|
-
|
|
815
|
-
|
|
816
|
-
|
|
817
|
-
|
|
818
|
-
|
|
1099
|
+
function contactInfo(updates = {}) {
|
|
1100
|
+
return step(
|
|
1101
|
+
'contactInfo',
|
|
1102
|
+
[
|
|
1103
|
+
contactStepHeadline(updates),
|
|
1104
|
+
contactStepSubHeadline(updates),
|
|
1105
|
+
trustedFormScript(),
|
|
1106
|
+
email(),
|
|
1107
|
+
phone(),
|
|
1108
|
+
TCPAConsent(),
|
|
1109
|
+
secureIcon()
|
|
1110
|
+
],
|
|
1111
|
+
false, // nextOnEnter
|
|
1112
|
+
)
|
|
1113
|
+
}
|
|
819
1114
|
|
|
820
|
-
|
|
821
|
-
|
|
822
|
-
|
|
823
|
-
|
|
824
|
-
|
|
825
|
-
|
|
826
|
-
|
|
827
|
-
|
|
828
|
-
|
|
829
|
-
|
|
830
|
-
|
|
831
|
-
}
|
|
832
|
-
});
|
|
1115
|
+
function firstAndLastV2(updates = {}) {
|
|
1116
|
+
return step(
|
|
1117
|
+
'firstAndLast',
|
|
1118
|
+
[
|
|
1119
|
+
firstAndLastStepHeadline(updates),
|
|
1120
|
+
firstName(),
|
|
1121
|
+
lastName()
|
|
1122
|
+
],
|
|
1123
|
+
updates.nextOnEnter
|
|
1124
|
+
)
|
|
1125
|
+
}
|
|
833
1126
|
|
|
834
1127
|
|
|
835
|
-
|
|
1128
|
+
function autoAndCarAccidentCrossSellQuestions(updates = {}) {
|
|
1129
|
+
return step(
|
|
1130
|
+
'autoAndCarAccidentCrossSellQuestions',
|
|
1131
|
+
[
|
|
1132
|
+
crossSellQuestionsStepHeadline({ headline: 'You May Be Entitled To Compensation' }),
|
|
1133
|
+
crossSellQuestionsStepSubHeadline({ subheadline: 'Tell us about your accident:' }),
|
|
1134
|
+
AutoAndCarAccidentsQuestions("true", 'CrossSell:Auto_and_Car_Accidents'),
|
|
1135
|
+
comments(
|
|
1136
|
+
{
|
|
1137
|
+
label: 'Accident Description:',
|
|
1138
|
+
placeholder: 'Please describe your accident in a few words...',
|
|
1139
|
+
inputClass: '!t-h-16'
|
|
1140
|
+
},
|
|
1141
|
+
'CrossSell:Auto_and_Car_Accidents'
|
|
1142
|
+
)
|
|
1143
|
+
],
|
|
1144
|
+
updates.nextOnEnter
|
|
1145
|
+
)
|
|
1146
|
+
}
|
|
836
1147
|
|
|
837
|
-
|
|
838
|
-
|
|
839
|
-
|
|
840
|
-
|
|
841
|
-
|
|
842
|
-
|
|
843
|
-
|
|
844
|
-
|
|
845
|
-
|
|
846
|
-
|
|
847
|
-
|
|
848
|
-
}
|
|
1148
|
+
function childCustodyCrossSellQuestions(updates = {}) {
|
|
1149
|
+
return step(
|
|
1150
|
+
'childCustodyCrossSellQuestions',
|
|
1151
|
+
[
|
|
1152
|
+
crossSellQuestionsStepHeadline({ headline: 'Child Custody Information' }),
|
|
1153
|
+
ChildCustodyQuestions("true", 'CrossSell:Child_Custody'),
|
|
1154
|
+
comments(
|
|
1155
|
+
{
|
|
1156
|
+
label: 'Description:',
|
|
1157
|
+
placeholder: 'Please describe your situation in a few words...',
|
|
1158
|
+
inputClass: '!t-h-16'
|
|
1159
|
+
},
|
|
1160
|
+
'CrossSell:Child_Custody'
|
|
1161
|
+
)
|
|
1162
|
+
],
|
|
1163
|
+
updates.nextOnEnter
|
|
1164
|
+
)
|
|
1165
|
+
}
|
|
849
1166
|
|
|
850
|
-
|
|
851
|
-
|
|
852
|
-
|
|
853
|
-
|
|
854
|
-
|
|
855
|
-
|
|
856
|
-
|
|
857
|
-
|
|
858
|
-
|
|
859
|
-
|
|
860
|
-
|
|
1167
|
+
function divorceAndSeparationCrossSellQuestions(updates = {}) {
|
|
1168
|
+
return step(
|
|
1169
|
+
'divorceAndSeparationCrossSellQuestions',
|
|
1170
|
+
[
|
|
1171
|
+
crossSellQuestionsStepHeadline({ headline: 'Divorce or Separation Information' }),
|
|
1172
|
+
DivorceQuestions("true", 'CrossSell:Divorce_and_Separation'),
|
|
1173
|
+
comments(
|
|
1174
|
+
{
|
|
1175
|
+
label: 'Description:',
|
|
1176
|
+
placeholder: 'Please describe your situation in a few words...',
|
|
1177
|
+
inputClass: '!t-h-16'
|
|
1178
|
+
},
|
|
1179
|
+
'CrossSell:Divorce_and_Separation'
|
|
1180
|
+
)
|
|
1181
|
+
],
|
|
1182
|
+
updates.nextOnEnter
|
|
1183
|
+
)
|
|
1184
|
+
}
|
|
861
1185
|
|
|
862
|
-
|
|
863
|
-
|
|
864
|
-
|
|
865
|
-
|
|
866
|
-
|
|
867
|
-
|
|
868
|
-
|
|
869
|
-
|
|
870
|
-
|
|
871
|
-
|
|
872
|
-
|
|
873
|
-
|
|
874
|
-
|
|
875
|
-
)
|
|
1186
|
+
function duiAndDWICrossSellQuestions(updates = {}) {
|
|
1187
|
+
return step(
|
|
1188
|
+
'duiAndDWICrossSellQuestions',
|
|
1189
|
+
[
|
|
1190
|
+
crossSellQuestionsStepHeadline({ headline: 'About Your DUI/DWI' }),
|
|
1191
|
+
DUIAndDWIQuestions("true", 'CrossSell:DUI_and_DWI'),
|
|
1192
|
+
comments(
|
|
1193
|
+
{
|
|
1194
|
+
label: 'Incident Description:',
|
|
1195
|
+
placeholder: 'Please describe your incident in a few words...',
|
|
1196
|
+
inputClass: '!t-h-16'
|
|
1197
|
+
},
|
|
1198
|
+
'CrossSell:DUI_and_DWI'
|
|
1199
|
+
)
|
|
1200
|
+
],
|
|
1201
|
+
updates.nextOnEnter
|
|
1202
|
+
)
|
|
1203
|
+
}
|
|
876
1204
|
|
|
877
|
-
|
|
878
|
-
|
|
879
|
-
|
|
880
|
-
|
|
881
|
-
|
|
882
|
-
|
|
883
|
-
|
|
884
|
-
|
|
885
|
-
|
|
886
|
-
|
|
1205
|
+
function ssdiCrossSellQuestions(updates = {}) {
|
|
1206
|
+
return step(
|
|
1207
|
+
'ssdiCrossSellQuestions',
|
|
1208
|
+
[
|
|
1209
|
+
crossSellQuestionsStepHeadline({ headline: 'You May Be Entitled To Benefits' }),
|
|
1210
|
+
crossSellQuestionsStepSubHeadline({ subheadline: 'Tell us about your disability:' }),
|
|
1211
|
+
SocialSecurityDisabilityAndInsuranceQuestions("true", 'CrossSell:Social_Security_Disability_and_Insurance'),
|
|
1212
|
+
comments(
|
|
1213
|
+
{
|
|
1214
|
+
label: 'Description:',
|
|
1215
|
+
placeholder: 'Please describe your situation in a few words...',
|
|
1216
|
+
inputClass: '!t-h-16'
|
|
1217
|
+
},
|
|
1218
|
+
'CrossSell:Social_Security_Disability_and_Insurance'
|
|
1219
|
+
)
|
|
1220
|
+
],
|
|
1221
|
+
updates.nextOnEnter
|
|
1222
|
+
)
|
|
1223
|
+
}
|
|
887
1224
|
|
|
888
|
-
|
|
889
|
-
|
|
1225
|
+
function personalInjuryCrossSellQuestions(updates = {}) {
|
|
1226
|
+
return step(
|
|
1227
|
+
'personalInjuryCrossSellQuestions',
|
|
1228
|
+
[
|
|
1229
|
+
crossSellQuestionsStepHeadline({ headline: 'You May Be Entitled To Compensation' }),
|
|
1230
|
+
crossSellQuestionsStepSubHeadline({ subheadline: 'Tell us about your injury:' }),
|
|
1231
|
+
PersonalInjuryQuestions("true", 'CrossSell:Personal_Injury'),
|
|
1232
|
+
comments(
|
|
1233
|
+
{
|
|
1234
|
+
label: 'Injury Description:',
|
|
1235
|
+
placeholder: 'Please describe your injury in a few words...',
|
|
1236
|
+
inputClass: '!t-h-16'
|
|
1237
|
+
},
|
|
1238
|
+
'CrossSell:Personal_Injury'
|
|
1239
|
+
)
|
|
1240
|
+
],
|
|
1241
|
+
updates.nextOnEnter
|
|
1242
|
+
)
|
|
1243
|
+
}
|
|
890
1244
|
|
|
891
|
-
|
|
1245
|
+
function powerOfAttorneyCrossSellQuestions(updates = {}) {
|
|
1246
|
+
return step(
|
|
1247
|
+
'powerOfAttorneyCrossSellQuestions',
|
|
1248
|
+
[
|
|
1249
|
+
crossSellQuestionsStepHeadline({ headline: 'Power of Attorney Information' }),
|
|
1250
|
+
PowerofAttorneyQuestions("true", 'CrossSell:Power_of_Attorney'),
|
|
1251
|
+
comments(
|
|
1252
|
+
{
|
|
1253
|
+
label: 'Description:',
|
|
1254
|
+
placeholder: 'Please describe your situation in a few words...',
|
|
1255
|
+
inputClass: '!t-h-16'
|
|
1256
|
+
},
|
|
1257
|
+
'CrossSell:Power_of_Attorney'
|
|
1258
|
+
)
|
|
1259
|
+
],
|
|
1260
|
+
updates.nextOnEnter
|
|
1261
|
+
)
|
|
1262
|
+
}
|
|
892
1263
|
|
|
893
|
-
|
|
894
|
-
|
|
895
|
-
|
|
896
|
-
|
|
897
|
-
|
|
898
|
-
|
|
899
|
-
|
|
900
|
-
|
|
901
|
-
|
|
902
|
-
|
|
903
|
-
|
|
904
|
-
|
|
905
|
-
|
|
906
|
-
|
|
907
|
-
|
|
908
|
-
|
|
909
|
-
|
|
910
|
-
|
|
911
|
-
};
|
|
1264
|
+
function willsAndTrustsCrossSellQuestions(updates = {}) {
|
|
1265
|
+
return step(
|
|
1266
|
+
'willsAndTrustsCrossSellQuestions',
|
|
1267
|
+
[
|
|
1268
|
+
crossSellQuestionsStepHeadline({ headline: 'Will or Trust Information' }),
|
|
1269
|
+
WillsAndTrustsQuestions("true", 'CrossSell:Wills_and_Trusts'),
|
|
1270
|
+
comments(
|
|
1271
|
+
{
|
|
1272
|
+
label: 'Description:',
|
|
1273
|
+
placeholder: 'Please describe your situation in a few words...',
|
|
1274
|
+
inputClass: '!t-h-16'
|
|
1275
|
+
},
|
|
1276
|
+
'CrossSell:Wills_and_Trusts'
|
|
1277
|
+
)
|
|
1278
|
+
],
|
|
1279
|
+
updates.nextOnEnter
|
|
1280
|
+
)
|
|
1281
|
+
}
|
|
912
1282
|
|
|
913
|
-
function
|
|
914
|
-
return
|
|
915
|
-
|
|
916
|
-
|
|
917
|
-
|
|
918
|
-
|
|
919
|
-
|
|
920
|
-
|
|
1283
|
+
function workersCompensationCrossSellQuestions(updates = {}) {
|
|
1284
|
+
return step(
|
|
1285
|
+
'workersCompensationCrossSellQuestions',
|
|
1286
|
+
[
|
|
1287
|
+
crossSellQuestionsStepHeadline({ headline: 'You May Be Entitled To Benefits' }),
|
|
1288
|
+
crossSellQuestionsStepSubHeadline({ subheadline: 'Tell us about your injury:' }),
|
|
1289
|
+
WorkersCompensationQuestions("true", 'CrossSell:Workers_Compensation'),
|
|
1290
|
+
comments(
|
|
1291
|
+
{
|
|
1292
|
+
label: 'Injury Description:',
|
|
1293
|
+
placeholder: 'Please describe your injury in a few words...',
|
|
1294
|
+
inputClass: '!t-h-16'
|
|
1295
|
+
},
|
|
1296
|
+
'CrossSell:Workers_Compensation'
|
|
1297
|
+
)
|
|
1298
|
+
],
|
|
1299
|
+
updates.nextOnEnter
|
|
1300
|
+
)
|
|
921
1301
|
}
|
|
922
1302
|
|
|
923
|
-
function
|
|
924
|
-
return
|
|
925
|
-
|
|
926
|
-
|
|
927
|
-
|
|
928
|
-
|
|
929
|
-
|
|
930
|
-
|
|
1303
|
+
function legalCrossSells(updates = {}) {
|
|
1304
|
+
return step(
|
|
1305
|
+
'legalCrossSells',
|
|
1306
|
+
[
|
|
1307
|
+
legalCrossSellsStepHeadline(updates),
|
|
1308
|
+
legalCrossSells$1(),
|
|
1309
|
+
],
|
|
1310
|
+
updates.nextOnEnter,
|
|
1311
|
+
false,
|
|
1312
|
+
// Note: we should probably scope this stepKey to this step name
|
|
1313
|
+
'$get(Type_Of_Legal_Problem).value'
|
|
1314
|
+
)
|
|
931
1315
|
}
|
|
932
1316
|
|
|
933
|
-
|
|
934
|
-
return {
|
|
935
|
-
$el: 'h3',
|
|
936
|
-
children: updates.headline || 'Please Provide a Contact Name',
|
|
937
|
-
attrs: {
|
|
938
|
-
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 || '')
|
|
939
|
-
}
|
|
940
|
-
}
|
|
941
|
-
}
|
|
1317
|
+
// ------ Common
|
|
942
1318
|
|
|
943
|
-
|
|
944
|
-
|
|
945
|
-
|
|
946
|
-
|
|
947
|
-
|
|
948
|
-
|
|
1319
|
+
const formNavigation = () => ({
|
|
1320
|
+
$el: 'div',
|
|
1321
|
+
attrs: {
|
|
1322
|
+
class: 'step-nav'
|
|
1323
|
+
},
|
|
1324
|
+
children: [
|
|
1325
|
+
{
|
|
1326
|
+
$formkit: 'button',
|
|
1327
|
+
name: 'back_button',
|
|
1328
|
+
onClick: '$setPreviousStep($prevStepFunc($get(form)))',
|
|
1329
|
+
children: 'Back',
|
|
1330
|
+
style: {
|
|
1331
|
+
if: '$activeStep === $firstStep()',
|
|
1332
|
+
then: 'visibility: hidden;'
|
|
1333
|
+
}
|
|
1334
|
+
},
|
|
1335
|
+
{
|
|
1336
|
+
$formkit: 'button',
|
|
1337
|
+
name: 'next_button',
|
|
1338
|
+
onClick: '$setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form)))',
|
|
1339
|
+
children: {
|
|
1340
|
+
if: '$activeStep === $firstStep()',
|
|
1341
|
+
then: 'Start',
|
|
1342
|
+
else: 'Next'
|
|
1343
|
+
},
|
|
1344
|
+
outerClass: {
|
|
1345
|
+
if: '$activeStep === $lastStep()',
|
|
1346
|
+
then: 't-hidden',
|
|
1347
|
+
else: ''
|
|
1348
|
+
},
|
|
1349
|
+
style: {
|
|
1350
|
+
if: '$activeStep === $lastStep()',
|
|
1351
|
+
then: 'display: none;'
|
|
1352
|
+
}
|
|
1353
|
+
},
|
|
1354
|
+
{
|
|
1355
|
+
$formkit: 'submit',
|
|
1356
|
+
name: 'submit_button',
|
|
1357
|
+
label: 'Submit',
|
|
1358
|
+
if: '$activeStep === $lastStep()',
|
|
1359
|
+
style: {
|
|
1360
|
+
if: '$activeStep !== $lastStep()',
|
|
1361
|
+
then: 'display: none;'
|
|
1362
|
+
}
|
|
949
1363
|
}
|
|
950
|
-
|
|
951
|
-
}
|
|
1364
|
+
]
|
|
1365
|
+
});
|
|
952
1366
|
|
|
953
|
-
|
|
954
|
-
|
|
955
|
-
|
|
956
|
-
|
|
957
|
-
|
|
958
|
-
|
|
1367
|
+
const formDetails = () => ({
|
|
1368
|
+
$el: 'pre',
|
|
1369
|
+
if: '$urlParam("fdbg", "") == 1',
|
|
1370
|
+
children: [
|
|
1371
|
+
{
|
|
1372
|
+
$el: 'pre',
|
|
1373
|
+
children: '$stringify( $get(form).value )',
|
|
1374
|
+
attrs: {
|
|
1375
|
+
class: 't-text-xs',
|
|
1376
|
+
style: 'overflow: scroll'
|
|
1377
|
+
}
|
|
1378
|
+
},
|
|
1379
|
+
{
|
|
1380
|
+
$el: 'pre',
|
|
1381
|
+
children: ['activeStep: ', '$activeStep'],
|
|
1382
|
+
attrs: {
|
|
1383
|
+
class: 't-text-xs',
|
|
1384
|
+
style: 'overflow: scroll'
|
|
1385
|
+
}
|
|
1386
|
+
},
|
|
1387
|
+
{
|
|
1388
|
+
$el: 'pre',
|
|
1389
|
+
children: ['stepHistory: ', '$stepHistory'],
|
|
1390
|
+
attrs: {
|
|
1391
|
+
class: 't-text-xs',
|
|
1392
|
+
style: 'overflow: scroll'
|
|
1393
|
+
}
|
|
1394
|
+
},
|
|
1395
|
+
{
|
|
1396
|
+
$el: 'pre',
|
|
1397
|
+
children: ['stepQueue: ', '$stepQueue'],
|
|
1398
|
+
attrs: {
|
|
1399
|
+
class: 't-text-xs',
|
|
1400
|
+
style: 'overflow: scroll'
|
|
1401
|
+
}
|
|
1402
|
+
},
|
|
1403
|
+
{
|
|
1404
|
+
$el: 'pre',
|
|
1405
|
+
children: ['steps: ', '$stepKeys()'],
|
|
1406
|
+
attrs: {
|
|
1407
|
+
class: 't-text-xs',
|
|
1408
|
+
style: 'overflow: scroll'
|
|
1409
|
+
}
|
|
959
1410
|
}
|
|
1411
|
+
]
|
|
1412
|
+
});
|
|
1413
|
+
|
|
1414
|
+
const formPropDefaults = {
|
|
1415
|
+
type: 'form',
|
|
1416
|
+
id: 'form',
|
|
1417
|
+
config: { validationVisibility: 'submit' },
|
|
1418
|
+
onSubmit: '$submit($submitUrl, $prepData, $handleRedirect, "text/plain; charset=UTF-8")',
|
|
1419
|
+
plugins: '$plugins',
|
|
1420
|
+
actions: false,
|
|
1421
|
+
anchorElement: 'form-anchor',
|
|
1422
|
+
useLocalStorage: true,
|
|
1423
|
+
prepop: {
|
|
1424
|
+
fromURL: true
|
|
1425
|
+
},
|
|
1426
|
+
errorCodes: {
|
|
1427
|
+
403: { message: "An Error Occurred", abort: false },
|
|
1428
|
+
409: { abort: false },
|
|
1429
|
+
429: "An Error Occurred",
|
|
1430
|
+
504: { message: "An Error Occurred", abort: false },
|
|
1431
|
+
},
|
|
1432
|
+
formClass: '!t-max-w-[40rem]'
|
|
1433
|
+
};
|
|
1434
|
+
|
|
1435
|
+
function formProps(updates) {
|
|
1436
|
+
const props = merge(
|
|
1437
|
+
formPropDefaults,
|
|
1438
|
+
updates
|
|
1439
|
+
);
|
|
1440
|
+
if (props.formId && !props.name) {
|
|
1441
|
+
props.name = props.formId;
|
|
960
1442
|
}
|
|
1443
|
+
return props
|
|
961
1444
|
}
|
|
962
1445
|
|
|
963
|
-
const
|
|
964
|
-
|
|
965
|
-
|
|
966
|
-
}
|
|
967
|
-
var vid = '';
|
|
968
|
-
if (typeof window.zar !== 'undefined') {
|
|
969
|
-
vid = window.zar.getVID();
|
|
970
|
-
}
|
|
971
|
-
window.xxTrustedFormLoaded = true;
|
|
972
|
-
var sandbox = document.location.hostname.indexOf('localhost') > -1 ? 'true' : 'false'
|
|
973
|
-
var tf = document.createElement('script');
|
|
974
|
-
tf.type = 'text/javascript'; tf.async = true;
|
|
975
|
-
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();
|
|
976
|
-
var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(tf, s);
|
|
977
|
-
})();`;
|
|
1446
|
+
const metaDefaults = {
|
|
1447
|
+
tcpaLanguage: TCPA_LANGUAGE
|
|
1448
|
+
};
|
|
978
1449
|
|
|
979
|
-
function
|
|
1450
|
+
function metaProps(updates) {
|
|
1451
|
+
const data = merge(
|
|
1452
|
+
metaDefaults,
|
|
1453
|
+
updates
|
|
1454
|
+
);
|
|
980
1455
|
return {
|
|
981
|
-
|
|
982
|
-
|
|
983
|
-
children: TRUSTED_FORM_JS
|
|
1456
|
+
type: 'meta',
|
|
1457
|
+
data
|
|
984
1458
|
}
|
|
985
1459
|
}
|
|
986
1460
|
|
|
987
|
-
|
|
988
|
-
|
|
989
|
-
|
|
990
|
-
|
|
991
|
-
|
|
992
|
-
|
|
993
|
-
|
|
994
|
-
|
|
1461
|
+
function defaultMetaProps() {
|
|
1462
|
+
return metaProps({
|
|
1463
|
+
defaultCommentsPlaceholder: DEFAULT_COMMENTS_PLACEHOLDER_DYNAMIC,
|
|
1464
|
+
commentsPlaceholders: TOLPCommentsPlaceholders,
|
|
1465
|
+
defaultFinalHeadline: DEFAULT_FINAL_HEADLINE,
|
|
1466
|
+
finalHeadlines: TOLPFinalHeadlines,
|
|
1467
|
+
defaultFinalSubHeadline: DEFAULT_FINAL_SUBHEADLINE,
|
|
1468
|
+
finalSubHeadlines: TOLPFinalSubHeadlines,
|
|
1469
|
+
})
|
|
1470
|
+
}
|
|
995
1471
|
|
|
996
|
-
|
|
997
|
-
|
|
998
|
-
|
|
1472
|
+
const dynamicSchemaNode = {
|
|
1473
|
+
$cmp: 'FormKitSchema',
|
|
1474
|
+
if: '$get(Type_Of_Legal_Problem).value',
|
|
1475
|
+
props: {
|
|
1476
|
+
schema: '$meta.dynamicSchema',
|
|
1477
|
+
data: '$buildData($meta)'
|
|
999
1478
|
}
|
|
1000
|
-
|
|
1001
|
-
|
|
1002
|
-
|
|
1003
|
-
|
|
1004
|
-
|
|
1005
|
-
|
|
1006
|
-
|
|
1479
|
+
};
|
|
1480
|
+
|
|
1481
|
+
const formAnchorDefaults = {
|
|
1482
|
+
$el: 'div',
|
|
1483
|
+
children: [
|
|
1484
|
+
{
|
|
1485
|
+
$el: 'div',
|
|
1486
|
+
attrs: {
|
|
1487
|
+
id: 'form-anchor',
|
|
1488
|
+
class: 't-absolute',
|
|
1489
|
+
style: { top: '-30px', left: 0 }
|
|
1490
|
+
}
|
|
1007
1491
|
}
|
|
1492
|
+
],
|
|
1493
|
+
attrs: {
|
|
1494
|
+
class: 't-relative'
|
|
1008
1495
|
}
|
|
1496
|
+
};
|
|
1009
1497
|
|
|
1498
|
+
function formAnchor(updates) {
|
|
1010
1499
|
return merge(
|
|
1011
|
-
|
|
1012
|
-
|
|
1013
|
-
|
|
1014
|
-
|
|
1015
|
-
|
|
1016
|
-
|
|
1017
|
-
|
|
1018
|
-
|
|
1019
|
-
|
|
1020
|
-
|
|
1021
|
-
}
|
|
1022
|
-
]
|
|
1500
|
+
formAnchorDefaults,
|
|
1501
|
+
updates
|
|
1502
|
+
)
|
|
1503
|
+
}
|
|
1504
|
+
|
|
1505
|
+
function headlineDefaults(updates = {}) {
|
|
1506
|
+
return {
|
|
1507
|
+
$el: 'h1',
|
|
1508
|
+
attrs: {
|
|
1509
|
+
class: 't-flex t-justify-center t-text-center !t-text-[2rem] t-font-semibold t-pt-5 t-px-7 md:t-px-3' + ' ' + (updates.headlineClass || '')
|
|
1023
1510
|
}
|
|
1024
|
-
|
|
1511
|
+
}
|
|
1025
1512
|
}
|
|
1026
1513
|
|
|
1027
|
-
function
|
|
1028
|
-
return
|
|
1029
|
-
|
|
1030
|
-
|
|
1031
|
-
{
|
|
1032
|
-
$formkit: 'hidden',
|
|
1033
|
-
name: "Type_Of_Legal_Problem",
|
|
1034
|
-
id: "Type_Of_Legal_Problem",
|
|
1035
|
-
value: "Medical Malpractice"
|
|
1036
|
-
},
|
|
1037
|
-
malpracticeTOLPDisplay(),
|
|
1038
|
-
zipcode()
|
|
1039
|
-
],
|
|
1040
|
-
updates.nextOnEnter
|
|
1514
|
+
function headline(updates = {}) {
|
|
1515
|
+
return merge(
|
|
1516
|
+
headlineDefaults(updates),
|
|
1517
|
+
updates
|
|
1041
1518
|
)
|
|
1042
1519
|
}
|
|
1043
1520
|
|
|
1044
|
-
function
|
|
1045
|
-
return
|
|
1046
|
-
'
|
|
1047
|
-
|
|
1048
|
-
|
|
1049
|
-
|
|
1050
|
-
|
|
1051
|
-
NotSureOrOtherQuestions()
|
|
1052
|
-
],
|
|
1053
|
-
updates.nextOnEnter
|
|
1054
|
-
)
|
|
1521
|
+
function subHeadlineDefaults(updates = {}) {
|
|
1522
|
+
return {
|
|
1523
|
+
$el: 'h3',
|
|
1524
|
+
attrs: {
|
|
1525
|
+
class: 't-flex t-justify-center t-text-center !t-text-[1.2rem] t-font-medium t-text-blue-500 t-px-10' + ' ' + (updates.subheadlineClass || '')
|
|
1526
|
+
}
|
|
1527
|
+
}
|
|
1055
1528
|
}
|
|
1056
1529
|
|
|
1057
|
-
function
|
|
1058
|
-
return
|
|
1059
|
-
|
|
1060
|
-
|
|
1061
|
-
commentsStepHeadline(updates),
|
|
1062
|
-
comments({
|
|
1063
|
-
label: typeof updates.label === 'undefined' ? DEFAULT_COMMENTS_LABEL : updates.label,
|
|
1064
|
-
placeholder: updates.placeholder || DEFAULT_COMMENTS_PLACEHOLDER_DYNAMIC,
|
|
1065
|
-
inputClass: typeof updates.inputClass === 'undefined' ? '!t-h-40' : updates.inputClass,
|
|
1066
|
-
}),
|
|
1067
|
-
bankruptcyCrossSell(),
|
|
1068
|
-
{
|
|
1069
|
-
$el: 'div',
|
|
1070
|
-
if: '$get(CrossSell_Bankruptcy).value == true',
|
|
1071
|
-
children: [
|
|
1072
|
-
comments({
|
|
1073
|
-
label: 'Bankruptcy or debt details:',
|
|
1074
|
-
placeholder: 'Please describe your bankrtupcy or debt situation in a few words...',
|
|
1075
|
-
inputClass: '!t-h-16'
|
|
1076
|
-
}, 'CrossSell:Bankruptcy')
|
|
1077
|
-
],
|
|
1078
|
-
}
|
|
1079
|
-
],
|
|
1080
|
-
updates.nextOnEnter,
|
|
1530
|
+
function subHeadline(updates = {}) {
|
|
1531
|
+
return merge(
|
|
1532
|
+
subHeadlineDefaults(updates),
|
|
1533
|
+
updates
|
|
1081
1534
|
)
|
|
1082
1535
|
}
|
|
1083
1536
|
|
|
1084
|
-
|
|
1085
|
-
|
|
1086
|
-
'
|
|
1087
|
-
|
|
1088
|
-
|
|
1089
|
-
|
|
1090
|
-
|
|
1091
|
-
|
|
1092
|
-
|
|
1093
|
-
|
|
1094
|
-
|
|
1095
|
-
|
|
1096
|
-
|
|
1097
|
-
|
|
1098
|
-
|
|
1099
|
-
}
|
|
1537
|
+
const hiddenInputsBase = [
|
|
1538
|
+
{
|
|
1539
|
+
$formkit: 'hidden',
|
|
1540
|
+
name: "gclid",
|
|
1541
|
+
value: null
|
|
1542
|
+
},
|
|
1543
|
+
{
|
|
1544
|
+
$formkit: 'hidden',
|
|
1545
|
+
name: "campaignid",
|
|
1546
|
+
value: null
|
|
1547
|
+
},
|
|
1548
|
+
{
|
|
1549
|
+
$formkit: 'hidden',
|
|
1550
|
+
name: "s",
|
|
1551
|
+
value: null
|
|
1552
|
+
}
|
|
1553
|
+
];
|
|
1100
1554
|
|
|
1101
|
-
|
|
1102
|
-
|
|
1103
|
-
'
|
|
1104
|
-
|
|
1105
|
-
|
|
1106
|
-
|
|
1107
|
-
|
|
1108
|
-
|
|
1109
|
-
|
|
1555
|
+
const hiddenInputsLegal = [
|
|
1556
|
+
{
|
|
1557
|
+
$formkit: 'hidden',
|
|
1558
|
+
name: "vertical",
|
|
1559
|
+
value: "Legal"
|
|
1560
|
+
},
|
|
1561
|
+
{
|
|
1562
|
+
$formkit: 'hidden',
|
|
1563
|
+
name: "TCPA_Language",
|
|
1564
|
+
value: "$meta.tcpaLanguage"
|
|
1565
|
+
},
|
|
1566
|
+
...hiddenInputsBase
|
|
1567
|
+
];
|
|
1568
|
+
|
|
1569
|
+
const legalRedirectMapDefaults = {
|
|
1570
|
+
'*': LegalRedirectUrl()
|
|
1571
|
+
};
|
|
1572
|
+
|
|
1573
|
+
|
|
1574
|
+
function legalRedirectMap(updates) {
|
|
1575
|
+
return merge(
|
|
1576
|
+
legalRedirectMapDefaults,
|
|
1577
|
+
updates
|
|
1110
1578
|
)
|
|
1111
1579
|
}
|
|
1112
1580
|
|
|
1113
|
-
const
|
|
1114
|
-
|
|
1115
|
-
|
|
1116
|
-
|
|
1581
|
+
const legalAllValueOverrideMap = {
|
|
1582
|
+
'Civil_Defense': {
|
|
1583
|
+
'Yes': {
|
|
1584
|
+
'Type_Of_Legal_Problem': 'Defend a Lawsuit'
|
|
1585
|
+
},
|
|
1586
|
+
'No': {
|
|
1587
|
+
'Type_Of_Legal_Problem': 'File a Lawsuit'
|
|
1588
|
+
}
|
|
1117
1589
|
},
|
|
1118
|
-
|
|
1119
|
-
|
|
1120
|
-
|
|
1121
|
-
|
|
1122
|
-
|
|
1123
|
-
|
|
1124
|
-
|
|
1125
|
-
|
|
1126
|
-
|
|
1127
|
-
|
|
1590
|
+
'Type_Of_Legal_Problem_Display': {
|
|
1591
|
+
// Accidents and PI
|
|
1592
|
+
'Auto Accident': {
|
|
1593
|
+
'Type_Of_Legal_Problem': 'Auto and Car Accidents'
|
|
1594
|
+
},
|
|
1595
|
+
'Dog Bite': {
|
|
1596
|
+
'Type_Of_Legal_Problem': 'Personal Injury'
|
|
1597
|
+
},
|
|
1598
|
+
'Slip and Fall': {
|
|
1599
|
+
'Type_Of_Legal_Problem': 'Personal Injury'
|
|
1600
|
+
},
|
|
1601
|
+
'Workplace Injury': {
|
|
1602
|
+
'Type_Of_Legal_Problem': 'Workers Compensation'
|
|
1603
|
+
},
|
|
1604
|
+
'Trucking Accident': {
|
|
1605
|
+
'Type_Of_Legal_Problem': 'Auto and Car Accidents'
|
|
1606
|
+
},
|
|
1607
|
+
'Motorcycle Accident': {
|
|
1608
|
+
'Type_Of_Legal_Problem': 'Auto and Car Accidents',
|
|
1609
|
+
},
|
|
1610
|
+
'Other Accidents or Injuries': {
|
|
1611
|
+
'Type_Of_Legal_Problem': 'Personal Injury'
|
|
1612
|
+
},
|
|
1613
|
+
// Civil
|
|
1614
|
+
'Automobile Accident': {
|
|
1615
|
+
'Type_Of_Legal_Problem': 'Auto and Car Accidents'
|
|
1616
|
+
},
|
|
1617
|
+
'Contract Disputes': {
|
|
1618
|
+
'Type_Of_Legal_Problem': 'Business Lawyers'
|
|
1619
|
+
},
|
|
1620
|
+
'Defamation and Slander': {
|
|
1621
|
+
'Type_Of_Legal_Problem': 'File a Lawsuit'
|
|
1622
|
+
},
|
|
1623
|
+
'Dog Bite': {
|
|
1624
|
+
'Type_Of_Legal_Problem': 'Personal Injury'
|
|
1625
|
+
},
|
|
1626
|
+
'Employment and Workplace': {
|
|
1627
|
+
'Type_Of_Legal_Problem': 'Employment and Workplace'
|
|
1628
|
+
},
|
|
1629
|
+
'Fraud': {
|
|
1630
|
+
'Type_Of_Legal_Problem': 'Consumer Lawyers'
|
|
1631
|
+
},
|
|
1632
|
+
'Medical Malpractice': {
|
|
1633
|
+
'Type_Of_Legal_Problem': 'Medical Malpractice'
|
|
1634
|
+
},
|
|
1635
|
+
'Personal Injury': {
|
|
1636
|
+
'Type_Of_Legal_Problem': 'Personal Injury'
|
|
1637
|
+
},
|
|
1638
|
+
'Property Damage': {
|
|
1639
|
+
'Type_Of_Legal_Problem': 'Property Damage'
|
|
1640
|
+
},
|
|
1641
|
+
'Small Claims': {
|
|
1642
|
+
'Type_Of_Legal_Problem': 'File a Lawsuit'
|
|
1643
|
+
},
|
|
1644
|
+
'Real Estate': {
|
|
1645
|
+
'Type_Of_Legal_Problem': 'Real Estate'
|
|
1646
|
+
},
|
|
1647
|
+
'Other (describe on next page)': {
|
|
1648
|
+
'Type_Of_Legal_Problem': 'Not Sure or Other'
|
|
1649
|
+
},
|
|
1650
|
+
// Contracts
|
|
1651
|
+
'Contract Creation': {
|
|
1652
|
+
'Type_Of_Legal_Problem': 'Business Lawyers',
|
|
1653
|
+
'Business_Services': 'Contracts'
|
|
1654
|
+
},
|
|
1655
|
+
'Contract Enforcement': {
|
|
1656
|
+
'Type_Of_Legal_Problem': 'Business Lawyers',
|
|
1657
|
+
'Business_Services': 'Contracts'
|
|
1658
|
+
},
|
|
1659
|
+
'Contract Cancellation': {
|
|
1660
|
+
'Type_Of_Legal_Problem': 'Business Lawyers',
|
|
1661
|
+
'Business_Services': 'Contracts'
|
|
1662
|
+
},
|
|
1663
|
+
'Contract Fraud': {
|
|
1664
|
+
'Type_Of_Legal_Problem': 'Business Lawyers',
|
|
1665
|
+
'Business_Services': 'Contracts'
|
|
1666
|
+
},
|
|
1667
|
+
'Breach of Contract': {
|
|
1668
|
+
'Type_Of_Legal_Problem': 'Business Lawyers',
|
|
1669
|
+
'Business_Services': 'Contracts'
|
|
1670
|
+
},
|
|
1671
|
+
'Other Contract Issues': {
|
|
1672
|
+
'Type_Of_Legal_Problem': 'Business Lawyers',
|
|
1673
|
+
'Business_Services': 'Contracts'
|
|
1674
|
+
},
|
|
1675
|
+
// Criminal
|
|
1676
|
+
'Criminal Defense': {
|
|
1677
|
+
'Type_Of_Legal_Problem': 'Criminal and Felony'
|
|
1678
|
+
},
|
|
1679
|
+
'Victim of a Crime': {
|
|
1680
|
+
'Type_Of_Legal_Problem': 'Victim of a Crime'
|
|
1681
|
+
},
|
|
1682
|
+
'DUI and DWI': {
|
|
1683
|
+
'Type_Of_Legal_Problem': 'DUI and DWI'
|
|
1684
|
+
},
|
|
1685
|
+
'Expungement': {
|
|
1686
|
+
'Type_Of_Legal_Problem': 'Expungement'
|
|
1687
|
+
},
|
|
1688
|
+
'Harassment': {
|
|
1689
|
+
'Type_Of_Legal_Problem': 'Criminal and Felony'
|
|
1690
|
+
},
|
|
1691
|
+
'Not Sure or Other': {
|
|
1692
|
+
'Type_Of_Legal_Problem': 'Not Sure or Other'
|
|
1693
|
+
},
|
|
1694
|
+
// Employment and Workplace
|
|
1695
|
+
'Workplace Harassment': {
|
|
1696
|
+
'Type_Of_Legal_Problem': 'Workplace Harassment'
|
|
1128
1697
|
},
|
|
1129
|
-
{
|
|
1130
|
-
|
|
1131
|
-
name: 'next_button',
|
|
1132
|
-
onClick: '$setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form)))',
|
|
1133
|
-
children: {
|
|
1134
|
-
if: '$activeStep === $firstStep()',
|
|
1135
|
-
then: 'Start',
|
|
1136
|
-
else: 'Next'
|
|
1137
|
-
},
|
|
1138
|
-
outerClass: {
|
|
1139
|
-
if: '$activeStep === $lastStep()',
|
|
1140
|
-
then: 't-hidden',
|
|
1141
|
-
else: ''
|
|
1142
|
-
},
|
|
1143
|
-
style: {
|
|
1144
|
-
if: '$activeStep === $lastStep()',
|
|
1145
|
-
then: 'display: none;'
|
|
1146
|
-
}
|
|
1698
|
+
'Workplace Discrimination': {
|
|
1699
|
+
'Type_Of_Legal_Problem': 'Workplace Discrimination'
|
|
1147
1700
|
},
|
|
1148
|
-
{
|
|
1149
|
-
|
|
1150
|
-
name: 'submit_button',
|
|
1151
|
-
label: 'Submit',
|
|
1152
|
-
if: '$activeStep === $lastStep()',
|
|
1153
|
-
style: {
|
|
1154
|
-
if: '$activeStep !== $lastStep()',
|
|
1155
|
-
then: 'display: none;'
|
|
1156
|
-
}
|
|
1157
|
-
}
|
|
1158
|
-
]
|
|
1159
|
-
});
|
|
1160
|
-
|
|
1161
|
-
const formDetails = () => ({
|
|
1162
|
-
$el: 'pre',
|
|
1163
|
-
if: '$urlParam("fdbg", "") == 1',
|
|
1164
|
-
children: [
|
|
1165
|
-
{
|
|
1166
|
-
$el: 'pre',
|
|
1167
|
-
children: '$stringify( $get(form).value )',
|
|
1168
|
-
attrs: {
|
|
1169
|
-
class: 't-text-xs',
|
|
1170
|
-
style: 'overflow: scroll'
|
|
1171
|
-
}
|
|
1701
|
+
'Wrongful Termination': {
|
|
1702
|
+
'Type_Of_Legal_Problem': 'Wrongful Termination'
|
|
1172
1703
|
},
|
|
1173
|
-
{
|
|
1174
|
-
|
|
1175
|
-
children: ['activeStep: ', '$activeStep'],
|
|
1176
|
-
attrs: {
|
|
1177
|
-
class: 't-text-xs',
|
|
1178
|
-
style: 'overflow: scroll'
|
|
1179
|
-
}
|
|
1704
|
+
'Payment Disputes': {
|
|
1705
|
+
'Type_Of_Legal_Problem': 'Employment and Workplace'
|
|
1180
1706
|
},
|
|
1181
|
-
{
|
|
1182
|
-
|
|
1183
|
-
children: ['stepHistory: ', '$stepHistory'],
|
|
1184
|
-
attrs: {
|
|
1185
|
-
class: 't-text-xs',
|
|
1186
|
-
style: 'overflow: scroll'
|
|
1187
|
-
}
|
|
1707
|
+
'Workers Compensation': {
|
|
1708
|
+
'Type_Of_Legal_Problem': 'Workers Compensation'
|
|
1188
1709
|
},
|
|
1189
|
-
{
|
|
1190
|
-
|
|
1191
|
-
children: ['stepQueue: ', '$stepQueue'],
|
|
1192
|
-
attrs: {
|
|
1193
|
-
class: 't-text-xs',
|
|
1194
|
-
style: 'overflow: scroll'
|
|
1195
|
-
}
|
|
1710
|
+
'Unemployment': {
|
|
1711
|
+
'Type_Of_Legal_Problem': 'Unemployment'
|
|
1196
1712
|
},
|
|
1197
|
-
{
|
|
1198
|
-
|
|
1199
|
-
|
|
1200
|
-
|
|
1201
|
-
|
|
1202
|
-
|
|
1203
|
-
|
|
1713
|
+
'Other Workplace Issues': {
|
|
1714
|
+
'Type_Of_Legal_Problem': 'Employment and Workplace'
|
|
1715
|
+
},
|
|
1716
|
+
// Malpractice
|
|
1717
|
+
'Attorney Malpractice': {
|
|
1718
|
+
'Type_Of_Legal_Problem': 'Civil Lawsuit'
|
|
1719
|
+
},
|
|
1720
|
+
'Other Malpractice Issues': {
|
|
1721
|
+
'Type_Of_Legal_Problem': 'Not Sure or Other'
|
|
1722
|
+
},
|
|
1723
|
+
// Repossession
|
|
1724
|
+
'Vehicle Repossession': {
|
|
1725
|
+
'Type_Of_Legal_Problem': 'Bankruptcy'
|
|
1726
|
+
},
|
|
1727
|
+
'Property Repossession': {
|
|
1728
|
+
'Type_Of_Legal_Problem': 'Bankruptcy'
|
|
1729
|
+
},
|
|
1730
|
+
'Other Repossession Issues': {
|
|
1731
|
+
'Type_Of_Legal_Problem': 'Not Sure or Other'
|
|
1732
|
+
},
|
|
1733
|
+
// Real Estate
|
|
1734
|
+
'Contracts and Agreements': {
|
|
1735
|
+
'Type_Of_Legal_Problem': 'Real Estate'
|
|
1736
|
+
},
|
|
1737
|
+
'Deeds, Liens, and Titles': {
|
|
1738
|
+
'Type_Of_Legal_Problem': 'Real Estate'
|
|
1739
|
+
},
|
|
1740
|
+
'Foreclosure': {
|
|
1741
|
+
'Type_Of_Legal_Problem': 'Foreclosure'
|
|
1742
|
+
},
|
|
1743
|
+
'Insurance': {
|
|
1744
|
+
'Type_Of_Legal_Problem': 'Insurance'
|
|
1745
|
+
},
|
|
1746
|
+
'Landlord and Tenant': {
|
|
1747
|
+
'Type_Of_Legal_Problem': 'Landlord and Tenant',
|
|
1748
|
+
},
|
|
1749
|
+
'Loans and Mortgages': {
|
|
1750
|
+
'Type_Of_Legal_Problem': 'Real Estate',
|
|
1751
|
+
},
|
|
1752
|
+
'Wills, Trusts, and Estates': {
|
|
1753
|
+
'Type_Of_Legal_Problem': 'Wills and Trusts'
|
|
1754
|
+
},
|
|
1755
|
+
'Property Damage': {
|
|
1756
|
+
'Type_Of_Legal_Problem': 'Property Damage'
|
|
1757
|
+
},
|
|
1758
|
+
'Other Real Estate Issues': {
|
|
1759
|
+
'Type_Of_Legal_Problem': 'Real Estate'
|
|
1204
1760
|
}
|
|
1761
|
+
}
|
|
1762
|
+
};
|
|
1763
|
+
|
|
1764
|
+
const TOLPCommentsPlaceholders = {
|
|
1765
|
+
'Adoption': 'Example: "I need help with adoption forms"',
|
|
1766
|
+
'Asbestos and Mesothelioma': 'Example: "I was exposed to asbestos at work and would like to file a claim"',
|
|
1767
|
+
'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"',
|
|
1768
|
+
'Bankruptcy': 'Example: "I need help filing for bankruptcy"',
|
|
1769
|
+
'Birth Certificate and Name Change': 'Example: "Just married and would like to change my last name"',
|
|
1770
|
+
'Business Lawyers': 'Example: "I need help incorporating a business" or "I would like a legal contract reviewed"',
|
|
1771
|
+
'Child Custody and Support': 'Example: "Need help getting custody" or "Issues with child support payments"',
|
|
1772
|
+
'Child Custody': 'Example: "Need help getting custody"',
|
|
1773
|
+
'Child Support': 'Example: "Issues with child support payments"',
|
|
1774
|
+
'Civil Rights and Discrimination': 'Example: "Police brutality" or "Coworker keeps harassing me"',
|
|
1775
|
+
'Civil Lawsuit': 'Example: "A contractor took my money and never completed the job" or "I am being sued by a neighbor"',
|
|
1776
|
+
'File a Lawsuit': 'Example: "A contractor took my money and never completed the job"',
|
|
1777
|
+
'Defend a Lawsuit': 'Example: "I am being sued by a neighbor"',
|
|
1778
|
+
'Consumer Lawyers': 'Example: "Someone committed fraud against me" or "A contractor took my money and never completed the job"',
|
|
1779
|
+
'Copyrights and Trademarks': 'Example: "I would like to register a trademark or copyright a name"',
|
|
1780
|
+
'Criminal and Felony': 'Example: "I was arrested for DUI and need legal defense" or "I am being charged with assault"',
|
|
1781
|
+
'Debt and Collections': 'Example: "I would like to consolidate my debt" or "A collection agency is harassing me"',
|
|
1782
|
+
'Divorce and Separation': 'Example: "I would like to file for an uncontested divorce"',
|
|
1783
|
+
'DUI and DWI': 'Example: "I was arrested for DUI and need legal defense"',
|
|
1784
|
+
'Elder Law': 'Example: "I would like help with Estate Planning" or "I need help with a guardianship"',
|
|
1785
|
+
'Employment and Workplace': 'Example: "I was injured while on the job" or "My company is discriminating against me"',
|
|
1786
|
+
'Expungement': 'Example: "I would like to file for an expungement and clear my record"',
|
|
1787
|
+
'Family Issues': 'Example: "I need help with guardianship" or "I need a simple will created"',
|
|
1788
|
+
'Foreclosure': 'Example: "I need help to avoid foreclosure on my house"',
|
|
1789
|
+
'Guardianship': 'Example: "I need help with guardianship documents"',
|
|
1790
|
+
'Harassment and Discrimination': 'Example: "I am being discriminated at work" or "My neighbor is harassing me"',
|
|
1791
|
+
'Sexual Harassment': 'Example: "I am being sexually harassed by a coworker"',
|
|
1792
|
+
'Workplace Harassment': 'Example: "My coworker is being aggressive towards me"',
|
|
1793
|
+
'Non-Workplace Harassment': 'Example: "My neighbor is harassing me"',
|
|
1794
|
+
'Workplace Discrimination': 'Example: "I am being discriminated at work based on my age"',
|
|
1795
|
+
'Non-Workplace Discrimination': 'Example: "I am being discriminated against by a local official"',
|
|
1796
|
+
'Identity Theft': 'Example: "Someone stole my identity and I need help fixing the issue"',
|
|
1797
|
+
'Immigration and Visas': 'Example: "I need help filing for a visa" or "Help with a green card"',
|
|
1798
|
+
'Insurance': 'Example: "I need help filing an insurance claim for damage to my house"',
|
|
1799
|
+
'Landlord and Tenant': 'Example: "I need help to fight an eviction" or "I would like a lawyer to review a rental contract"',
|
|
1800
|
+
'Lemon Law': 'Example: "I purchased a new vehicle that broke down already and seller will not assist"',
|
|
1801
|
+
'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"',
|
|
1802
|
+
'Medical Malpractice': 'Example: "A doctor performed surgery on the wrong limb and I would like to file a lawsuit"',
|
|
1803
|
+
'Patents and Intellectual Property': 'Example: "I would like to file for a patent" or "I need to copyright a name"',
|
|
1804
|
+
'Personal Injury': 'Example: "I was bit by the neighbor\'s dog" or "I fell in the icy grocery store parking lot"',
|
|
1805
|
+
'Power of Attorney': 'Example: "I need help with a limited or general power of attorney"',
|
|
1806
|
+
'Probate and Estates': 'Example: "I need help with planning for my estate" or "A family member passed without a will in place"',
|
|
1807
|
+
'Product Liability': 'Example: "My car battery caught on fire" or "I purchased a faulty product"',
|
|
1808
|
+
'Property Damage': 'Example: "The neighbor\'s tree fell on my fence" or "My car was hit in the parking lot"',
|
|
1809
|
+
'Real Estate': 'Example: "I need help with a quitclaim deed" or "I need a lawyer to review a purchase and sales agreement"',
|
|
1810
|
+
'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"',
|
|
1811
|
+
'Tax and IRS': 'Example: "I need help fighting an IRS tax claim" or "I need audit defense"',
|
|
1812
|
+
'Traffic and Tickets': 'Example: "I need help reinstating a supsended license" or "I would like to fight a traffic ticket"',
|
|
1813
|
+
'Unemployment': 'Example: "I need help filing for unemployment benefits"',
|
|
1814
|
+
'Victim of a Crime': 'Example: "I was assaulted in the store" or "I am being discriminated against at work"',
|
|
1815
|
+
'Wills and Trusts': 'Example: "I need a simple will created" or "I would like guidance on creating a trust fund"',
|
|
1816
|
+
'Workers Compensation': 'Example: "I was injured at work and would like to file for workers compensation benefits"',
|
|
1817
|
+
'Wrongful Death': 'Example: "A family member was killed on the job and we need legal representation"',
|
|
1818
|
+
'Wrongful Termination': 'Example: "I was fired by my employer without cause"',
|
|
1819
|
+
'Not Sure or Other': 'Example: "I was involved in a car accident" or "I need help setting up power of attorney"'
|
|
1820
|
+
};
|
|
1821
|
+
|
|
1822
|
+
const TOLPFinalHeadlines = {
|
|
1823
|
+
// 'Adoption': '',
|
|
1824
|
+
};
|
|
1825
|
+
|
|
1826
|
+
const TOLPFinalSubHeadlines = {
|
|
1827
|
+
'Adoption': 'You may benefit from speaking with an adoption professional. Please verify your contact information.',
|
|
1828
|
+
// 'Asbestos and Mesothelioma': '',
|
|
1829
|
+
'Auto and Car Accidents': 'You may benefit from speaking with an accident professional. Please verify your contact information.',
|
|
1830
|
+
'Bankruptcy': 'You may benefit from speaking with a bankruptcy professional. Please verify your contact information.',
|
|
1831
|
+
// 'Birth Certificate and Name Change': '',
|
|
1832
|
+
// 'Business Lawyers': '',
|
|
1833
|
+
// 'Child Custody and Support': '',
|
|
1834
|
+
// 'Civil Rights and Discrimination': '',
|
|
1835
|
+
// 'Civil Lawsuit': '',
|
|
1836
|
+
// 'Consumer Lawyers': '',
|
|
1837
|
+
'Copyrights and Trademarks': 'You may benefit from speaking with a copyright and trademark professional. Please verify your contact information.',
|
|
1838
|
+
// 'Criminal and Felony': '',
|
|
1839
|
+
// 'Debt and Collections': '',
|
|
1840
|
+
'Divorce and Separation': 'You may benefit from speaking with a divorce professional. Please verify your contact information.',
|
|
1841
|
+
'DUI and DWI': 'You may benefit from speaking with a DUI professional. Please verify your contact information.',
|
|
1842
|
+
'Elder Law': 'You may benefit from speaking with an elder law professional. Please verify your contact information.',
|
|
1843
|
+
// 'Employment and Workplace': '',
|
|
1844
|
+
// 'Expungement': '',
|
|
1845
|
+
// 'Family Issues': '',
|
|
1846
|
+
'Foreclosure': 'You may benefit from speaking with a foreclosure professional. Please verify your contact information.',
|
|
1847
|
+
'Guardianship': 'You may benefit from speaking with a guardianship professional. Please verify your contact information.',
|
|
1848
|
+
// 'Harassment and Discrimination': '',
|
|
1849
|
+
// 'Identity Theft': '',
|
|
1850
|
+
'Immigration and Visas': 'You may benefit from speaking with a immigration professional. Please verify your contact information.',
|
|
1851
|
+
// 'Insurance': '',
|
|
1852
|
+
'Landlord and Tenant': 'You may benefit from speaking with a landlord and tenant legal professional. Please verify your contact information.',
|
|
1853
|
+
// 'Lemon Law': '',
|
|
1854
|
+
'Long Term Disability': 'You may benefit from speaking with a disability legal professional. Please verify your contact information.',
|
|
1855
|
+
'Medical Malpractice': 'You may benefit from speaking with a malpractice professional. Please verify your contact information.',
|
|
1856
|
+
'Patents and Intellectual Property': 'You may benefit from speaking with a patent professional. Please verify your contact information.',
|
|
1857
|
+
'Personal Injury': 'You may benefit from speaking with a personal injury professional. Please verify your contact information.',
|
|
1858
|
+
// 'Power of Attorney': '',
|
|
1859
|
+
'Probate and Estates': 'You may benefit from speaking with a probate and estate professional. Please verify your contact information.',
|
|
1860
|
+
// 'Product Liability': '',
|
|
1861
|
+
// 'Property Damage': '',
|
|
1862
|
+
'Real Estate': 'You may benefit from speaking with a real estate professional. Please verify your contact information.',
|
|
1863
|
+
'Social Security Disability and Insurance': 'You may benefit from speaking with an SSDI professional. Please verify your contact information.',
|
|
1864
|
+
'Tax and IRS': 'You may benefit from speaking with a tax professional. Please verify your contact information.',
|
|
1865
|
+
// 'Traffic and Tickets': '',
|
|
1866
|
+
'Unemployment': 'You may benefit from speaking with an unemployment professional. Please verify your contact information.',
|
|
1867
|
+
// 'Victim of a Crime': '',
|
|
1868
|
+
// 'Wills and Trusts': '',
|
|
1869
|
+
'Workers Compensation': 'You may benefit from speaking with a workers compensation professional. Please verify your contact information.',
|
|
1870
|
+
// 'Wrongful Death': '',
|
|
1871
|
+
// 'Wrongful Termination': '',
|
|
1872
|
+
// 'Not Sure or Other': ''
|
|
1873
|
+
// 'Sexual Harassment': '',
|
|
1874
|
+
// 'Workplace Harassment': '',
|
|
1875
|
+
// 'Non-Workplace Harassment': '',
|
|
1876
|
+
// 'Workplace Discrimination': '',
|
|
1877
|
+
// 'Non-Workplace Discrimination': '',
|
|
1878
|
+
};
|
|
1879
|
+
|
|
1880
|
+
|
|
1881
|
+
const nextStepsMapLegalLegacy = {
|
|
1882
|
+
'*': [
|
|
1883
|
+
'TOLPQuestions',
|
|
1884
|
+
'commentsWithBankruptcy',
|
|
1885
|
+
'legalCrossSells',
|
|
1886
|
+
'firstAndLast',
|
|
1887
|
+
'contactInfo',
|
|
1205
1888
|
]
|
|
1206
|
-
}
|
|
1889
|
+
};
|
|
1890
|
+
|
|
1891
|
+
const meta = defaultMetaProps();
|
|
1892
|
+
|
|
1893
|
+
meta.data.dynamicSchema = [
|
|
1894
|
+
malpracticeTOLPQuestions(),
|
|
1895
|
+
commentsWithBankruptcy({
|
|
1896
|
+
placeholder: 'Example: "My doctor or attorney was negligent in providing care."',
|
|
1897
|
+
}),
|
|
1898
|
+
legalCrossSells(),
|
|
1899
|
+
autoAndCarAccidentCrossSellQuestions(),
|
|
1900
|
+
personalInjuryCrossSellQuestions(),
|
|
1901
|
+
workersCompensationCrossSellQuestions(),
|
|
1902
|
+
duiAndDWICrossSellQuestions(),
|
|
1903
|
+
ssdiCrossSellQuestions(),
|
|
1904
|
+
powerOfAttorneyCrossSellQuestions(),
|
|
1905
|
+
willsAndTrustsCrossSellQuestions(),
|
|
1906
|
+
divorceAndSeparationCrossSellQuestions(),
|
|
1907
|
+
childCustodyCrossSellQuestions(),
|
|
1908
|
+
firstAndLastV2(),
|
|
1909
|
+
];
|
|
1207
1910
|
|
|
1208
1911
|
const schema = [
|
|
1209
|
-
|
|
1912
|
+
meta,
|
|
1210
1913
|
formAnchor(),
|
|
1211
1914
|
{
|
|
1212
1915
|
$cmp: 'FormKit',
|
|
@@ -1231,17 +1934,12 @@ const schema = [
|
|
|
1231
1934
|
class: 'form-body'
|
|
1232
1935
|
},
|
|
1233
1936
|
children: [
|
|
1234
|
-
malpracticeTOLPAndZip(
|
|
1235
|
-
|
|
1236
|
-
commentsWithBankruptcyV2({
|
|
1237
|
-
nextOnEnter: false,
|
|
1238
|
-
placeholder: 'Example: "My doctor or attorney was negligent in providing care."',
|
|
1239
|
-
}),
|
|
1240
|
-
firstAndLastV2(),
|
|
1241
|
-
contactInfoV2({
|
|
1242
|
-
nextOnEnter: false
|
|
1937
|
+
malpracticeTOLPAndZip({
|
|
1938
|
+
nextStepMap: nextStepsMapLegalLegacy
|
|
1243
1939
|
}),
|
|
1244
|
-
|
|
1940
|
+
dynamicSchemaNode,
|
|
1941
|
+
contactInfo(),
|
|
1942
|
+
formNavigation(),
|
|
1245
1943
|
formDetails()
|
|
1246
1944
|
]
|
|
1247
1945
|
}
|