bhl-forms 0.9.5 → 0.10.1

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Files changed (74) hide show
  1. package/dist/bhl-forms.es.js +3262 -3005
  2. package/dist/bhl-forms.iife.js +4 -4
  3. package/dist/bhl-forms.modern.es.js +5191 -4927
  4. package/dist/bhl-forms.modern.iife.js +7 -7
  5. package/dist/bhl-forms.modern.umd.js +7 -7
  6. package/dist/bhl-forms.umd.js +4 -4
  7. package/dist/forms/accidentsAndInjuries.es.js +13 -8
  8. package/dist/forms/accidentsAndInjuries.iife.js +1 -1
  9. package/dist/forms/applianceRepairMinimal.es.js +96 -164
  10. package/dist/forms/applianceRepairMinimal.iife.js +1 -1
  11. package/dist/forms/business.es.js +13 -8
  12. package/dist/forms/business.iife.js +1 -1
  13. package/dist/forms/childAndFamily.es.js +13 -8
  14. package/dist/forms/childAndFamily.iife.js +1 -1
  15. package/dist/forms/childAndFamilySingle.es.js +13 -8
  16. package/dist/forms/childAndFamilySingle.iife.js +1 -1
  17. package/dist/forms/civilLawsuit.es.js +13 -8
  18. package/dist/forms/civilLawsuit.iife.js +1 -1
  19. package/dist/forms/contracts.es.js +13 -8
  20. package/dist/forms/contracts.iife.js +1 -1
  21. package/dist/forms/criminal.es.js +13 -8
  22. package/dist/forms/criminal.iife.js +1 -1
  23. package/dist/forms/divorce.es.js +13 -8
  24. package/dist/forms/divorce.iife.js +1 -1
  25. package/dist/forms/employmentAndWorkplace.es.js +13 -8
  26. package/dist/forms/employmentAndWorkplace.iife.js +1 -1
  27. package/dist/forms/foreclosure.es.js +13 -8
  28. package/dist/forms/foreclosure.iife.js +1 -1
  29. package/dist/forms/generalContractors.es.js +14 -9
  30. package/dist/forms/generalContractors.iife.js +1 -1
  31. package/dist/forms/generalHomeImprovement.es.js +14 -9
  32. package/dist/forms/generalHomeImprovement.iife.js +1 -1
  33. package/dist/forms/generalHomeImprovementThankYou.es.js +14 -9
  34. package/dist/forms/generalHomeImprovementThankYou.iife.js +1 -1
  35. package/dist/forms/generalLegal.es.js +13 -8
  36. package/dist/forms/generalLegal.iife.js +1 -1
  37. package/dist/forms/generalLegalJustAnswer.es.js +13 -8
  38. package/dist/forms/generalLegalJustAnswer.iife.js +1 -1
  39. package/dist/forms/generalLegalPopUnder.es.js +13 -8
  40. package/dist/forms/generalLegalPopUnder.iife.js +1 -1
  41. package/dist/forms/generalLegalPopUnderSingle.es.js +13 -8
  42. package/dist/forms/generalLegalPopUnderSingle.iife.js +1 -1
  43. package/dist/forms/generalLegalSingle.es.js +13 -8
  44. package/dist/forms/generalLegalSingle.iife.js +1 -1
  45. package/dist/forms/generalLegalThankYou.es.js +13 -8
  46. package/dist/forms/generalLegalThankYou.iife.js +1 -1
  47. package/dist/forms/generalLegalThankYouConsultation.es.js +13 -8
  48. package/dist/forms/generalLegalThankYouConsultation.iife.js +1 -1
  49. package/dist/forms/harassmentAndDiscrimination.es.js +13 -8
  50. package/dist/forms/harassmentAndDiscrimination.iife.js +1 -1
  51. package/dist/forms/landlordTenant.es.js +13 -8
  52. package/dist/forms/landlordTenant.iife.js +1 -1
  53. package/dist/forms/malpractice.es.js +13 -8
  54. package/dist/forms/malpractice.iife.js +1 -1
  55. package/dist/forms/mechanics.es.js +13 -8
  56. package/dist/forms/mechanics.iife.js +1 -1
  57. package/dist/forms/patentsAndIP.es.js +13 -8
  58. package/dist/forms/patentsAndIP.iife.js +1 -1
  59. package/dist/forms/realEstate.es.js +13 -8
  60. package/dist/forms/realEstate.iife.js +1 -1
  61. package/dist/forms/repossession.es.js +13 -8
  62. package/dist/forms/repossession.iife.js +1 -1
  63. package/dist/forms/ssdi.es.js +13 -8
  64. package/dist/forms/ssdi.iife.js +1 -1
  65. package/dist/forms/testForm.es.js +13 -8
  66. package/dist/forms/testForm.iife.js +1 -1
  67. package/dist/forms/willsAndTrusts.es.js +13 -8
  68. package/dist/forms/willsAndTrusts.iife.js +1 -1
  69. package/dist/forms/windows.es.js +14 -9
  70. package/dist/forms/windows.iife.js +1 -1
  71. package/dist/forms/workersCompensation.es.js +13 -8
  72. package/dist/forms/workersCompensation.iife.js +1 -1
  73. package/dist/main.css +1 -1
  74. package/package.json +2 -2
@@ -1 +1 @@
1
- var contracts=function(){"use strict";function e(){return Object.assign({},...arguments)}const t='$getKey($meta, "commentsPlaceholders." + $get(Type_Of_Legal_Problem).value, $meta.defaultCommentsPlaceholder)',a='$getKey($meta, "finalHeadlines." + $get(Type_Of_Legal_Problem).value, $meta.defaultFinalHeadline)',i='$getKey($meta, "finalSubHeadlines." + $get(Type_Of_Legal_Problem).value, $meta.defaultFinalSubHeadline)',r=t=>(t.name&&!t.id&&(t.id=t.name),e({$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)),s=e=>(e&&e.legendClass||(e.legendClass="required t-w-[100%] t-text-center"),e.fieldsetClass="$reset t-flex t-justify-center t-flex-col",e.innerClass="t-items-start",e.wrapperClass="$reset t-flex t-cursor-pointer t-mb-3",e.optionClass="t-pl-4 md:t-pl-16 md:t-min-w-[200px]",e.optionsClass="t-pl-4 t-pt-3 t-grid t-grid-cols-1 md:t-grid-cols-2",e.messagesClass="t-flex t-justify-center",e.helpClass="t-mt-0 t-mb-4 !t-text-sm t-text-center",r(e)),l=t=>(t.name&&!t.id&&(t.id=t.name),e({$formkit:"radio",validation:"required",validationMessages:{required:"Field is required"},optionsClass:"t-pt-3 t-pl-1",legendClass:"required"},t)),o=e=>(e.legendClass="required",e.fieldsetClass="$reset",e.optionsClass="t-pl-2 t-pt-3 t-grid t-grid-cols-1 md:t-grid-cols-2",e.innerClass="t-items-start",e.wrapperClass="$reset t-flex t-cursor-pointer t-mb-3",l(e)),d=e=>(e.legendClass="required t-w-[100%] t-text-center",void 0===e.fieldsetClass&&(e.fieldsetClass="$reset t-flex t-justify-center"),e.innerClass="t-items-start",e.wrapperClass="$reset t-flex t-cursor-pointer t-mb-3",e.optionClass="t-pl-4 md:t-pl-8 md:t-min-w-[200px]",e.optionsClass="t-pl-4 t-pt-3 t-grid t-grid-cols-1 md:t-grid-cols-2",e.messagesClass="t-flex t-justify-center",e.helpClass="t-mt-0 t-mb-4 !t-text-sm t-text-center",l(e)),u=e=>(e.legendClass="legend-left-flex md:t-max-w-[40%] required",e.fieldsetClass="$reset side-by-side-flex",e.optionsClass="md:t-ml-4 md:t-mt-2 t-grid t-grid-cols-1 md:t-grid-cols-2-125",e.innerClass="t-flex t-items-start",e.wrapperClass="$reset t-flex t-cursor-pointer t-mb-3",l(e)),c=e=>(e.options=["Yes","No"],(e=>(e.legendClass="legend-left t-pb-1 required",e.fieldsetClass="$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",l(e)))(e)),p=e=>(e.legendClass="legend-left",e.fieldsetClass="$reset t-flex t-justify-center t-flex-col-reverse t-items-center",void 0===e.optionsClass&&(e.optionsClass="t-flex t-flex-col sm:t-flex-row t-justify-center t-my-3"),e.optionClass="radiobtn t-my-2 sm:t-my-0 t-mx-2 md:t-mx-5",e.wrapperClass="$reset formkit-wrapper t-mb-0 t-flex t-items-center t-h-[100%]",e.labelClass="t-font-semibold t-text-[#1e448f] t-w-[100%]",e.decoratorIcon=!1,e.messagesClass="t-flex t-justify-center",e.helpClass="t-mt-2.5 !t-text-sm t-text-center",l(e)),m=e=>(e.options=["Yes","No"],e.optionsClass="t-flex t-justify-center t-my-3",p(e)),f=t=>(t.name&&!t.id&&(t.id=t.name),e({$formkit:"select",placeholder:"Please Select",validation:"required",validationMessages:{required:"Field is required"},inputClass:"t-bg-white",labelClass:"required"},t)),y=e=>(e.labelClass="required",e.wrapperClass="side-by-side t-items-center",e.innerClass="select-height-content",e.helpClass="t-mt-2.5 md:t-text-right md:t-mt-[-5px]",f(e)),h=e=>(e.labelClass="required",e.wrapperClass="t-flex t-justify-center",e.messagesClass="t-flex t-justify-center",e.inputClass="t-min-w-[150px] t-bg-white",e.helpClass="t-mt-2.5 t-text-center",f(e)),b=t=>(t.name&&!t.id&&(t.id=t.name),e({$formkit:"text",validation:"required",validationMessages:{required:"Field is required"},labelClass:"required"},t)),g=e=>(e.wrapperClass="side-by-side t-items-center",b(e)),C=e=>(e.wrapperClass="t-flex t-justify-center",e.messagesClass="t-flex t-justify-center",e.inputClass="t-text-center",e.helpClass="t-mt-2.5 !t-text-sm t-text-center",b(e)),v=t=>(t.name&&!t.id&&(t.id=t.name),e({$formkit:"DatePicker",validation:"required",validationMessages:{required:"Field is required"},labelClass:"required t-block t-mb-3 t-font-semibold t-text-base formkit-invalid:t-text-red-500",innerClass:"t-border t-border-gray-400 formkit-invalid:t-border-red-500 t-rounded t-mb-1 focus-within:t-border-blue-500"},t)),_=e=>(e.wrapperClass="side-by-side t-items-center",v(e)),x=e=>(e.wrapperClass="t-flex t-justify-center",e.inputClass="t-text-center",e.messagesClass="t-flex t-justify-center",v(e)),I=(e,t,a={})=>(t?C:g)({$formkit:"email",name:e?e+":Email":"Email",label:t?a.label:"Email Address:",placeholder:"email@domain.com",autocomplete:"email","data-tf-sensitive":"false",validation:"required|email",validationMessages:{required:"Email is required",email:"Invalid Email"},...a}),w=(e,t,a={})=>(t?C:g)({label:t?a.label:"First Name:",placeholder:"First",name:e?e+":First_Name":"First_Name",autocomplete:"given-name",validationMessages:{required:"First Name is required"},...a}),S=(e,t,a={})=>(t?C:g)({label:t?a.label:"Last Name:",placeholder:"Last",name:e?e+":Last_Name":"Last_Name",autocomplete:"family-name",validationMessages:{required:"Last Name is required"},...a}),$=(e,t,a={})=>(t?C:g)({$formkit:"tel",name:e?e+":Primary_Phone":"Primary_Phone",label:t?a.label:"Phone Number:",placeholder:"###-###-####",maxlength:12,help:"10-digit phone number, hyphens optional",autocomplete:"tel-national","data-tf-sensitive":"false",validation:"required|matches:/^[0-9]{3}-?[0-9]{3}-?[0-9]{4}$/|valid_phone",validationMessages:{required:"Phone Number is required",matches:"Invalid Phone Format, use ###-###-####",valid_phone:"Invalid Phone Number"},helpClass:"t-mt-2.5 md:t-text-right md:t-mt-[-2px]",...a}),D=(e,t,a={})=>(t?C:g)({label:t?a.label:"Zip Code:",help:t?a.help??"We try to match you with local help":null,placeholder:"#####",name:e?e+":Zip":"Zip",maxlength:5,inputmode:"numeric",autocomplete:"postal-code",validation:"required|matches:/^[0-9]{5}$/",validationMessages:{required:"Zip Code is required",matches:"Invalid Zip Code"},...a}),P=(t,a,i={})=>(a?C:g)(e({label:a?i.label:"Age of Applicant?",placeholder:"Age between 18 and 65",name:t?t+":Applicant_Age":"Applicant_Age",value:a?i.value??"50":null,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"},...i})),k=(t,a,i={})=>(a?m:c)(e({label:a?i.label:"Were You at Fault?",name:t?t+":At_Fault":"At_Fault"},i)),A=e=>{return(t={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:e?e+":CrossSell_Bankruptcy":"CrossSell_Bankruptcy",id:e?e+":CrossSell_Bankruptcy":"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",t.fieldsetClass="$reset side-by-side",t.optionsClass="t-pl-1",t.innerClass="t-flex t-items-center",t.wrapperClass="t-mb-3",r(t);var t},T=(t,a,i={})=>(a?h:y)(e({label:a?i.label:"Blood Alcohol Content Measured by Test:",name:t?t+":Blood_Alcohol_Content_Test":"Blood_Alcohol_Content_Test",options:["No Test","0.00% - 0.04%","0.05% - 0.08%","0.09% - 0.12%","0.13% - 0.16%","0.17% - 0.20%","More than 0.20%","Don't know"]},i)),E=(t,a,i={})=>(a?d:y)(e({label:a?i.label:"Cause of Injury:",name:t?t+":Cause_Of_Injury":"Cause_Of_Injury",options:["Traumatic Physical Injury (Accident)","Repeated Trauma Injury","Mental Injury","Occupational Disease","Not Sure"]},i)),W=(t,a,i={})=>(a?d:y)(e({label:a?i.label:"With Whom Do the Children Currently Live?",name:t?t+":Child_Home":"Child_Home",options:["Mother","Father","Grandparents","Other"]},i)),L=(t,a,i={})=>(a?p:y)(e({label:a?i.label:"Who is the Primary Caregiver?",name:t?t+":Child_Primary_Caregiver":"Child_Primary_Caregiver",options:["Mother","Father","Other"]},i)),j=(t,a,i={})=>(a?d:y)(e({label:a?i.label:"Your Relationship to Child(ren):",name:t?t+":Child_Relationship":"Child_Relationship",options:["Father","Mother","Grandparent","Aunt/Uncle","Other"]},i)),O=(t,a,i={})=>(a?d:y)(e({label:a?i.label:"Status of Claim:",name:t?t+":Claim_Status":"Claim_Status",options:["No action taken yet","Demand for compensation made","Lawsuit filed","Other"]},i)),N=(t,a,i)=>(t=>(t.name&&!t.id&&(t.id=t.name),e({$formkit:"textarea",rows:5,maxlength:500,validation:"required",validationMessages:{required:"Field is required"},innerClass:"t-max-w-xl",labelClass:"required"},t)))(e({name:t?t+":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"'},i)),M=(t,a,i={})=>(a?d:o)(e({label:a?i.label:"Select The Contract Issue:",name:t?t+":Type_Of_Legal_Problem_Display":"Type_Of_Legal_Problem_Display",options:["Contract Creation","Contract Enforcement","Contract Cancellation","Contract Fraud","Breach of Contract","Other Contract Issues"]},i)),F=(t,a,i={})=>(a?d:y)(e({name:t?t+":Degree_Of_Interest":"Degree_Of_Interest",id:t?t+":Degree_Of_Interest":"Degree_Of_Interest",label:a?i.label:"How Likely Are You to Pay if Your Issue Could be Resolved?",help:a?i.help:"No payment necessary to speak with lawyers.",options:["Definitely","Probably","Maybe","Absolutely Can't Afford"]},i)),q=(t,a,i={})=>F(t,a,e(i,{help:"No payment necessary to speak with lawyers."})),B=(t,a,i={})=>(a?m:c)(e({name:t?t+":Disability_Condition_Stop_Work":"Disability_Condition_Stop_Work",label:a?i.label:"Do You Expect To Be Out Of Work For At Least a Year Due To Your Health?"},i)),Y=(t,a,i={})=>(a?m:c)(e({name:t?t+":Disability_Work_History":"Disability_Work_History",label:a?i.label:"Have You Had a Full-Time Job Within the Past 5 Years?"},i)),U=(t,a,i={})=>(a?m:c)(e({name:t?t+":Doctor_Treatment":"Doctor_Treatment",label:a?i.label:"Have You Recently Been Treated by a Doctor, Hospital or Clinic?"},i)),H=(t,a,i={})=>(a?d:y)(e({name:t?t+":Estate_Legal_Services_Needed":"Estate_Legal_Services_Needed",label:a?i.label:"Legal Services Needed for Your Estate:",options:["Charitable Giving","Contested Wills","Drafting Wills or Trust","Estate Administration","Asset Protection","Other"]},i)),Q=(t,a,i={})=>(a?m:c)(e({label:a?i.label:"Already Working with An Attorney?",name:t?t+":Have_Attorney":"Have_Attorney"},i)),R=(t,a,i={})=>(a?m:c)(e({name:t?t+":Have_Children":"Have_Children",label:a?i.label:"Do You Have Children?"},i)),K=(t,a,i={})=>(a?x:_)(e({label:a?i.label:"Date of Incident:",name:t?t+":Incident_Date":"Incident_Date"},i)),V=(t,a,i={})=>(a?d:y)(e({label:a?i.label:"How Will You Pay for Legal Fees if You Hire a Lawyer?",help:a?i.help:"No payment necessary to start a consultation.",name:t?t+":Lawyer_Payment_Method":"Lawyer_Payment_Method",options:a?{Cash:"Cash","Credit Card":"Credit Card",Family:"Family or Friend",Other:"Other"}:["Cash","Check","Credit Card","Friend","Family","Other"],fieldsetClass:a?"$reset t-flex t-flex-col t-items-center":void 0},i)),z=(t,a,i={})=>(a?d:y)(e({label:a?i.label:"Marital Status:",name:t?t+":Marital_Status":"Marital_Status",options:["Unmarried, Living Together","Unmarried, Do Not Live Together","Married, Living Together","Separated","Divorced","Other"]},i)),Z=(t,a,i={})=>(a?m:c)(e({name:t?t+":Pending_Charges":"Pending_Charges",label:a?i.label:"Do you currently have any pending charges?"},i)),G=(t,a,i={})=>(a?d:u)(e({label:a?i.label:"Primary Injury:",name:t?t+":Primary_Injury":"Primary_Injury",options:["Anxiety","Back or Neck Pain","Broken Bones","Cuts and Bruises","Headaches","Memory Loss","Loss of Limb","Not Sure or Other"]},i)),J=(t,a,i={})=>(a?m:c)(e({name:t?t+":Prior_Alcohol_Offenses":"Prior_Alcohol_Offenses",label:a?i.label:"Any Prior Alcohol Related Offenses?"},i)),X=(t,a,i={})=>(a?m:c)(e({name:t?t+":Police_Report_Filed":"Police_Report_Filed",label:a?i.label:"Was a Police Report Filed?"},i)),ee=(t,a,i={})=>(a?d:y)(e({label:a?i.label:"What is Your Role in this Matter?",name:t?t+":Role_In_Matter_Probate":"Role_In_Matter_Probate",options:["Preparing My Will","Executor","Heir","Other"]},i)),te=(t,a,i={})=>(a?m:c)(e({name:t?t+":Social_Security_Disability_Receiving_Benefits":"Social_Security_Disability_Receiving_Benefits",label:a?i.label:"Are You Currently Receiving Social Security Disability Benefits?"},i)),ae=(t,a,i={})=>(a?d:y)(e({label:a?i.label:"Type of Alcohol Test Performed?",name:t?t+":Type_Of_Alcohol_Test":"Type_Of_Alcohol_Test",options:["No Test","Refused Test","Breath Test","Blood Test","Urine Test","Don't Know"]},i)),ie=(t,a,i={})=>(a?s:n)(e({label:a?i.label:"Type of Assets:",name:t?t+":Type_Of_Assets":"Type_Of_Assets",options:["Business Interests","Cash","Life Insurance Policies","Pensions/Retirement","Personal Possessions","Property","Stock/Bonds"]},i)),re=(t,a,i={})=>(a?d:y)(e({label:a?i.label:"Value of Your Assets?",name:t?t+":Value_Of_Assets":"Value_Of_Assets",options:["Less than 50K","50K to 100K","100K to 250K","250K to 500K","500K to 1M","More than 1M"]},i)),ne=(t,a)=>e({$cmp:"FormKit",props:{type:"group",key:t,id:t,name:t}},a),se=(e,t)=>ne("NotSureOrOtherQuestions",{if:e||'$get(Type_Of_Legal_Problem).value == "Not Sure or Other"',children:[Q(t),q(t)]}),le="$onEnter($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))",oe="$onInput($setNextStep($fireStepEvent($get(form)), $preStepFunc($get(form))))",de=e=>"group"!==e.type&&"section"!==e.type&&"form"!==e.type&&"hidden"!==e.$formkit&&!e.children,ue=e=>{if(de(e))return e;for(var t=e.children.length-1;t>=0;t--){if("string"==typeof e.children)continue;const a=e.children[t];if(de(a))return a;const i=ue(a);if(i)return i}return null},ce={$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"}},{$el:"span",children:"Secure & Encrypted",attrs:{class:"t-pl-2 t-pt-1 t-font-medium"}}]};function pe(t){return e(ce,t)}function me(e){return{$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 fe(e){return{$el:"h3",children:e.headline||"Tell Us About Your Situation",attrs:{class:"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-4 t-pt-0 t-px-1"}}}function ye(e){return{$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 he(e){return function(e){return{$el:"h3",children:e.headline||"Additional Details",attrs:{class:"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-5 t-pt-0 t-px-1 "+(e.headlineClass||"")}}}({headline:e.headline||"Additional Case Details",headlineClass:e.headlineClass})}function be(e){return{$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 ge(e){return{$el:"h3",children:e.headline||"Do any of the following situations apply?",attrs:{class:"t-flex t-justify-center t-text-center t-text-2xl t-font-bold t-text-blue-500 t-pb-5 t-pt-0 t-px-1 "+(e.headlineClass||"")}}}function Ce(e){return{$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||"")+" f-contact-info-headline"}}}function ve(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||"")+" f-contact-info-subheadline"}}}const _e="(function() {\n if (window.xxTrustedFormLoaded) {\n return\n }\n var vid = '';\n if (typeof window.zar !== 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@@ -402,7 +402,7 @@ const firstName = (scope, vertical, updates = {}) => {
402
402
  const label = vertical ? updates.label : "First Name:";
403
403
  return func({
404
404
  label,
405
- placeholder: "First",
405
+ placeholder: "First Name",
406
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  name: scope ? scope + ":" + "First_Name" : "First_Name",
407
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  autocomplete: "given-name",
408
408
  validationMessages: {
@@ -417,7 +417,7 @@ const lastName = (scope, vertical, updates = {}) => {
417
417
  const label = vertical ? updates.label : "Last Name:";
418
418
  return func({
419
419
  label,
420
- placeholder: "Last",
420
+ placeholder: "Last Name",
421
421
  name: scope ? scope + ":" + "Last_Name" : "Last_Name",
422
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  autocomplete: "family-name",
423
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  validationMessages: {
@@ -434,9 +434,9 @@ const phone = (scope, vertical, updates = {}) => {
434
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  $formkit: "tel",
435
435
  name: scope ? scope + ":" + "Primary_Phone" : "Primary_Phone",
436
436
  label,
437
- placeholder: "###-###-####",
437
+ placeholder: updates.placeholder || "###-###-####",
438
438
  maxlength: 12,
439
- help: "10-digit phone number, hyphens optional",
439
+ help: updates.help || "10-digit phone number, hyphens optional",
440
440
  autocomplete: "tel-national",
441
441
  "data-tf-sensitive": "false",
442
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  validation: "required|matches:/^[0-9]{3}-?[0-9]{3}-?[0-9]{4}$/|valid_phone",
@@ -983,7 +983,7 @@ const socialSecurityDisabilityReceivingBenefits = (scope, vertical, updates = {}
983
983
  )
984
984
  };
985
985
 
986
- const TCPAConsent = (scope) => ({
986
+ const TCPAConsent = (scope, updates = {}) => ({
987
987
  $formkit: "checkbox",
988
988
  label: "$meta.tcpaLanguage",
989
989
  // Necessary to get links to work in the tcpa language
@@ -998,7 +998,12 @@ const TCPAConsent = (scope) => ({
998
998
  accepted: "Consent is required",
999
999
  },
1000
1000
  classes: {
1001
- label: "t-text-xs t-text-slate-500 t-font-normal !t-leading-[0.9rem]",
1001
+ outer: updates.outerClass ? updates.outerClass : "",
1002
+ wrapper: updates.wrapperClass ? updates.wrapperClass : "",
1003
+ messages: updates.messagesClass ? updates.messagesClass : "",
1004
+ label:
1005
+ "t-text-xs t-text-slate-500 t-font-normal !t-leading-[0.9rem]" +
1006
+ (updates.labelClass ? " " + updates.labelClass : ""),
1002
1007
  },
1003
1008
  });
1004
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@@ -1264,7 +1269,7 @@ const secureIconDefault = {
1264
1269
  ],
1265
1270
  };
1266
1271
 
1267
- function secureIcon(updates) {
1272
+ function secureIcon(updates = {}) {
1268
1273
  return merge(secureIconDefault, updates)
1269
1274
  }
1270
1275
 
@@ -1380,7 +1385,7 @@ function contactStepSubHeadline(updates) {
1380
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  children: updates.subheadline || DEFAULT_FINAL_SUBHEADLINE_DYNAMIC_LEGAL,
1381
1386
  attrs: {
1382
1387
  class:
1383
- "t-flex t-justify-center t-text-center !t-text-lg t-font-semibold t-pb-7 t-pt-0 t-px-3" +
1388
+ "t-flex t-justify-center t-text-center !t-text-lg t-font-semibold t-pb-6 t-pt-0 t-px-3" +
1384
1389
  " " +
1385
1390
  (updates.subheadlineClass || "") +
1386
1391
  " f-contact-info-subheadline",