{ "tool": "A2J", "toolversion": "2011-09-08", "avatar": "avatar1", "guideGender": "", "completionTime": "", "copyrights": "", "createdate": "", "credits": "", "description": "

This is the online intake interview for the Mobile Volunteer Lawyers Program.

", "emailContact": "A2JSubmissions@vlpmobile.org", "jurisdiction": "Mobile County, Alabama.", "language": "en", "modifydate": "", "notes": "

Production Version created 09/28/2010

", "sendfeedback": true, "subjectarea": "Mobile County, Alabama.", "title": "Mobile Volunteer Lawyers Program online interview", "version": "2010-09-28", "viewer": "A2J", "endImage": "", "logoImage": "", "authors": [{ "name": "The Mobile Volunteer Lawyers Program", "title": "", "organization": "", "email": "" } ], "firstPage": "1-Introduction", "exitPage": "", "steps": [{ "number": "0", "text": "ACCESS TO JUSTICE" }, { "number": "1", "text": "Do you agree?" }, { "number": "2", "text": "Do you qualify?" }, { "number": "3", "text": "What is your legal issue?" }, { "number": "4", "text": "Do you qualify financially?" }, { "number": "5", "text": "More case specific information." } ], "vars": { "User Gender": { "name": "User Gender", "type": "Text", "repeating": false, "comment": "User's gender will be used to display appopriate avatar." }, "User Avatar": { "name": "User Avatar", "type": "Text", "repeating": false, "comment": "" }, "Client first name TE": { "name": "Client first name TE", "type": "Text", "repeating": false, "comment": "" }, "Client middle name TE": { "name": "Client middle name TE", "type": "Text", "repeating": false, "comment": "" }, "Client last name TE": { "name": "Client last name TE", "type": "Text", "repeating": false, "comment": "" }, "Client name prefix MC": { "name": "Client name prefix MC", "type": "MC", "repeating": false, "comment": "" }, "Client race MC": { "name": "Client race MC", "type": "MC", "repeating": false, "comment": "" }, "Client marketing TE": { "name": "Client marketing TE", "type": "Text", "repeating": false, "comment": "" }, "Client prior contact TF": { "name": "Client prior contact TF", "type": "TF", "repeating": false, "comment": "" }, "Client prior contact LSA TF": { "name": "Client prior contact LSA TF", "type": "TF", "repeating": false, "comment": "" }, "Client prior contact VLP TF": { "name": "Client prior contact VLP TF", "type": "TF", "repeating": false, "comment": "" }, "Client incarcerated MC": { "name": "Client incarcerated MC", "type": "MC", "repeating": false, "comment": "" }, "Client criminal matter MC": { "name": "Client criminal matter MC", "type": "MC", "repeating": false, "comment": "" }, "Client zip code MC": { "name": "Client zip code MC", "type": "MC", "repeating": false, "comment": "" }, "Client citizenship MC": { "name": "Client citizenship MC", "type": "MC", "repeating": false, "comment": "" }, "Client domestic violence MC": { "name": "Client domestic violence MC", "type": "MC", "repeating": false, "comment": "" }, "Client eligible age MC": { "name": "Client eligible age MC", "type": "Number", "repeating": false, "comment": "" }, "Client other circumstance MC": { "name": "Client other circumstance MC", "type": "MC", "repeating": false, "comment": "" }, "Case type MC": { "name": "Case type MC", "type": "MC", "repeating": false, "comment": "" }, "Change custody conditions none of the above MC": { "name": "Change custody conditions none of the above MC", "type": "TF", "repeating": false, "comment": "" }, "Adoption conditions na MC": { "name": "Adoption conditions na MC", "type": "TF", "repeating": false, "comment": "" }, "Adoption child full name TE": { "name": "Adoption child full name TE", "type": "Text", "repeating": true, "comment": "" }, "Adoption both agree MC": { "name": "Adoption both agree MC", "type": "TF", "repeating": false, "comment": "" }, "Adoption child agree MC": { "name": "Adoption child agree MC", "type": "MC", "repeating": false, "comment": "" }, "Adoption married agree MC": { "name": "Adoption married agree MC", "type": "MC", "repeating": false, "comment": "" }, "Adoption child dob DA": { "name": "Adoption child dob DA", "type": "Date", "repeating": true, "comment": "" }, "Adoption bc mother name TE": { "name": "Adoption bc mother name TE", "type": "Text", "repeating": true, "comment": "" }, "Adoption bc father name TE": { "name": "Adoption bc father name TE", "type": "Text", "repeating": true, "comment": "" }, "Adoption child relation TE": { "name": "Adoption child relation TE", "type": "Text", "repeating": true, "comment": "" }, "Adoption child live with petitioner TE": { "name": "Adoption child live with petitioner TE", "type": "Text", "repeating": true, "comment": "" }, "Adoption reason TE": { "name": "Adoption reason TE", "type": "Text", "repeating": true, "comment": "" }, "Advance directive person signing MC": { "name": "Advance directive person signing MC", "type": "MC", "repeating": false, "comment": "" }, "Advance directive over 19 MC": { "name": "Advance directive over 19 MC", "type": "MC", "repeating": false, "comment": "" }, "Collection judgment garnish exec MC": { "name": "Collection judgment garnish exec MC", "type": "MC", "repeating": false, "comment": "" }, "Collection judgment less 3k MC": { "name": "Collection judgment less 3k MC", "type": "MC", "repeating": false, "comment": "" }, "Collection judgment debtor TE": { "name": "Collection judgment debtor TE", "type": "Text", "repeating": false, "comment": "" }, "Collection judgment amount owed TE": { "name": "Collection judgment amount owed TE", "type": "Text", "repeating": false, "comment": "" }, "Collection judgment resolve TE": { "name": "Collection judgment resolve TE", "type": "Text", "repeating": false, "comment": "" }, "Collection judgment last payment TE": { "name": "Collection judgment last payment TE", "type": "Text", "repeating": false, "comment": "" }, "Collections received summons MC": { "name": "Collections received summons MC", "type": "MC", "repeating": false, "comment": "" }, "Change custody Relationship TE": { "name": "Change custody Relationship TE", "type": "Text", "repeating": true, "comment": "" }, "Change custory child first name TE": { "name": "Change custory child first name TE", "type": "Text", "repeating": true, "comment": "" }, "Change custory child middle name TE": { "name": "Change custory child middle name TE", "type": "Text", "repeating": true, "comment": "" }, "Change custory child last name TE": { "name": "Change custory child last name TE", "type": "Text", "repeating": true, "comment": "" }, "Change custody birthdate DA": { "name": "Change custody birthdate DA", "type": "Date", "repeating": true, "comment": "" }, "Change custody Physical TE": { "name": "Change custody Physical TE", "type": "Text", "repeating": true, "comment": "" }, "Change Custody Legal TE": { "name": "Change Custody Legal TE", "type": "Text", "repeating": true, "comment": "" }, "Change custody both parents TE": { "name": "Change custody both parents TE", "type": "Text", "repeating": true, "comment": "" }, "Change custody custodial parent deceased TE": { "name": "Change custody custodial parent deceased TE", "type": "Text", "repeating": true, "comment": "" }, "Change custody case worker TE": { "name": "Change custody case worker TE", "type": "Text", "repeating": false, "comment": "" }, "Change custody DHR recommend TE": { "name": "Change custody DHR recommend TE", "type": "Text", "repeating": false, "comment": "" }, "Automobile Accited fault TE": { "name": "Automobile Accited fault TE", "type": "Text", "repeating": false, "comment": "" }, "Automobile Accident date TE": { "name": "Automobile Accident date TE", "type": "Text", "repeating": false, "comment": "" }, "Automobile Accident where TE": { "name": "Automobile Accident where TE", "type": "Text", "repeating": false, "comment": "" }, "Change custody DHR investigaion Yes": { "name": "Change custody DHR investigaion Yes", "type": "TF", "repeating": false, "comment": "" }, "Change custody DHR investigaion No": { "name": "Change custody DHR investigaion No", "type": "TF", "repeating": false, "comment": "" }, "Automobile Accident Insurance name TE": { "name": "Automobile Accident Insurance name TE", "type": "Text", "repeating": false, "comment": "" }, "Automobile Accident other auto insurance TE": { "name": "Automobile Accident other auto insurance TE", "type": "Text", "repeating": false, "comment": "" }, "Automobile Accident who/what TE": { "name": "Automobile Accident who/what TE", "type": "Text", "repeating": false, "comment": "" }, "Child Support lost job TF": { "name": "Child Support lost job TF", "type": "TF", "repeating": false, "comment": "" }, "Child Support pay cut TF": { "name": "Child Support pay cut TF", "type": "TF", "repeating": false, "comment": "" }, "Child Support work comp, SSI TF": { "name": "Child Support work comp, SSI TF", "type": "TF", "repeating": false, "comment": "" }, "Child Support child prison TF": { "name": "Child Support child prison TF", "type": "TF", "repeating": false, "comment": "" }, "Child Support child married TF": { "name": "Child Support child married TF", "type": "TF", "repeating": false, "comment": "" }, "Child Support child is 19 TF": { "name": "Child Support child is 19 TF", "type": "TF", "repeating": false, "comment": "" }, "Child Support child moved out TF": { "name": "Child Support child moved out TF", "type": "TF", "repeating": false, "comment": "" }, "Child Support Child first name TE": { "name": "Child Support Child first name TE", "type": "Text", "repeating": true, "comment": "" }, "Child Support Child middle name TE": { "name": "Child Support Child middle name TE", "type": "Text", "repeating": true, "comment": "" }, "Child Support Child last name TE": { "name": "Child Support Child last name TE", "type": "Text", "repeating": true, "comment": "" }, "Child Support other party first name TE": { "name": "Child Support other party first name TE", "type": "Text", "repeating": true, "comment": "" }, "Child Support other party middle name TE": { "name": "Child Support other party middle name TE", "type": "Text", "repeating": true, "comment": "" }, "Child Support other party last name TE": { "name": "Child Support other party last name TE", "type": "Text", "repeating": true, "comment": "" }, "Child Support income now NU": { "name": "Child Support income now NU", "type": "Number", "repeating": false, "comment": "" }, "Child Support income past NU": { "name": "Child Support income past NU", "type": "Number", "repeating": false, "comment": "" }, "Child Support judge TE": { "name": "Child Support judge TE", "type": "Text", "repeating": false, "comment": "" }, "Child Support Date TE": { "name": "Child Support Date TE", "type": "Text", "repeating": false, "comment": "" }, "Child Support ex-spouse TE": { "name": "Child Support ex-spouse TE", "type": "Text", "repeating": false, "comment": "" }, "Child Support age TE": { "name": "Child Support age TE", "type": "Text", "repeating": true, "comment": "" }, "Auto Conditions MC": { "name": "Auto Conditions MC", "type": "MC", "repeating": false, "comment": "" }, "Auto served with complaint MC": { "name": "Auto served with complaint MC", "type": "MC", "repeating": false, "comment": "" }, "Auto injuries MC": { "name": "Auto injuries MC", "type": "MC", "repeating": false, "comment": "" }, "Auto hospital MC": { "name": "Auto hospital MC", "type": "MC", "repeating": false, "comment": "" }, "Auto death MC": { "name": "Auto death MC", "type": "MC", "repeating": false, "comment": "" }, "Auto client damage MC": { "name": "Auto client damage MC", "type": "MC", "repeating": false, "comment": "" }, "Auto client insurance MC": { "name": "Auto client insurance MC", "type": "MC", "repeating": false, "comment": "" }, "Auto client estimate MC": { "name": "Auto client estimate MC", "type": "MC", "repeating": false, "comment": "" }, "Auto client damage repaired MC": { "name": "Auto client damage repaired MC", "type": "MC", "repeating": false, "comment": "" }, "Auto other damage MC": { "name": "Auto other damage MC", "type": "MC", "repeating": false, "comment": "" }, "Auto other repair amount MC": { "name": "Auto other repair amount MC", "type": "MC", "repeating": false, "comment": "" }, "Auto other insurance MC": { "name": "Auto other insurance MC", "type": "MC", "repeating": false, "comment": "" }, "Auto dept public safety MC": { "name": "Auto dept public safety MC", "type": "MC", "repeating": false, "comment": "" }, "Advice exclusions MC": { "name": "Advice exclusions MC", "type": "MC", "repeating": false, "comment": "" }, "Case extra details TE": { "name": "Case extra details TE", "type": "Text", "repeating": false, "comment": "" }, "Child support change MC": { "name": "Child support change MC", "type": "MC", "repeating": false, "comment": "" }, "Child support amount change MC": { "name": "Child support amount change MC", "type": "MC", "repeating": false, "comment": "" }, "Child support arrears MC": { "name": "Child support arrears MC", "type": "MC", "repeating": false, "comment": "" }, "Child support circumstances MC": { "name": "Child support circumstances MC", "type": "MC", "repeating": false, "comment": "" }, "Child support physical custody MC": { "name": "Child support physical custody MC", "type": "MC", "repeating": false, "comment": "" }, "Child support family dispute MC": { "name": "Child support family dispute MC", "type": "MC", "repeating": false, "comment": "" }, "Child support parents married MC": { "name": "Child support parents married MC", "type": "MC", "repeating": false, "comment": "" }, "Child support amount set MC": { "name": "Child support amount set MC", "type": "MC", "repeating": false, "comment": "" }, "Estates any apply Yes": { "name": "Estates any apply Yes", "type": "TF", "repeating": false, "comment": "" }, "Estate deceased first name TE": { "name": "Estate deceased first name TE", "type": "Text", "repeating": false, "comment": "" }, "Estate deceased middle name TE": { "name": "Estate deceased middle name TE", "type": "Text", "repeating": false, "comment": "" }, "Estate deceased last name TE": { "name": "Estate deceased last name TE", "type": "Text", "repeating": false, "comment": "" }, "Estates Death date DA": { "name": "Estates Death date DA", "type": "Date", "repeating": false, "comment": "" }, "Estates address line 1 TE": { "name": "Estates address line 1 TE", "type": "Text", "repeating": false, "comment": "" }, "Estates address line 2 TE": { "name": "Estates address line 2 TE", "type": "Text", "repeating": false, "comment": "" }, "Estates city TE": { "name": "Estates city TE", "type": "Text", "repeating": false, "comment": "" }, "Estates county TE": { "name": "Estates county TE", "type": "Text", "repeating": false, "comment": "" }, "Estates state TE": { "name": "Estates state TE", "type": "MC", "repeating": false, "comment": "" }, "Estates Assets TE": { "name": "Estates Assets TE", "type": "Text", "repeating": false, "comment": "" }, "Estates Liabilities TE": { "name": "Estates Liabilities TE", "type": "Text", "repeating": false, "comment": "" }, "Contracts amount over 5k MC": { "name": "Contracts amount over 5k MC", "type": "MC", "repeating": false, "comment": "" }, "Contracts hurricane auto MC": { "name": "Contracts hurricane auto MC", "type": "MC", "repeating": false, "comment": "" }, "Contracts type MC": { "name": "Contracts type MC", "type": "MC", "repeating": false, "comment": "" }, "Contracts date entered DA": { "name": "Contracts date entered DA", "type": "Date", "repeating": false, "comment": "" }, "Contracts terms of contract TE": { "name": "Contracts terms of contract TE", "type": "Text", "repeating": false, "comment": "" }, "Contracts amount involved NU": { "name": "Contracts amount involved NU", "type": "Number", "repeating": false, "comment": "" }, "Contracts terms payment TE": { "name": "Contracts terms payment TE", "type": "Text", "repeating": false, "comment": "" }, "Contracts work contracted TE": { "name": "Contracts work contracted TE", "type": "Text", "repeating": false, "comment": "" }, "Contracts deadline given MC": { "name": "Contracts deadline given MC", "type": "MC", "repeating": false, "comment": "" }, "Contracts due date DA": { "name": "Contracts due date DA", "type": "Date", "repeating": false, "comment": "" }, "Estates conditions MC": { "name": "Estates conditions MC", "type": "MC", "repeating": false, "comment": "" }, "Estates home involved MC": { "name": "Estates home involved MC", "type": "MC", "repeating": false, "comment": "" }, "Estates live in home MC": { "name": "Estates live in home MC", "type": "MC", "repeating": false, "comment": "" }, "Estates client in home MC": { "name": "Estates client in home MC", "type": "MC", "repeating": false, "comment": "" }, "Estates continue living in home MC": { "name": "Estates continue living in home MC", "type": "MC", "repeating": false, "comment": "" }, "Estate over 5k MC": { "name": "Estate over 5k MC", "type": "MC", "repeating": false, "comment": "" }, "Estates help with letters MC": { "name": "Estates help with letters MC", "type": "MC", "repeating": false, "comment": "" }, "Estates help burial policy MC": { "name": "Estates help burial policy MC", "type": "MC", "repeating": false, "comment": "" }, "Estates will MC": { "name": "Estates will MC", "type": "MC", "repeating": false, "comment": "" }, "Estates heirs MC": { "name": "Estates heirs MC", "type": "MC", "repeating": false, "comment": "" }, "Estates spoken with heirs MC": { "name": "Estates spoken with heirs MC", "type": "MC", "repeating": false, "comment": "" }, "Estates postal code NU": { "name": "Estates postal code NU", "type": "Text", "repeating": false, "comment": "" }, "Collection creditor TE": { "name": "Collection creditor TE", "type": "Text", "repeating": false, "comment": "" }, "Collections Amount owed NU": { "name": "Collections Amount owed NU", "type": "Number", "repeating": false, "comment": "" }, "Collections late fees NU": { "name": "Collections late fees NU", "type": "Number", "repeating": false, "comment": "" }, "Collections done to resolve TE": { "name": "Collections done to resolve TE", "type": "Text", "repeating": false, "comment": "" }, "Collections recent payment TE": { "name": "Collections recent payment TE", "type": "Text", "repeating": false, "comment": "" }, "Collections turned collection agency Yes MC": { "name": "Collections turned collection agency Yes MC", "type": "MC", "repeating": false, "comment": "" }, "Collections turned collection agency No MC": { "name": "Collections turned collection agency No MC", "type": "MC", "repeating": false, "comment": "" }, "Collections Agency TE": { "name": "Collections Agency TE", "type": "Text", "repeating": false, "comment": "" }, "Collections who at agency TE": { "name": "Collections who at agency TE", "type": "Text", "repeating": false, "comment": "" }, "Collections threat garnish Yes MC": { "name": "Collections threat garnish Yes MC", "type": "MC", "repeating": false, "comment": "" }, "Collections threat garnish No MC": { "name": "Collections threat garnish No MC", "type": "MC", "repeating": false, "comment": "" }, "Guardianship/Conservatorship Adult first name TE": { "name": "Guardianship/Conservatorship Adult first name TE", "type": "Text", "repeating": false, "comment": "" }, "Guardianship/Conservatorship Adult middle name TE": { "name": "Guardianship/Conservatorship Adult middle name TE", "type": "Text", "repeating": false, "comment": "" }, "Guardianship/Conservatorship Adult last name TE": { "name": "Guardianship/Conservatorship Adult last name TE", "type": "Text", "repeating": false, "comment": "" }, "Guardianship/Conservatorship Adult DOB DA": { "name": "Guardianship/Conservatorship Adult DOB DA", "type": "Date", "repeating": false, "comment": "" }, "Guardianship/Conservatorship Adult Why TE": { "name": "Guardianship/Conservatorship Adult Why TE", "type": "Text", "repeating": false, "comment": "" }, "Guardianship/Conservatorship Adult Spouse Yes MC": { "name": "Guardianship/Conservatorship Adult Spouse Yes MC", "type": "MC", "repeating": false, "comment": "" }, "Guardianship/Conservatorship Adult Spouse No MC": { "name": "Guardianship/Conservatorship Adult Spouse No MC", "type": "MC", "repeating": false, "comment": "" }, "Guardianship/Conservatorship Adult Number of Children MC": { "name": "Guardianship/Conservatorship Adult Number of Children MC", "type": "Number", "repeating": false, "comment": "" }, "Guardianship/Conservatorship Adult Number of Sibilings MC": { "name": "Guardianship/Conservatorship Adult Number of Sibilings MC", "type": "Number", "repeating": false, "comment": "" }, "Guardianship/Conservatorship Adult TE": { "name": "Guardianship/Conservatorship Adult TE", "type": "Text", "repeating": false, "comment": "" }, "Guardianship/Conservatorship Child first name TE": { "name": "Guardianship/Conservatorship Child first name TE", "type": "Text", "repeating": false, "comment": "" }, "Guardianship/Conservatorship Child middle name TE": { "name": "Guardianship/Conservatorship Child middle name TE", "type": "Text", "repeating": false, "comment": "" }, "Guardianship/Conservatorship Child last name TE": { "name": "Guardianship/Conservatorship Child last name TE", "type": "Text", "repeating": false, "comment": "" }, "Guardianship/Conservatorship Child birthdate DA": { "name": "Guardianship/Conservatorship Child birthdate DA", "type": "Date", "repeating": false, "comment": "" }, "Guardianship/Conservatorship Child address line 1 TE": { "name": "Guardianship/Conservatorship Child address line 1 TE", "type": "Text", "repeating": false, "comment": "" }, "Guardianship/Conservatorship Child address line 2 TE": { "name": "Guardianship/Conservatorship Child address line 2 TE", "type": "Text", "repeating": false, "comment": "" }, "Guardianship/Conservatorship Childcity TE": { "name": "Guardianship/Conservatorship Childcity TE", "type": "Text", "repeating": false, "comment": "" }, "Guardianship/Conservatorship Child county TE": { "name": "Guardianship/Conservatorship Child county TE", "type": "Text", "repeating": false, "comment": "" }, "Guardianship/Conservatorship Child state TE": { "name": "Guardianship/Conservatorship Child state TE", "type": "MC", "repeating": false, "comment": "" }, "Guardianship/Conservatorship Child postal code TE": { "name": "Guardianship/Conservatorship Child postal code TE", "type": "Text", "repeating": false, "comment": "" }, "Guardianship/Conservatorship Child assets TE": { "name": "Guardianship/Conservatorship Child assets TE", "type": "Text", "repeating": false, "comment": "" }, "Guardianship/Conservatorship Child why need guardian TE": { "name": "Guardianship/Conservatorship Child why need guardian TE", "type": "Text", "repeating": false, "comment": "" }, "Guardianship/Conservatorship Child describe TE": { "name": "Guardianship/Conservatorship Child describe TE", "type": "Text", "repeating": false, "comment": "" }, "Collections credit card debt MC": { "name": "Collections credit card debt MC", "type": "MC", "repeating": false, "comment": "" }, "Name Change Minor first name TE": { "name": "Name Change Minor first name TE", "type": "Text", "repeating": true, "comment": "" }, "Name Change Minor middle name TE": { "name": "Name Change Minor middle name TE", "type": "Text", "repeating": true, "comment": "" }, "Name Change Minor last name TE": { "name": "Name Change Minor last name TE", "type": "Text", "repeating": true, "comment": "" }, "Name Change Minor birthdate DA": { "name": "Name Change Minor birthdate DA", "type": "Date", "repeating": true, "comment": "" }, "Name Change Adult TE": { "name": "Name Change Adult TE", "type": "Text", "repeating": false, "comment": "" }, "Name Change Adult first name TE": { "name": "Name Change Adult first name TE", "type": "Text", "repeating": false, "comment": "" }, "Name Change Adult middle name TE": { "name": "Name Change Adult middle name TE", "type": "Text", "repeating": false, "comment": "" }, "Name Change Adult last name TE": { "name": "Name Change Adult last name TE", "type": "Text", "repeating": false, "comment": "" }, "Paternity/Legitimation paternity first name TE": { "name": "Paternity/Legitimation paternity first name TE", "type": "Text", "repeating": true, "comment": "" }, "Paternity/Legitimation paternity middle name TE": { "name": "Paternity/Legitimation paternity middle name TE", "type": "Text", "repeating": true, "comment": "" }, "Paternity/Legitimation paternity last name TE": { "name": "Paternity/Legitimation paternity last name TE", "type": "Text", "repeating": true, "comment": "" }, "Paternity/Legitimation paternity birthdate DA": { "name": "Paternity/Legitimation paternity birthdate DA", "type": "Date", "repeating": true, "comment": "" }, "Paternity/Legitimation paternity TE": { "name": "Paternity/Legitimation paternity TE", "type": "Text", "repeating": true, "comment": "" }, "Paternity/Legitimation legitimation first name TE": { "name": "Paternity/Legitimation legitimation first name TE", "type": "Text", "repeating": true, "comment": "" }, "Paternity/Legitimation legitimation middle name TE": { "name": "Paternity/Legitimation legitimation middle name TE", "type": "Text", "repeating": true, "comment": "" }, "Paternity/Legitimation legitimation last name TE": { "name": "Paternity/Legitimation legitimation last name TE", "type": "Text", "repeating": true, "comment": "" }, "Paternity/Legitimation legitimation birthdate DA": { "name": "Paternity/Legitimation legitimation birthdate DA", "type": "Date", "repeating": true, "comment": "" }, "Power of Attorney (revocation/termination) TE": { "name": "Power of Attorney (revocation/termination) TE", "type": "Text", "repeating": false, "comment": "" }, "Power of Attorney Adult first name TE": { "name": "Power of Attorney Adult first name TE", "type": "Text", "repeating": false, "comment": "" }, "Power of Attorney Adult middle name TE": { "name": "Power of Attorney Adult middle name TE", "type": "Text", "repeating": false, "comment": "" }, "Power of Attorney Adult last name TE": { "name": "Power of Attorney Adult last name TE", "type": "Text", "repeating": false, "comment": "" }, "Power of Attorney Adult TE": { "name": "Power of Attorney Adult TE", "type": "Text", "repeating": false, "comment": "" }, "Power of Attorney Minor TE": { "name": "Power of Attorney Minor TE", "type": "Text", "repeating": false, "comment": "" }, "Uncontested Divorce first name TE": { "name": "Uncontested Divorce first name TE", "type": "Text", "repeating": false, "comment": "" }, "Uncontested Divorce middle name TE": { "name": "Uncontested Divorce middle name TE", "type": "Text", "repeating": false, "comment": "" }, "Uncontested Divorce last name TE": { "name": "Uncontested Divorce last name TE", "type": "Text", "repeating": false, "comment": "" }, "Visitation name and dob TE": { "name": "Visitation name and dob TE", "type": "Text", "repeating": false, "comment": "" }, "Workman's Comp TE": { "name": "Workman's Comp TE", "type": "Text", "repeating": false, "comment": "" }, "Collections accept resp MC": { "name": "Collections accept resp MC", "type": "MC", "repeating": false, "comment": "" }, "G/C Adult All Agree MC": { "name": "G/C Adult All Agree MC", "type": "MC", "repeating": false, "comment": "" }, "G/C Adult Payee MC": { "name": "G/C Adult Payee MC", "type": "MC", "repeating": false, "comment": "" }, "G/C Adult County resident MC": { "name": "G/C Adult County resident MC", "type": "MC", "repeating": false, "comment": "" }, "G/C Child MC": { "name": "G/C Child MC", "type": "MC", "repeating": false, "comment": "" }, "G/C Child parents Agree MC": { "name": "G/C Child parents Agree MC", "type": "MC", "repeating": false, "comment": "" }, "G/C Child enrol school MC": { "name": "G/C Child enrol school MC", "type": "MC", "repeating": false, "comment": "" }, "G/C Child collect insurance MC": { "name": "G/C Child collect insurance MC", "type": "MC", "repeating": false, "comment": "" }, "G/C Child Permanent MC": { "name": "G/C Child Permanent MC", "type": "MC", "repeating": false, "comment": "" }, "G/C Child lived w/ you MC": { "name": "G/C Child lived w/ you MC", "type": "MC", "repeating": false, "comment": "" }, "G/C type MC": { "name": "G/C type MC", "type": "MC", "repeating": false, "comment": "" }, "G/C person age MC": { "name": "G/C person age MC", "type": "MC", "repeating": false, "comment": "" }, "G/C alleged condition MC": { "name": "G/C alleged condition MC", "type": "MC", "repeating": false, "comment": "" }, "G/C Adult assets debts MC": { "name": "G/C Adult assets debts MC", "type": "MC", "repeating": false, "comment": "" }, "HomeDeedTitle Owner MC": { "name": "HomeDeedTitle Owner MC", "type": "MC", "repeating": false, "comment": "" }, "HomeDeedTitle in Mobile Co MC": { "name": "HomeDeedTitle in Mobile Co MC", "type": "MC", "repeating": false, "comment": "" }, "HomeDeedTitle Add Name MC": { "name": "HomeDeedTitle Add Name MC", "type": "MC", "repeating": false, "comment": "" }, "Landlord/Tenant housing type MC": { "name": "Landlord/Tenant housing type MC", "type": "MC", "repeating": false, "comment": "" }, "Landlord/Tenant MHB MC": { "name": "Landlord/Tenant MHB MC", "type": "MC", "repeating": false, "comment": "" }, "Landlord/Tenant sheriff served MC": { "name": "Landlord/Tenant sheriff served MC", "type": "MC", "repeating": false, "comment": "" }, "Landlord/Tenant written notice MC": { "name": "Landlord/Tenant written notice MC", "type": "MC", "repeating": false, "comment": "" }, "Landlord/Tenant hazard MC": { "name": "Landlord/Tenant hazard MC", "type": "MC", "repeating": false, "comment": "" }, "Name Change person MC": { "name": "Name Change person MC", "type": "MC", "repeating": false, "comment": "" }, "Name Change Minor situation MC": { "name": "Name Change Minor situation MC", "type": "MC", "repeating": false, "comment": "" }, "Name Change Minor description TE": { "name": "Name Change Minor description TE", "type": "Text", "repeating": false, "comment": "" }, "Name Change Minor over 14 MC": { "name": "Name Change Minor over 14 MC", "type": "MC", "repeating": false, "comment": "" }, "Name Change Minor agree MC": { "name": "Name Change Minor agree MC", "type": "MC", "repeating": false, "comment": "" }, "Paternity/Legitimation choice MC": { "name": "Paternity/Legitimation choice MC", "type": "MC", "repeating": false, "comment": "" }, "Paternity/Legitimation paternity establish MC": { "name": "Paternity/Legitimation paternity establish MC", "type": "MC", "repeating": false, "comment": "" }, "Paternity/Legitimation paternity parent MC": { "name": "Paternity/Legitimation paternity parent MC", "type": "MC", "repeating": false, "comment": "" }, "Paternity/Legitimation paternity agreement MC": { "name": "Paternity/Legitimation paternity agreement MC", "type": "MC", "repeating": false, "comment": "" }, "Paternity/Legitimation legitimation parent MC": { "name": "Paternity/Legitimation legitimation parent MC", "type": "MC", "repeating": false, "comment": "" }, "Paternity/Legitimation legitimation agreement MC": { "name": "Paternity/Legitimation legitimation agreement MC", "type": "MC", "repeating": false, "comment": "" }, "Paternity/Legitimation legitimation child support MC": { "name": "Paternity/Legitimation legitimation child support MC", "type": "MC", "repeating": false, "comment": "" }, "POA revoke MC": { "name": "POA revoke MC", "type": "MC", "repeating": false, "comment": "" }, "POA person MC": { "name": "POA person MC", "type": "MC", "repeating": false, "comment": "" }, "POA Adult assign MC": { "name": "POA Adult assign MC", "type": "MC", "repeating": false, "comment": "" }, "POA custodial MC": { "name": "POA custodial MC", "type": "MC", "repeating": false, "comment": "" }, "POA dispute MC": { "name": "POA dispute MC", "type": "MC", "repeating": false, "comment": "" }, "POA decisions MC": { "name": "POA decisions MC", "type": "MC", "repeating": false, "comment": "" }, "Uncontested Divorce violence MC": { "name": "Uncontested Divorce violence MC", "type": "MC", "repeating": false, "comment": "" }, "Uncontested Divorce filed TF": { "name": "Uncontested Divorce filed TF", "type": "TF", "repeating": false, "comment": "" }, "Uncontested Divorce separated TF": { "name": "Uncontested Divorce separated TF", "type": "TF", "repeating": false, "comment": "" }, "Uncontested Divorce agree TF": { "name": "Uncontested Divorce agree TF", "type": "TF", "repeating": false, "comment": "" }, "Uncontested Divorce children TF": { "name": "Uncontested Divorce children TF", "type": "TF", "repeating": false, "comment": "" }, "Uncontested Divorce noKids TF": { "name": "Uncontested Divorce noKids TF", "type": "TF", "repeating": false, "comment": "" }, "Uncontested Divorce land TF": { "name": "Uncontested Divorce land TF", "type": "TF", "repeating": false, "comment": "" }, "Uncontested Divorce alimony TF": { "name": "Uncontested Divorce alimony TF", "type": "TF", "repeating": false, "comment": "" }, "Uncontested Divorce bankruptcy TF": { "name": "Uncontested Divorce bankruptcy TF", "type": "TF", "repeating": false, "comment": "" }, "Uncontested Divorce debtsHome MC": { "name": "Uncontested Divorce debtsHome MC", "type": "MC", "repeating": false, "comment": "" }, "Uncontested Divorce handle MC": { "name": "Uncontested Divorce handle MC", "type": "MC", "repeating": false, "comment": "" }, "Visitation court order MC": { "name": "Visitation court order MC", "type": "MC", "repeating": false, "comment": "" }, "Wage Claim fired MC": { "name": "Wage Claim fired MC", "type": "MC", "repeating": false, "comment": "" }, "Wage Claim over 1k MC": { "name": "Wage Claim over 1k MC", "type": "MC", "repeating": false, "comment": "" }, "Will signing MC": { "name": "Will signing MC", "type": "MC", "repeating": false, "comment": "" }, "Will over 18 MC": { "name": "Will over 18 MC", "type": "MC", "repeating": false, "comment": "" }, "ChildCustodyCount": { "name": "ChildCustodyCount", "type": "Other", "repeating": false, "comment": "" }, "ChangeCustodyChildrenNumberMC": { "name": "ChangeCustodyChildrenNumberMC", "type": "Number", "repeating": true, "comment": "" }, "Change Custody DHR involved MC": { "name": "Change Custody DHR involved MC", "type": "MC", "repeating": false, "comment": "" }, "AdoptionCount": { "name": "AdoptionCount", "type": "Other", "repeating": false, "comment": "" }, "AdoptionNumberChildrenNU": { "name": "AdoptionNumberChildrenNU", "type": "Number", "repeating": false, "comment": "" }, "Auto accident client description TE": { "name": "Auto accident client description TE", "type": "Text", "repeating": false, "comment": "" }, "ChildSupportReductionChildrenMC": { "name": "ChildSupportReductionChildrenMC", "type": "Number", "repeating": false, "comment": "" }, "CSReductionCount": { "name": "CSReductionCount", "type": "Number", "repeating": false, "comment": "" }, "Child Support change physical custody MC": { "name": "Child Support change physical custody MC", "type": "MC", "repeating": true, "comment": "" }, "CSIncreaseChildrenNumberNU": { "name": "CSIncreaseChildrenNumberNU", "type": "Number", "repeating": false, "comment": "" }, "CSIncreaseNumber": { "name": "CSIncreaseNumber", "type": "Number", "repeating": false, "comment": "" }, "Homeownership/Deed/Title lien MC": { "name": "Homeownership/Deed/Title lien MC", "type": "MC", "repeating": false, "comment": "" }, "Homeownership/Deed/Title avoidance MC": { "name": "Homeownership/Deed/Title avoidance MC", "type": "MC", "repeating": false, "comment": "" }, "Homeownership/Deed/Title description TE": { "name": "Homeownership/Deed/Title description TE", "type": "Text", "repeating": false, "comment": "" }, "Household members NU": { "name": "Household members NU", "type": "Number", "repeating": false, "comment": "" }, "Asset limits": { "name": "Asset limits", "type": "Number", "repeating": false, "comment": "" }, "Alimony income NU": { "name": "Alimony income NU", "type": "Number", "repeating": false, "comment": "" }, "Annuity income NU": { "name": "Annuity income NU", "type": "Number", "repeating": false, "comment": "" }, "Cash family friends NU": { "name": "Cash family friends NU", "type": "Number", "repeating": false, "comment": "" }, "Child Support income NU": { "name": "Child Support income NU", "type": "Number", "repeating": false, "comment": "" }, "Child Support arrears income NU": { "name": "Child Support arrears income NU", "type": "Number", "repeating": false, "comment": "" }, "Employment income NU": { "name": "Employment income NU", "type": "Number", "repeating": false, "comment": "" }, "Farming income NU": { "name": "Farming income NU", "type": "Number", "repeating": false, "comment": "" }, "Food stamps income NU": { "name": "Food stamps income NU", "type": "Number", "repeating": false, "comment": "" }, "Medicaid income NU": { "name": "Medicaid income NU", "type": "Number", "repeating": false, "comment": "" }, "Odd jobs income NU": { "name": "Odd jobs income NU", "type": "Number", "repeating": false, "comment": "" }, "Pension retirement income NU": { "name": "Pension retirement income NU", "type": "Number", "repeating": false, "comment": "" }, "Room rental income NU": { "name": "Room rental income NU", "type": "Number", "repeating": false, "comment": "" }, "Retirement income NU": { "name": "Retirement income NU", "type": "Number", "repeating": false, "comment": "" }, "Self employment income NU": { "name": "Self employment income NU", "type": "Number", "repeating": false, "comment": "" }, "Social security income NU": { "name": "Social security income NU", "type": "Number", "repeating": false, "comment": "" }, "Social security disability income NU": { "name": "Social security disability income NU", "type": "Number", "repeating": false, "comment": "" }, "SSS benefits income NU": { "name": "SSS benefits income NU", "type": "Number", "repeating": false, "comment": "" }, "SSI income NU": { "name": "SSI income NU", "type": "Number", "repeating": false, "comment": "" }, "TANF income NU": { "name": "TANF income NU", "type": "Number", "repeating": false, "comment": "" }, "Temp employment income NU": { "name": "Temp employment income NU", "type": "Number", "repeating": false, "comment": "" }, "Tips income NU": { "name": "Tips income NU", "type": "Text", "repeating": false, "comment": "" }, "Unemployment income NU": { "name": "Unemployment income NU", "type": "Number", "repeating": false, "comment": "" }, "Utility check income NU": { "name": "Utility check income NU", "type": "Number", "repeating": false, "comment": "" }, "VB income NU": { "name": "VB income NU", "type": "Number", "repeating": false, "comment": "" }, "Welfare income NU": { "name": "Welfare income NU", "type": "Number", "repeating": false, "comment": "" }, "Work comp income NU": { "name": "Work comp income NU", "type": "Number", "repeating": false, "comment": "" }, "Income limit 125 NU": { "name": "Income limit 125 NU", "type": "Number", "repeating": false, "comment": "" }, "Income limit 200 NU": { "name": "Income limit 200 NU", "type": "Number", "repeating": false, "comment": "" }, "Income limit 140 NU": { "name": "Income limit 140 NU", "type": "Number", "repeating": false, "comment": "" }, "Total income NU": { "name": "Total income NU", "type": "Number", "repeating": false, "comment": "" }, "Cash asset NU": { "name": "Cash asset NU", "type": "Number", "repeating": false, "comment": "" }, "Checking account asset NU": { "name": "Checking account asset NU", "type": "Number", "repeating": false, "comment": "" }, "Exempt land property asset NU": { "name": "Exempt land property asset NU", "type": "Number", "repeating": false, "comment": "" }, "Exempt mobile home asset NU": { "name": "Exempt mobile home asset NU", "type": "Number", "repeating": false, "comment": "" }, "Exempt home asset NU": { "name": "Exempt home asset NU", "type": "Number", "repeating": false, "comment": "" }, "Savings account asset NU": { "name": "Savings account asset NU", "type": "Number", "repeating": false, "comment": "" }, "Vehicle asset NU": { "name": "Vehicle asset NU", "type": "Number", "repeating": false, "comment": "" }, "Factor alimony NU": { "name": "Factor alimony NU", "type": "TF", "repeating": false, "comment": "" }, "Factor back taxes NU": { "name": "Factor back taxes NU", "type": "Number", "repeating": false, "comment": "" }, "Factor car insurance NU": { "name": "Factor car insurance NU", "type": "Number", "repeating": false, "comment": "" }, "Factor car note NU": { "name": "Factor car note NU", "type": "Number", "repeating": false, "comment": "" }, "Factor car note ins NU": { "name": "Factor car note ins NU", "type": "Number", "repeating": false, "comment": "" }, "Factor chapter 13 payment NU": { "name": "Factor chapter 13 payment NU", "type": "Number", "repeating": false, "comment": "" }, "Factor child support NU": { "name": "Factor child support NU", "type": "Number", "repeating": false, "comment": "" }, "Factor childcare nec emp NU": { "name": "Factor childcare nec emp NU", "type": "Number", "repeating": false, "comment": "" }, "Factor elderly care NU": { "name": "Factor elderly care NU", "type": "Number", "repeating": false, "comment": "" }, "Factor ex med NU": { "name": "Factor ex med NU", "type": "Number", "repeating": false, "comment": "" }, "Factor health ins pre NU": { "name": "Factor health ins pre NU", "type": "Number", "repeating": false, "comment": "" }, "Factor home ins NU": { "name": "Factor home ins NU", "type": "Number", "repeating": false, "comment": "" }, "Factor med out of pocket NU": { "name": "Factor med out of pocket NU", "type": "Number", "repeating": false, "comment": "" }, "Factor medicare NU": { "name": "Factor medicare NU", "type": "Number", "repeating": false, "comment": "" }, "Factor medication NU": { "name": "Factor medication NU", "type": "Number", "repeating": false, "comment": "" }, "Factor mortgage NU": { "name": "Factor mortgage NU", "type": "Number", "repeating": false, "comment": "" }, "Factor payroll tax NU": { "name": "Factor payroll tax NU", "type": "Number", "repeating": false, "comment": "" }, "Factor property note NU": { "name": "Factor property note NU", "type": "Number", "repeating": false, "comment": "" }, "Factor rent NU": { "name": "Factor rent NU", "type": "Number", "repeating": false, "comment": "" }, "Factor renters ins NU": { "name": "Factor renters ins NU", "type": "Number", "repeating": false, "comment": "" }, "Factor trans exp NU": { "name": "Factor trans exp NU", "type": "Number", "repeating": false, "comment": "" }, "Factor travel miles work NU": { "name": "Factor travel miles work NU", "type": "Number", "repeating": false, "comment": "" }, "Factor work exp NU": { "name": "Factor work exp NU", "type": "Number", "repeating": false, "comment": "" }, "A2J_Bookmark": { "name": "A2J_Bookmark", "type": "Unknown", "repeating": false, "comment": "" }, "Adoption conditions no father MC": { "name": "Adoption conditions no father MC", "type": "TF", "repeating": false, "comment": "" }, "Adoption conditions father disagree MC": { "name": "Adoption conditions father disagree MC", "type": "TF", "repeating": false, "comment": "" }, "Adoption conditions whereabouts MC": { "name": "Adoption conditions whereabouts MC", "type": "TF", "repeating": false, "comment": "" }, "Change custody out of county MC": { "name": "Change custody out of county MC", "type": "TF", "repeating": false, "comment": "" }, "Change custody not married MC": { "name": "Change custody not married MC", "type": "TF", "repeating": false, "comment": "" }, "Change custody conditions dispute MC": { "name": "Change custody conditions dispute MC", "type": "TF", "repeating": false, "comment": "" }, "Child Support now have custody TF": { "name": "Child Support now have custody TF", "type": "TF", "repeating": false, "comment": "" }, "Collections CCCS have contacted MC": { "name": "Collections CCCS have contacted MC", "type": "MC", "repeating": false, "comment": "" }, "Collections CCCS receiving help MC": { "name": "Collections CCCS receiving help MC", "type": "MC", "repeating": false, "comment": "" }, "Contracts business individual MC": { "name": "Contracts business individual MC", "type": "MC", "repeating": false, "comment": "" }, "Landlord/Tenant company name TE": { "name": "Landlord/Tenant company name TE", "type": "Text", "repeating": false, "comment": "" }, "Landlord / Tenant written lease MC": { "name": "Landlord / Tenant written lease MC", "type": "MC", "repeating": false, "comment": "" }, "Landlord / Tenant written lease signed date DA": { "name": "Landlord / Tenant written lease signed date DA", "type": "Date", "repeating": false, "comment": "" }, "Landlord / Tenant written lease expire DA": { "name": "Landlord / Tenant written lease expire DA", "type": "Date", "repeating": false, "comment": "" }, "Landlord / Tenant problem description TE": { "name": "Landlord / Tenant problem description TE", "type": "Text", "repeating": false, "comment": "" }, "Landlord / Tenant date problem reported DA": { "name": "Landlord / Tenant date problem reported DA", "type": "Date", "repeating": false, "comment": "" }, "Landlord / Tenant problem promise TE": { "name": "Landlord / Tenant problem promise TE", "type": "Text", "repeating": false, "comment": "" }, "Landlord / Tenant problem so far TE": { "name": "Landlord / Tenant problem so far TE", "type": "Text", "repeating": false, "comment": "" }, "Name change reason divorce MC": { "name": "Name change reason divorce MC", "type": "TF", "repeating": false, "comment": "" }, "Name change reason spelling MC": { "name": "Name change reason spelling MC", "type": "TF", "repeating": false, "comment": "" }, "Name change reason religious MC": { "name": "Name change reason religious MC", "type": "TF", "repeating": false, "comment": "" }, "Name change reason na MC": { "name": "Name change reason na MC", "type": "TF", "repeating": false, "comment": "" }, "Name change adult before MC": { "name": "Name change adult before MC", "type": "MC", "repeating": false, "comment": "" }, "Name Change Adult prior reasons TE": { "name": "Name Change Adult prior reasons TE", "type": "Text", "repeating": false, "comment": "" }, "Name Change Adult party to court MC": { "name": "Name Change Adult party to court MC", "type": "MC", "repeating": false, "comment": "" }, "Name Change Adult criminal defendant MC": { "name": "Name Change Adult criminal defendant MC", "type": "MC", "repeating": false, "comment": "" }, "Name Change Adult conceal identity MC": { "name": "Name Change Adult conceal identity MC", "type": "MC", "repeating": false, "comment": "" }, "Name Change Adult avoid debt MC": { "name": "Name Change Adult avoid debt MC", "type": "MC", "repeating": false, "comment": "" }, "Name Change Adult criminal conviction MC": { "name": "Name Change Adult criminal conviction MC", "type": "MC", "repeating": false, "comment": "" }, "Name Change Adult other names used TE": { "name": "Name Change Adult other names used TE", "type": "Text", "repeating": false, "comment": "" }, "Auto accident amt of suit 3k MC": { "name": "Auto accident amt of suit 3k MC", "type": "MC", "repeating": false, "comment": "" }, "Child support court reason MC": { "name": "Child support court reason MC", "type": "MC", "repeating": false, "comment": "" }, "Name Change Minor father first name TE": { "name": "Name Change Minor father first name TE", "type": "Text", "repeating": true, "comment": "" }, "Name Change Minor father middle name TE": { "name": "Name Change Minor father middle name TE", "type": "Text", "repeating": true, "comment": "" }, "Name Change Minor father last name TE": { "name": "Name Change Minor father last name TE", "type": "Text", "repeating": true, "comment": "" }, "Name Change Minor mother address line 1 TE": { "name": "Name Change Minor mother address line 1 TE", "type": "Text", "repeating": true, "comment": "" }, "Name Change Minor mother address line 2 TE": { "name": "Name Change Minor mother address line 2 TE", "type": "Text", "repeating": true, "comment": "" }, "Name Change Minor mother city TE": { "name": "Name Change Minor mother city TE", "type": "Text", "repeating": true, "comment": "" }, "Name Change Minor mother county TE": { "name": "Name Change Minor mother county TE", "type": "Text", "repeating": true, "comment": "" }, "Name Change Minor mother state TE": { "name": "Name Change Minor mother state TE", "type": "MC", "repeating": true, "comment": "" }, "Name Change Minor mother postal code TE": { "name": "Name Change Minor mother postal code TE", "type": "Text", "repeating": true, "comment": "" }, "Name Change Minor mother first name TE": { "name": "Name Change Minor mother first name TE", "type": "Text", "repeating": true, "comment": "" }, "Name Change Minor mother middle name TE": { "name": "Name Change Minor mother middle name TE", "type": "Text", "repeating": true, "comment": "" }, "Name Change Minor mother maiden name TE": { "name": "Name Change Minor mother maiden name TE", "type": "Text", "repeating": true, "comment": "" }, "Name Change Minor mother last name TE": { "name": "Name Change Minor mother last name TE", "type": "Text", "repeating": true, "comment": "" }, "Name Change Minor father address line 1 TE": { "name": "Name Change Minor father address line 1 TE", "type": "Text", "repeating": true, "comment": "" }, "Name Change Minor father address line 2 TE": { "name": "Name Change Minor father address line 2 TE", "type": "Text", "repeating": true, "comment": "" }, "Name Change Minor father city TE": { "name": "Name Change Minor father city TE", "type": "Text", "repeating": true, "comment": "" }, "Name Change Minor father county TE": { "name": "Name Change Minor father county TE", "type": "Text", "repeating": true, "comment": "" }, "Name Change Minor father state TE": { "name": "Name Change Minor father state TE", "type": "MC", "repeating": true, "comment": "" }, "Name Change Minor father postal code TE": { "name": "Name Change Minor father postal code TE", "type": "Text", "repeating": true, "comment": "" }, "Name Change Minor new first name TE": { "name": "Name Change Minor new first name TE", "type": "Text", "repeating": true, "comment": "" }, "Name Change Minor new middle name TE": { "name": "Name Change Minor new middle name TE", "type": "Text", "repeating": true, "comment": "" }, "Name Change Minor new last name TE": { "name": "Name Change Minor new last name TE", "type": "Text", "repeating": true, "comment": "" }, "Name change minor state of birth TE": { "name": "Name change minor state of birth TE", "type": "Text", "repeating": true, "comment": "" }, "POA safe MC": { "name": "POA safe MC", "type": "MC", "repeating": false, "comment": "" }, "POA instruments business MC": { "name": "POA instruments business MC", "type": "MC", "repeating": false, "comment": "" }, "POA specific instruments business TE": { "name": "POA specific instruments business TE", "type": "Text", "repeating": false, "comment": "" }, "POA next to get TE": { "name": "POA next to get TE", "type": "Text", "repeating": false, "comment": "" }, "POA temporary MC": { "name": "POA temporary MC", "type": "MC", "repeating": false, "comment": "" }, "Visitation child last seen TE": { "name": "Visitation child last seen TE", "type": "Text", "repeating": false, "comment": "" }, "Visitation ex spouse first name TE": { "name": "Visitation ex spouse first name TE", "type": "Text", "repeating": false, "comment": "" }, "Visitation ex spouse middle name TE": { "name": "Visitation ex spouse middle name TE", "type": "Text", "repeating": false, "comment": "" }, "Visitation ex spouse last name TE": { "name": "Visitation ex spouse last name TE", "type": "Text", "repeating": false, "comment": "" }, "Visitation client following order MC": { "name": "Visitation client following order MC", "type": "MC", "repeating": false, "comment": "" }, "Visitation other parent following order MC": { "name": "Visitation other parent following order MC", "type": "MC", "repeating": false, "comment": "" }, "Visitation description TE": { "name": "Visitation description TE", "type": "Text", "repeating": false, "comment": "" }, "Wage Claim employer name TE": { "name": "Wage Claim employer name TE", "type": "Text", "repeating": false, "comment": "" }, "Wage Claim amount NU": { "name": "Wage Claim amount NU", "type": "Number", "repeating": false, "comment": "" }, "Wage Claim unpaid wage dates TE": { "name": "Wage Claim unpaid wage dates TE", "type": "Text", "repeating": false, "comment": "" }, "Wage Claim employer explanation TE": { "name": "Wage Claim employer explanation TE", "type": "Text", "repeating": false, "comment": "" }, "Wage Claim brief description TE": { "name": "Wage Claim brief description TE", "type": "Text", "repeating": false, "comment": "" }, "Will personal representative TE": { "name": "Will personal representative TE", "type": "Text", "repeating": false, "comment": "" }, "Will alternate personal representative TE": { "name": "Will alternate personal representative TE", "type": "Text", "repeating": false, "comment": "" }, "Will possessions TE": { "name": "Will possessions TE", "type": "Text", "repeating": false, "comment": "" }, "Will vault TF": { "name": "Will vault TF", "type": "TF", "repeating": false, "comment": "" }, "Will deposit box TF": { "name": "Will deposit box TF", "type": "TF", "repeating": false, "comment": "" }, "Will no deposit TF": { "name": "Will no deposit TF", "type": "TF", "repeating": false, "comment": "" }, "Will other assets TE": { "name": "Will other assets TE", "type": "Text", "repeating": false, "comment": "" }, "Will bank accounts TE": { "name": "Will bank accounts TE", "type": "Text", "repeating": false, "comment": "" }, "Will spouse and children TE": { "name": "Will spouse and children TE", "type": "Text", "repeating": false, "comment": "" }, "WC open claim MC": { "name": "WC open claim MC", "type": "MC", "repeating": false, "comment": "" }, "WC med payments MC": { "name": "WC med payments MC", "type": "MC", "repeating": false, "comment": "" }, "WC authorization trouble MC": { "name": "WC authorization trouble MC", "type": "MC", "repeating": false, "comment": "" }, "WC employer name TE": { "name": "WC employer name TE", "type": "Text", "repeating": false, "comment": "" }, "WC other attorneys TE": { "name": "WC other attorneys TE", "type": "Text", "repeating": false, "comment": "" }, "WC case number TE": { "name": "WC case number TE", "type": "Text", "repeating": false, "comment": "" }, "WC specific problem TE": { "name": "WC specific problem TE", "type": "Text", "repeating": false, "comment": "" }, "WC prior settlement amount NU": { "name": "WC prior settlement amount NU", "type": "Number", "repeating": false, "comment": "" }, "Total factors NU": { "name": "Total factors NU", "type": "Number", "repeating": false, "comment": "" }, "Total client balance NU": { "name": "Total client balance NU", "type": "Number", "repeating": false, "comment": "" }, "Poverty percentage NU": { "name": "Poverty percentage NU", "type": "Number", "repeating": false, "comment": "" }, "Poverty limit NU": { "name": "Poverty limit NU", "type": "Number", "repeating": false, "comment": "" }, "Poverty total NU": { "name": "Poverty total NU", "type": "Number", "repeating": false, "comment": "" }, "Adoption conditions grandparents MC": { "name": "Adoption conditions grandparents MC", "type": "TF", "repeating": false, "comment": "" }, "Collections judgment MC": { "name": "Collections judgment MC", "type": "MC", "repeating": false, "comment": "" }, "PaternityChildCount": { "name": "PaternityChildCount", "type": "Number", "repeating": false, "comment": "" }, "LegitimationChildCount": { "name": "LegitimationChildCount", "type": "Number", "repeating": false, "comment": "" }, "PaternityChildrenNU": { "name": "PaternityChildrenNU", "type": "Number", "repeating": false, "comment": "" }, "Client contact home phone TE": { "name": "Client contact home phone TE", "type": "Text", "repeating": false, "comment": "" }, "Client contact work phone TE": { "name": "Client contact work phone TE", "type": "Text", "repeating": false, "comment": "" }, "Client contact cell phone TE": { "name": "Client contact cell phone TE", "type": "Text", "repeating": false, "comment": "" }, "Client contact alt phone TE": { "name": "Client contact alt phone TE", "type": "Text", "repeating": false, "comment": "" }, "Client contact email TE": { "name": "Client contact email TE", "type": "Text", "repeating": false, "comment": "" }, "Client contact mailing address TE": { "name": "Client contact mailing address TE", "type": "Text", "repeating": false, "comment": "" }, "Client disclaimer 1 agree TF": { "name": "Client disclaimer 1 agree TF", "type": "TF", "repeating": false, "comment": "" }, "Client disclaimer 2 agree TF": { "name": "Client disclaimer 2 agree TF", "type": "TF", "repeating": false, "comment": "" }, "Client disclaimer 3 agree TF": { "name": "Client disclaimer 3 agree TF", "type": "TF", "repeating": false, "comment": "" }, "Uncontested Divorce County State TE": { "name": "Uncontested Divorce County State TE", "type": "Text", "repeating": false, "comment": "" }, "Uncontested Divorce Separation Date DA": { "name": "Uncontested Divorce Separation Date DA", "type": "Date", "repeating": false, "comment": "" }, "Uncontested Divorce Live Together MC": { "name": "Uncontested Divorce Live Together MC", "type": "MC", "repeating": false, "comment": "" }, "NameChangeMinorChildrenNumberNU": { "name": "NameChangeMinorChildrenNumberNU", "type": "Number", "repeating": false, "comment": "" }, "MinorNameChangeCount": { "name": "MinorNameChangeCount", "type": "Number", "repeating": false, "comment": "" }, "NameChangeMinorCount": { "name": "NameChangeMinorCount", "type": "Number", "repeating": false, "comment": "" }, "LegitimationNumberofChildrenNU": { "name": "LegitimationNumberofChildrenNU", "type": "Number", "repeating": false, "comment": "" }, "Paternity/Legitimation legitimation father first name TE": { "name": "Paternity/Legitimation legitimation father first name TE", "type": "Text", "repeating": true, "comment": "" }, "Paternity/Legitimation legitimation father middle name TE": { "name": "Paternity/Legitimation legitimation father middle name TE", "type": "Text", "repeating": true, "comment": "" }, "Paternity/Legitimation legitimation father last name TE": { "name": "Paternity/Legitimation legitimation father last name TE", "type": "Text", "repeating": true, "comment": "" }, "Paternity/Legitimation legitimation mother first name TE": { "name": "Paternity/Legitimation legitimation mother first name TE", "type": "Text", "repeating": true, "comment": "" }, "Paternity/Legitimation legitimation mother middle name TE": { "name": "Paternity/Legitimation legitimation mother middle name TE", "type": "Text", "repeating": true, "comment": "" }, "Paternity/Legitimation legitimation mother last name TE": { "name": "Paternity/Legitimation legitimation mother last name TE", "type": "Text", "repeating": true, "comment": "" }, "Student grant NU": { "name": "Student grant NU", "type": "Number", "repeating": false, "comment": "" }, "Student loan NU": { "name": "Student loan NU", "type": "Number", "repeating": false, "comment": "" }, "A2JInterviewVersion": { "name": "A2JInterviewVersion", "type": "Text", "repeating": false, "comment": "Static version number to be used by client reader." }, "A2J Version": { "name": "A2J Version", "type": "Text", "repeating": false, "comment": "A2J Author Version" }, "A2J Interview ID": { "name": "A2J Interview ID", "type": "Text", "repeating": false, "comment": "Guide ID" }, "A2J Bookmark": { "name": "A2J Bookmark", "type": "Text", "repeating": false, "comment": "Current Page" }, "A2J History": { "name": "A2J History", "type": "Text", "repeating": false, "comment": "Progress History List (XML)" }, "A2J Navigation TF": { "name": "A2J Navigation TF", "type": "TF", "repeating": false, "comment": "Allow navigation?" }, "A2J Interview Incomplete TF": { "name": "A2J Interview Incomplete TF", "type": "TF", "repeating": false, "comment": "Reached Successful Exit?" }, "A2J Step 0": { "name": "A2J Step 0", "type": "Text", "repeating": false, "comment": "" }, "A2J Step 1": { "name": "A2J Step 1", "type": "Text", "repeating": false, "comment": "" }, "A2J Step 2": { "name": "A2J Step 2", "type": "Text", "repeating": false, "comment": "" }, "A2J Step 3": { "name": "A2J Step 3", "type": "Text", "repeating": false, "comment": "" }, "A2J Step 4": { "name": "A2J Step 4", "type": "Text", "repeating": false, "comment": "" }, "A2J Step 5": { "name": "A2J Step 5", "type": "Text", "repeating": false, "comment": "" }, "A2J Step 6": { "name": "A2J Step 6", "type": "Text", "repeating": false, "comment": "" }, "A2J Step 7": { "name": "A2J Step 7", "type": "Text", "repeating": false, "comment": "" }, "A2J Step 8": { "name": "A2J Step 8", "type": "Text", "repeating": false, "comment": "" }, "A2J Step 9": { "name": "A2J Step 9", "type": "Text", "repeating": false, "comment": "" }, "A2J Step 10": { "name": "A2J Step 10", "type": "Text", "repeating": false, "comment": "" }, "A2J Step 11": { "name": "A2J Step 11", "type": "Text", "repeating": false, "comment": "" } }, "pages": { "1-Introduction": { "name": "1-Introduction", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Welcome to the Mobile Bar Association Volunteer Lawyers Program (VLP) online interview. This interview will let you apply for help from the VLP.

You will be asked to provide details on your household finances during this interview. Please make sure you have information about income and expenses for all members of your household before you begin.

You must fill in the items with red labels to continue to the next screen.

Click 'Begin' to start.

", "textAudioURL": "", "learn": "What does the \"Learn More\" button do?", "help": "

Please click on the 'Learn More' button throughout the interview if you need help.

", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Begin", "next": "1-Disclaimer", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "SET [Total income NU] TO 0
SET A2JInterviewVersion TO \"2010-09-28\"
", "notes": "" }, "1-Disclaimer": { "name": "1-Disclaimer", "type": "A2J", "step": 1, "repeatVar": "", "text": "

Completing this interview does not mean that the Volunteer Lawyers Program has accepted your case. VLP cannot represent everyone who applies for help. VLP cases must meet certain established guidelines.

Click 'Yes' if you understand this and want to apply. Click 'No' if you do not agree.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Yes", "next": "2-Name and gender", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" }, { "label": "No", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "2-Name and gender": { "name": "2-Name and gender", "type": "A2J", "step": 1, "repeatVar": "", "text": "

Please tell me your name and gender.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "3-Race", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textpick", "label": "Prefix:", "name": "Client name prefix MC", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must make a selection from the highlighted space before you can continue." }, { "type": "text", "label": "First:", "name": "Client first name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Middle:", "name": "Client middle name TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Last:", "name": "Client last name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "gender", "label": "Gender:", "name": "User Gender", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose either male or female from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "3-Race": { "name": "3-Race", "type": "A2J", "step": 1, "repeatVar": "", "text": "

What is your race?

", "textAudioURL": "", "learn": "Why are you asking?", "help": "

The Mobile Volunteer Lawyers Program does not discriminate on the basis of race, sex, age, or religion. This question is only for statistical purposes.

", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "4-Marketing", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textpick", "label": "Race:", "name": "Client race MC", "value": "", "order": "", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must make a selection from the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "4-Marketing": { "name": "4-Marketing", "type": "A2J", "step": 1, "repeatVar": "", "text": "

How did you hear about the Mobile Volunteer Lawyers Program?

", "textAudioURL": "", "learn": "What do I put here?", "help": "

We want to know how people find out about our services. If you were told by a friend, put that here. If you searched online, at www.google.com for example, put in what you searched for and where. We want as many people as possible to know about our services.

", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "1-Prior LSA VLP", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Describe:", "name": "Client marketing TE", "value": "", "order": "", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "1-Prior LSA VLP": { "name": "1-Prior LSA VLP", "type": "A2J", "step": 2, "repeatVar": "", "text": "

Hello %%[Client name prefix MC]%% %%[Client last name TE]%%. Please tell me if you:

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "2-Jail_Prison", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "checkbox", "label": "Have applied to Legal Services Alabama for help with this problem.", "name": "Client prior contact LSA TF", "value": "", "order": "", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must select one or more checkboxes to continue." }, { "type": "checkbox", "label": "Have applied to the Volunteer Lawyers Program for help with this problem in the past 30 days.", "name": "Client prior contact VLP TF", "value": "", "order": "", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must select one or more checkboxes to continue." }, { "type": "checkbox", "label": "Have been a client of the Volunteer Lawyers Program for another problem within the last six months.", "name": "Client prior contact TF", "value": "", "order": "", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must select one or more checkboxes to continue." }, { "type": "checkboxNOTA", "label": "Have never applied for help from the Volunteer Lawyers Program or none of the above.", "name": "Client prior contact TF", "value": "", "order": "", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must select one or more checkboxes to continue." } ], "codeBefore": "", "codeAfter": "IF If [Client prior contact LSA TF] is \"True\"
GOTO \"2-2_1_Disqualification\"
END IF

IF If [Client prior contact VLP TF] is \"True\"
GOTO \"2-2_1_Disqualification\"
END IF
", "notes": "" }, "2-2_1_Disqualification": { "name": "2-2_1_Disqualification", "type": "A2J", "step": 0, "repeatVar": "", "text": "

%%[Client name prefix MC]%% %%[Client last name TE]%%, you cannot use this interview if you have applied to VLP for help with this problem in the last 30 days or if you have applied to Legal Services Alabama for help with this problem.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "2-Jail_Prison": { "name": "2-Jail_Prison", "type": "A2J", "step": 2, "repeatVar": "", "text": "

Are you in jail or prison?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "3-Criminal matter", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Client incarcerated MC", "value": "Yes", "order": "", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Client incarcerated MC", "value": "No", "order": "", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF If [Client incarcerated MC] is \"Yes\"
GOTO \"3-2_2_Disqualification\"
END IF
", "notes": "" }, "3-2_2_Disqualification": { "name": "3-2_2_Disqualification", "type": "A2J", "step": 0, "repeatVar": "", "text": "

I'm sorry %%[Client name prefix MC]%% %%[Client last name TE]%%, but the Volunteer Lawyers Program cannot assist you if you are in jail or prison. You may contact the Mobile Bar Association Lawyer Referral Service at http://www.mobilebar.com/ or (251) 433-1032 for possible assistance with your problem.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "4-2_3_Disqualification": { "name": "4-2_3_Disqualification", "type": "A2J", "step": 0, "repeatVar": "", "text": "

I'm sorry, %%[Client name prefix MC]%% %%[Client last name TE]%%, the Mobile Bar Association Volunteer Lawyers Program cannot help with criminal matters. You may contact the Mobile Bar Association Lawyer Referral Service at http://www.mobilebar.com/ or (251) 433-1032 for possible assistance with your problem.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "3-Criminal matter": { "name": "3-Criminal matter", "type": "A2J", "step": 2, "repeatVar": "", "text": "

Do you need help with a criminal matter?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "4-Zip Code", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Client criminal matter MC", "value": "Yes", "order": "", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Client criminal matter MC", "value": "No", "order": "", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF If [Client criminal matter MC] is \"Yes\"
GOTO \"4-2_3_Disqualification\"
END IF
", "notes": "" }, "5 Advance Directive Dq1": { "name": "5 Advance Directive Dq1", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Mobile Bar Association Volunteer Lawyers Program cannot help you with this matter. The person signing the advance directive must apply for assistance. Please ask that person to fill out an application.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "6 Advance Directive Dq2": { "name": "6 Advance Directive Dq2", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Mobile Bar Association Volunteer Lawyers Program cannot assist you with an advance directive unless you are over the age of 19. You can contact the Mobile Bar Association's Lawyer Referral Service online at http://www.mobilebar.com/ or by telephone at (251) 433-1032 for possible assistance.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "7 CustodyChange dq1": { "name": "7 CustodyChange dq1", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Mobile Volunteer Lawyers Program is not able to help with your particular legal issue. If the child does not live in Mobile County or there is a dispute over custody, please contact the Lawyer Referral Service at (251) 433-1032. If the parents were not married, please contact Strickland Youth Center at (251) 574-1450 or (251) 574- 5257 for assistance.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "8 ChildSupport dq1": { "name": "8 ChildSupport dq1", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Mobile Bar Association Volunteer Lawyers Program cannot assist you with this issue. Please contact the Mobile Bar Association Lawyer Referral Service at http://www.mobilebar.com/ or by telephone at (251) 433-1032 for possible assistance.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "9 ChildSupport dq2": { "name": "9 ChildSupport dq2", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Mobile Bar Association Volunteer Lawyers Program cannot help with your particular issue. Please contact the Alabama Department of Human Resources at (251) 415-3554.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "10 ChildSupport dq3": { "name": "10 ChildSupport dq3", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Mobile Bar Association Volunteer Lawyers Program cannot help with your particular issue. DHR allows a request for increase in child support payments every three years.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "11 Collections dq1": { "name": "11 Collections dq1", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Mobile Bar Association Volunteer Lawyers Program is not able to help with your particular legal issue. Please contact the Small Claims Court at (251) 574-8517 or online at http://13jc.alacourt.gov/clerkDistrictCivil.html for information regarding collection by garnishment or execution.

", "textAudioURL": "", "learn": "What if I need help with the forms?", "help": "

If you have received a pamphlet from Small Claims Court and need assistance with the forms, please call our office at (251) 438-1102.

", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "12 Collections dq2": { "name": "12 Collections dq2", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Mobile Bar Association Volunteer Lawyers Program cannot assist you with this issue. Please contact the Mobile Bar Association Lawyer Referral Service at http://www.mobilebar.com/ or by telephone at (251) 433-1032 for possible assistance.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "13 Collections dq3": { "name": "13 Collections dq3", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Mobile Volunteer Lawyers Program is not able to help with your particular legal issue. You may contact Legal Services Alabama by telephone at (866) 456-4995 or online at http://www.legalservicesalabama.org for possible assistance with your legal issue.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "14 Collections dq4": { "name": "14 Collections dq4", "type": "A2J", "step": 0, "repeatVar": "", "text": "

The Mobile Bar Association Volunteer Lawyers Program is not able to help with your particular issue unless you have contacted Consumer Credit Counseling Services for possible assistance. Please contact Consumer Credit Counseling Services at (251) 602-0011 in Mobile or (251) 679-9600 in Saraland.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "15 Contracts dq1": { "name": "15 Contracts dq1", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Mobile Bar Association Volunteer Lawyers Program cannot assist you with this issue. Please contact the Mobile Bar Association Lawyer Referral Service at http://www.mobilebar.com/ or by telephone at (251) 433-1032 for possible assistance.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "16 Estates dq1": { "name": "16 Estates dq1", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Mobile Bar Association Volunteer Lawyers Program cannot assist you with this issue. Please contact the Mobile Bar Association Lawyer Referral Service at http://www.mobilebar.com/ or by telephone at (251) 433-1032 for possible assistance.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "17 Estates dq2": { "name": "17 Estates dq2", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Mobile Bar Association Volunteer Lawyers Program cannot help you with this issue. The person living in the home must be the Volunteer Lawyers Program client.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "18 GC dq1": { "name": "18 GC dq1", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Mobile Bar Association Volunteer Lawyers Program cannot assist you with this issue. Please contact the Mobile Bar Association Lawyer Referral Service at http://www.mobilebar.com/ or by telephone at (251) 433-1032 for possible assistance.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "19 GC dq2": { "name": "19 GC dq2", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Mobile Bar Association Volunteer Lawyers Program cannot help you with this issue. You must live in Mobile County to become the conservator of the estate of a Mobile County resident. You can contact the Mobile Bar Association Lawyer Referral Service online at http://www.mobilebar.com/ or by telephone at (251) 433-1032 for possible assistance.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "20 GC dq3": { "name": "20 GC dq3", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Volunteer Lawyers Program cannot help you with this issue. If you want to establish a permanent relationship, please see the “Custody” section.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "21 Homeownership dq1": { "name": "21 Homeownership dq1", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Mobile Bar Association Volunteer Lawyers Program cannot assist you with this issue. Please contact the Mobile Bar Association Lawyer Referral Service at http://www.mobilebar.com/ or by telephone at (251) 433-1032 for possible assistance.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "22 LLT dq1": { "name": "22 LLT dq1", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Mobile Bar Association Volunteer Lawyers Program cannot help you with this issue. You can contact Legal Services Alabama at (877) 393-2333 or the Mobile Housing Board at (251) 434-2212 for possible assistance.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "23 LLT dq2": { "name": "23 LLT dq2", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Mobile Bar Association Volunteer Lawyers Program cannot help you with this issue. You can contact Legal Services Alabama at (877) 393-2333 for possible assistance.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "24 LLT dq3": { "name": "24 LLT dq3", "type": "A2J", "step": 0, "repeatVar": "", "text": "

The Mobile Bar Association Volunteer Lawyers Program cannot help you with this issue. Please contact Legal Services Alabama immediately at (251) 433-6560.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "25 LLT dq4": { "name": "25 LLT dq4", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Volunteer Lawyers Program cannot help you with this issue. You can contact Legal Services Alabama at (877) 393-2333 for possible assistance. A booklet regarding your legal rights as a tenant is available at the VLP office (107 St. Francis Street, Suite 1806) or online at http://www.arisecitizens.org (scroll down to \"Landlord Tenant Handbook\"). You also can contact the Mobile Bar Association Lawyer Referral Service online at http://www.mobilebar.com/ or by telephone at (251) 433-1032.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "26 LLT dq5": { "name": "26 LLT dq5", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Mobile Bar Association Volunteer Lawyers Program cannot help you with this issue. Please contact the Mobile County Health Department at (251) 690-8158 for possible assistance.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "27 NameChange dq1": { "name": "27 NameChange dq1", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Mobile Bar Association Volunteer Lawyers Program cannot help you with this issue. Please contact the Mobile Bar Association Lawyer Referral Service at http://www.mobilebar.com/ or by telephone at (251) 433-1032 for possible assistance.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "28 Paternity dq1": { "name": "28 Paternity dq1", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Volunteer Lawyers Program cannot assist you with this matter. Please contact the Department of Human Resources' (DHR) Investigation and Recovery program at (251) 574-8465. You also can find information on establishing paternity at http://www.alabamalegalhelp.org. You can also contact the Mobile Bar Association Lawyer Referral Service at (251) 433-1032.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "29 Paternity dq2": { "name": "29 Paternity dq2", "type": "A2J", "step": 0, "repeatVar": "", "text": "

All parties involved in paternity cases must be willing to sign paperwork regarding this matter. If all parties agree, please contact the Volunteer Lawyers Office at (251) 438-1102 for further information.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "30 Paternity dq3": { "name": "30 Paternity dq3", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Mobile Bar Association Volunteer Lawyers Program cannot assist you with this issue. Please contact the Mobile Bar Association Lawyer Referral Service at http://www.mobilebar.com/ or by telephone at (251) 433-1032 for possible assistance.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "31 POA dq1": { "name": "31 POA dq1", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Mobile Bar Association Volunteer Lawyers Program cannot help you with this issue. The Volunteer Lawyers Program can help only if the person who wants to assign Power of Attorney applies for assistance. You can ask that person to fill out an application or you can contact the Mobile Bar Association's Lawyer Referral Service online at http://www.mobilebar.com/ or by telephone at (251) 433-1032 for possible assistance.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "32 POA dq2": { "name": "32 POA dq2", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Mobile Bar Association Volunteer Lawyers Program cannot assist you with this issue. Please contact the Mobile Bar Association Lawyer Referral Service at http://www.mobilebar.com/ or by telephone at (251) 433-1032 for possible assistance.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "33 Uncont Div dq1": { "name": "33 Uncont Div dq1", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Mobile Bar Association Volunteer Lawyers Program is not able to help with your particular legal issue. Please contact Legal Services Alabama at (251) 433-6560 for possible assistance. You also can contact the Penelope House 24-hour Family Violence Center 24-hour Crisis Hotline at (251) 342-8994 or the Alabama Domestic Violence Hotline at (800) 650-6522.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "34 Uncont Div dq2": { "name": "34 Uncont Div dq2", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Mobile Bar Association Volunteer Lawyers Program cannot assist you with this issue. Please contact the Mobile Bar Association Lawyer Referral Service at http://www.mobilebar.com/ or by telephone at (251) 433-1032 for possible assistance.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "35 Visitation dq1": { "name": "35 Visitation dq1", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Mobile Bar Association Volunteer Lawyers Program cannot help you with this issue. You can contact Strickland Youth Services at (251) 574-1450 for information on setting or enforcing visitation. You can find more information on setting visitation, changing a visitation order, or requesting a contempt hearing at http://www.alabamalegalhelp.org.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "36 WageClaim dq1": { "name": "36 WageClaim dq1", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Mobile Bar Association Volunteer Lawyers Program cannot help you with this issue. You can contact Legal Services Alabama toll-free at 1 (877) 393-2333 or the Mobile Bar Association's Lawyer Referral Service online at http://www.mobilebar.com/ or by telephone at (251) 433-1032 for possible assistance.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "37 Will dq1": { "name": "37 Will dq1", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Mobile Bar Association Volunteer Lawyers Program cannot help you with this matter. The person signing the will must apply for assistance. Please ask that person to fill out an application.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "38 Will dq2": { "name": "38 Will dq2", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Volunteer Lawyers Program cannot assist you with this issue. Please contact the Mobile Bar Association Lawyer Referral Service at http://www.mobilebar.com/ or by telephone at (251) 433-1032 for possible assistance.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "39 WC dq1": { "name": "39 WC dq1", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Volunteer Lawyers Program cannot help you file a Workman's Comp claim. VLP only can assist if you have settled the claim, left open the medical payments portion, and are having problems getting medical payments or authorization for treatments and/or medications. If you need help evaluating or filing a claim, you can contact Mobile Bar Association's Lawyer Referral Service online at http://www.mobilebar.com/ or by telephone at (251) 433-1032 for possible assistance.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "40 WC dq2": { "name": "40 WC dq2", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Volunteer Lawyers Program cannot help you with this matter. You may contact the Legal Services office in the county where your case was settled or you can contact Mobile Bar Association's Lawyer Referral Service online at http://www.mobilebar.com/ or by telephone at (251) 433-1032 for possible assistance.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "4-Zip Code": { "name": "4-Zip Code", "type": "A2J", "step": 2, "repeatVar": "", "text": "

What is your zip code?

", "textAudioURL": "", "learn": "What if I do not know?", "help": "

You can look up your zip code here: http://zip4.usps.com/zip4/welcome.jsp

", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "5-Citizenship", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textpick", "label": "Zip Code:", "name": "Client zip code MC", "value": "", "order": "", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must make a selection from the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "5-Citizenship": { "name": "5-Citizenship", "type": "A2J", "step": 2, "repeatVar": "", "text": "

%%[Client name prefix MC]%% %%[Client last name TE]%%, are you a US citizen or legal resident? Check the button that applies:

", "textAudioURL": "", "learn": "Why are they asking this?", "help": "

The Volunteer Lawyers Program has rules about the clients it may serve. We have to know your citizenship status before we can complete your application.

", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "6-Domestic Violence", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "US Citizen", "name": "Client citizenship MC", "value": "US Citizen", "order": "", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "Lawful Permanent Resident", "name": "Client citizenship MC", "value": "Lawful Permanent Resident", "order": "", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "Other status", "name": "Client citizenship MC", "value": "Other status", "order": "", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Client citizenship MC] is \"Other status\"
GOTO \"5-2_4_Disqualification\"
END IF
", "notes": "" }, "5-2_4_Disqualification": { "name": "5-2_4_Disqualification", "type": "A2J", "step": 0, "repeatVar": "", "text": "

I'm sorry %%[Client name prefix MC]%% %%[Client last name TE]%%, this program only accepts clients who are United States citizens or legal residents. Contact the Mobile Bar Association Lawyer Referral Service at http://www.mobilebar.com/ or (251) 433-1032 for possible assistance with your problem.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "6-2_5_Disqualification": { "name": "6-2_5_Disqualification", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Mobile Volunteer Lawyers Program cannot help with your particular legal issue. Please contact Legal Services Alabama at (251) 433-6560 for possible assistance.

For 24 hour crisis assistance, you can call the Penelope House Crisis line at (251) 342-8994 or the Alabama Domestic Violence Hotline at (800) 650-6522.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "6-Domestic Violence": { "name": "6-Domestic Violence", "type": "A2J", "step": 2, "repeatVar": "", "text": "

Are you requesting help for a matter involving domestic abuse or domestic violence?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "7-Over 19", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Client domestic violence MC", "value": "Yes", "order": "", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Client domestic violence MC", "value": "No", "order": "", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Client domestic violence MC] is \"Yes\"
GOTO \"6-2_5_Disqualification\"
END IF
", "notes": "" }, "7-2_6_Disqualification": { "name": "7-2_6_Disqualification", "type": "A2J", "step": 0, "repeatVar": "", "text": "

The Volunteer Lawyers Program can only assist clients 19 years of age and older. If you have any questions, please contact the VLP office at (251) 438-1102.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "7-Over 19": { "name": "7-Over 19", "type": "A2J", "step": 2, "repeatVar": "", "text": "

How old are you?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "8-Other questions", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "numberpick", "label": "Age", "name": "Client eligible age MC", "value": "", "order": "ASC", "required": true, "min": "1", "max": "111", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must select a number from the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Client eligible age MC] < 19
GOTO \"7-2_6_Disqualification\"
END IF
", "notes": "" }, "8-2_7_Disqualification": { "name": "8-2_7_Disqualification", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Mobile Bar Association Volunteer Lawyers Program cannot help with your particular legal issue. Please contact Legal Services Alabama at (877) 393-2333 or the Mobile Bar Association Lawyer Referral Service at (251) 433-1032 for possible assistance.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "8-Other questions": { "name": "8-Other questions", "type": "A2J", "step": 2, "repeatVar": "", "text": "

Click the buttons that apply to your situation.

", "textAudioURL": "", "learn": "How would these affect my eligibility?", "help": "

While this may not affect your eligibility, a deadline or court setting in a week or less may not give the Mobile VLP enough time to process your application. Please call Legal Services Alabama at (877) 393-2333 or (251) 433-6560 or the Lawyer Referral Service at (251) 433-1032.

", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "You have a court hearing in one week or less.", "name": "Client other circumstance MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "You have a deadline in one week or less.", "name": "Client other circumstance MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "You have received official papers from the Sheriff, Constable or Court.", "name": "Client other circumstance MC", "value": "Served", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "None of the above.", "name": "Client other circumstance MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Client other circumstance MC] is \"Yes\"
GOTO \"8-2_7_Disqualification\"
END IF

IF [Client other circumstance MC] is \"Served\"
GOTO \"12-2_7_Disqualification\"
END IF

IF [Client other circumstance MC] is \"No\"
GOTO \"1-Case type\"
END IF
", "notes": "" }, "1-Case type": { "name": "1-Case type", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Please select your legal issue from the choices in this menu. If you are not sure, select the topic that sounds most like your legal issue; you can always come back later.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textpick", "label": "Issue:", "name": "Case type MC", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must make a selection from the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Case type MC] is \"Change of Custody\"
GOTO \"2-Change of Custody\"
END IF

IF [Case type MC] is \"Workman's Comp\"
GOTO \"93-Workman's Comp\"
END IF

IF [Case type MC] is \"Will\"
GOTO \"91-Will\"
END IF

IF [Case type MC] is \"Wage Claim\"
GOTO \"89-Wage Claim\"
END IF

IF [Case type MC] is \"Divorce (Uncontested)\"
GOTO \"83-Uncontested Divorce\"
END IF

IF [Case type MC] is \"Visitation\"
GOTO \"88-Visitation\"
END IF

IF [Case type MC] is \"Power of Attorney Revocation\"
GOTO \"77-Power of Attorney (revocation/termination)\"
END IF

IF [Case type MC] is \"Power of Attorney\"
GOTO \"78-Power of Attorney\"
END IF

IF [Case type MC] is \"Paternity/Legitimation\"
GOTO \"70-Paternity/Legitimation\"
END IF

IF [Case type MC] is \"Name Change\"
GOTO \"65-Name Change\"
END IF

IF [Case type MC] is \"Landlord/Tenant\"
GOTO \"60-Landlord/Tenant\"
END IF

IF [Case type MC] is \"Homeownership/Deed/Title\"
GOTO \"57-Homeownership/Deed/Title\"
END IF

IF [Case type MC] is \"Guardianship/Conservatorship\"
GOTO \"44-Guardianship/Conservatorship\"
END IF

IF [Case type MC] is \"Advice Before Lawsuit\"
GOTO \"16-Advice Before Lawsuit\"
END IF

IF [Case type MC] is \"Estates\"
GOTO \"36-Estates\"
END IF

IF [Case type MC] is \"Contracts / Warranties\"
GOTO \"34-Contracts and Warranties\"
END IF

IF [Case type MC] is \"Child Support\"
GOTO \"24-Child Support\"
END IF

IF [Case type MC] is \"Automobile Accident\"
GOTO \"20-Automobile Accident\"
END IF

IF [Case type MC] is \"Collections\"
GOTO \"2-Collections\"
END IF

IF [Case type MC] is \"Advance Directive / Living Will\"
GOTO \"14-Advance Directive / Living Will\"
END IF

IF [Case type MC] is \"Adoption\"
GOTO \"3-Adoption\"
END IF
", "notes": "" }, "9 Adoption dq1": { "name": "9 Adoption dq1", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Volunteer Lawyers Program cannot assist you with this issue. Please contact the Mobile Bar Association Lawyer Referral Service at http://www.mobilebar.com/ or by telephone at (251) 433-1032 for possible assistance.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "10 Advance directive dq1": { "name": "10 Advance directive dq1", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Volunteer Lawyers Program cannot help you with this matter. The person signing the advance directive must apply for assistance. Please ask that person to fill out an application.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "2-Change of Custody": { "name": "2-Change of Custody", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Do any of the following apply?

", "textAudioURL": "", "learn": "Where can I get general information on changing custody?", "help": "

See http://www.alabamalegalhelp.org for information on changing a custody or visitation order.

", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "2-Financial Information", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "checkbox", "label": "There is a dispute over custody.", "name": "Change custody conditions dispute MC", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must select one or more checkboxes to continue." }, { "type": "checkbox", "label": "The child does not live in Mobile County.", "name": "Change custody out of county MC", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must select one or more checkboxes to continue." }, { "type": "checkbox", "label": "Parents are not/were not married.", "name": "Change custody not married MC", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must select one or more checkboxes to continue." }, { "type": "checkboxNOTA", "label": "None of the above.", "name": "Change custody conditions none of the above MC", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must select one or more checkboxes to continue." } ], "codeBefore": "", "codeAfter": "IF [Change custody conditions dispute MC] is True
GOTO \"9-2_7_Disqualification\"
END IF

IF [Change custody out of county MC] is True
GOTO \"10-2_7_Disqualification\"
END IF

IF [Change custody not married MC] is True
GOTO \"11-2_7_Disqualification\"
END IF
", "notes": "" }, "1-Financial redirect to part 5": { "name": "1-Financial redirect to part 5", "type": "A2J", "step": 4, "repeatVar": "", "text": "

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "IF [Case type MC] is \"Change of Custody\"
GOTO \"1-Change of Custody\"
END IF

IF [G/C person age MC] is \"Adult\"
GOTO \"82-Guardianship/Conservatorship Adult\"
END IF

IF [G/C person age MC] is \"Minor\"
GOTO \"90-Guardianship/Conservatorship Child\"
END IF

IF [Case type MC] is \"Homeownership/Deed/Title\"
GOTO \"96-Homeownership/Deed/Title\"
END IF

IF [POA person MC] is \"Adult\"
GOTO \"128-Power of Attorney Adult\"
END IF

IF [Case type MC] is \"Divorce (Uncontested)\"
GOTO \"134-Uncontested Divorce\"
END IF

IF [POA person MC] is \"Minor\"
GOTO \"130-Power of Attorney Minor\"
END IF

IF [Case type MC] is \"Visitation\"
GOTO \"139-Visitation\"
END IF

IF [Case type MC] is \"Wage Claim\"
GOTO \"145-Wage Claim\"
END IF

IF [Case type MC] is \"Will\"
GOTO \"150-Will\"
END IF

IF [Case type MC] is \"Workman's Comp\"
GOTO \"151-Workman's Comp\"
END IF

IF [Case type MC] is \"Power of Attorney Revocation\"
GOTO \"127-Power of Attorney (revocation/termination)\"
END IF

IF [Paternity/Legitimation choice MC] is \"Paternity\"
GOTO \"122-Paternity/Legitimation paternity\"
END IF

IF [Name Change person MC] is \"Minor\"
GOTO \"109-Name Change Minor\"
END IF

IF [Paternity/Legitimation choice MC] is \"Legitimation\"
GOTO \"127-Paternity/Legitimation legitimation\"
END IF

IF [Name Change person MC] is \"Adult\"
GOTO \"108-Name Change Adult\"
END IF

IF [Case type MC] is \"Landlord/Tenant\"
GOTO \"99-Landlord/Tenant\"
END IF

IF [Case type MC] is \"Contracts / Warranties\"
GOTO \"51-Contracts and Warranties\"
END IF

IF [Case type MC] is \"Estates\"
GOTO \"60-Estates\"
END IF

IF [Child support change MC] is \"Reduction\"
GOTO \"40-Child Support (Reduction)\"
END IF

IF [Child support change MC] is \"Increase\"
GOTO \"46-Child Support (Increase)\"
END IF

IF [Case type MC] is \"Advice Before Lawsuit\"
GOTO \"81-Case extra details\"
END IF

IF [Case type MC] is \"Automobile Accident\"
GOTO \"22-Automobile Accident\"
END IF

IF [Collections judgment MC] is \"Yes\"
GOTO \"68-Collection judgment\"
END IF

IF [Collections judgment MC] is \"No\"
GOTO \"72-Collection\"
END IF

IF [Case type MC] is \"Advance Directive / Living Will\"
GOTO \"81-Case extra details\"
END IF

IF [Case type MC] is \"Adoption\"
GOTO \"13-Adoption\"
END IF
", "codeAfter": "", "notes": "

This section will collect information on the client's financial status. This question is a redirect to the more detailed case type information in part 5 after financial information has been collected and the client has met income eligibility requirements.

" }, "1-Change of Custody": { "name": "1-Change of Custody", "type": "A2J", "step": 5, "repeatVar": "ChildCustodyCount", "text": "

How many children are involved in this change of custody?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "2-Change of Custody 2", "url": "", "repeatVar": "ChildCustodyCount", "repeatVarSet": "=1", "name": "", "value": "" } ], "fields": [{ "type": "numberpick", "label": "Children:", "name": "ChangeCustodyChildrenNumberMC", "value": "", "order": "ASC", "required": true, "min": "1", "max": "10", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must select a number from the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "3-Adoption": { "name": "3-Adoption", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Do any of these conditions apply to your situation?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "checkbox", "label": "No father is listed on the child's Birth Certificate.", "name": "Adoption conditions no father MC", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must select one or more checkboxes to continue." }, { "type": "checkbox", "label": "The father is listed on the child's Birth Certificate but does not agree to the adoption.", "name": "Adoption conditions father disagree MC", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must select one or more checkboxes to continue." }, { "type": "checkbox", "label": "The father is listed on the child's Birth Certificate but his whereabouts are unknown.", "name": "Adoption conditions whereabouts MC", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must select one or more checkboxes to continue." }, { "type": "checkbox", "label": "You are a grandparent who wants to adopt your grandchild(ren).", "name": "Adoption conditions grandparents MC", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must select one or more checkboxes to continue." }, { "type": "checkboxNOTA", "label": "None of the above.", "name": "Adoption conditions na MC", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must select one or more checkboxes to continue." } ], "codeBefore": "", "codeAfter": "IF [Adoption conditions no father MC] is True
GOTO \"9 Adoption dq1\"
END IF

IF [Adoption conditions father disagree MC] is True
GOTO \"10 Adoption dq1a\"
END IF

IF [Adoption conditions whereabouts MC] is True
GOTO \"10 Adoption dq1a\"
END IF

IF [Adoption conditions grandparents MC] is True
GOTO \"11 Adoption dq1b\"
END IF

IF [Adoption conditions na MC] is True
GOTO \"5-Adoption\"
END IF
", "notes": "" }, "13-Adoption": { "name": "13-Adoption", "type": "A2J", "step": 5, "repeatVar": "AdoptionCount", "text": "

How many children are involved in this adoption?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "20-Adoption", "url": "", "repeatVar": "AdoptionCount", "repeatVarSet": "=1", "name": "", "value": "" } ], "fields": [{ "type": "number", "label": "Enter a number:", "name": "AdoptionNumberChildrenNU", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "4-Adoption": { "name": "4-Adoption", "type": "A2J", "step": 3, "repeatVar": "", "text": "

If the child is over age 14, does the child agree to the adoption?

", "textAudioURL": "", "learn": "What if the child is age 14 or under?", "help": "

You may select \"Yes\" to this question. The child's consent must be obtained only if the child is over the age of 14.

", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Adoption child agree MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Adoption child agree MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Adoption child agree MC] is \"No\"
GOTO \"9 Adoption dq1\"
END IF

IF [Adoption child agree MC] is \"Yes\"
GOTO \"5-Adoption\"
END IF
", "notes": "" }, "5-Adoption": { "name": "5-Adoption", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Do the mother AND father (as listed on the child's birth certificate) agree to the adoption?

", "textAudioURL": "", "learn": "What if I do not know?", "help": "

The child's parents must agree to the adoption for VLP to assist you. If you do not know the answer to this question, please end this interview now. You can apply again if you find out that the child's parents are in agreement.

", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "No", "name": "Adoption both agree MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "Yes", "name": "Adoption both agree MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Adoption both agree MC] is \"No\"
GOTO \"9 Adoption dq1\"
END IF

IF [Adoption both agree MC] is \"Yes\"
GOTO \"6-Adoption\"
END IF
", "notes": "" }, "6-Adoption": { "name": "6-Adoption", "type": "A2J", "step": 3, "repeatVar": "", "text": "

If you are married, does your spouse also wish to adopt?

", "textAudioURL": "", "learn": "What if I am not married?", "help": "

You may select \"Yes\" to continue.

", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Adoption married agree MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Adoption married agree MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Adoption married agree MC] is \"No\"
GOTO \"9 Adoption dq1\"
END IF

IF [Adoption married agree MC] is \"Yes\"
GOTO \"2-Financial Information\"
END IF
", "notes": "" }, "14-Adoption": { "name": "14-Adoption", "type": "A2J", "step": 5, "repeatVar": "AdoptionCount", "text": "

What is the %%ordinal(AdoptionCount)%% child's date of birth?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "15-Adoption", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "datemdy", "label": "Birthdate:", "name": "Adoption child dob DA", "value": "", "order": "DESC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must enter a month, day and year in the highlighted spaces before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "15-Adoption": { "name": "15-Adoption", "type": "A2J", "step": 5, "repeatVar": "AdoptionCount", "text": "

Type the mother's full name (as it appears on the %%ordinal(AdoptionCount)%% child's birth certificate).

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "16-Adoption", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "Name:", "name": "Adoption bc mother name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "16-Adoption": { "name": "16-Adoption", "type": "A2J", "step": 5, "repeatVar": "AdoptionCount", "text": "

Type the father's full name (as it appears on the %%ordinal(AdoptionCount)%% child's birth certificate).

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "17-Adoption", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "Name:", "name": "Adoption bc father name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "17-Adoption": { "name": "17-Adoption", "type": "A2J", "step": 5, "repeatVar": "AdoptionCount", "text": "

How are you related to the %%ordinal(AdoptionCount)%% child?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "18-Adoption", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "Describe:", "name": "Adoption child relation TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "18-Adoption": { "name": "18-Adoption", "type": "A2J", "step": 5, "repeatVar": "AdoptionCount", "text": "

How long has the %%ordinal(AdoptionCount)%% child lived with you?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "19-Adoption", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "", "name": "Adoption child live with petitioner TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "19-Adoption": { "name": "19-Adoption", "type": "A2J", "step": 5, "repeatVar": "AdoptionCount", "text": "

Why do you wish to adopt the %%ordinal(AdoptionCount)%% child?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "81-Case extra details", "url": "", "repeatVar": "AdoptionCount", "repeatVarSet": "+=1", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Describe:", "name": "Adoption reason TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "IF AdoptionCount<AdoptionNumberChildrenNU
GOTO \"20-Adoption\"
END IF

IF AdoptionCount>=AdoptionNumberChildrenNU
GOTO \"81-Case extra details\"
END IF
", "notes": "" }, "14-Advance Directive / Living Will": { "name": "14-Advance Directive / Living Will", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Are you the person who will be signing the advance directive?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "No", "name": "Advance directive person signing MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "Yes", "name": "Advance directive person signing MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Advance directive person signing MC] is \"No\"
GOTO \"5 Advance Directive Dq1\"
END IF

IF [Advance directive person signing MC] is \"Yes\"
GOTO \"15-Advance Directive / Living Will\"
END IF
", "notes": "" }, "15-Advance Directive / Living Will": { "name": "15-Advance Directive / Living Will", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Are you over the age of 19?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Advance directive over 19 MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Advance directive over 19 MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Advance directive over 19 MC] is \"No\"
GOTO \"6 Advance Directive Dq2\"
END IF

IF [Advance directive over 19 MC] is \"Yes\"
GOTO \"2-Financial Information\"
END IF
", "notes": "" }, "81-Case extra details": { "name": "81-Case extra details", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Please give any additional details of your situation that would be helpful or have not been asked.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "82-Client Contact Information", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Describe:", "name": "Case extra details TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "2-Collections": { "name": "2-Collections", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Does your issue involve the collection of a judgment?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Collections judgment MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Collections judgment MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Collections judgment MC] is \"Yes\"
GOTO \"3-Collection of judgment\"
END IF

IF [Collections judgment MC] is \"No\"
GOTO \"3-Collections\"
END IF
", "notes": "" }, "3-Collection of judgment": { "name": "3-Collection of judgment", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Have you tried to collect the judgment by garnishment or execution?

", "textAudioURL": "", "learn": "What if I need help with filling out forms from Small Claims Court?", "help": "

If you have a pamphlet from Small Claims Court and need assistance with the forms, please call our office at (251) 438-1102.

", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Collection judgment garnish exec MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Collection judgment garnish exec MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Collection judgment garnish exec MC] is \"No\"
GOTO \"4-Collection of judgment\"
END IF

IF [Collection judgment garnish exec MC] is \"Yes\"
GOTO \"11 Collections dq1\"
END IF
", "notes": "" }, "4-Collection of judgment": { "name": "4-Collection of judgment", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Is the judgment less than $3,000.00?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Collection judgment less 3k MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Collection judgment less 3k MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Collection judgment less 3k MC] is \"No\"
GOTO \"12 Collections dq2\"
END IF

IF [Collection judgment less 3k MC] is \"Yes\"
GOTO \"2-Financial Information\"
END IF
", "notes": "" }, "68-Collection judgment": { "name": "68-Collection judgment", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Who owes your the debt?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "71-Collection judgment", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Describe:", "name": "Collection judgment debtor TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "71-Collection judgment": { "name": "71-Collection judgment", "type": "A2J", "step": 5, "repeatVar": "", "text": "

How much is owed?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "81-Case extra details", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "Amount:", "name": "Collection judgment amount owed TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "70-Collection judgment": { "name": "70-Collection judgment", "type": "A2J", "step": 5, "repeatVar": "", "text": "

What have you done to resolve the issue?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "69-Collection judgment", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Describe:", "name": "Collection judgment resolve TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "69-Collection judgment": { "name": "69-Collection judgment", "type": "A2J", "step": 5, "repeatVar": "", "text": "

When was the last payment made to you?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "81-Case extra details", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "Date:", "name": "Collection judgment last payment TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "3-Collections": { "name": "3-Collections", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Have you received a Summons or any other documents from Court?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Collections received summons MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Collections received summons MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Collections received summons MC] is \"No\"
GOTO \"4-Collections\"
END IF

IF [Collections received summons MC] is \"Yes\"
GOTO \"14 Collections dq3 advice only\"
END IF
", "notes": "" }, "4-Collections": { "name": "4-Collections", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Does the collection involve credit card debt only?

", "textAudioURL": "", "learn": "", "help": "

If there are other bills (like medical) involved, choose \"no.\"

", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Collections credit card debt MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Collections credit card debt MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Collections credit card debt MC] is \"Yes\"
GOTO \"6-Collections CCCS\"
END IF

IF [Collections credit card debt MC] is \"No\"
GOTO \"5-Collections\"
END IF
", "notes": "" }, "2-Change of Custody 2": { "name": "2-Change of Custody 2", "type": "A2J", "step": 5, "repeatVar": "ChildCustodyCount", "text": "

What is your relationship to the %%ordinal(ChildCustodyCount)%% child?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "3-Change of Custody", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "Relationship", "name": "Change custody Relationship TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "3-Change of Custody": { "name": "3-Change of Custody", "type": "A2J", "step": 5, "repeatVar": "ChildCustodyCount", "text": "

What is the %%ordinal(ChildCustodyCount)%% child's full name?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "4-Change of Custody", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "First:", "name": "Change custory child first name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Middle:", "name": "Change custory child middle name TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Last:", "name": "Change custory child last name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "4-Change of Custody": { "name": "4-Change of Custody", "type": "A2J", "step": 5, "repeatVar": "ChildCustodyCount", "text": "

What is the %%ordinal(ChildCustodyCount)%% child's date of birth?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "5-Change of Custody", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "datemdy", "label": "Birthdate:", "name": "Change custody birthdate DA", "value": "", "order": "DESC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must enter a month, day and year in the highlighted spaces before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "5-Change of Custody": { "name": "5-Change of Custody", "type": "A2J", "step": 5, "repeatVar": "ChildCustodyCount", "text": "

Who has physical custody of the %%ordinal(ChildCustodyCount)%% child? (Give that person's full name and that person's relationship to the %%ordinal(ChildCustodyCount)%% child.)

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "6-Change of Custody", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Physical Custody:", "name": "Change custody Physical TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "6-Change of Custody": { "name": "6-Change of Custody", "type": "A2J", "step": 5, "repeatVar": "ChildCustodyCount", "text": "

Who has legal custody of the %%ordinal(ChildCustodyCount)%% child? (Give that person's full name and that person's relationship to the %%ordinal(ChildCustodyCount)%% child.)

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "7-Change of Custody", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Legal Custody:", "name": "Change Custody Legal TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "7-Change of Custody": { "name": "7-Change of Custody", "type": "A2J", "step": 5, "repeatVar": "ChildCustodyCount", "text": "

Provide the full names of both parents.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "8-Change of Custody", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Names:", "name": "Change custody both parents TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "8-Change of Custody": { "name": "8-Change of Custody", "type": "A2J", "step": 5, "repeatVar": "ChildCustodyCount", "text": "

If the custodial parent is deceased, give that parent's full name and date of death. If the custodial parent is not deceased, type n/a.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "ChildCustodyCount", "repeatVarSet": "+=1", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Name / DOD:", "name": "Change custody custodial parent deceased TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "IF ChildCustodyCount<ChangeCustodyChildrenNumberMC
GOTO \"2-Change of Custody 2\"
END IF

IF ChildCustodyCount>=ChangeCustodyChildrenNumberMC
GOTO \"9-Change of Custody\"
END IF
", "notes": "" }, "9-Change of Custody": { "name": "9-Change of Custody", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Has DHR been involved?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Change Custody DHR involved MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Change Custody DHR involved MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Change Custody DHR involved MC] is \"Yes\"
GOTO \"10-Change of Custody\"
END IF

IF [Change Custody DHR involved MC] is \"No\"
GOTO \"81-Case extra details\"
END IF
", "notes": "" }, "10-Change of Custody": { "name": "10-Change of Custody", "type": "A2J", "step": 5, "repeatVar": "", "text": "

What is the case worker's name?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "11-Change of Custody", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "Name", "name": "Change custody case worker TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "11-Change of Custody": { "name": "11-Change of Custody", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Has DHR finished its investigation?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Yes", "next": "12-Change of Custody", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "Change custody DHR investigaion Yes", "value": "" }, { "label": "No", "next": "SUCCESS", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "Change custody DHR investigaion No", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "12-Change of Custody": { "name": "12-Change of Custody", "type": "A2J", "step": 5, "repeatVar": "", "text": "

What does DHR recommend?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "81-Case extra details", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Describe:", "name": "Change custody DHR recommend TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "16-Advice Before Lawsuit": { "name": "16-Advice Before Lawsuit", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Do any of the following conditions apply to your issue?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "You have already given details about this issue to Legal Services Alabama.", "name": "Advice exclusions MC", "value": "lsa", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "You have received a Summons or any type of court papers.", "name": "Advice exclusions MC", "value": "court", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "The lawsuit involves possible loss of your home.", "name": "Advice exclusions MC", "value": "home", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "You have already received advice from an attorney and want a second opinion.", "name": "Advice exclusions MC", "value": "opinion", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "None of the above.", "name": "Advice exclusions MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Advice exclusions MC] is \"lsa\"
GOTO \"10 Adoption dq to LSA\"
END IF

IF [Advice exclusions MC] is \"court\"
GOTO \"12-2_7_Disqualification\"
END IF

IF [Advice exclusions MC] is \"home\"
GOTO \"13 Collections dq3\"
END IF

IF [Advice exclusions MC] is \"opinion\"
GOTO \"12 Collections dq2\"
END IF

IF [Advice exclusions MC] is \"No\"
GOTO \"2-Financial Information\"
END IF
", "notes": "" }, "11 Advice before lawsuit redirect": { "name": "11 Advice before lawsuit redirect", "type": "A2J", "step": 0, "repeatVar": "", "text": "

VLP may be able to place you with an attorney for ADVICE ONLY if the time frame allows. Please call the office directly at 251-438-1102

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "20-Automobile Accident": { "name": "20-Automobile Accident", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Do any of the following conditions apply to your issue?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "You have already given details of the case to Legal Services Alabama.", "name": "Auto Conditions MC", "value": "lsa", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "You are being sued.", "name": "Auto Conditions MC", "value": "sued", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "You have been found at fault and want to fight the finding.", "name": "Auto Conditions MC", "value": "fault", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "You have automobile insurance.", "name": "Auto Conditions MC", "value": "insurance", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "A DUI charge is involved.", "name": "Auto Conditions MC", "value": "dui", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "None of the above.", "name": "Auto Conditions MC", "value": "None", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Auto Conditions MC] is \"lsa\"
GOTO \"2-2_1_Disqualification\"
END IF

IF [Auto Conditions MC] is \"sued\"
GOTO \"39-Automobile Accident being sued\"
END IF

IF [Auto Conditions MC] is \"fault\"
GOTO \"9-2_7_Disqualification\"
END IF

IF [Auto Conditions MC] is \"insurance\"
GOTO \"12 Auto accident redirect\"
END IF

IF [Auto Conditions MC] is \"None\"
GOTO \"21-Automobile Accident\"
END IF

IF [Auto Conditions MC] is \"dui\"
GOTO \"4-2_3_Disqualification\"
END IF
", "notes": "" }, "22-Automobile Accident": { "name": "22-Automobile Accident", "type": "A2J", "step": 5, "repeatVar": "", "text": "

According to the Police Report, who was at fault?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "23-Automobile Accident", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "Name:", "name": "Automobile Accited fault TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "23-Automobile Accident": { "name": "23-Automobile Accident", "type": "A2J", "step": 5, "repeatVar": "", "text": "

When did the accident occur?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "24-Automobile Accident", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "Date:", "name": "Automobile Accident date TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "24-Automobile Accident": { "name": "24-Automobile Accident", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Where did the accident occur (city and state)?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "25-Automobile Accident", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Location:", "name": "Automobile Accident where TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "25-Automobile Accident": { "name": "25-Automobile Accident", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Was anyone injured in the accident?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Auto injuries MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Auto injuries MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "I don't know", "name": "Auto injuries MC", "value": "unknown", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Auto injuries MC] is \"Yes\"
GOTO \"26-Automobile Accident\"
END IF

IF [Auto injuries MC] is \"No\"
GOTO \"27-Automobile Accident\"
END IF

IF [Auto injuries MC] is \"unknown\"
GOTO \"27-Automobile Accident\"
END IF
", "notes": "" }, "26-Automobile Accident": { "name": "26-Automobile Accident", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Was hospitalization necessary?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "27-Automobile Accident", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Auto hospital MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Auto hospital MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "I don't know", "name": "Auto hospital MC", "value": "unknown", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "27-Automobile Accident": { "name": "27-Automobile Accident", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Was there any loss of life?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "28-Automobile Accident", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Auto death MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Auto death MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "I don't know", "name": "Auto death MC", "value": "unknown", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "28-Automobile Accident": { "name": "28-Automobile Accident", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Was your automobile damaged in the accident?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "29-Automobile Accident", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Auto client damage MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Auto client damage MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Auto client damage MC] is \"Yes\"
GOTO \"31-Automobile Accident\"
END IF

IF [Auto client damage MC] is \"No\"
GOTO \"29-Automobile Accident\"
END IF
", "notes": "" }, "29-Automobile Accident": { "name": "29-Automobile Accident", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Did you have automobile insurance at the time of the accident?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "30-Automobile Accident", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Auto client insurance MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Auto client insurance MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Auto client insurance MC] is \"Yes\"
GOTO \"30-Automobile Accident\"
END IF

IF [Auto client insurance MC] is \"No\"
GOTO \"31-Automobile Accident\"
END IF
", "notes": "" }, "30-Automobile Accident": { "name": "30-Automobile Accident", "type": "A2J", "step": 5, "repeatVar": "", "text": "

What was the name of your insurance company at the time of the accident?

", "textAudioURL": "", "learn": "", "help": "

", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "31-Automobile Accident", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "Company:", "name": "Automobile Accident Insurance name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "31-Automobile Accident": { "name": "31-Automobile Accident", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Have you gotten an estimate for repairs?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "32-Automobile Accident", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Auto client estimate MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Auto client estimate MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "32-Automobile Accident": { "name": "32-Automobile Accident", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Have you had the damage repaired?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "33-Automobile Accident", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Auto client damage repaired MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Auto client damage repaired MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "33-Automobile Accident": { "name": "33-Automobile Accident", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Were other automobiles damaged in the accident?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Auto other damage MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Auto other damage MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "I don't know", "name": "Auto other damage MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Auto other damage MC] is \"Yes\"
GOTO \"34-Automobile Accident\"
END IF

IF [Auto other damage MC] is \"No\"
GOTO \"35-Automobile Accident\"
END IF
", "notes": "" }, "34-Automobile Accident": { "name": "34-Automobile Accident", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Do you know how much it will cost to repair the other vehicle(s)?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "35-Automobile Accident", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Auto other repair amount MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Auto other repair amount MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "35-Automobile Accident": { "name": "35-Automobile Accident", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Do the other parties have automobile insurance?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Auto other insurance MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Auto other insurance MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "I don't know", "name": "Auto other insurance MC", "value": "unknown", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Auto other insurance MC] is \"Yes\"
GOTO \"36-Automobile Accident\"
END IF

IF [Auto other insurance MC] is \"unknown\"
GOTO \"37-Automobile Accident\"
END IF

IF [Auto other insurance MC] is \"No\"
GOTO \"37-Automobile Accident\"
END IF
", "notes": "" }, "36-Automobile Accident": { "name": "36-Automobile Accident", "type": "A2J", "step": 5, "repeatVar": "", "text": "

What is the name of their insurance company or companies? (If you don't know, write \"I Don't Know\")

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "37-Automobile Accident", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Insurance Companies:", "name": "Automobile Accident other auto insurance TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "37-Automobile Accident": { "name": "37-Automobile Accident", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Have you received any information from the Alabama Department of Public Safety regarding the revocation of your driving privileges or automobile tag?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "38-Automobile Accident", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Auto dept public safety MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Auto dept public safety MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "21-Automobile Accident": { "name": "21-Automobile Accident", "type": "A2J", "step": 3, "repeatVar": "", "text": "

If you have not been served with a Complaint, have you received a telephone call or letter from an attorney or other party regarding the issue?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Auto served with complaint MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Auto served with complaint MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "I have been served with a complaint.", "name": "Auto served with complaint MC", "value": "served", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Auto served with complaint MC] is \"Yes\"
GOTO \"22-Automobile Accident 2\"
END IF

IF [Auto served with complaint MC] is \"No\"
GOTO \"2-Financial Information\"
END IF

IF [Auto served with complaint MC] is \"served\"
GOTO \"8-2_7_Disqualification\"
END IF
", "notes": "" }, "22-Automobile Accident 2": { "name": "22-Automobile Accident 2", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Who called or wrote you and what did he/she say?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "2-Financial Information", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Describe:", "name": "Automobile Accident who/what TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "38-Automobile Accident": { "name": "38-Automobile Accident", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Briefly describe the accident and include any additional details you feel are helpful or relevant.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "82-Client Contact Information", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Describe:", "name": "Auto accident client description TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "24-Child Support": { "name": "24-Child Support", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Do you want a reduction or an increase in child support payments?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Reduction", "name": "Child support change MC", "value": "Reduction", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "Increase", "name": "Child support change MC", "value": "Increase", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Child support change MC] is \"Reduction\"
GOTO \"25-Child Support\"
END IF

IF [Child support change MC] is \"Increase\"
GOTO \"32-Child Support\"
END IF
", "notes": "" }, "25-Child Support": { "name": "25-Child Support", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Have you recently been to Court and you want to change the amount of child support awarded?

", "textAudioURL": "", "learn": "How do you change a Child Support Order in court?", "help": "

Go to www.alabamalegalhelp.org for instructions on asking an Alabama Court to change a child support Order.

", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Child support amount change MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Child support amount change MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Child support amount change MC] is \"Yes\"
GOTO \"8 ChildSupport dq1\"
END IF

IF [Child support amount change MC] is \"No\"
GOTO \"26-Child Support\"
END IF
", "notes": "" }, "26-Child Support": { "name": "26-Child Support", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Are you contacting VLP about arrears (back child support)?

", "textAudioURL": "", "learn": "How to change a Child Support Order", "help": "

Go to www.alabamalegalhelp.org for instructions on asking an Alabama Court to change a child support Order.

", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Child support arrears MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Child support arrears MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Child support arrears MC] is \"Yes\"
GOTO \"8 ChildSupport dq1\"
END IF

IF [Child support arrears MC] is \"No\"
GOTO \"27-Child Support\"
END IF
", "notes": "" }, "27-Child Support": { "name": "27-Child Support", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Have you had a major change in circumstances making you need to lower your child support payments?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Child support circumstances MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Child support circumstances MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Child support circumstances MC] is \"Yes\"
GOTO \"28-Child Support\"
END IF

IF [Child support circumstances MC] is \"No\"
GOTO \"8 ChildSupport dq1\"
END IF
", "notes": "" }, "28-Child Support": { "name": "28-Child Support", "type": "A2J", "step": 3, "repeatVar": "", "text": "

How did your circumstances change?

Check the appropriate box:\t\t

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "30-Child Support", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "checkbox", "label": "You lost your job.", "name": "Child Support lost job TF", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must select one or more checkboxes to continue." }, { "type": "checkbox", "label": "Your pay was cut.", "name": "Child Support pay cut TF", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must select one or more checkboxes to continue." }, { "type": "checkboxNOTA", "label": "You now are on worker's comp, SSI or other public benefits.", "name": "Child Support work comp, SSI TF", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must select one or more checkboxes to continue." }, { "type": "checkboxNOTA", "label": "Your child is now 19 years of age.", "name": "Child Support child is 19 TF", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must select one or more checkboxes to continue." }, { "type": "checkboxNOTA", "label": "Your child got married.", "name": "Child Support child married TF", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must select one or more checkboxes to continue." }, { "type": "checkboxNOTA", "label": "Your child went to prison.", "name": "Child Support child prison TF", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must select one or more checkboxes to continue." }, { "type": "checkboxNOTA", "label": "Your child moved out.", "name": "Child Support child moved out TF", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must select one or more checkboxes to continue." }, { "type": "checkboxNOTA", "label": "You now have physical custody of the child.", "name": "Child Support now have custody TF", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must select one or more checkboxes to continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "30-Child Support": { "name": "30-Child Support", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Do you have physical custody?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "31-Child Support", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Child support physical custody MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Child support physical custody MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "31-Child Support": { "name": "31-Child Support", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Is there any dispute among other family members about custody?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Child support family dispute MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Child support family dispute MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Child support family dispute MC] is \"No\"
GOTO \"2-Financial Information\"
END IF

IF [Child support family dispute MC] is \"Yes\"
GOTO \"8 ChildSupport dq1\"
END IF
", "notes": "" }, "40-Child Support (Reduction)": { "name": "40-Child Support (Reduction)", "type": "A2J", "step": 5, "repeatVar": "CSReductionCount", "text": "

How many children were involved in the divorce/child support order?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "41-Child Support (Reduction)", "url": "", "repeatVar": "CSReductionCount", "repeatVarSet": "=1", "name": "", "value": "" } ], "fields": [{ "type": "numberpick", "label": "Children:", "name": "ChildSupportReductionChildrenMC", "value": "", "order": "ASC", "required": true, "min": "0", "max": "10", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must select a number from the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "41-Child Support (Reduction)": { "name": "41-Child Support (Reduction)", "type": "A2J", "step": 5, "repeatVar": "CSReductionCount", "text": "

Provide the full name for the %%ordinal(CSReductionCount)%% child named in the divorce/child support order.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "42-Child Support (Reduction)", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "First:", "name": "Child Support Child first name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Middle:", "name": "Child Support Child middle name TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Last:", "name": "Child Support Child last name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "42-Child Support (Reduction)": { "name": "42-Child Support (Reduction)", "type": "A2J", "step": 5, "repeatVar": "CSReductionCount", "text": "

Provide the full name of the other party involved in the divorce/child support order for the %%ordinal(CSReductionCount)%% child.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "43-Child Support (Reduction)", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "First:", "name": "Child Support other party first name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Middle:", "name": "Child Support other party middle name TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Last:", "name": "Child Support other party last name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "43-Child Support (Reduction)": { "name": "43-Child Support (Reduction)", "type": "A2J", "step": 5, "repeatVar": "CSReductionCount", "text": "

Has there been a change of physical custody with the %%ordinal(CSReductionCount)%% child?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "CSReductionCount", "repeatVarSet": "+=1", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Child Support change physical custody MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Child Support change physical custody MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF CSReductionCount>=ChildSupportReductionChildrenMC
GOTO \"44-Child Support (Reduction)\"
END IF

IF CSReductionCount<ChildSupportReductionChildrenMC
GOTO \"41-Child Support (Reduction)\"
END IF
", "notes": "" }, "44-Child Support (Reduction)": { "name": "44-Child Support (Reduction)", "type": "A2J", "step": 5, "repeatVar": "", "text": "

How much were you earning per month when the Order was set?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "45-Child Support (Reduction)", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "numberdollar", "label": "Income: $", "name": "Child Support income past NU", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a dollar amount in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "45-Child Support (Reduction)": { "name": "45-Child Support (Reduction)", "type": "A2J", "step": 5, "repeatVar": "", "text": "

How much do you earn per month now?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "81-Case extra details", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "numberdollar", "label": "Income: $", "name": "Child Support income now NU", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a dollar amount in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "46-Child Support (Increase)": { "name": "46-Child Support (Increase)", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Give the name of the judge who signed the divorce decree

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "47-Child Support (Increase)", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "Judge's name", "name": "Child Support judge TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "47-Child Support (Increase)": { "name": "47-Child Support (Increase)", "type": "A2J", "step": 5, "repeatVar": "", "text": "

On what date did the judge sign the divorce decree?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "48-Child Support (Increase)", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "Date", "name": "Child Support Date TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "48-Child Support (Increase)": { "name": "48-Child Support (Increase)", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Give the full name of the ex-spouse.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "49-Child Support (Increase)", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "Name", "name": "Child Support ex-spouse TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "49-Child Support (Increase)": { "name": "49-Child Support (Increase)", "type": "A2J", "step": 5, "repeatVar": "CSIncreaseNumber", "text": "

How many children are involved in the divorce decree/child support order?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "50-Child Support (Increase)", "url": "", "repeatVar": "CSIncreaseNumber", "repeatVarSet": "=1", "name": "", "value": "" } ], "fields": [{ "type": "numberpick", "label": "Number:", "name": "CSIncreaseChildrenNumberNU", "value": "", "order": "ASC", "required": true, "min": "0", "max": "9", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must select a number from the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "50-Child Support (Increase)": { "name": "50-Child Support (Increase)", "type": "A2J", "step": 5, "repeatVar": "CSIncreaseNumber", "text": "

What is the age of the %%ordinal(CSIncreaseNumber)%% child?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "CSIncreaseNumber", "repeatVarSet": "+=1", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "Child's Age:", "name": "Child Support age TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "IF CSIncreaseNumber<CSIncreaseChildrenNumberNU
GOTO \"50-Child Support (Increase)\"
END IF

IF CSIncreaseNumber>=CSIncreaseChildrenNumberNU
GOTO \"81-Case extra details\"
END IF
", "notes": "" }, "32-Child Support": { "name": "32-Child Support", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Were the child's parents married?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Child support parents married MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Child support parents married MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Child support parents married MC] is \"No\"
GOTO \"9 ChildSupport dq2\"
END IF

IF [Child support parents married MC] is \"Yes\"
GOTO \"33-Child Support\"
END IF
", "notes": "" }, "33-Child Support": { "name": "33-Child Support", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Was the amount of child support set more than three years ago?

", "textAudioURL": "", "learn": "Why does this matter?", "help": "

DHR allows a request for increase in child support payments every three years.

", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Child support amount set MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Child support amount set MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Child support amount set MC] is \"Yes\"
GOTO \"2-Financial Information\"
END IF

IF [Child support amount set MC] is \"No\"
GOTO \"10 ChildSupport dq3\"
END IF
", "notes": "" }, "34-Contracts and Warranties": { "name": "34-Contracts and Warranties", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Is the amount of money involved less than $5,000.00?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Contracts amount over 5k MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Contracts amount over 5k MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Contracts amount over 5k MC] is \"Yes\"
GOTO \"2-Financial Information\"
END IF

IF [Contracts amount over 5k MC] is \"No\"
GOTO \"35-Contracts and Warranties\"
END IF
", "notes": "" }, "35-Contracts and Warranties": { "name": "35-Contracts and Warranties", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Is this a hurricane related claim or a dispute over auto purchase or repairs?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Contracts hurricane auto MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Contracts hurricane auto MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Contracts hurricane auto MC] is \"No\"
GOTO \"15 Contracts dq1\"
END IF

IF [Contracts hurricane auto MC] is \"Yes\"
GOTO \"2-Financial Information\"
END IF
", "notes": "" }, "51-Contracts and Warranties": { "name": "51-Contracts and Warranties", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Is the contract written or verbal?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "59-Contracts and Warranties", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Written", "name": "Contracts type MC", "value": "Written", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "Verbal", "name": "Contracts type MC", "value": "Verbal", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "52-Contracts and Warranties": { "name": "52-Contracts and Warranties", "type": "A2J", "step": 5, "repeatVar": "", "text": "

On what date was the contract entered into or signed?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "53-Contracts and Warranties", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "datemdy", "label": "Date", "name": "Contracts date entered DA", "value": "", "order": "DESC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must enter a month, day and year in the highlighted spaces before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "53-Contracts and Warranties": { "name": "53-Contracts and Warranties", "type": "A2J", "step": 5, "repeatVar": "", "text": "

What are the terms of the contract?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "54-Contracts and Warranties", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Terms:", "name": "Contracts terms of contract TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "54-Contracts and Warranties": { "name": "54-Contracts and Warranties", "type": "A2J", "step": 5, "repeatVar": "", "text": "

How much money is involved?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "55-Contracts and Warranties", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "numberdollar", "label": "Dollar Amount: $", "name": "Contracts amount involved NU", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a dollar amount in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "55-Contracts and Warranties": { "name": "55-Contracts and Warranties", "type": "A2J", "step": 5, "repeatVar": "", "text": "

What are the terms of payment?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "56-Contracts and Warranties", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Terms:", "name": "Contracts terms payment TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "56-Contracts and Warranties": { "name": "56-Contracts and Warranties", "type": "A2J", "step": 5, "repeatVar": "", "text": "

What work is/was to be completed?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "57-Contracts and Warranties", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Describe:", "name": "Contracts work contracted TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "57-Contracts and Warranties": { "name": "57-Contracts and Warranties", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Did the contract provide a due date or deadline?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Contracts deadline given MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Contracts deadline given MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Contracts deadline given MC] is \"Yes\"
GOTO \"58-Contracts and Warranties\"
END IF

IF [Contracts deadline given MC] is \"No\"
GOTO \"81-Case extra details\"
END IF
", "notes": "" }, "58-Contracts and Warranties": { "name": "58-Contracts and Warranties", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Provide that date.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "81-Case extra details", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "datemdy", "label": "Deadline:", "name": "Contracts due date DA", "value": "", "order": "DESC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must enter a month, day and year in the highlighted spaces before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "36-Estates": { "name": "36-Estates", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Do any of the following apply?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "Estates any apply Yes", "value": "" } ], "fields": [{ "type": "radio", "label": "An asbestos claim is involved.", "name": "Estates conditions MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "There is a disagreement or dispute among the family members regarding the inheritance.", "name": "Estates conditions MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "There is life insurance involved.", "name": "Estates conditions MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "None of the above.", "name": "Estates conditions MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Estates conditions MC] = \"Yes\"
GOTO \"16 Estates dq1\"
END IF

IF [Estates conditions MC] = \"No\"
GOTO \"37-Estates\"
END IF
", "notes": "" }, "37-Estates": { "name": "37-Estates", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Is there a home involved?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Estates home involved MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Estates home involved MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Estates home involved MC] is \"Yes\"
GOTO \"38-Estates\"
END IF

IF [Estates home involved MC] is \"No\"
GOTO \"41-Estates\"
END IF
", "notes": "" }, "38-Estates": { "name": "38-Estates", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Does someone live in the home?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Estates live in home MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Estates live in home MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Estates live in home MC] is \"Yes\"
GOTO \"39-Estates\"
END IF

IF [Estates live in home MC] is \"No\"
GOTO \"41-Estates\"
END IF
", "notes": "" }, "39-Estates": { "name": "39-Estates", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Do you live in the home?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Estates client in home MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Estates client in home MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Estates client in home MC] is \"Yes\"
GOTO \"40-Estates\"
END IF

IF [Estates client in home MC] is \"No\"
GOTO \"17 Estates dq2\"
END IF
", "notes": "" }, "40-Estates": { "name": "40-Estates", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Do you plan to continue living in the home?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Estates continue living in home MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Estates continue living in home MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Estates continue living in home MC] is \"Yes\"
GOTO \"41-Estates\"
END IF

IF [Estates continue living in home MC] is \"No\"
GOTO \"16 Estates dq1\"
END IF
", "notes": "" }, "41-Estates": { "name": "41-Estates", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Is the estate worth more than $5,000.00? (Count the value of land/property, cars, bank accounts, etc. Do not count the value of the home if you live there or plan to live there.)

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Estate over 5k MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Estate over 5k MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Estate over 5k MC] is \"Yes\"
GOTO \"16 Estates dq1\"
END IF

IF [Estate over 5k MC] is \"No\"
GOTO \"42-Estates\"
END IF
", "notes": "" }, "42-Estates": { "name": "42-Estates", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Do you need assistance getting Letters of Administration or Testamentary?

", "textAudioURL": "", "learn": "What are these?", "help": "

These are formal documents issued by a probate court appointing someone to manage an estate.

", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "43-Estates", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Estates help with letters MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Estates help with letters MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "43-Estates": { "name": "43-Estates", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Do you need assistance getting payment for a burial policy?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "2-Financial Information", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Estates help burial policy MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Estates help burial policy MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "60-Estates": { "name": "60-Estates", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Is there a will?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "61-Estates", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Estates will MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Estates will MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "61-Estates": { "name": "61-Estates", "type": "A2J", "step": 5, "repeatVar": "", "text": "

What is the full name of the deceased?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "62-Estates", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "First:", "name": "Estate deceased first name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Middle:", "name": "Estate deceased middle name TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Last:", "name": "Estate deceased last name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "62-Estates": { "name": "62-Estates", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Please give the date of death.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "63-Estates", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "datemdy", "label": "Date:", "name": "Estates death date DA", "value": "", "order": "DESC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must enter a month, day and year in the highlighted spaces before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "63-Estates": { "name": "63-Estates", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Do you have contact information for all of the possible heirs/beneficiaries?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "64-Estates", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Estates heirs MC", "value": "Yes", "order": "DESC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Estates heirs MC", "value": "No", "order": "DESC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "I don't know.", "name": "Estates heirs MC", "value": "Unsure", "order": "DESC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "64-Estates": { "name": "64-Estates", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Have you spoken to all of the possible heirs/beneficiaries?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "65-Estates", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Estates spoken with heirs MC", "value": "Yes", "order": "DESC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Estates spoken with heirs MC", "value": "No", "order": "DESC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "I don't know.", "name": "Estates spoken with heirs MC", "value": "Unsure", "order": "DESC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "65-Estates": { "name": "65-Estates", "type": "A2J", "step": 5, "repeatVar": "", "text": "

If a home is involved, please give the address.

", "textAudioURL": "", "learn": "What if I do not know the address.", "help": "

Include as much information as you know about the home address.

", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "66-Estates", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "Address 1:", "name": "Estates address line 1 TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Address 2:", "name": "Estates address line 2 TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "City:", "name": "Estates city TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "County:", "name": "Estates county TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "textpick", "label": "State:", "name": "Estates state TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must make a selection from the highlighted space before you can continue." }, { "type": "numberzip", "label": "Zip:", "name": "Estates postal code NU", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a zip code in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "66-Estates": { "name": "66-Estates", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Please list the estate's assets (bank account, home, checking account, savings account, etc.).

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "67-Estates", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Assets:", "name": "Estates assets TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "67-Estates": { "name": "67-Estates", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Please list the estate's liabilities (bills/debts).

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "81-Case extra details", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Liabilities:", "name": "Estates liabilities TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "5-Collections": { "name": "5-Collections", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Do you accept responsibility for the debt?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Collections accept resp MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Collections accept resp MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Collections accept resp MC] is \"Yes\"
GOTO \"2-Financial Information\"
END IF

IF [Collections accept resp MC] is \"No\"
GOTO \"12 Collections dq2\"
END IF
", "notes": "" }, "72-Collection": { "name": "72-Collection", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Who is the creditor (person to whom you owe money)?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "73-Collection", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Describe:", "name": "Collection creditor TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "73-Collection": { "name": "73-Collection", "type": "A2J", "step": 5, "repeatVar": "", "text": "

What is the amount owed?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "74-Collection", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "numberdollar", "label": "$", "name": "Collections Amount owed NU", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a dollar amount in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "74-Collection": { "name": "74-Collection", "type": "A2J", "step": 5, "repeatVar": "", "text": "

How much are the late fees and interest?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "75-Collection", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "numberdollar", "label": "$", "name": "Collections late fees NU", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a dollar amount in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "75-Collection": { "name": "75-Collection", "type": "A2J", "step": 5, "repeatVar": "", "text": "

What have you done to resolve the issue?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "76-Collection", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Describe:", "name": "Collections done to resolve TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "76-Collection": { "name": "76-Collection", "type": "A2J", "step": 5, "repeatVar": "", "text": "

When did you make your most recent payment?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "77-Collection", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Describe:", "name": "Collections recent payment TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "77-Collection": { "name": "77-Collection", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Has the debt been turned over to a collection agency?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "78-Collection", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Collections turned collection agency Yes MC", "value": "YES", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Collections turned collection agency No MC", "value": "NO", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "78-Collection": { "name": "78-Collection", "type": "A2J", "step": 5, "repeatVar": "", "text": "

What agency?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "79-Collection", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Agency:", "name": "Collections Agency TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "79-Collection": { "name": "79-Collection", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Who did you speak to at the agency?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "80-Collection", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "Name", "name": "Collections who at agency TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "80-Collection": { "name": "80-Collection", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Has the agency threatened garnishment, a lien against your home, or a lawsuit?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "81-Case extra details", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Collections threat garnish Yes MC", "value": "YES", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Collections threat garnish No MC", "value": "NO", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "44-Guardianship/Conservatorship": { "name": "44-Guardianship/Conservatorship", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Do you want to become a guardian (person who makes decisions about someone's general and medical care), a conservator (person who makes decisions about someone's financial affairs), or both?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "45-Guardianship/Conservatorship", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Guardian", "name": "G/C type MC", "value": "Guardian", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "Conservator", "name": "G/C type MC", "value": "Conservator", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "Both", "name": "G/C type MC", "value": "Both", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "45-Guardianship/Conservatorship": { "name": "45-Guardianship/Conservatorship", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Are you trying to get a guardianship and/or conservatorship over an adult or a minor?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Adult", "name": "G/C person age MC", "value": "Adult", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "Minor", "name": "G/C person age MC", "value": "Minor", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [G/C person age MC] is \"Adult\"
GOTO \"46-Guardianship/Conservatorship Adult\"
END IF

IF [G/C person age MC] is \"Minor\"
GOTO \"51-Guardianship/Conservatorship Child\"
END IF
", "notes": "" }, "46-Guardianship/Conservatorship Adult": { "name": "46-Guardianship/Conservatorship Adult", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Do any of the following statements apply to the person over whom you wish to obtain guardianship and/or conservatorship (the alleged incapacitated)?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "The alleged is not of sound mind", "name": "G/C alleged condition MC", "value": "Sound mind", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "The alleged has a medical condition that prevents him/her from taking care of himself or herself.", "name": "G/C alleged condition MC", "value": "Medical Condition", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "None of the above.", "name": "G/C alleged condition MC", "value": "None", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [G/C alleged condition MC] is \"Sound mind\"
GOTO \"47-Guardianship/Conservatorship Adult\"
END IF

IF [G/C alleged condition MC] is \"Medical Condition\"
GOTO \"47-Guardianship/Conservatorship Adult\"
END IF

IF [G/C alleged condition MC] is \"None\"
GOTO \"18 GC dq1\"
END IF
", "notes": "" }, "47-Guardianship/Conservatorship Adult": { "name": "47-Guardianship/Conservatorship Adult", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Do all family members agree that the alleged incapacitated needs a guardian/conservator and that you should be the guardian/conservator? (You will have to provide the attorney with contact information for all immediate family members.)

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "G/C Adult All Agree MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "G/C Adult All Agree MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [G/C Adult All Agree MC] is \"Yes\"
GOTO \"48-Guardianship/Conservatorship Adult\"
END IF

IF [G/C Adult All Agree MC] is \"No\"
GOTO \"18 GC dq1\"
END IF
", "notes": "" }, "48-Guardianship/Conservatorship Adult": { "name": "48-Guardianship/Conservatorship Adult", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Does the alleged incapacitated have any assets or debts?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "G/C Adult assets debts MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "G/C Adult assets debts MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [G/C Adult assets debts MC] is \"Yes\"
GOTO \"49-Guardianship/Conservatorship Adult\"
END IF

IF [G/C Adult assets debts MC] is \"No\"
GOTO \"2-Financial Information\"
END IF
", "notes": "" }, "49-Guardianship/Conservatorship Adult": { "name": "49-Guardianship/Conservatorship Adult", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Is someone else (nursing home, etc.) the payee on any income checks for the alleged incapacitated?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "G/C Adult Payee MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "G/C Adult Payee MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [G/C Adult Payee MC] is \"Yes\"
GOTO \"2-Financial Information\"
END IF

IF [G/C Adult Payee MC] is \"No\"
GOTO \"50-Guardianship/Conservatorship Adult\"
END IF
", "notes": "" }, "50-Guardianship/Conservatorship Adult": { "name": "50-Guardianship/Conservatorship Adult", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Are you a Mobile County resident?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "G/C Adult County resident MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "G/C Adult County resident MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [G/C Adult County resident MC] is \"Yes\"
GOTO \"2-Financial Information\"
END IF

IF [G/C Adult County resident MC] is \"No\"
GOTO \"19 GC dq2\"
END IF
", "notes": "" }, "82-Guardianship/Conservatorship Adult": { "name": "82-Guardianship/Conservatorship Adult", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Give the full name of the alleged incapacitated.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "83-Guardianship/Conservatorship Adult", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "First:", "name": "Guardianship/Conservatorship Adult first name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Middle:", "name": "Guardianship/Conservatorship Adult middle name TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Last:", "name": "Guardianship/Conservatorship Adult last name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "83-Guardianship/Conservatorship Adult": { "name": "83-Guardianship/Conservatorship Adult", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Give the birth date of the alleged incapacitated.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "84-Guardianship/Conservatorship Adult", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "datemdy", "label": "Birthdate:", "name": "Guardianship/Conservatorship Adult DOB DA", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must enter a month, day and year in the highlighted spaces before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "84-Guardianship/Conservatorship Adult": { "name": "84-Guardianship/Conservatorship Adult", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Why does the alleged incapacitated need a guardian/conservator?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "85-Guardianship/Conservatorship Adult", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Describe:", "name": "Guardianship/Conservatorship Adult Why TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "85-Guardianship/Conservatorship Adult": { "name": "85-Guardianship/Conservatorship Adult", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Does the alleged incapacitated have a spouse?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "86-Guardianship/Conservatorship Adult", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Guardianship/Conservatorship Adult Spouse Yes MC", "value": "YES", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Guardianship/Conservatorship Adult Spouse No MC", "value": "NO", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "86-Guardianship/Conservatorship Adult": { "name": "86-Guardianship/Conservatorship Adult", "type": "A2J", "step": 5, "repeatVar": "", "text": "

How many adult children does the alleged incapacitated have?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "87-Guardianship/Conservatorship Adult", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "numberpick", "label": "Children:", "name": "Guardianship/Conservatorship Adult Number of Children MC", "value": "", "order": "ASC", "required": true, "min": "0", "max": "9", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must select a number from the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "87-Guardianship/Conservatorship Adult": { "name": "87-Guardianship/Conservatorship Adult", "type": "A2J", "step": 5, "repeatVar": "", "text": "

How many siblings does the alleged incapacitated have?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "89-Guardianship/Conservatorship Adult", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "numberpick", "label": "Sibilings", "name": "Guardianship/Conservatorship Adult Number of Sibilings MC", "value": "", "order": "ASC", "required": true, "min": "0", "max": "9", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must select a number from the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "89-Guardianship/Conservatorship Adult": { "name": "89-Guardianship/Conservatorship Adult", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Briefly describe your issue.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "81-Case extra details", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Describe:", "name": "Guardianship/Conservatorship Adult TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "51-Guardianship/Conservatorship Child": { "name": "51-Guardianship/Conservatorship Child", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Does the child live in Mobile County?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "G/C Child MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "G/C Child MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [G/C Child MC] is \"Yes\"
GOTO \"52-Guardianship/Conservatorship Child\"
END IF

IF [G/C Child MC] is \"No\"
GOTO \"18 GC dq1\"
END IF
", "notes": "" }, "52-Guardianship/Conservatorship Child": { "name": "52-Guardianship/Conservatorship Child", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Are the child's parents in agreement? You will have to give your attorney the parents' contact information.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "G/C Child parents Agree MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "G/C Child parents Agree MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [G/C Child parents Agree MC] is \"Yes\"
GOTO \"53-Guardianship/Conservatorship Child\"
END IF

IF [G/C Child parents Agree MC] is \"No\"
GOTO \"18 GC dq1\"
END IF
", "notes": "" }, "53-Guardianship/Conservatorship Child": { "name": "53-Guardianship/Conservatorship Child", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Are you trying to establish guardianship so the minor can be enrolled in a different school?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "G/C Child enrol school MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "G/C Child enrol school MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [G/C Child enrol school MC] is \"Yes\"
GOTO \"18 GC dq1\"
END IF

IF [G/C Child enrol school MC] is \"No\"
GOTO \"54-Guardianship/Conservatorship Child\"
END IF
", "notes": "" }, "54-Guardianship/Conservatorship Child": { "name": "54-Guardianship/Conservatorship Child", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Are you trying to establish guardianship to collect an insurance policy for a minor?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "G/C Child collect insurance MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "G/C Child collect insurance MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [G/C Child collect insurance MC] is \"Yes\"
GOTO \"18 GC dq1\"
END IF

IF [G/C Child collect insurance MC] is \"No\"
GOTO \"55-Guardianship/Conservatorship Child\"
END IF
", "notes": "" }, "55-Guardianship/Conservatorship Child": { "name": "55-Guardianship/Conservatorship Child", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Will this be a permanent situation?

", "textAudioURL": "", "learn": "Minor guardianships are valid for one year...", "help": "

Minor guardianships are valid for one year and the Volunteer Lawyers Program can only help with minor guardianship once. You can review the custody section for information on establishing permanent arrangements.

", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "G/C Child Permanent MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "G/C Child Permanent MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [G/C Child Permanent MC] is \"Yes\"
GOTO \"18 GC dq1\"
END IF

IF [G/C Child Permanent MC] is \"No\"
GOTO \"56-Guardianship/Conservatorship Child\"
END IF
", "notes": "" }, "56-Guardianship/Conservatorship Child": { "name": "56-Guardianship/Conservatorship Child", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Has the child lived with you for more than one year?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "G/C Child lived w/ you MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "G/C Child lived w/ you MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [G/C Child lived w/ you MC] is \"No\"
GOTO \"18 GC dq1\"
END IF

IF [G/C Child lived w/ you MC] is \"Yes\"
GOTO \"2-Financial Information\"
END IF
", "notes": "" }, "90-Guardianship/Conservatorship Child": { "name": "90-Guardianship/Conservatorship Child", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Give the full name of the minor(s).

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "91-Guardianship/Conservatorship Child", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "First:", "name": "Guardianship/Conservatorship Child first name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Middle:", "name": "Guardianship/Conservatorship Child middle name TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Last:", "name": "Guardianship/Conservatorship Child last name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "91-Guardianship/Conservatorship Child": { "name": "91-Guardianship/Conservatorship Child", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Give the birth date of the minor(s).

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "92-Guardianship/Conservatorship Child", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "datemdy", "label": "Birthdate:", "name": "Guardianship/Conservatorship Child birthdate DA", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must enter a month, day and year in the highlighted spaces before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "92-Guardianship/Conservatorship Child": { "name": "92-Guardianship/Conservatorship Child", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Give the minor(s) address(es).

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "93-Guardianship/Conservatorship Child", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "Address 1:", "name": "Guardianship/Conservatorship Child address line 1 TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Address 2:", "name": "Guardianship/Conservatorship Child address line 2 TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "City:", "name": "Guardianship/Conservatorship Childcity TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "County:", "name": "Guardianship/Conservatorship Child county TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "textpick", "label": "State:", "name": "Guardianship/Conservatorship Child state TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must make a selection from the highlighted space before you can continue." }, { "type": "numberzip", "label": "Zip:", "name": "Guardianship/Conservatorship Child postal code TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a zip code in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "93-Guardianship/Conservatorship Child": { "name": "93-Guardianship/Conservatorship Child", "type": "A2J", "step": 5, "repeatVar": "", "text": "

List any assets that the minor(s) has/have.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "94-Guardianship/Conservatorship Child", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Describe:", "name": "Guardianship/Conservatorship Child assets TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "94-Guardianship/Conservatorship Child": { "name": "94-Guardianship/Conservatorship Child", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Why does/do the minor(s) need a guardian?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "95-Guardianship/Conservatorship Child", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Describe:", "name": "Guardianship/Conservatorship Child why need guardian TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "95-Guardianship/Conservatorship Child": { "name": "95-Guardianship/Conservatorship Child", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Briefly describe your issue.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "82-Client Contact Information", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Describe:", "name": "Guardianship/Conservatorship Child describe TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "57-Homeownership/Deed/Title": { "name": "57-Homeownership/Deed/Title", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Check the appropriate box regarding the property in question:

", "textAudioURL": "", "learn": "What if the owner of the home or property is deceased?", "help": "

You will need to go back and select \"Estates\" as your issue for this intake interview.

", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "I am the owner of the property.", "name": "HomeDeedTitle Owner MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "The property belongs to a deceased relative.", "name": "HomeDeedTitle Owner MC", "value": "relative", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "Neither of the above.", "name": "HomeDeedTitle Owner MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [HomeDeedTitle Owner MC] is \"Yes\"
GOTO \"58-Homeownership/Deed/Title\"
END IF

IF [HomeDeedTitle Owner MC] is \"No\"
GOTO \"21 Homeownership dq1\"
END IF

IF [HomeDeedTitle Owner MC] is \"relative\"
SET [Case type MC] TO \"Estates\"
GOTO \"36-Estates\"
END IF
", "notes": "" }, "58-Homeownership/Deed/Title": { "name": "58-Homeownership/Deed/Title", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Is the home/property in Mobile County?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "HomeDeedTitle in Mobile Co MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "HomeDeedTitle in Mobile Co MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [HomeDeedTitle in Mobile Co MC] is \"Yes\"
GOTO \"59-Homeownership/Deed/Title\"
END IF

IF [HomeDeedTitle in Mobile Co MC] is \"No\"
GOTO \"21 Homeownership dq1\"
END IF
", "notes": "" }, "59-Homeownership/Deed/Title": { "name": "59-Homeownership/Deed/Title", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Do you want to add a name to the title or deed?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "2-Financial Information", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "HomeDeedTitle Add Name MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "HomeDeedTitle Add Name MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "96-Homeownership/Deed/Title": { "name": "96-Homeownership/Deed/Title", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Is there a lien against the property?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "97-Homeownership/Deed/Title", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Homeownership/Deed/Title lien MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Homeownership/Deed/Title lien MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "97-Homeownership/Deed/Title": { "name": "97-Homeownership/Deed/Title", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Are you trying to avoid signing assets over to Medicare/Medicaid?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "98-Homeownership/Deed/Title", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Homeownership/Deed/Title avoidance MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Homeownership/Deed/Title avoidance MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "98-Homeownership/Deed/Title": { "name": "98-Homeownership/Deed/Title", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Give a brief explanation of your problem.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "82-Client Contact Information", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Describe:", "name": "Homeownership/Deed/Title description TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "60-Landlord/Tenant": { "name": "60-Landlord/Tenant", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Please describe the type of housing you have:

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Public housing", "name": "Landlord/Tenant housing type MC", "value": "Public housing", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "Section 8", "name": "Landlord/Tenant housing type MC", "value": "Section 8", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "Federally subsidized", "name": "Landlord/Tenant housing type MC", "value": "Federally subsidized", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "Private landlord", "name": "Landlord/Tenant housing type MC", "value": "Private landlord", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "None of the above", "name": "Landlord/Tenant housing type MC", "value": "None of the above", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Landlord/Tenant housing type MC] is \"Public housing\"
GOTO \"22 LLT dq1\"
END IF

IF [Landlord/Tenant housing type MC] is \"Section 8\"
GOTO \"61-Landlord/Tenant\"
END IF

IF [Landlord/Tenant housing type MC] is \"Federally subsidized\"
GOTO \"22 LLT dq1\"
END IF

IF [Landlord/Tenant housing type MC] is \"Private landlord\"
GOTO \"61-Landlord/Tenant\"
END IF

IF [Landlord/Tenant housing type MC] is \"None of the above\"
GOTO \"61-Landlord/Tenant\"
END IF
", "notes": "" }, "61-Landlord/Tenant": { "name": "61-Landlord/Tenant", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Is the Mobile Housing Board involved in this issue?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Landlord/Tenant MHB MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Landlord/Tenant MHB MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Landlord/Tenant MHB MC] is \"Yes\"
GOTO \"23 LLT dq2\"
END IF

IF [Landlord/Tenant MHB MC] is \"No\"
GOTO \"62-Landlord/Tenant\"
END IF
", "notes": "" }, "62-Landlord/Tenant": { "name": "62-Landlord/Tenant", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Have you been served with an official eviction notice by the Sheriff's Department?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Landlord/Tenant sheriff served MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Landlord/Tenant sheriff served MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Landlord/Tenant sheriff served MC] is \"Yes\"
GOTO \"24 LLT dq3\"
END IF

IF [Landlord/Tenant sheriff served MC] is \"No\"
GOTO \"63-Landlord/Tenant\"
END IF
", "notes": "" }, "63-Landlord/Tenant": { "name": "63-Landlord/Tenant", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Have you received written notice that your landlord wants to evict you?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Landlord/Tenant written notice MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Landlord/Tenant written notice MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Landlord/Tenant written notice MC] is \"Yes\"
GOTO \"25 LLT dq4\"
END IF

IF [Landlord/Tenant written notice MC] is \"No\"
GOTO \"64-Landlord/Tenant\"
END IF
", "notes": "" }, "64-Landlord/Tenant": { "name": "64-Landlord/Tenant", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Does your problem involve a health hazard or a dangerous situation?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Landlord/Tenant hazard MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Landlord/Tenant hazard MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Landlord/Tenant hazard MC] is \"Yes\"
GOTO \"26 LLT dq5\"
END IF

IF [Landlord/Tenant hazard MC] is \"No\"
GOTO \"2-Financial Information\"
END IF
", "notes": "" }, "99-Landlord/Tenant": { "name": "99-Landlord/Tenant", "type": "A2J", "step": 5, "repeatVar": "", "text": "

What is the name of the landlord, leasing agent, company or apartment complex?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "100-Landlord/Tenant", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "", "name": "Landlord/Tenant company name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "65-Name Change": { "name": "65-Name Change", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Is the name change for a minor or an adult?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Minor", "name": "Name Change person MC", "value": "Minor", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "Adult", "name": "Name Change person MC", "value": "Adult", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Name Change person MC] is \"Minor\"
GOTO \"66-Name Change Minor\"
END IF

IF [Name Change person MC] is \"Adult\"
GOTO \"2-Financial Information\"
END IF
", "notes": "" }, "66-Name Change Minor": { "name": "66-Name Change Minor", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Which statement describes your situation?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "The father is not listed on the minor's birth certificate.", "name": "Name Change Minor situation MC", "value": "unlisted", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "The father is listed on the birth certificate but does not agree to the name change.", "name": "Name Change Minor situation MC", "value": "disagree", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "Father is not listed on the birth certificate but wants to be added.", "name": "Name Change Minor situation MC", "value": "added", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "The father is listed on the birth certificate but you do not know how to locate him.", "name": "Name Change Minor situation MC", "value": "contact", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "The father is listed on the birth certificate, agrees to the name change, and is willing to sign his consent.", "name": "Name Change Minor situation MC", "value": "agree", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "None of the above.", "name": "Name Change Minor situation MC", "value": "na", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Name Change Minor situation MC] is \"unlisted\"
GOTO \"27 NameChange dq1\"
END IF

IF [Name Change Minor situation MC] is \"disagree\"
GOTO \"27 NameChange dq1\"
END IF

IF [Name Change Minor situation MC] is \"added\"
SET [Case type MC] TO \"Paternity/Legitimation\"
GOTO \"71-Paternity/Legitimation paternity\"
END IF

IF [Name Change Minor situation MC] is \"contact\"
GOTO \"27 NameChange dq1\"
END IF

IF [Name Change Minor situation MC] is \"agree\"
GOTO \"67-Name Change Minor\"
END IF

IF [Name Change Minor situation MC] is \"na\"
GOTO \"67-Name Change Minor\"
END IF
", "notes": "" }, "67-Name Change Minor": { "name": "67-Name Change Minor", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Please describe your situation.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "68-Name Change Minor", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Describe:", "name": "Name Change Minor description TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "68-Name Change Minor": { "name": "68-Name Change Minor", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Is the minor over the age of 14?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Name Change Minor over 14 MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Name Change Minor over 14 MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Name Change Minor over 14 MC] is \"Yes\"
GOTO \"69-Name Change Minor\"
END IF

IF [Name Change Minor over 14 MC] is \"No\"
GOTO \"2-Financial Information\"
END IF
", "notes": "" }, "69-Name Change Minor": { "name": "69-Name Change Minor", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Does the minor agree to the name change?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Name Change Minor agree MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Name Change Minor agree MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Name Change Minor agree MC] is \"Yes\"
GOTO \"2-Financial Information\"
END IF

IF [Name Change Minor agree MC] is \"No\"
GOTO \"27 NameChange dq1\"
END IF
", "notes": "" }, "100-Name Change Minor": { "name": "100-Name Change Minor", "type": "A2J", "step": 5, "repeatVar": "MinorNameChangeCount", "text": "

What is the %%ordinal(MinorNameChangeCount)%% child's mother's full name (including maiden name)?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "101-Name Change Minor", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "First:", "name": "Name Change Minor mother first name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Middle:", "name": "Name Change Minor mother middle name TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Maiden:", "name": "Name Change Minor mother maiden name TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Last:", "name": "Name Change Minor mother last name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "101-Name Change Minor": { "name": "101-Name Change Minor", "type": "A2J", "step": 5, "repeatVar": "MinorNameChangeCount", "text": "

What is the mother's address?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "102-Name Change Minor", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "Address 1:", "name": "Name Change Minor mother address line 1 TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Address 2:", "name": "Name Change Minor mother address line 2 TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "City:", "name": "Name Change Minor mother city TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "County:", "name": "Name Change Minor mother county TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "textpick", "label": "State:", "name": "Name Change Minor mother state TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must make a selection from the highlighted space before you can continue." }, { "type": "numberzip", "label": "Zip:", "name": "Name Change Minor mother postal code TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a zip code in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "102-Name Change Minor": { "name": "102-Name Change Minor", "type": "A2J", "step": 5, "repeatVar": "MinorNameChangeCount", "text": "

What is the %%ordinal(MinorNameChangeCount)%% child's father's full name?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "103-Name Change Minor", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "First:", "name": "Name Change Minor father first name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Middle:", "name": "Name Change Minor father middle name TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Last:", "name": "Name Change Minor father last name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "103-Name Change Minor": { "name": "103-Name Change Minor", "type": "A2J", "step": 5, "repeatVar": "MinorNameChangeCount", "text": "

What is the father's address?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "104-Name Change Minor", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "Address 1:", "name": "Name Change Minor father address line 1 TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Address 2:", "name": "Name Change Minor father address line 2 TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "City:", "name": "Name Change Minor father city TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "County:", "name": "Name Change Minor father county TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "textpick", "label": "State:", "name": "Name Change Minor father state TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must make a selection from the highlighted space before you can continue." }, { "type": "numberzip", "label": "Zip:", "name": "Name Change Minor father postal code TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a zip code in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "104-Name Change Minor": { "name": "104-Name Change Minor", "type": "A2J", "step": 5, "repeatVar": "MinorNameChangeCount", "text": "

What is the %%ordinal(MinorNameChangeCount)%% child's full name as listed on the birth certificate?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "108-Name Change Minor", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "First:", "name": "Name Change Minor first name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Middle:", "name": "Name Change Minor middle name TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Last:", "name": "Name Change Minor last name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "105-Name Change Minor": { "name": "105-Name Change Minor", "type": "A2J", "step": 5, "repeatVar": "MinorNameChangeCount", "text": "

What is the %%ordinal(MinorNameChangeCount)%% child's date of birth?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "106-Name Change Minor", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "datemdy", "label": "Birthdate:", "name": "Name Change Minor birthdate DA", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must enter a month, day and year in the highlighted spaces before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "106-Name Change Minor": { "name": "106-Name Change Minor", "type": "A2J", "step": 5, "repeatVar": "MinorNameChangeCount", "text": "

What will the %%ordinal(MinorNameChangeCount)%% child's name be after the name change?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "MinorNameChangeCount", "repeatVarSet": "+=1", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "First:", "name": "Name Change Minor new first name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Middle:", "name": "Name Change Minor new middle name TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Last:", "name": "Name Change Minor new last name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "IF MinorNameChangeCount<NameChangeMinorChildrenNumberNU
GOTO \"100-Name Change Minor\"
END IF

IF MinorNameChangeCount>=NameChangeMinorChildrenNumberNU
GOTO \"81-Case extra details\"
END IF
", "notes": "" }, "108-Name Change Adult": { "name": "108-Name Change Adult", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Why do you want to change your name?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "109-Name Change Adult", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "checkbox", "label": "Post-Divorce (return to maiden or former name)", "name": "Name change reason divorce MC", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "Please select one or more checkboxes or \"None of the above\" to continue." }, { "type": "checkbox", "label": "Discrepancy (spelling errors)", "name": "Name change reason spelling MC", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "Please select one or more checkboxes or \"None of the above\" to continue." }, { "type": "checkbox", "label": "Religious beliefs", "name": "Name change reason religious MC", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "Please select one or more checkboxes or \"None of the above\" to continue." }, { "type": "checkboxNOTA", "label": "None of the above", "name": "Name change reason na MC", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "Please select one or more checkboxes or \"None of the above\" to continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "109-Name Change Adult": { "name": "109-Name Change Adult", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Have you changed your name before?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Name change adult before MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Name change adult before MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Name change adult before MC] is \"Yes\"
GOTO \"110-Name Change Adult\"
END IF

IF [Name change adult before MC] is \"No\"
GOTO \"111-Name Change Adult\"
END IF
", "notes": "" }, "110-Name Change Adult": { "name": "110-Name Change Adult", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Explain the reason for the prior name change or changes.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "111-Name Change Adult", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Describe:", "name": "Name Change Adult prior reasons TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "111-Name Change Adult": { "name": "111-Name Change Adult", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Are you a party to judicial proceedings in any court?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "112-Name Change Adult", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Name Change Adult party to court MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Name Change Adult party to court MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "112-Name Change Adult": { "name": "112-Name Change Adult", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Are you presently a defendant to any criminal charge?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "113-Name Change Adult", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Name Change Adult criminal defendant MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Name Change Adult criminal defendant MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "113-Name Change Adult": { "name": "113-Name Change Adult", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Are you trying to conceal your identity from anyone?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "114-Name Change Adult", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Name Change Adult conceal identity MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Name Change Adult conceal identity MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "114-Name Change Adult": { "name": "114-Name Change Adult", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Are you trying to avoid a debt or judgment?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "115-Name Change Adult", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Name Change Adult avoid debt MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Name Change Adult avoid debt MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "115-Name Change Adult": { "name": "115-Name Change Adult", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Have you been convicted of any crime?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Name Change Adult criminal conviction MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Name Change Adult criminal conviction MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Name Change Adult criminal conviction MC] is \"Yes\"
GOTO \"116-Name Change Adult\"
END IF

IF [Name Change Adult criminal conviction MC] is \"No\"
GOTO \"117-Name Change Adult\"
END IF
", "notes": "" }, "116-Name Change Adult": { "name": "116-Name Change Adult", "type": "A2J", "step": 5, "repeatVar": "", "text": "

What were the charges?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "117-Name Change Adult", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Describe:", "name": "Name Change Adult TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "117-Name Change Adult": { "name": "117-Name Change Adult", "type": "A2J", "step": 5, "repeatVar": "", "text": "

List any other names you have used

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "118-Name Change Adult", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "", "name": "Name Change Adult other names used TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "118-Name Change Adult": { "name": "118-Name Change Adult", "type": "A2J", "step": 5, "repeatVar": "", "text": "

What will your new name be?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "81-Case extra details", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "First:", "name": "Name Change Adult first name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Middle:", "name": "Name Change Adult middle name TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Last:", "name": "Name Change Adult last name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "70-Paternity/Legitimation": { "name": "70-Paternity/Legitimation", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Does your situation regard paternity or legitimation?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Paternity", "name": "Paternity/Legitimation choice MC", "value": "Paternity", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "Legitimation", "name": "Paternity/Legitimation choice MC", "value": "Legitimation", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Paternity/Legitimation choice MC] is \"Paternity\"
GOTO \"71-Paternity/Legitimation paternity\"
END IF

IF [Paternity/Legitimation choice MC] is \"Legitimation\"
GOTO \"74-Paternity/Legitimation legitimation\"
END IF
", "notes": "" }, "71-Paternity/Legitimation paternity": { "name": "71-Paternity/Legitimation paternity", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Do you wish to establish paternity?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Paternity/Legitimation paternity establish MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Paternity/Legitimation paternity establish MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Paternity/Legitimation paternity establish MC] is \"Yes\"
GOTO \"28 Paternity dq1\"
END IF

IF [Paternity/Legitimation paternity establish MC] is \"No\"
GOTO \"72-Paternity/Legitimation paternity\"
END IF
", "notes": "" }, "72-Paternity/Legitimation paternity": { "name": "72-Paternity/Legitimation paternity", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Are you the child's mother or father?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Mother", "name": "Paternity/Legitimation paternity parent MC", "value": "Mother", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "Father", "name": "Paternity/Legitimation paternity parent MC", "value": "Father", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Paternity/Legitimation paternity parent MC] is \"Mother\"
GOTO \"29 Paternity dq2\"
END IF

IF [Paternity/Legitimation paternity parent MC] is \"Father\"
GOTO \"73-Paternity/Legitimation paternity\"
END IF
", "notes": "" }, "73-Paternity/Legitimation paternity": { "name": "73-Paternity/Legitimation paternity", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Are all parties involved willing to sign forms regarding the paternity issue?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Paternity/Legitimation paternity agreement MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Paternity/Legitimation paternity agreement MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Paternity/Legitimation paternity agreement MC] is \"Yes\"
GOTO \"2-Financial Information\"
END IF

IF [Paternity/Legitimation paternity agreement MC] is \"No\"
GOTO \"30 Paternity dq3\"
END IF
", "notes": "" }, "119-Paternity/Legitimation paternity": { "name": "119-Paternity/Legitimation paternity", "type": "A2J", "step": 5, "repeatVar": "PaternityChildCount", "text": "

What is the full name of the %%ordinal(PaternityChildCount)%% child?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "120-Paternity/Legitimation paternity", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "First:", "name": "Paternity/Legitimation paternity first name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Middle:", "name": "Paternity/Legitimation paternity middle name TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Last:", "name": "Paternity/Legitimation paternity last name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "120-Paternity/Legitimation paternity": { "name": "120-Paternity/Legitimation paternity", "type": "A2J", "step": 5, "repeatVar": "PaternityChildCount", "text": "

What is the %%ordinal(PaternityChildCount)%% child's date of birth?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "PaternityChildCount", "repeatVarSet": "+=1", "name": "", "value": "" } ], "fields": [{ "type": "datemdy", "label": "Birthdate:", "name": "Paternity/Legitimation paternity birthdate DA", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must enter a month, day and year in the highlighted spaces before you can continue." } ], "codeBefore": "", "codeAfter": "IF PaternityChildCount<PaternityChildrenNU
GOTO \"119-Paternity/Legitimation paternity\"
END IF

IF PaternityChildCount>=PaternityChildrenNU
GOTO \"81-Case extra details\"
END IF
", "notes": "" }, "121-Paternity/Legitimation paternity": { "name": "121-Paternity/Legitimation paternity", "type": "A2J", "step": 5, "repeatVar": "PaternityChildCount", "text": "

Give a short description of your issue.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "PaternityChildCount", "repeatVarSet": "+=1", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Describe:", "name": "Paternity/Legitimation paternity TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "IF PaternityChildCount>[Paternity Children NU]
GOTO \"81-Case extra details\"
END IF

IF PaternityChildCount<=[Paternity Children NU]
GOTO \"119-Paternity/Legitimation paternity\"
END IF
", "notes": "" }, "75-Paternity/Legitimation legitimation": { "name": "75-Paternity/Legitimation legitimation", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Are all parties involved willing to sign forms regarding the legitimation issue?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Paternity/Legitimation legitimation agreement MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Paternity/Legitimation legitimation agreement MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Paternity/Legitimation legitimation agreement MC] is \"Yes\"
GOTO \"76-Paternity/Legitimation legitimation\"
END IF

IF [Paternity/Legitimation legitimation agreement MC] is \"No\"
GOTO \"30 Paternity dq3\"
END IF
", "notes": "" }, "76-Paternity/Legitimation legitimation": { "name": "76-Paternity/Legitimation legitimation", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Is the child's father willing to pay child support?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Paternity/Legitimation legitimation child support MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Paternity/Legitimation legitimation child support MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Paternity/Legitimation legitimation child support MC] is \"Yes\"
GOTO \"2-Financial Information\"
END IF

IF [Paternity/Legitimation legitimation child support MC] is \"No\"
GOTO \"30 Paternity dq3\"
END IF
", "notes": "" }, "122-Paternity/Legitimation legitimation": { "name": "122-Paternity/Legitimation legitimation", "type": "A2J", "step": 5, "repeatVar": "LegitimationChildCount", "text": "

What is the full name of the %%ordinal(LegitimationChildCount)%% child?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "123-Paternity/Legitimation legitimation", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "First:", "name": "Paternity/Legitimation legitimation first name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Middle:", "name": "Paternity/Legitimation legitimation middle name TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Last:", "name": "Paternity/Legitimation legitimation last name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "123-Paternity/Legitimation legitimation": { "name": "123-Paternity/Legitimation legitimation", "type": "A2J", "step": 5, "repeatVar": "LegitimationChildCount", "text": "

What is the %%ordinal(LegitimationChildCount)%% child's date of birth?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "124-Paternity/Legitimation legitimation", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "datemdy", "label": "Birthdate:", "name": "Paternity/Legitimation legitimation birthdate DA", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must enter a month, day and year in the highlighted spaces before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "124-Paternity/Legitimation legitimation": { "name": "124-Paternity/Legitimation legitimation", "type": "A2J", "step": 5, "repeatVar": "LegitimationChildCount", "text": "

What is the %%ordinal(LegitimationChildCount)%% father's full name?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "125-Paternity/Legitimation legitimation", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "First:", "name": "Paternity/Legitimation legitimation father first name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Middle:", "name": "Paternity/Legitimation legitimation father middle name TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Last:", "name": "Paternity/Legitimation legitimation father last name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "125-Paternity/Legitimation legitimation": { "name": "125-Paternity/Legitimation legitimation", "type": "A2J", "step": 5, "repeatVar": "LegitimationChildCount", "text": "

What is the %%ordinal(LegitimationChildCount)%% child's mother's full name?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "LegitimationChildCount", "repeatVarSet": "+=1", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "First:", "name": "Paternity/Legitimation legitimation mother first name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Middle:", "name": "Paternity/Legitimation legitimation mother middle name TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Last:", "name": "Paternity/Legitimation legitimation mother last name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "IF LegitimationChildCount<LegitimationNumberofChildrenNU
GOTO \"122-Paternity/Legitimation legitimation\"
END IF

IF LegitimationChildCount>=LegitimationNumberofChildrenNU
GOTO \"81-Case extra details\"
END IF
", "notes": "" }, "77-Power of Attorney (revocation/termination)": { "name": "77-Power of Attorney (revocation/termination)", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Do you want to revoke or terminate a power of attorney?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "POA revoke MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "POA revoke MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [POA revoke MC] is \"Yes\"
GOTO \"2-Financial Information\"
END IF

IF [POA revoke MC] is \"No\"
GOTO \"1-Case type\"
END IF
", "notes": "" }, "127-Power of Attorney (revocation/termination)": { "name": "127-Power of Attorney (revocation/termination)", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Please describe your issue

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "82-Client Contact Information", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Describe:", "name": "Power of Attorney (revocation/termination) TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "78-Power of Attorney": { "name": "78-Power of Attorney", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Are you seeking a Power of Attorney for an adult or a minor?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Adult", "name": "POA person MC", "value": "Adult", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "Minor", "name": "POA person MC", "value": "Minor", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [POA person MC] is \"Adult\"
GOTO \"79-Power of Attorney Adult\"
END IF

IF [POA person MC] is \"Minor\"
GOTO \"80-Power of Attorney Minor\"
END IF
", "notes": "" }, "79-Power of Attorney Adult": { "name": "79-Power of Attorney Adult", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Are you the person who wants to assign Power of Attorney?

", "textAudioURL": "", "learn": "", "help": "

You may be required to provide a doctor's statement that you are of sound mind to sign legal documents.

", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "POA Adult assign MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "POA Adult assign MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [POA Adult assign MC] is \"Yes\"
GOTO \"2-Financial Information\"
END IF

IF [POA Adult assign MC] is \"No\"
GOTO \"31 POA dq1\"
END IF
", "notes": "" }, "80-Power of Attorney Minor": { "name": "80-Power of Attorney Minor", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Are you the child's custodial parent or guardian?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "POA custodial MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "POA custodial MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [POA custodial MC] is \"Yes\"
GOTO \"81-Power of Attorney Minor\"
END IF

IF [POA custodial MC] is \"No\"
GOTO \"32 POA dq2\"
END IF
", "notes": "" }, "128-Power of Attorney Adult": { "name": "128-Power of Attorney Adult", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Give the name of the person who will be appointed to power of attorney.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "130-Power of Attorney Adult", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "First:", "name": "Power of Attorney Adult first name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Middle:", "name": "Power of Attorney Adult middle name TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Last:", "name": "Power of Attorney Adult last name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "129-Power of Attorney Adult": { "name": "129-Power of Attorney Adult", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Please give a brief description of your issue.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "82-Client Contact Information", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Describe:", "name": "Power of Attorney Adult TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "81-Power of Attorney Minor": { "name": "81-Power of Attorney Minor", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Are the child's parents in an ongoing dispute over the child?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "POA dispute MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "POA dispute MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [POA dispute MC] is \"Yes\"
GOTO \"32 POA dq2\"
END IF

IF [POA dispute MC] is \"No\"
GOTO \"82-Power of Attorney Minor\"
END IF
", "notes": "" }, "82-Power of Attorney Minor": { "name": "82-Power of Attorney Minor", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Do you want to give someone temporary or permanent rights to make decisions regarding the minor?

", "textAudioURL": "", "learn": "", "help": "

A minor Power of Attorney is valid for one year. You can extend the time period by completing another Power of Attorney after one year. If you \twant to assign someone permanent rights to make decisions regarding the minor, please see the “custody” section

", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Temporary", "name": "POA temporary MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "Permanent", "name": "POA temporary MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [POA temporary MC] is \"Yes\"
GOTO \"2-Financial Information\"
END IF

IF [POA temporary MC] is \"No\"
SET [Case type MC] TO \"Change of Custody\"
GOTO \"2-Change of Custody\"
END IF
", "notes": "" }, "130-Power of Attorney Minor": { "name": "130-Power of Attorney Minor", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Give the name and address of the child(ren)'s parent(s) or guardian.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "131-Power of Attorney Minor", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "", "name": "Power of Attorney Minor TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "131-Power of Attorney Minor": { "name": "131-Power of Attorney Minor", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Give the name(s) of the person(s) who will be given power of attorney.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "132-Power of Attorney Minor", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Describe:", "name": "Power of Attorney Minor TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "132-Power of Attorney Minor": { "name": "132-Power of Attorney Minor", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Give the name(s) and date(s) of birth of the children involved.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "133-Power of Attorney Minor", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "", "name": "Power of Attorney Minor TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "133-Power of Attorney Minor": { "name": "133-Power of Attorney Minor", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Give a brief description of your issue.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "82-Client Contact Information", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Describe:", "name": "Power of Attorney Minor TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "83-Uncontested Divorce": { "name": "83-Uncontested Divorce", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Is domestic violence involved?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Uncontested Divorce violence MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Uncontested Divorce violence MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Uncontested Divorce violence MC] is \"Yes\"
GOTO \"33 Uncont Div dq1\"
END IF

IF [Uncontested Divorce violence MC] is \"No\"
GOTO \"84-Uncontested Divorce\"
END IF
", "notes": "" }, "84-Uncontested Divorce": { "name": "84-Uncontested Divorce", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Check all that apply.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "85-Uncontested Divorce", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "checkbox", "label": "Neither spouse has hired an attorney or filed for divorce.", "name": "Uncontested Divorce filed TF", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must select one or more checkboxes to continue." }, { "type": "checkbox", "label": "Spouses have been separated for three months or more.", "name": "Uncontested Divorce separated TF", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must select one or more checkboxes to continue." }, { "type": "checkbox", "label": "Both spouses agree to the divorce and are willing to sign the paperwork.", "name": "Uncontested Divorce agree TF", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must select one or more checkboxes to continue." }, { "type": "checkbox", "label": "The parties have no minor children together (born before or during the marriage).", "name": "Uncontested Divorce children TF", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must select one or more checkboxes to continue." }, { "type": "checkbox", "label": "No children were born to the wife during the marriage, and she is not pregnant at this time.", "name": "Uncontested Divorce noKids TF", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must select one or more checkboxes to continue." } ], "codeBefore": "", "codeAfter": "IF [Uncontested Divorce filed TF] is \"False\"
GOTO \"34 Uncont Div dq2\"
END IF

IF [Uncontested Divorce separated TF] is \"False\"
GOTO \"34 Uncont Div dq2\"
END IF

IF [Uncontested Divorce agree TF] is \"False\"
GOTO \"34 Uncont Div dq2\"
END IF

IF [Uncontested Divorce children TF] is \"False\"
GOTO \"34 Uncont Div dq2\"
END IF

IF [Uncontested Divorce noKids TF] is \"False\"
GOTO \"34 Uncont Div dq2\"
END IF
", "notes": "" }, "85-Uncontested Divorce": { "name": "85-Uncontested Divorce", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Check all that apply.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "86-Uncontested Divorce", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "checkbox", "label": "There is no land that needs to be sold or transferred.", "name": "Uncontested Divorce land TF", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must select one or more checkboxes to continue." }, { "type": "checkbox", "label": "Neither party is asking for alimony, cash settlement, or any part of the spouse's property, insurance or retirement benefits.", "name": "Uncontested Divorce alimony TF", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must select one or more checkboxes to continue." }, { "type": "checkbox", "label": "Neither party is involved in bankruptcy proceedings.", "name": "Uncontested Divorce bankruptcy TF", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must select one or more checkboxes to continue." } ], "codeBefore": "", "codeAfter": "IF [Uncontested Divorce land TF] is \"False\"
GOTO \"34 Uncont Div dq2\"
END IF

IF [Uncontested Divorce alimony TF] is \"False\"
GOTO \"34 Uncont Div dq2\"
END IF

IF [Uncontested Divorce bankruptcy TF] is \"False\"
GOTO \"34 Uncont Div dq2\"
END IF
", "notes": "" }, "86-Uncontested Divorce": { "name": "86-Uncontested Divorce", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Do you have joint debts or own a home?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Uncontested Divorce debtsHome MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Uncontested Divorce debtsHome MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Uncontested Divorce debtsHome MC] is \"Yes\"
GOTO \"87-Uncontested Divorce\"
END IF

IF [Uncontested Divorce debtsHome MC] is \"No\"
GOTO \"2-Financial Information\"
END IF
", "notes": "" }, "87-Uncontested Divorce": { "name": "87-Uncontested Divorce", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Are both spouses in agreement on how to handle the debts and home?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Uncontested Divorce handle MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Uncontested Divorce handle MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Uncontested Divorce handle MC] is \"Yes\"
GOTO \"2-Financial Information\"
END IF

IF [Uncontested Divorce handle MC] is \"No\"
GOTO \"34 Uncont Div dq2\"
END IF
", "notes": "" }, "134-Uncontested Divorce": { "name": "134-Uncontested Divorce", "type": "A2J", "step": 5, "repeatVar": "", "text": "

What is your spouse's full name (first, middle, last)?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "136-Uncontested Divorce", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "First:", "name": "Uncontested Divorce first name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Middle:", "name": "Uncontested Divorce middle name TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Last:", "name": "Uncontested Divorce last name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "135-Uncontested Divorce": { "name": "135-Uncontested Divorce", "type": "A2J", "step": 5, "repeatVar": "", "text": "

On what date did you separate?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "137-Uncontested Divorce", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "datemdy", "label": "Date", "name": "Uncontested Divorce Separation Date DA", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must enter a month, day and year in the highlighted spaces before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "136-Uncontested Divorce": { "name": "136-Uncontested Divorce", "type": "A2J", "step": 5, "repeatVar": "", "text": "

In what county and state did you separate?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "135-Uncontested Divorce", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "County - State", "name": "Uncontested Divorce County State TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "137-Uncontested Divorce": { "name": "137-Uncontested Divorce", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Have you lived together since that date?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "81-Case extra details", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Uncontested Divorce Live Together MC", "value": "YES", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Uncontested Divorce Live Together MC", "value": "NO", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "88-Visitation": { "name": "88-Visitation", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Is there a Court Order setting visitation?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Visitation court order MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Visitation court order MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Visitation court order MC] is \"Yes\"
GOTO \"2-Financial Information\"
END IF

IF [Visitation court order MC] is \"No\"
GOTO \"35 Visitation dq1\"
END IF
", "notes": "" }, "139-Visitation": { "name": "139-Visitation", "type": "A2J", "step": 5, "repeatVar": "", "text": "

What is the ex-spouse/other parent's full name?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "140-Visitation", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "First:", "name": "Visitation ex spouse first name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Middle:", "name": "Visitation ex spouse middle name TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Last:", "name": "Visitation ex spouse last name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "140-Visitation": { "name": "140-Visitation", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Give the full name(s) of the children involved and the date(s) of birth.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "141-Visitation", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Describe:", "name": "Visitation name and dob TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "141-Visitation": { "name": "141-Visitation", "type": "A2J", "step": 5, "repeatVar": "", "text": "

When did you last get to see the child(ren)?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "142-Visitation", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "", "name": "Visitation child last seen TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "142-Visitation": { "name": "142-Visitation", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Are you following the requirements of the Court Order?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "143-Visitation", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Visitation client following order MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Visitation client following order MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "143-Visitation": { "name": "143-Visitation", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Is the other parent following the requirements of the Court Order?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "144-Visitation", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Visitation other parent following order MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Visitation other parent following order MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "144-Visitation": { "name": "144-Visitation", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Briefly describe your problem.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "82-Client Contact Information", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Describe:", "name": "Visitation description TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "89-Wage Claim": { "name": "89-Wage Claim", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Were you fired?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Wage Claim fired MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Wage Claim fired MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Wage Claim fired MC] is \"Yes\"
GOTO \"36 WageClaim dq1\"
END IF

IF [Wage Claim fired MC] is \"No\"
GOTO \"90-Wage Claim\"
END IF
", "notes": "" }, "90-Wage Claim": { "name": "90-Wage Claim", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Does the employer owe you more than $1,000.00?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Wage Claim over 1k MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Wage Claim over 1k MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Wage Claim over 1k MC] is \"Yes\"
GOTO \"36 WageClaim dq1\"
END IF

IF [Wage Claim over 1k MC] is \"No\"
GOTO \"2-Financial Information\"
END IF
", "notes": "" }, "145-Wage Claim": { "name": "145-Wage Claim", "type": "A2J", "step": 5, "repeatVar": "", "text": "

What is the employer's name?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "146-Wage Claim", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "", "name": "Wage Claim employer name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "146-Wage Claim": { "name": "146-Wage Claim", "type": "A2J", "step": 5, "repeatVar": "", "text": "

How much does your employer owe you?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "147-Wage Claim", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "numberdollar", "label": "Amount $", "name": "Wage Claim amount NU", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a dollar amount in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "147-Wage Claim": { "name": "147-Wage Claim", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Give the dates of the pay period for the unpaid wages.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "148-Wage Claim", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Dates:", "name": "Wage Claim unpaid wage dates TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "148-Wage Claim": { "name": "148-Wage Claim", "type": "A2J", "step": 5, "repeatVar": "", "text": "

What did the employer tell you about the pay you have not received?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "149-Wage Claim", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Describe:", "name": "Wage Claim employer explanation TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "149-Wage Claim": { "name": "149-Wage Claim", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Please briefly explain your situation.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "82-Client Contact Information", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Describe:", "name": "Wage Claim brief description TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "91-Will": { "name": "91-Will", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Are you the person who will be signing the will?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Will signing MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Will signing MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Will signing MC] is \"Yes\"
GOTO \"92-Will\"
END IF

IF [Will signing MC] is \"No\"
GOTO \"37 Will dq1\"
END IF
", "notes": "" }, "92-Will": { "name": "92-Will", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Are you over 18 years of age?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Will over 18 MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Will over 18 MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Will over 18 MC] is \"Yes\"
GOTO \"2-Financial Information\"
END IF

IF [Will over 18 MC] is \"No\"
GOTO \"38 Will dq2\"
END IF
", "notes": "" }, "150-Will": { "name": "150-Will", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Who do want to appoint as personal representative?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "151-Will", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "Name:", "name": "Will personal representative TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "93-Workman's Comp": { "name": "93-Workman's Comp", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Do you have a settled Workman's Comp claim that was left open for medical benefits?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "WC open claim MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "WC open claim MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [WC open claim MC] is \"Yes\"
GOTO \"94-Workman's Comp\"
END IF

IF [WC open claim MC] is \"No\"
GOTO \"39 WC dq1\"
END IF
", "notes": "" }, "151-Workman's Comp": { "name": "151-Workman's Comp", "type": "A2J", "step": 5, "repeatVar": "", "text": "

What is the name of the employer involved in your claim?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "152-Workman's Comp", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Name:", "name": "Workman's Comp TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "152-Workman's Comp": { "name": "152-Workman's Comp", "type": "A2J", "step": 5, "repeatVar": "", "text": "

What is the name of your employer?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "153-Workman's Comp", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Employer:", "name": "WC employer name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "153-Workman's Comp": { "name": "153-Workman's Comp", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Give the names of any attorneys that have been involved in your case.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "154-Workman's Comp", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "List:", "name": "WC other attorneys TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "154-Workman's Comp": { "name": "154-Workman's Comp", "type": "A2J", "step": 5, "repeatVar": "", "text": "

What is your workman's compensation case number?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "155-Workman's Comp", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "", "name": "WC case number TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "74-Paternity/Legitimation legitimation": { "name": "74-Paternity/Legitimation legitimation", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Are you the child's mother or father?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Mother", "name": "Paternity/Legitimation legitimation parent MC", "value": "Mother", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "Father", "name": "Paternity/Legitimation legitimation parent MC", "value": "Father", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Paternity/Legitimation legitimation parent MC] is \"Mother\"
GOTO \"30 Legitimation dq1\"
END IF

IF [Paternity/Legitimation legitimation parent MC] is \"Father\"
GOTO \"75-Paternity/Legitimation legitimation\"
END IF
", "notes": "" }, "20-Adoption": { "name": "20-Adoption", "type": "A2J", "step": 5, "repeatVar": "AdoptionCount", "text": "

Type the %%ordinal(AdoptionCount)%% child's full name as it appears on the child's Birth Certificate.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "14-Adoption", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "Name:", "name": "Adoption child full name TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "2-Financial Information": { "name": "2-Financial Information", "type": "A2J", "step": 4, "repeatVar": "", "text": "

We will need some information about your financial situation to continue. Please enter the number of people in your household.

", "textAudioURL": "", "learn": "Why do you need this information? Should I include myself in the total?", "help": "

VLP clients must meet certain financial guidelines to qualify for assistance.

Please include yourself in the total. If there are two people living with you, enter \"3\" in the blank. You = 1 + 2 other people.

", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "3-Financial Information", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "number", "label": "Number", "name": "Household members NU", "value": "", "order": "ASC", "required": true, "min": "1", "max": "12", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Household members NU] = 1
SET [Asset limits] TO 5000
SET [Poverty limit NU] TO 902.60
SET [Income limit 125 NU] TO 1128.17
SET [Income limit 140 NU] TO 1263.64
SET [Income limit 200 NU] TO 1805.33
END IF

IF [Household members NU] = 2
SET [Income limit 200 NU] TO 2428.33
SET [Poverty limit NU] TO 1214.18
SET [Income limit 140 NU] TO 1699.86
SET [Income limit 125 NU] TO 1517.75
SET [Asset limits] TO 6500
END IF

IF [Household members NU] = 3
SET [Asset limits] TO 8000
SET [Poverty limit NU] TO 1525.85
SET [Income limit 125 NU] TO 1907.33
SET [Income limit 140 NU] TO 2136.19
SET [Income limit 200 NU] TO 3051.67
END IF

IF [Household members NU] = 4
SET [Asset limits] TO 9500
SET [Poverty limit NU] TO 1837.52
SET [Income limit 125 NU] TO 2296.92
SET [Income limit 200 NU] TO 3675.00
SET [Income limit 140 NU] TO 2572.53
END IF

IF [Household members NU] = 5
SET [Asset limits] TO 11000
SET [Poverty limit NU] TO 2149.18
SET [Income limit 125 NU] TO 2686.50
SET [Income limit 200 NU] TO 4298.33
SET [Income limit 140 NU] TO 3008.86
END IF

IF [Household members NU] = 6
SET [Asset limits] TO 12500
SET [Poverty limit NU] TO 2460.85
SET [Income limit 125 NU] TO 3076.08
SET [Income limit 200 NU] TO 4921.67
SET [Income limit 140 NU] TO 3445.19
END IF

IF [Household members NU] = 7
SET [Asset limits] TO 14000
SET [Poverty limit NU] TO 2772.52
SET [Income limit 125 NU] TO 3465.67
SET [Income limit 140 NU] TO 3881.53
SET [Income limit 200 NU] TO 5545.00
END IF

IF [Household members NU] = 8
SET [Asset limits] TO 15500
SET [Poverty limit NU] TO 3084.18
SET [Income limit 125 NU] TO 3855.25
SET [Income limit 200 NU] TO 6168.33
SET [Income limit 140 NU] TO 4317.86
END IF

IF [Household members NU] = 9
SET [Asset limits] TO 17000
SET [Poverty limit NU] TO 3578.33
SET [Income limit 125 NU] TO 4472.91
SET [Income limit 200 NU] TO 7156.66
SET [Income limit 140 NU] TO 5009.66
END IF

IF [Household members NU] = 10
SET [Asset limits] TO 18500
SET [Poverty limit NU] TO 3889.99
SET [Income limit 125 NU] TO 4862.49
SET [Income limit 200 NU] TO 7779.99
SET [Income limit 140 NU] TO 5445.99
END IF

IF [Household members NU] = 11
SET [Asset limits] TO 20000
SET [Poverty limit NU] TO 4201.66
SET [Income limit 125 NU] TO 5252.07
SET [Income limit 200 NU] TO 8403.32
SET [Income limit 140 NU] TO 5882.32
END IF

IF [Household members NU] = 12
SET [Asset limits] TO 21500
SET [Poverty limit NU] TO 4513.32
SET [Income limit 125 NU] TO 5641.65
SET [Income limit 140 NU] TO 6318.65
SET [Income limit 200 NU] TO 9026.65
END IF
", "notes": "" }, "3-Financial Information": { "name": "3-Financial Information", "type": "A2J", "step": 4, "repeatVar": "", "text": "

What are the sources of income for your household? Enter a MONTHLY dollar amout for all that apply. If you do not have a particular source of income listed, simply enter zero (0).

", "textAudioURL": "", "learn": "What does this mean?", "help": "

This means all the types of income earned or received by the adults and children living in your house on a per-month basis. Check all the types of income received. You will see more choices when you click \"Continue.\"

", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "4-Financial Information", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "number", "label": "Alimony", "name": "Alimony income NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Annuity", "name": "Annuity income NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Cash from family or friends", "name": "Cash family friends NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Child Support", "name": "Child Support income NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Child Support Arrears", "name": "Child Support arrears income NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Employment", "name": "Employment income NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Farming", "name": "Farming income NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Food Stamps", "name": "Food stamps income NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "4-Financial Information": { "name": "4-Financial Information", "type": "A2J", "step": 4, "repeatVar": "", "text": "

Sources of Income:

(Enter a dollar amount, per month, for all that apply.)

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "5-Financial Information", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "number", "label": "Medicaid", "name": "Medicaid income NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Odd Jobs", "name": "Odd jobs income NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Pension / Retirement", "name": "Pension retirement income NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Rents out room in house", "name": "Room rental income NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Retirement", "name": "Retirement income NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Self Employment", "name": "Self employment income NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Social Secuity", "name": "Social security income NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Social Security Disability", "name": "Social security disability income NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "5-Financial Information": { "name": "5-Financial Information", "type": "A2J", "step": 4, "repeatVar": "", "text": "

Sources of income:

(Enter a dollar amount, per month, for all that apply.)

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "6-Financial Information", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "number", "label": "Social Security Survivor's Benefits", "name": "SSS benefits income NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "SSI", "name": "SSI income NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Student Grant", "name": "Student grant NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Student Loan", "name": "Student loan NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "TANF", "name": "TANF income NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Temporary Employment", "name": "Temp employment income NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Tips", "name": "Tips income NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Unemployment", "name": "Unemployment income NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Utility Check", "name": "Utility check income NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "6-Financial Information": { "name": "6-Financial Information", "type": "A2J", "step": 4, "repeatVar": "", "text": "

Sources of income:

(Enter a dollar amount, per month, for all that apply.)

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "7-Financial Information", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "number", "label": "Veteran's Benefits", "name": "VB income NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Welfare", "name": "Welfare income NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Workman's Compensation", "name": "Work comp income NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "SET [Total income NU] TO [Alimony income NU] + [Annuity income NU] + [Cash family friends NU] + [Child Support income NU] + [Child Support arrears income NU] + [Employment income NU] + [Farming income NU] + [Medicaid income NU] + [Odd jobs income NU] + [Pension retirement income NU] + [Room rental income NU] + [Retirement income NU] + [Self employment income NU] + [Social security income NU] + [Social security disability income NU] + [SSS benefits income NU] + [SSI income NU] + [Student grant NU] + [Student loan NU] + [TANF income NU] + [Temp employment income NU] + [Tips income NU] + [Unemployment income NU] + [Utility check income NU] + [VB income NU] + [Welfare income NU] + [Work comp income NU]
", "notes": "" }, "7-Financial Information": { "name": "7-Financial Information", "type": "A2J", "step": 4, "repeatVar": "", "text": "

You have entered no income. This means that no one living in your house has income.

If anyone living with you has income click 'Go Back'. Enter dollar amounts for the types of income for any people living with you and then proceed..

If yourself and no one living with you has income, click 'continue'.

", "textAudioURL": "", "learn": "", "help": "

", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "38-Financial Factors", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "IF NOT ([Total income NU] <= 0)
GOTO \"38-Financial Factors\"
END IF
", "codeAfter": "", "notes": "" }, "36-Financial Assets": { "name": "36-Financial Assets", "type": "A2J", "step": 4, "repeatVar": "", "text": "

Do you or anyone living with you have:

(Enter a dollar amount for all that apply.)

", "textAudioURL": "", "learn": "What do I count?", "help": "

Include the assets for all members of your household.

", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "45-Financial Assets redirect", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "number", "label": "Cash", "name": "Cash asset NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Checking Account", "name": "Checking account asset NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Land / Property", "name": "Exempt land property asset NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Mobile Home", "name": "Exempt mobile home asset NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Home", "name": "Exempt home asset NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Savings Account", "name": "Savings account asset NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Vehicle", "name": "Vehicle asset NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "IF ([Cash asset NU] + [Checking account asset NU] + [Exempt land property asset NU] + [Exempt mobile home asset NU] + [Exempt home asset NU] + [Savings account asset NU] + [Vehicle asset NU]) <= 0
GOTO \"45-Financial Assets\"
END IF
", "notes": "" }, "41 Over Income": { "name": "41 Over Income", "type": "A2J", "step": 0, "repeatVar": "", "text": "

%%[Client name prefix MC]%% %%[Client last name TE]%%, unfortunately you do not meet the Volunteer Lawyer Program's financial guidelines; your income is too high for us to help you. You may contact the Lawyer Referral Service at (251) 433-1032 for possible assistance. Through the Lawyer Referral Service, you can get a 30 minute consultation with an attorney for $15.00.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "38-Financial Factors": { "name": "38-Financial Factors", "type": "A2J", "step": 4, "repeatVar": "", "text": "

If you or anyone in your household has any of the following, enter a dollar amount, per month, in the blank. Otherwise, leave at zero.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "39-Financial Factors", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "number", "label": "Alimony", "name": "Factor alimony NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Back Taxes", "name": "Factor back taxes NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Car Insurance", "name": "Factor car insurance NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Car Note", "name": "Factor car note NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Car Note Ins", "name": "Factor car note ins NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Chapter 13 Payment", "name": "Factor chapter 13 payment NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Child Support", "name": "Factor child support NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Childcare Necessary for Employment", "name": "Factor childcare nec emp NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Elderly Care", "name": "Factor elderly care NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." } ], "codeBefore": "IF [Total income NU] > [Income limit 200 NU]
GOTO \"41 Over Income\"
END IF

IF [Total income NU] <= [Income limit 125 NU]
GOTO \"36-Financial Assets\"
END IF
", "codeAfter": "", "notes": "" }, "45-Financial Assets redirect": { "name": "45-Financial Assets redirect", "type": "A2J", "step": 4, "repeatVar": "", "text": "", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "SET [Total client balance NU] TO [Total income NU] - [Total factors NU]

SET [Poverty total NU] TO [Total income NU] - [Total factors NU]

SET [Poverty percentage NU] TO [Poverty total NU] / [Poverty limit NU]

GOTO \"1-Financial redirect to part 5\"
", "codeAfter": "", "notes": "

This question is here for calculation purposes. This question adds up the income and factor values and produces the client's percentage of poverty level. This question isn't actually seen by the client.

" }, "45-Financial Assets": { "name": "45-Financial Assets", "type": "A2J", "step": 4, "repeatVar": "", "text": "

You have entered no amounts. This means that no one living in your house has assets.

If anyone living with you has assets then click 'Go Back'. Enter dollar amounts for the types of assets for any people living with you and then proceed.

If yourself and no one living with you has assets, click 'continue'.

", "textAudioURL": "", "learn": "", "help": "

", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "1-Financial redirect to part 5", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "39-Financial Factors": { "name": "39-Financial Factors", "type": "A2J", "step": 4, "repeatVar": "", "text": "

If you or anyone in your household has any of the following, enter a dollar amount, per month, in the blank. Otherwise, leave at zero.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "40-Financial Factors", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "number", "label": "Extraordinary Medical", "name": "Factor ex med NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Health Insurance Premium", "name": "Factor health ins pre NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Homeowners Insurance", "name": "Factor home ins NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Medical Out of Pocket Expenses", "name": "Factor med out of pocket NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Medicare", "name": "Factor medicare NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Medication", "name": "Factor medication NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Mortgage", "name": "Factor mortgage NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Payroll Taxes", "name": "Factor payroll tax NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Property Note", "name": "Factor property note NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "40-Financial Factors": { "name": "40-Financial Factors", "type": "A2J", "step": 4, "repeatVar": "", "text": "

What are your monthly expenses? If you or anyone in your household pays any of the following, enter a dollar amount, per month, in the blank. Otherwise, leave at zero.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "64-Financial Factors", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "number", "label": "Rent", "name": "Factor rent NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Renters Insurance", "name": "Factor renters ins NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Transportation Expense", "name": "Factor trans exp NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Travel miles work", "name": "Factor travel miles work NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." }, { "type": "number", "label": "Work Expenses", "name": "Factor work exp NU", "value": "0", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a number in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "IF 1:1
SET [Total factors NU] TO [Factor alimony NU] + [Factor back taxes NU] + [Factor car insurance NU] + [Factor car note NU] + [Factor car note ins NU] + [Factor chapter 13 payment NU] + [Factor child support NU] + [Factor childcare nec emp NU] + [Factor elderly care NU] + [Factor health ins pre NU] + [Factor home ins NU] + [Factor med out of pocket NU] + [Factor medicare NU] + [Factor medication NU] + [Factor mortgage NU] + [Factor payroll tax NU] + [Factor property note NU] + [Factor rent NU] + [Factor renters ins NU] + [Factor trans exp NU] + [Factor travel miles work NU] + [Factor work exp NU]
END IF
", "notes": "" }, "64-Financial Factors": { "name": "64-Financial Factors", "type": "A2J", "step": 4, "repeatVar": "", "text": "", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "IF [Poverty limit NU] > [Income limit 200 NU]
GOTO \"41 Over Income\"
END IF

IF [Poverty limit NU] <= [Income limit 200 NU]
GOTO \"36-Financial Assets\"
END IF
", "codeAfter": "", "notes": "

This question compares the income of a client against the eligibility factors to determine whether they are in or out financially. The end user should not see this question.

" }, "9-2_7_Disqualification": { "name": "9-2_7_Disqualification", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Mobile Bar Association Volunteer Lawyers Program cannot help with your legal issue. Please contact the Mobile Bar Association Lawyer Referral Service at (251) 433-1032.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "12 Auto accident redirect": { "name": "12 Auto accident redirect", "type": "A2J", "step": 0, "repeatVar": "", "text": "

VLP may be able to assist you with this depending on your situation. You will need to call the office directly at (251) 438-1102.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "10-2_7_Disqualification": { "name": "10-2_7_Disqualification", "type": "A2J", "step": 0, "repeatVar": "", "text": "

You should contact a Volunteer Lawyer, Legal Services or Lawyer Referral Program where the child lives. If you need information about possible services and programs available in that county, you can contact the local and/or regional bar association or courthouse in that area. If you are in Mobile County and want advice about this situation, you can contact the Mobile Bar Association Lawyer Referral Service at (251) 433-1032.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "11-2_7_Disqualification": { "name": "11-2_7_Disqualification", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Mobile Bar Association Volunteer Lawyers Program is not able to help with your particular legal issue. If the parents were not married, please contact Strickland Youth Center at (251) 574-1450 or (251) 574- 5257 for assistance, and/or the Mobile Bar Association Lawyer Referral Service at (251) 433-1032.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "6-Collections CCCS": { "name": "6-Collections CCCS", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Have you contacted Consumer Credit Counseling Services of Mobile?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Collections CCCS have contacted MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Collections CCCS have contacted MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Collections CCCS have contacted MC] is \"Yes\"
GOTO \"7-Collections CCCS help\"
END IF

IF [Collections CCCS have contacted MC] is \"No\"
GOTO \"14 Collections dq4\"
END IF
", "notes": "" }, "7-Collections CCCS help": { "name": "7-Collections CCCS help", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Are you receiving help from Consumer Credit Counseling Services of Mobile?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Collections CCCS receiving help MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Collections CCCS receiving help MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Collections CCCS receiving help MC] is \"Yes\"
GOTO \"15 Collections dq5\"
END IF

IF [Collections CCCS receiving help MC] is \"No\"
GOTO \"5-Collections\"
END IF
", "notes": "" }, "15 Collections dq5": { "name": "15 Collections dq5", "type": "A2J", "step": 0, "repeatVar": "", "text": "

If you are currently receiving help from Consumer Credit Counseling Services of Mobile you should follow up with them for the status of your issue.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "59-Contracts and Warranties": { "name": "59-Contracts and Warranties", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Is the contract with a business or an individual?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "52-Contracts and Warranties", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Business", "name": "Contracts business individual MC", "value": "Business", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "Individual", "name": "Contracts business individual MC", "value": "Individual", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "100-Landlord/Tenant": { "name": "100-Landlord/Tenant", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Is there a written lease?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "Landlord / Tenant written lease MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "Landlord / Tenant written lease MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Landlord / Tenant written lease MC] is \"Yes\"
GOTO \"101-Landlord/Tenant\"
END IF

IF [Landlord / Tenant written lease MC] is \"No\"
GOTO \"103-Landlord/Tenant\"
END IF
", "notes": "" }, "101-Landlord/Tenant": { "name": "101-Landlord/Tenant", "type": "A2J", "step": 5, "repeatVar": "", "text": "

When was the written lease signed?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "102-Landlord/Tenant", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "datemdy", "label": "", "name": "Landlord / Tenant written lease signed date DA", "value": "", "order": "DESC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must enter a month, day and year in the highlighted spaces before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "102-Landlord/Tenant": { "name": "102-Landlord/Tenant", "type": "A2J", "step": 5, "repeatVar": "", "text": "

When does the written lease expire?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "103-Landlord/Tenant", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "datemdy", "label": "", "name": "Landlord / Tenant written lease expire DA", "value": "", "order": "DESC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must enter a month, day and year in the highlighted spaces before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "103-Landlord/Tenant": { "name": "103-Landlord/Tenant", "type": "A2J", "step": 5, "repeatVar": "", "text": "

What is the problem?

", "textAudioURL": "", "learn": "What are some examples?", "help": "

Deposit refund, repairs needed, etc.

", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "104-Landlord/Tenant", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Describe:", "name": "Landlord / Tenant problem description TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "104-Landlord/Tenant": { "name": "104-Landlord/Tenant", "type": "A2J", "step": 5, "repeatVar": "", "text": "

When did you report the problem to the landlord?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "105-Landlord/Tenant", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "datemdy", "label": "", "name": "Landlord / Tenant date problem reported DA", "value": "", "order": "DESC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must enter a month, day and year in the highlighted spaces before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "105-Landlord/Tenant": { "name": "105-Landlord/Tenant", "type": "A2J", "step": 5, "repeatVar": "", "text": "

What were you told would happen?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "106-Landlord/Tenant", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Describe:", "name": "Landlord / Tenant problem promise TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "106-Landlord/Tenant": { "name": "106-Landlord/Tenant", "type": "A2J", "step": 5, "repeatVar": "", "text": "

What has actually happened?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "81-Case extra details", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Describe:", "name": "Landlord / Tenant problem so far TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "10 Adoption dq to LSA": { "name": "10 Adoption dq to LSA", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Legal Services Alabama will forward the information regarding your request to our program if appropriate. We have not received your information if we have not contacted you. You will need to check with Legal Services Alabama, (877) 393-2333, or Legal Services Mobile, (251) 433-6560, about the status of your request.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "8-2_6_Auto accident dq1": { "name": "8-2_6_Auto accident dq1", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Mobile Bar Association Volunteer Lawyers Program cannot help you with this issue. Please contact Legal Services Alabama at (877) 393-2333.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "9-2_6_Auto accident call VLP": { "name": "9-2_6_Auto accident call VLP", "type": "A2J", "step": 0, "repeatVar": "", "text": "

You will need to call the Volunteer Lawyers Program office at (251) 438-1102 to speak with the Intake Specialist about your legal issue.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "39-Automobile Accident being sued": { "name": "39-Automobile Accident being sued", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Is the amount you are being sued for:

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "more than $3,000", "name": "Auto accident amt of suit 3k MC", "value": "over3k", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "less than $3,000", "name": "Auto accident amt of suit 3k MC", "value": "under3k", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Auto accident amt of suit 3k MC] is \"over3k\"
GOTO \"8-2_6_Auto accident dq1\"
END IF

IF [Auto accident amt of suit 3k MC] is \"under3k\"
GOTO \"9-2_6_Auto accident call VLP\"
END IF
", "notes": "" }, "29-Child Support": { "name": "29-Child Support", "type": "A2J", "step": 3, "repeatVar": "", "text": "

What was your reason for going to court?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "I think amount set is unfair or I am unhappy with the amount set.", "name": "Child support court reason MC", "value": "unfair", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "My circumstances have changed causing my income to be reduced.", "name": "Child support court reason MC", "value": "circumstance", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [Child support court reason MC] is \"circumstance\"
GOTO \"28-Child Support\"
END IF

IF [Child support court reason MC] is \"unfair\"
GOTO \"8 ChildSupport dq1\"
END IF
", "notes": "" }, "14 Collections dq3 advice only": { "name": "14 Collections dq3 advice only", "type": "A2J", "step": 0, "repeatVar": "", "text": "

VLP may be able to place you with an attorney for ADVICE ONLY if the time frame allows. Please call the office directly at (251) 438-1102.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "108-Name Change Minor": { "name": "108-Name Change Minor", "type": "A2J", "step": 5, "repeatVar": "MinorNameChangeCount", "text": "

What state was the %%ordinal(MinorNameChangeCount)%% child born in?

", "textAudioURL": "", "learn": "What if the child was born outside of the United States?", "help": "

Enter in the Country the child was born in.

", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "105-Name Change Minor", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "State:", "name": "Name change minor state of birth TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "30 Legitimation dq1": { "name": "30 Legitimation dq1", "type": "A2J", "step": 0, "repeatVar": "", "text": "

All parties in legitimation cases handled by the Mobile Bar Association Volunteer Lawyers Program must be in agreement. Also, the father must be the client paternity/legitimation cases. Please have the father complete this online interview.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "130-Power of Attorney Adult": { "name": "130-Power of Attorney Adult", "type": "A2J", "step": 5, "repeatVar": "", "text": "

If there is more than one person on the power of attorney, do you want decisions to be made (select one):

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "131-Power of Attorney Adult", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "jointly", "name": "POA decisions MC", "value": "jointly", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "either", "name": "POA decisions MC", "value": "either", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "any", "name": "POA decisions MC", "value": "any", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "131-Power of Attorney Adult": { "name": "131-Power of Attorney Adult", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Does the client have a:

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "132-Power of Attorney Adult", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "safe deposit box", "name": "POA safe MC", "value": "safe deposit box", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "vault", "name": "POA safe MC", "value": "vault", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "neither", "name": "POA safe MC", "value": "neither", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "132-Power of Attorney Adult": { "name": "132-Power of Attorney Adult", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Does the client have any stocks, bonds or other instruments of business?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "POA instruments business MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "POA instruments business MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [POA instruments business MC] is \"Yes\"
GOTO \"133-Power of Attorney Adult\"
END IF

IF [POA instruments business MC] is \"No\"
GOTO \"134-Power of Attorney Adult\"
END IF
", "notes": "" }, "133-Power of Attorney Adult": { "name": "133-Power of Attorney Adult", "type": "A2J", "step": 5, "repeatVar": "", "text": "

List any stocks, bonds and other instruments of business the client has.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "134-Power of Attorney Adult", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "", "name": "POA specific instruments business TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "134-Power of Attorney Adult": { "name": "134-Power of Attorney Adult", "type": "A2J", "step": 5, "repeatVar": "", "text": "

If the attorney(s)-in-fact should die, who is next to get the power-of-attorney?

", "textAudioURL": "", "learn": "Who is the attorney-in-fact?", "help": "

The attorney-in-fact is the person the power of attorney is given to.

", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "129-Power of Attorney Adult", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "Name:", "name": "POA next to get TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "151-Will": { "name": "151-Will", "type": "A2J", "step": 5, "repeatVar": "", "text": "

If you have an alternate choice for personal representative, list that person below.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "152-Will", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "Name:", "name": "Will alternate personal representative TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "152-Will": { "name": "152-Will", "type": "A2J", "step": 5, "repeatVar": "", "text": "

List your possessions and who you will leave them to.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "153-Will", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "List:", "name": "Will possessions TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "153-Will": { "name": "153-Will", "type": "A2J", "step": 5, "repeatVar": "", "text": "

Do you have a:

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "154-Will", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "checkbox", "label": "safe deposit box", "name": "Will deposit box TF", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "Please select one or more checkboxes or \"None of the above\" to continue." }, { "type": "checkbox", "label": "vault", "name": "Will vault TF", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "Please select one or more checkboxes or \"None of the above\" to continue." }, { "type": "checkboxNOTA", "label": "None of the above", "name": "Will no deposit TF", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "Please select one or more checkboxes or \"None of the above\" to continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "154-Will": { "name": "154-Will", "type": "A2J", "step": 5, "repeatVar": "", "text": "

List any other assets.

", "textAudioURL": "", "learn": "What would I include here?", "help": "

Include things like land, boats, campers, stocks, bonds, certificates of deposit and so on.

", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "155-Will", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "label", "name": "Will other assets TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "155-Will": { "name": "155-Will", "type": "A2J", "step": 5, "repeatVar": "", "text": "

List any bank accounts you have including the name of the bank and the type of account (joint or individual).

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "156-Will", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "List:", "name": "Will bank accounts TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "156-Will": { "name": "156-Will", "type": "A2J", "step": 5, "repeatVar": "", "text": "

List the name of your spouse and your childrens' names, if applicable.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "81-Case extra details", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "List:", "name": "Will spouse and children TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "94-Workman's Comp": { "name": "94-Workman's Comp", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Are you having trouble getting the medical payments made?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "WC med payments MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "WC med payments MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [WC med payments MC] is \"Yes\"
GOTO \"2-Financial Information\"
END IF

IF [WC med payments MC] is \"No\"
GOTO \"95-Workman's Comp\"
END IF
", "notes": "" }, "95-Workman's Comp": { "name": "95-Workman's Comp", "type": "A2J", "step": 3, "repeatVar": "", "text": "

Are you having trouble getting authorization for treatments or medication?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "radio", "label": "Yes", "name": "WC authorization trouble MC", "value": "Yes", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." }, { "type": "radio", "label": "No", "name": "WC authorization trouble MC", "value": "No", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must choose a response from the highlighted selection before you can continue." } ], "codeBefore": "", "codeAfter": "IF [WC authorization trouble MC] is \"Yes\"
GOTO \"2-Financial Information\"
END IF

IF [WC authorization trouble MC] is \"No\"
GOTO \"39 WC dq1\"
END IF
", "notes": "" }, "155-Workman's Comp": { "name": "155-Workman's Comp", "type": "A2J", "step": 5, "repeatVar": "", "text": "

What is your specific problem? (Examples include bills not being paid, inability to obtain authorization for treatment, etc.)

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "156-Workman's Comp", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "textlong", "label": "Describe:", "name": "WC specific problem TE", "value": "", "order": "ASC", "required": true, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "156-Workman's Comp": { "name": "156-Workman's Comp", "type": "A2J", "step": 5, "repeatVar": "", "text": "

What is the amount of any prior settlement?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "81-Case extra details", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "numberdollar", "label": "Amount: $", "name": "WC prior settlement amount NU", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a dollar amount in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "10 Adoption dq1a": { "name": "10 Adoption dq1a", "type": "A2J", "step": 0, "repeatVar": "", "text": "

Unfortunately the Mobile Volunteer Lawyers Program cannot help with your particular issue. Please contact the Lawyer Referral Service at (251) 433-1032 or http://www.mobilebar.com/. If the father listed on the birth certificate is not the child's biological father, please contact DHR's Department of Investigation and Recovery at (251) 574-8465 for assistance.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "11 Adoption dq1b": { "name": "11 Adoption dq1b", "type": "A2J", "step": 0, "repeatVar": "", "text": "

The Mobile Bar Association Volunteer Lawyers Program can handle these matters in very limited circumstances. Please contact the office directly at (251) 438-1102 to speak with an Intake Specialist.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "12-2_7_Disqualification": { "name": "12-2_7_Disqualification", "type": "A2J", "step": 0, "repeatVar": "", "text": "

If the case is in Small Claims Court, VLP may be able to place you with an attorney for ADVICE ONLY if the time frame allows. Please call the VLP office at (251) 438-1102. If the case is not in Small Claims Court, contact Legal Services Alabama at (877) 393-2333.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "FAIL", "url": "http://www.vlpmobile.org", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "122-Paternity/Legitimation paternity": { "name": "122-Paternity/Legitimation paternity", "type": "A2J", "step": 5, "repeatVar": "PaternityChildCount", "text": "

How many children are involved in this paternity action?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "119-Paternity/Legitimation paternity", "url": "", "repeatVar": "PaternityChildCount", "repeatVarSet": "=1", "name": "", "value": "" } ], "fields": [{ "type": "numberpick", "label": "Children:", "name": "PaternityChildrenNU", "value": "1", "order": "ASC", "required": true, "min": "1", "max": "10", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must select a number from the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "127-Paternity/Legitimation legitimation": { "name": "127-Paternity/Legitimation legitimation", "type": "A2J", "step": 5, "repeatVar": "LegitimationChildCount", "text": "

How many children are involved in this legitimation action?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "122-Paternity/Legitimation legitimation", "url": "", "repeatVar": "LegitimationChildCount", "repeatVarSet": "=1", "name": "", "value": "" } ], "fields": [{ "type": "numberpick", "label": "Children:", "name": "LegitimationNumberofChildrenNU", "value": "1", "order": "DESC", "required": true, "min": "1", "max": "9", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must select a number from the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "82-Client Contact Information": { "name": "82-Client Contact Information", "type": "A2J", "step": 5, "repeatVar": "", "text": "

We will need to contact you regarding your application. Please provide the following information:

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "83-Client Disclaimer", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "", "value": "" } ], "fields": [{ "type": "text", "label": "Home phone:", "name": "Client contact home phone TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Work phone:", "name": "Client contact work phone TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Cell phone:", "name": "Client contact cell phone TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Alternate phone:", "name": "Client contact alt phone TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "text", "label": "Email:", "name": "Client contact email TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." }, { "type": "textlong", "label": "Mailing Address:", "name": "Client contact mailing address TE", "value": "", "order": "ASC", "required": false, "min": "", "max": "", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must type a response in the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" }, "83-Client Disclaimer": { "name": "83-Client Disclaimer", "type": "A2J", "step": 5, "repeatVar": "", "text": "

In submitting this application, I hereby authorize the Mobile Bar Association Volunteer Lawyers program (hereinafter the VLP), to review this application for possible referral to a volunteer private attorney. I understand that my application has not been accepted at this time. I understand that I do not yet have an attorney through the VLP and further that the VLP cannot guarantee me representation in this matter. I understand that the VLP is not required to provide me an attorney and can only attempt to find a volunteer attorney for me.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "I Agree", "next": "84-Client Disclaimer 2", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "Client disclaimer 1 agree TF", "value": "Agree" }, { "label": "I Disagree", "next": "8 ChildSupport dq1", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "Client disclaimer 1 agree TF", "value": "Disagree" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "84-Client Disclaimer 2": { "name": "84-Client Disclaimer 2", "type": "A2J", "step": 5, "repeatVar": "", "text": "

I understand that if a volunteer attorney agrees to represent me, the volunteer attorney will do so without charge for his/her services. I understand and agree that I am responsible for paying all fees and expenses (such as court costs and publication expenses) associated with my case.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "I Agree", "next": "85-Client Disclaimer 3", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "Client disclaimer 2 agree TF", "value": "Agree" }, { "label": "I Disagree", "next": "8 ChildSupport dq1", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "Client disclaimer 2 agree TF", "value": "Disagree" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "85-Client Disclaimer 3": { "name": "85-Client Disclaimer 3", "type": "A2J", "step": 5, "repeatVar": "", "text": "

No further action regarding this application is required of me at this time. I understand that the VLP will contact me after my application has been reviewed.

If you do not agree to these terms, the VLP cannot accept your application for review. You may contact the Mobile Bar Association Lawyer Referral Program at (251) 433-1032 for possible assistance with your legal matter.

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "I Agree", "next": "SUCCESS", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "Client disclaimer 3 agree TF", "value": "Agree" }, { "label": "I Disagree", "next": "8 ChildSupport dq1", "url": "", "repeatVar": "", "repeatVarSet": "", "name": "Client disclaimer 3 agree TF", "value": "Disagree" } ], "fields": [], "codeBefore": "", "codeAfter": "", "notes": "" }, "109-Name Change Minor": { "name": "109-Name Change Minor", "type": "A2J", "step": 5, "repeatVar": "", "text": "

How many children are involved in this name change?

", "textAudioURL": "", "learn": "", "help": "", "helpAudioURL": "", "helpReader": "", "helpImageURL": "", "helpVideoURL": "", "buttons": [{ "label": "Continue", "next": "100-Name Change Minor", "url": "", "repeatVar": "MinorNameChangeCount", "repeatVarSet": "=1", "name": "", "value": "" } ], "fields": [{ "type": "numberpick", "label": "Children:", "name": "NameChangeMinorChildrenNumberNU", "value": "1", "order": "ASC", "required": true, "min": "1", "max": "9", "maxChars": "", "listSrc": "", "listData": "", "sample": "", "invalidPrompt": "You must select a number from the highlighted space before you can continue." } ], "codeBefore": "", "codeAfter": "", "notes": "" } } }