bhl-forms 0.6.9 → 0.6.11

This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
Files changed (76) hide show
  1. package/dist/bhl-forms.iife.js +1 -1
  2. package/dist/bhl-forms.modern.iife.js +7 -7
  3. package/dist/bhl-forms.modern.umd.js +1 -1
  4. package/dist/bhl-forms.umd.js +1 -1
  5. package/dist/forms/accidentsAndInjuries.es.js +47 -48
  6. package/dist/forms/accidentsAndInjuries.iife.js +1 -1
  7. package/dist/forms/accidentsAndInjuries.json +1 -1
  8. package/dist/forms/business.es.js +38 -36
  9. package/dist/forms/business.iife.js +1 -1
  10. package/dist/forms/business.json +1 -1
  11. package/dist/forms/childAndFamily.es.js +29 -28
  12. package/dist/forms/childAndFamily.iife.js +1 -1
  13. package/dist/forms/childAndFamilySingle.es.js +39 -37
  14. package/dist/forms/childAndFamilySingle.iife.js +1 -1
  15. package/dist/forms/childAndFamilySingle.json +1 -1
  16. package/dist/forms/civilLawsuit.es.js +63 -63
  17. package/dist/forms/civilLawsuit.iife.js +1 -1
  18. package/dist/forms/civilLawsuit.json +1 -1
  19. package/dist/forms/contracts.es.js +29 -28
  20. package/dist/forms/contracts.iife.js +1 -1
  21. package/dist/forms/criminal.es.js +57 -57
  22. package/dist/forms/criminal.iife.js +1 -1
  23. package/dist/forms/criminal.json +1 -1
  24. package/dist/forms/divorce.es.js +2222 -0
  25. package/dist/forms/divorce.iife.js +1 -0
  26. package/dist/forms/divorce.json +1 -0
  27. package/dist/forms/employmentAndWorkplace.es.js +62 -62
  28. package/dist/forms/employmentAndWorkplace.iife.js +1 -1
  29. package/dist/forms/employmentAndWorkplace.json +1 -1
  30. package/dist/forms/generalLegal.es.js +47 -48
  31. package/dist/forms/generalLegal.iife.js +1 -1
  32. package/dist/forms/generalLegal.json +1 -1
  33. package/dist/forms/generalLegalPopUnder.es.js +47 -48
  34. package/dist/forms/generalLegalPopUnder.iife.js +1 -1
  35. package/dist/forms/generalLegalPopUnder.json +1 -1
  36. package/dist/forms/generalLegalPopUnderSingle.es.js +72 -63
  37. package/dist/forms/generalLegalPopUnderSingle.iife.js +1 -1
  38. package/dist/forms/generalLegalPopUnderSingle.json +1 -1
  39. package/dist/forms/generalLegalSingle.es.js +72 -63
  40. package/dist/forms/generalLegalSingle.iife.js +1 -1
  41. package/dist/forms/generalLegalSingle.json +1 -1
  42. package/dist/forms/generalLegalThankYou.es.js +37 -40
  43. package/dist/forms/generalLegalThankYou.iife.js +1 -1
  44. package/dist/forms/generalLegalThankYou.json +1 -1
  45. package/dist/forms/harassmentAndDiscrimination.es.js +29 -28
  46. package/dist/forms/harassmentAndDiscrimination.iife.js +1 -1
  47. package/dist/forms/landlordTenant.es.js +1911 -0
  48. package/dist/forms/landlordTenant.iife.js +1 -0
  49. package/dist/forms/landlordTenant.json +1 -0
  50. package/dist/forms/malpractice.es.js +47 -48
  51. package/dist/forms/malpractice.iife.js +1 -1
  52. package/dist/forms/malpractice.json +1 -1
  53. package/dist/forms/mechanics.es.js +824 -33
  54. package/dist/forms/mechanics.iife.js +1 -1
  55. package/dist/forms/mechanics.json +1 -1
  56. package/dist/forms/patentsAndIP.es.js +59 -57
  57. package/dist/forms/patentsAndIP.iife.js +1 -1
  58. package/dist/forms/patentsAndIP.json +1 -1
  59. package/dist/forms/realEstate.es.js +47 -48
  60. package/dist/forms/realEstate.iife.js +1 -1
  61. package/dist/forms/realEstate.json +1 -1
  62. package/dist/forms/repossession.es.js +47 -48
  63. package/dist/forms/repossession.iife.js +1 -1
  64. package/dist/forms/repossession.json +1 -1
  65. package/dist/forms/ssdi.es.js +25 -25
  66. package/dist/forms/ssdi.iife.js +1 -1
  67. package/dist/forms/ssdi.json +1 -1
  68. package/dist/forms/testForm.es.js +18 -19
  69. package/dist/forms/testForm.iife.js +1 -1
  70. package/dist/forms/testRedirects.es.js +8 -2
  71. package/dist/forms/testRedirects.iife.js +1 -1
  72. package/dist/forms/testRedirects.json +1 -1
  73. package/dist/forms/willsAndTrusts.es.js +29 -28
  74. package/dist/forms/willsAndTrusts.iife.js +1 -1
  75. package/dist/main.css +1 -1
  76. package/package.json +1 -1
@@ -1 +1 @@
1
- var childAndFamily=function(){"use strict";function e(){return Object.assign({},...arguments)}const t='$getKey($meta, "commentsPlaceholders." + $get(Type_Of_Legal_Problem).value, $meta.defaultCommentsPlaceholder)',a='$getKey($meta, "finalHeadlines." + $get(Type_Of_Legal_Problem).value, $meta.defaultFinalHeadline)',i='$getKey($meta, "finalSubHeadlines." + $get(Type_Of_Legal_Problem).value, $meta.defaultFinalSubHeadline)',r=t=>(t.name&&!t.id&&(t.id=t.name),e({$formkit:"checkbox",validation:"required",validationMessages:{required:"Field is required"}},t)),n=e=>(e&&e.legendClass||(e.legendClass="required"),e.fieldsetClass="$reset",e.optionsClass="t-pl-8 md:t-pl-2 t-pt-3 t-grid t-grid-cols-1 md:t-grid-cols-2",e.innerClass="t-items-start",e.wrapperClass="$reset t-flex t-cursor-pointer t-mb-3",r(e)),o=t=>(t.name&&!t.id&&(t.id=t.name),e({$formkit:"radio",validation:"required",validationMessages:{required:"Field is required"},optionsClass:"t-pt-3 t-pl-1",legendClass:"required"},t)),l=e=>(e.options=["Yes","No"],(e=>(e.legendClass="legend-left t-pb-1 required",e.fieldsetClass="$reset side-by-side t-items-center",e.optionsClass="t-mt-1 t-grid t-grid-cols-1 md:t-grid-cols-2-125 t-items-center",e.innerClass="t-flex t-items-center",e.optionClass="t-pr-1",o(e)))(e)),s=t=>(t.labelClass="required",t.wrapperClass="side-by-side t-items-center",t.innerClass="select-height-content",t.helpClass="t-mt-2.5 md:t-text-right md:t-mt-[-5px]",(t=>(t.name&&!t.id&&(t.id=t.name),e({$formkit:"select",placeholder:"Please Select",validation:"required",validationMessages:{required:"Field is required"},inputClass:"t-bg-white",labelClass:"required"},t)))(t)),d=t=>(t.wrapperClass="side-by-side t-items-center",(t=>(t.name&&!t.id&&(t.id=t.name),e({$formkit:"text",validation:"required",validationMessages:{required:"Field is required"},labelClass:"required"},t)))(t)),u=t=>(t.wrapperClass="side-by-side t-items-center",(t=>(t.name&&!t.id&&(t.id=t.name),e({$formkit:"DatePicker",validation:"required",validationMessages:{required:"Field is required"},labelClass:"required t-block t-mb-3 t-font-semibold t-text-base formkit-invalid:t-text-red-500",innerClass:"t-border t-border-gray-400 formkit-invalid:t-border-red-500 t-rounded t-mb-1 focus-within:t-border-blue-500"},t)))(t)),c=e=>d({name:e?e+":Applicant_Age":"Applicant_Age",label:"Age of Applicant?",placeholder:"Age between 18 and 65",maxlength:2,inputmode:"numeric",validation:"required|min:18,max:65",validationMessages:{required:"Applicant Age is required",min:"Invalid Age - must be between 18 and 65",max:"Invalid Age - must be between 18 and 65"}}),p=e=>l({name:e?e+":At_Fault":"At_Fault",label:"Were You at Fault?"}),m=()=>{return(e={label:"I'd also like a consult for bankruptcy or debt elimination (optional)",help:"Note: you will be contacted separately by a bankruptcy/debt expert",name:"CrossSell_Bankruptcy",id:"CrossSell_Bankruptcy",if:'$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")',validation:null,helpClass:"!t-text-sm"}).legendClass="legend-left required",e.fieldsetClass="$reset side-by-side",e.optionsClass="t-pl-1",e.innerClass="t-flex t-items-center",e.wrapperClass="t-mb-3",r(e);var e},f=e=>s({name:e?e+":Blood_Alcohol_Content_Test":"Blood_Alcohol_Content_Test",label:"Blood Alcohol Content Measured by Test:",options:["No Test","0.00% - 0.04%","0.05% - 0.08%","0.09% - 0.12%","0.13% - 0.16%","0.17% - 0.20%","More than 0.20%","Don't know"]}),y=()=>{return(e={label:"Type of Help Needed:",name:"Type_Of_Legal_Problem",id:"Type_Of_Legal_Problem",options:["Child Custody","Child Support","Adoption","Family Issues","Guardianship","Divorce and Separation","Not Sure or Other"]}).legendClass="required",e.fieldsetClass="$reset",e.optionsClass="t-pl-2 t-pt-3 t-grid t-grid-cols-1 md:t-grid-cols-2",e.innerClass="t-items-start",e.wrapperClass="$reset t-flex t-cursor-pointer t-mb-3",o(e);var e},h=e=>s({name:e?e+":Child_Home":"Child_Home",label:"With Whom Do the Children Currently Live?",options:["Mother","Father","Grandparents","Other"]}),g=e=>s({name:e?e+":Child_Primary_Caregiver":"Child_Primary_Caregiver",label:"Who is the Primary Caregiver?",options:["Mother","Father","Other"]}),b=e=>s({name:e?e+":Child_Relationship":"Child_Relationship",label:"Your Relationship to Child(ren):",options:["Father","Mother","Grandparent","Aunt/Uncle","Other"]}),_=e=>s({name:e?e+":Claim_Status":"Claim_Status",label:"Status of Claim:",options:["No action taken yet","Demand for compensation made","Lawsuit filed","Other"]}),v=(t,a)=>(t=>(t.name&&!t.id&&(t.id=t.name),e({$formkit:"textarea",rows:5,maxlength:500,validation:"required",validationMessages:{required:"Field is required"},innerClass:"t-max-w-xl",labelClass:"required"},t)))(e({name:a?a+":Comments":"Comments",label:"Please briefly describe your situation in a few words:",placeholder:'For Example: "I would like help with child support payments" or "I need help with visitation rights"'},t)),C=(e,t)=>s({name:e?e+":Degree_Of_Interest":"Degree_Of_Interest",id:e?e+":Degree_Of_Interest":"Degree_Of_Interest",label:"How Likely Are You to Pay if Your Issue Could be Resolved?",help:t,options:["Definitely","Probably","Maybe","Absolutely Can't Afford"]}),x=e=>C(e,"No payment necessary to speak with lawyers."),w=e=>l({name:e?e+":Disability_Condition_Stop_Work":"Disability_Condition_Stop_Work",label:"Do You Expect To Be Out Of Work For At Least a Year Due To Your Health?"}),I=e=>l({name:e?e+":Disability_Work_History":"Disability_Work_History",label:"Have You Had a Full-Time Job Within the Past 5 Years?"}),$=e=>l({name:e?e+":Doctor_Treatment":"Doctor_Treatment",label:"Have You Recently Been Treated by a Doctor, Hospital or Clinic?"}),P=e=>s({name:e?e+":Estate_Legal_Services_Needed":"Estate_Legal_Services_Needed",label:"Legal Services Needed for Your Estate:",options:["Charitable Giving","Contested Wills","Drafting Wills or Trust","Estate Administration","Asset Protection","Other"]}),S=e=>l({name:e?e+":Have_Attorney":"Have_Attorney",label:"Already Working with An Attorney?"}),k=e=>l({name:e?e+":Have_Children":"Have_Children",label:"Do You Have Children?"}),A=e=>u({name:e?e+":Incident_Date":"Incident_Date",label:"Date of Incident:"}),D=e=>s({name:e?e+":Lawyer_Payment_Method":"Lawyer_Payment_Method",label:"How Will You Pay for Legal Fees if You Hire a Lawyer?",help:"No payment necessary to speak with lawyers.",options:["Cash","Check","Credit Card","Friend","Family","Other"]}),T=e=>s({name:e?e+":Marital_Status":"Marital_Status",label:"Marital Status:",options:["Unmarried, Living Together","Unmarried, Do Not Live Together","Married, Living Together","Separated","Divorced","Other"]}),E=e=>l({name:e?e+":Pending_Charges":"Pending_Charges",label:"Do you currently have any pending charges?"}),O=e=>{return(t={name:e?e+":Primary_Injury":"Primary_Injury",label:"Primary Injury:",options:["Anxiety","Back or Neck Pain","Broken Bones","Cuts and Bruises","Headaches","Memory Loss","Loss of Limb","Not Sure or Other"]}).legendClass="legend-left-flex md:t-max-w-[40%] required",t.fieldsetClass="$reset side-by-side-flex",t.optionsClass="md:t-ml-4 md:t-mt-2 t-grid t-grid-cols-1 md:t-grid-cols-2-125",t.innerClass="t-flex t-items-start",t.wrapperClass="$reset t-flex t-cursor-pointer t-mb-3",o(t);var t},L=e=>l({name:e?e+":Prior_Alcohol_Offenses":"Prior_Alcohol_Offenses",label:"Any Prior Alcohol Related Offenses?"}),W=e=>l({name:e?e+":Police_Report_Filed":"Police_Report_Filed",label:"Was a Police Report Filed?"}),F=e=>s({name:e?e+":Role_In_Matter_Probate":"Role_In_Matter_Probate",label:"What Is Your Role in this Matter?",options:["Preparing My Will","Executor","Heir","Other"]}),N=e=>l({name:e?e+":Social_Security_Disability_Receiving_Benefits":"Social_Security_Disability_Receiving_Benefits",label:"Are You Currently Receiving Social Security Disability Benefits?"}),M=e=>s({name:e?e+":Type_Of_Alcohol_Test":"Type_Of_Alcohol_Test",label:"Type of Alcohol Test Performed?",options:["No Test","Refused Test","Breath Test","Blood Test","Urine Test","Don't Know"]}),q=e=>n({name:e?e+":Type_Of_Assets":"Type_Of_Assets",label:"Type of Assets:",options:["Business Interests","Cash","Life Insurance Policies","Pensions/Retirement","Personal Possessions","Property","Stock/Bonds"]}),j=e=>s({name:e?e+":Value_Of_Assets":"Value_Of_Assets",label:"Value of Your Assets?",options:["Less than 50K","50K to 100K","100K to 250K","250K to 500K","500K to 1M","More than 1M"]}),Y=(t,a)=>e({$cmp:"FormKit",props:{type:"group",key:t,id:t,name:t}},a),B=(e,t)=>Y("ChildCustodyQuestions",{if:e||'$get(Type_Of_Legal_Problem).value == "Child Custody"',children:[S(t),b(t),h(t),g(t),C(t),D(t)]}),U=(e,t)=>Y("DivorceQuestions",{if:e||'$get(Type_Of_Legal_Problem).value == "Divorce and Separation"',children:[S(t),T(t),k(t),C(t),D(t)]}),H="$onEnter($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))",R="$onInput($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))",Q=e=>"group"!==e.type&&"section"!==e.type&&"form"!==e.type&&"hidden"!==e.$formkit&&!e.children,V=e=>{if(Q(e))return e;for(var t=e.children.length-1;t>=0;t--){if("string"==typeof e.children)continue;const a=e.children[t];if(Q(a))return a;const i=V(a);if(i)return i}return null},K={$el:"div",if:"$activeStep === $lastStep()",attrs:{class:"t-flex t-justify-center t-items-center t-text-sm t-text-gray-500"},children:[{$el:"img",attrs:{loading:"lazy",alt:"",style:{border:0},width:"25",height:"25",src:"https://d27hmee62k45vz.cloudfront.net/lock_icon_1.jpeg"}},{$el:"span",children:"Secure & Encrypted",attrs:{class:"t-pl-2 t-pt-1 t-font-medium"}}]};function G(t){return e(K,t)}function z(e){return{$el:"h3",children:e.headline||"Tell Us About Your Situation",attrs:{class:"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-5 t-pt-0 t-px-1"}}}function Z(e){return{$el:"h3",children:e.headline||"Tell Us About Your Situation",attrs:{class:"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-5 t-pt-0 t-px-1"}}}function J(e){return{$el:"h5",children:e.subheadline||"Tell us about your situation:",attrs:{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"}}}function X(e){return{$el:"h3",children:e.headline||"Additional Case Details",attrs:{class:"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-5 t-pt-0 t-px-1 "+(e.headlineClass||"")}}}function ee(e){return{$el:"h3",children:e.headline||"Please Provide a Contact Name",attrs:{class:"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-5 t-pt-0 t-px-1 "+(e.headlineClass||"")}}}function te(e){return{$el:"h3",children:e.headline||"Do any of the following situations apply?",attrs:{class:"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-5 t-pt-0 t-px-1 "+(e.headlineClass||"")}}}function ae(e){return{$el:"h3",children:e.headline||a,attrs:{class:"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-3 t-pt-0 t-px-1 "+(e.headlineClass||"")}}}function ie(e){return{$el:"h5",children:e.subheadline||i,attrs:{class:"t-flex t-justify-center t-text-center !t-text-lg t-font-semibold t-pb-7 t-pt-0 t-px-3 "+(e.subheadlineClass||"")}}}const re="(function() {\n if (window.xxTrustedFormLoaded) {\n return\n }\n var vid = '';\n if (typeof window.zar !== 'undefined') {\n vid = window.zar.getVID();\n }\n window.xxTrustedFormLoaded = true;\n var sandbox = document.location.hostname.indexOf('localhost') > -1 ? 'true' : 'false'\n var tf = document.createElement('script');\n tf.type = 'text/javascript'; tf.async = true;\n tf.src = (\"https:\" == document.location.protocol ? 'https' : 'http') + \"://api.trustedform.com/trustedform.js?field=xxTrustedFormCertUrl&identifier=\" + vid + \"&ping_field=xxTrustedFormPingUrl&provideReferrer=false&invert_field_sensitivity=true&sandbox=\" + sandbox + \"&l=\" + new Date().getTime() + Math.random();\n var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(tf, s);\n})();";const ne=(e,t)=>({$el:"section",if:'$stepEnabled("'+e+'")',attrs:{hidden:'$activeStep !== "'+e+'"',key:t||e}});function oe(t,a,i=!0,r=!1,n=void 0,o=void 0,l=void 0){if(void 0===i&&(i=!0),a&&a.length&&(i||r)){const e=V(a[a.length-1]);e&&!0===i&&(e.onKeypress=H),e&&!0===r&&(e.onInput=R)}return e(ne(t,n),{children:[{$formkit:"group",id:t,name:t,nextStepMap:o,autoFocus:l,children:a}]})}const le={type:"form",id:"form",config:{validationVisibility:"submit"},onSubmit:'$submit($submitUrl, $prepData, $handleRedirect, "text/plain; charset=UTF-8")',plugins:"$plugins",actions:!1,anchorElement:"form-anchor",useLocalStorage:!0,prepop:{fromURL:!0},errorCodes:{403:{message:"An Error Occurred",abort:!1},409:{abort:!1},429:"An Error Occurred",504:{message:"An Error Occurred",abort:!1}},formClass:"!t-max-w-[40rem]"};function se(e,t){return Object.fromEntries(Object.entries(e).filter((([e])=>t.includes(e))))}const de={tcpaLanguage:"By checking this box, I a) agree to the Terms of Use, and b) consent to be contacted by lawyers, lawyer networks, and partners of this website using live, autodialed, pre-recorded, or artificial voice calls, as well as text messages. Your consent is not required as a condition of purchasing any goods or services. To submit this request without this consent, call 878-213-4937."};const ue={$el:"div",children:[{$el:"div",attrs:{id:"form-anchor",class:"t-absolute",style:{top:"-30px",left:0}}}],attrs:{class:"t-relative"}};const ce=[{$formkit:"hidden",name:"vertical",value:"Legal"},{$formkit:"hidden",name:"TCPA_Language",value:"$meta.tcpaLanguage"},{$formkit:"hidden",name:"gclid",value:null},{$formkit:"hidden",name:"campaignid",value:null},{$formkit:"hidden",name:"s",value:null}],pe={"*":"https://listings.ziplawyer.com/api/v1/redirect?zone_id=4&vertical=Legal&category=${properties.Type_Of_Legal_Problem}&Degree_Of_Interest=${properties.Degree_Of_Interest}&zip_code=${properties.Zip}&sub_id=${properties.vid}"};const me={Adoption:'Example: "I need help with adoption forms"',"Asbestos and Mesothelioma":'Example: "I was exposed to asbestos at work and would like to file a claim"',"Auto and Car Accidents":'Example: "A truck crashed into my car on the highway" or "I\'ve been involved in a hit and run accident"',Bankruptcy:'Example: "I need help filing for bankruptcy"',"Birth Certificate and Name Change":'Example: "Just married and would like to change my last name"',"Business Lawyers":'Example: "I need help incorporating a business" or "I would like a legal contract reviewed"',"Child Custody and Support":'Example: "Need help getting custody" or "Issues with child support payments"',"Child Custody":'Example: "Need help getting custody"',"Child Support":'Example: "Issues with child support payments"',"Civil Rights and Discrimination":'Example: "Police brutality" or "Coworker keeps harassing me"',"Civil Lawsuit":'Example: "A contractor took my money and never completed the job" or "I am being sued by a neighbor"',"File a Lawsuit":'Example: "A contractor took my money and never completed the job"',"Defend a Lawsuit":'Example: "I am being sued by a neighbor"',"Consumer Lawyers":'Example: "Someone committed fraud against me" or "A contractor took my money and never completed the job"',"Copyrights and Trademarks":'Example: "I would like to register a trademark or copyright a name"',"Criminal and Felony":'Example: "I was arrested for DUI and need legal defense" or "I am being charged with assault"',"Debt and Collections":'Example: "I would like to consolidate my debt" or "A collection agency is harassing me"',"Divorce and Separation":'Example: "I would like to file for an uncontested divorce"',"DUI and DWI":'Example: "I was arrested for DUI and need legal defense"',"Elder Law":'Example: "I would like help with Estate Planning" or "I need help with a guardianship"',"Employment and Workplace":'Example: "I was injured while on the job" or "My company is discriminating against me"',Expungement:'Example: "I would like to file for an expungement and clear my record"',"Family Issues":'Example: "I need help with guardianship" or "I need a simple will created"',Foreclosure:'Example: "I need help to avoid foreclosure on my house"',Guardianship:'Example: "I need help with guardianship documents"',"Harassment and Discrimination":'Example: "I am being discriminated at work" or "My neighbor is harassing me"',"Sexual Harassment":'Example: "I am being sexually harassed by a coworker"',"Workplace Harassment":'Example: "My coworker is being aggressive towards me"',"Non-Workplace Harassment":'Example: "My neighbor is harassing me"',"Workplace Discrimination":'Example: "I am being discriminated at work based on my age"',"Non-Workplace Discrimination":'Example: "I am being discriminated against by a local official"',"Identity Theft":'Example: "Someone stole my identity and I need help fixing the issue"',"Immigration and Visas":'Example: "I need help filing for a visa" or "Help with a green card"',Insurance:'Example: "I need help filing an insurance claim for damage to my house"',"Landlord and Tenant":'Example: "I need help to fight an eviction" or "I would like a lawyer to review a rental contract"',"Lemon Law":'Example: "I purchased a new vehicle that broke down already and seller will not assist"',"Long Term Disability":'Example: "I was injured on the job and would like to file for benefits" or "I need help filing for disability benefits"',"Medical Malpractice":'Example: "A doctor performed surgery on the wrong limb and I would like to file a lawsuit"',"Patents and Intellectual Property":'Example: "I would like to file for a patent" or "I need to copyright a name"',"Personal Injury":'Example: "I was bit by the neighbor\'s dog" or "I fell in the icy grocery store parking lot"',"Power of Attorney":'Example: "I need help with a limited or general power of attorney"',"Probate and Estates":'Example: "I need help with planning for my estate" or "A family member passed without a will in place"',"Product Liability":'Example: "My car battery caught on fire" or "I purchased a faulty product"',"Property Damage":'Example: "The neighbor\'s tree fell on my fence" or "My car was hit in the parking lot"',"Real Estate":'Example: "I need help with a quitclaim deed" or "I need a lawyer to review a purchase and sales agreement"',"Social Security Disability and Insurance":'Example: "I would like help filing for disability benefits" or "I\'ve been denied for SSDI and would like to appeal"',"Tax and IRS":'Example: "I need help fighting an IRS tax claim" or "I need audit defense"',"Traffic and Tickets":'Example: "I need help reinstating a supsended license" or "I would like to fight a traffic ticket"',Unemployment:'Example: "I need help filing for unemployment benefits"',"Victim of a Crime":'Example: "I was assaulted in the store" or "I am being discriminated against at work"',"Wills and Trusts":'Example: "I need a simple will created" or "I would like guidance on creating a trust fund"',"Workers Compensation":'Example: "I was injured at work and would like to file for workers compensation benefits"',"Wrongful Death":'Example: "A family member was killed on the job and we need legal representation"',"Wrongful Termination":'Example: "I was fired 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"+(e.headlineClass||"")}}}(t),t)}({children:'$urlParam("hl", "Get Child & Family Help Today")',if:"$activeStep === $firstStep()"}),function(t={}){return e(function(e={}){return{$el:"h3",attrs:{class:"t-flex t-justify-center t-text-center !t-text-[1.2rem] t-font-medium t-text-blue-500 t-px-10 "+(e.subheadlineClass||"")}}}(t),t)}({children:'$urlParam("shl", "Contact Us for Child Support, Custody and Family Issues")',if:"$activeStep === $firstStep()"}),...fe,{$el:"div",attrs:{class:"form-body"},children:[function(e={}){return de("childAndFamilyTOLPAndZip",[y(),d({label:"Zip Code:",placeholder:"#####",name:t?t+":Zip":"Zip",maxlength:5,inputmode:"numeric",autocomplete:"postal-code",validation:"required|matches:/^[0-9]{5}$/",validationMessages:{required:"Zip Code is required",matches:"Invalid Zip Code"}})],e.nextOnEnter,e.nextOnInput,e.stepKey,e.nextStepMap);var t}({nextStepMap:{"*":["TOLPQuestions","commentsWithBankruptcy","legalCrossSells","firstAndLast","contactInfo"]}}),function(e="Type_Of_Legal_Problem"){return{$cmp:"FormKitSchema",if:"$get("+e+").value",props:{schema:"$meta.dynamicSchema",data:"$buildData($meta)"}}}(),function(e={}){return de("contactInfo",[ne(e),oe(e),{$el:"script",if:"$activeStep === $lastStep()",children:le},(t=e.scope,d({$formkit:"email",name:t?t+":Email":"Email",label:"Email Address:",placeholder:"email@domain.com",autocomplete:"email","data-tf-sensitive":"false",validation:"required|email",validationMessages:{required:"Email is required",email:"Invalid Email"}})),L(e.scope),j(e.scope),J()],!1);var t}(),((e={})=>({$el:"div",attrs:{class:"step-nav"},children:[{$formkit:"button",name:"back_button",onClick:"$setPreviousStep($prevStepFunc($get(form)))",children:"Back",style:{if:"$activeStep === $firstStep()",then:"visibility: hidden;"}},{$formkit:"button",name:"next_button",onClick:"$setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form)))",children:{if:"$activeStep === $firstStep()",then:"Start",else:"Next"},outerClass:{if:"$activeStep === $lastStep()",then:"t-hidden",else:""},style:{if:"$activeStep === $lastStep()",then:"display: none;"}},{$formkit:"submit",name:"submit_button",label:e.submitLabel||"Submit",if:"$activeStep === $lastStep()",style:{if:"$activeStep !== $lastStep()",then:"display: none;"}}]}))(),{$el:"pre",if:'$urlParam("fdbg", "") == 1',children:[{$el:"pre",children:"$stringify( $get(form).value )",attrs:{class:"t-text-xs",style:"overflow: scroll"}},{$el:"pre",children:["activeStep: ","$activeStep"],attrs:{class:"t-text-xs",style:"overflow: scroll"}},{$el:"pre",children:["stepHistory: ","$stepHistory"],attrs:{class:"t-text-xs",style:"overflow: scroll"}},{$el:"pre",children:["stepQueue: ","$stepQueue"],attrs:{class:"t-text-xs",style:"overflow: scroll"}},{$el:"pre",children:["steps: ","$stepKeys()"],attrs:{class:"t-text-xs",style:"overflow: scroll"}}]}]}]}];var Ce;return ve}();
@@ -104,7 +104,7 @@ const sbsYesNoRadio = (updates) => {
104
104
 
105
105
  const verticalButtonRadio = (updates) => {
106
106
  updates.legendClass = 'legend-left';
107
- updates.fieldsetClass = '$reset t-flex t-justify-center t-items-center';
107
+ updates.fieldsetClass = '$reset t-flex t-justify-center t-flex-col-reverse t-items-center';
108
108
  if (typeof updates.optionsClass === 'undefined') {
109
109
  updates.optionsClass = 't-flex t-flex-col sm:t-flex-row t-justify-center t-my-3';
110
110
  }
@@ -113,6 +113,7 @@ const verticalButtonRadio = (updates) => {
113
113
  updates.labelClass = 't-font-semibold t-text-[#1e448f] t-w-[100%]';
114
114
  updates.decoratorIcon = false;
115
115
  updates.messagesClass = 't-flex t-justify-center';
116
+ updates.helpClass = 't-mt-2.5 !t-text-sm t-text-center';
116
117
  return radio(updates)
117
118
  };
118
119
 
@@ -351,9 +352,9 @@ const doctorTreatment = (scope) => sbsYesNoRadio({
351
352
  label: 'Have You Recently Been Treated by a Doctor, Hospital or Clinic?',
352
353
  });
353
354
 
354
- const email = () => sbsText({
355
+ const email = (scope) => sbsText({
355
356
  $formkit: 'email',
356
- name: 'Email',
357
+ name: scope ? scope + ':' + 'Email' : 'Email',
357
358
  label: 'Email Address:',
358
359
  placeholder: 'email@domain.com',
359
360
  autocomplete: 'email',
@@ -378,11 +379,11 @@ const estateLegalServicesNeeded = (scope) => sbsSelect({
378
379
  ]
379
380
  });
380
381
 
381
- const firstName = () => sbsText({
382
+ const firstName = (scope) => sbsText({
382
383
  $formkit: 'text',
383
384
  label: 'First Name:',
384
385
  placeholder: 'First',
385
- name: 'First_Name',
386
+ name: scope ? scope + ':' + 'First_Name' : 'First_Name',
386
387
  autocomplete: "given-name",
387
388
  validationMessages: {
388
389
  required: 'First Name is required'
@@ -394,8 +395,8 @@ const haveAttorney$1 = (scope) => sbsYesNoRadio({
394
395
  label: 'Already Working with An Attorney?'
395
396
  });
396
397
 
397
- const haveAttorneyCenter = () => verticalYesNoRadio({
398
- name: 'Have_Attorney',
398
+ const haveAttorneyCenter = (scope) => verticalYesNoRadio({
399
+ name: scope ? scope + ':' + 'Have_Attorney' : 'Have_Attorney',
399
400
  });
400
401
 
401
402
  const haveChildrenCenter = (scope) => verticalYesNoRadio({
@@ -407,11 +408,11 @@ const incidentDate = (scope) => sbsDate({
407
408
  label: 'Date of Incident:',
408
409
  });
409
410
 
410
- const lastName = () => sbsText({
411
+ const lastName = (scope) => sbsText({
411
412
  $formkit: 'text',
412
413
  label: 'Last Name:',
413
414
  placeholder: 'Last',
414
- name: 'Last_Name',
415
+ name: scope ? scope + ':' + 'Last_Name' : 'Last_Name',
415
416
  autocomplete: "family-name",
416
417
  validationMessages: {
417
418
  required: 'Last Name is required'
@@ -518,9 +519,9 @@ const pendingCharges = (scope) => sbsYesNoRadio({
518
519
  label: 'Do you currently have any pending charges?'
519
520
  });
520
521
 
521
- const phone = () => sbsText({
522
+ const phone = (scope) => sbsText({
522
523
  $formkit: 'tel',
523
- name: 'Primary_Phone',
524
+ name: scope ? scope + ':' + 'Primary_Phone' : 'Primary_Phone',
524
525
  label: 'Phone Number:',
525
526
  placeholder: '###-###-####',
526
527
  maxlength: 12,
@@ -577,10 +578,10 @@ const socialSecurityDisabilityReceivingBenefits = (scope) => sbsYesNoRadio({
577
578
  label: 'Are You Currently Receiving Social Security Disability Benefits?'
578
579
  });
579
580
 
580
- const TCPAConsent = () => ({
581
+ const TCPAConsent = (scope) => ({
581
582
  $formkit: 'checkbox',
582
583
  label: '$meta.tcpaLanguage',
583
- name: 'TCPA_Opt_In',
584
+ name: scope ? scope + ':' + 'TCPA_Opt_In' : 'TCPA_Opt_In',
584
585
  'data-tf-sensitive': 'false',
585
586
  validation: 'required|accepted',
586
587
  validationMessages: {
@@ -632,10 +633,10 @@ const valueOfAssets = (scope) => sbsSelect({
632
633
  ]
633
634
  });
634
635
 
635
- const zipcodeCenter = (updates = {}) => text({
636
+ const zipcodeCenter = (updates = {}, scope) => text({
636
637
  placeholder: '#####',
637
638
  help: updates.help ?? "We try to match you with local legal help",
638
- name: 'Zip',
639
+ name: scope ? scope + ':' + 'Zip' : 'Zip',
639
640
  maxlength: 5,
640
641
  inputmode: "numeric",
641
642
  autocomplete: 'postal-code',
@@ -993,7 +994,8 @@ function commentsWithBankruptcy(updates = {}) {
993
994
  label: typeof updates.label === 'undefined' ? DEFAULT_COMMENTS_LABEL : updates.label,
994
995
  placeholder: updates.placeholder || DEFAULT_COMMENTS_PLACEHOLDER_DYNAMIC,
995
996
  inputClass: typeof updates.inputClass === 'undefined' ? '!t-h-32' : updates.inputClass,
996
- }),
997
+ }, updates.scope),
998
+ // TODO: needs scope support
997
999
  bankruptcyCrossSell(),
998
1000
  {
999
1001
  $el: 'div',
@@ -1018,16 +1020,16 @@ function contactInfo(updates = {}) {
1018
1020
  contactStepHeadline(updates),
1019
1021
  contactStepSubHeadline(updates),
1020
1022
  trustedFormScript(),
1021
- email(),
1022
- phone(),
1023
- TCPAConsent(),
1023
+ email(updates.scope),
1024
+ phone(updates.scope),
1025
+ TCPAConsent(updates.scope),
1024
1026
  secureIcon()
1025
1027
  ],
1026
1028
  false, // nextOnEnter
1027
1029
  )
1028
1030
  }
1029
1031
 
1030
- function firstAndLastV3(updates = {}) {
1032
+ function firstAndLastV3(updates = {}, scope) {
1031
1033
  return step(
1032
1034
  'firstAndLast',
1033
1035
  [
@@ -1039,8 +1041,8 @@ function firstAndLastV3(updates = {}) {
1039
1041
  subheadline: updates.subheadline ?? 'Note: we never share info without consent',
1040
1042
  subheadlineClass: '!t-text-sm !t-text-gray-500'
1041
1043
  }),
1042
- firstName(),
1043
- lastName()
1044
+ firstName(scope),
1045
+ lastName(scope)
1044
1046
  ],
1045
1047
  updates.nextOnEnter
1046
1048
  )
@@ -1194,7 +1196,7 @@ function childAndFamilyTOLP(updates = {}) {
1194
1196
  function zipcode(updates = {}) {
1195
1197
  return sqstep(
1196
1198
  'zipcode',
1197
- zipcodeCenter(updates),
1199
+ zipcodeCenter(updates, updates.scope),
1198
1200
  'Please verify your Zip Code',
1199
1201
  updates
1200
1202
  )
@@ -1248,7 +1250,7 @@ function childPrimaryCaregiver(updates = {}) {
1248
1250
  function haveAttorney(updates = {}) {
1249
1251
  return sqstep(
1250
1252
  'haveAttorney',
1251
- haveAttorneyCenter(),
1253
+ haveAttorneyCenter(updates.scope),
1252
1254
  'Already working with an attorney?',
1253
1255
  updates
1254
1256
  )
@@ -1272,9 +1274,7 @@ function lawyerPaymentMethod(updates = {}) {
1272
1274
  )
1273
1275
  }
1274
1276
 
1275
- // ------ Common
1276
-
1277
- const formNavigation = () => ({
1277
+ const formNavigation = (updates = {}) => ({
1278
1278
  $el: 'div',
1279
1279
  attrs: {
1280
1280
  class: 'step-nav'
@@ -1312,7 +1312,7 @@ const formNavigation = () => ({
1312
1312
  {
1313
1313
  $formkit: 'submit',
1314
1314
  name: 'submit_button',
1315
- label: 'Submit',
1315
+ label: updates.submitLabel || 'Submit',
1316
1316
  if: '$activeStep === $lastStep()',
1317
1317
  style: {
1318
1318
  if: '$activeStep !== $lastStep()',
@@ -1447,14 +1447,16 @@ function defaultMetaProps(tolps = null) {
1447
1447
  })
1448
1448
  }
1449
1449
 
1450
- const dynamicSchemaNode = {
1451
- $cmp: 'FormKitSchema',
1452
- if: '$get(Type_Of_Legal_Problem).value',
1453
- props: {
1454
- schema: '$meta.dynamicSchema',
1455
- data: '$buildData($meta)'
1450
+ function dynamicSchemaNode(field = 'Type_Of_Legal_Problem') {
1451
+ return {
1452
+ $cmp: 'FormKitSchema',
1453
+ if: '$get(' + field + ').value',
1454
+ props: {
1455
+ schema: '$meta.dynamicSchema',
1456
+ data: '$buildData($meta)'
1457
+ }
1456
1458
  }
1457
- };
1459
+ }
1458
1460
 
1459
1461
  const formAnchorDefaults = {
1460
1462
  $el: 'div',
@@ -2166,7 +2168,7 @@ const schema = [
2166
2168
  if: '$activeStep === $firstStep()',
2167
2169
  }),
2168
2170
  subHeadline({
2169
- children: '$urlParam("shl", "Select a Category Below to Get Started!")',
2171
+ children: '$urlParam("shl", "Select a Category to Start!")',
2170
2172
  if: '$activeStep === $firstStep()',
2171
2173
  }),
2172
2174
  ...hiddenInputsLegal,
@@ -2179,7 +2181,7 @@ const schema = [
2179
2181
  childAndFamilyTOLP({
2180
2182
  nextStepMap: nextStepsMapChildAndFamily
2181
2183
  }),
2182
- dynamicSchemaNode,
2184
+ dynamicSchemaNode(),
2183
2185
  contactInfo(),
2184
2186
  formNavigation(),
2185
2187
  formDetails()