/* growform client2 bundle.url: https://assets.growform.co/06f828b-mhc46129/form.bundle.js resolve.source: memory resolve.at: 2025-10-31T11:33:51.300Z form.source: kv cache.age_ms: 8791 fallback_used: false */ ;(function () { var EMBED_TYPE = "iFrame"; var FORM_ID = "6781028ab60c39000bdebc5f"; var FORM_BUNDLE_URL = "https://assets.growform.co/06f828b-mhc46129/form.bundle.js"; // injected by worker (KV/memory/fallback) var FORM_DATA = {"data":{"form":{"_id":"6781028ab60c39000bdebc5f","steps":[{"id":"27eb4a1b1b082ade23f4559e","name":"Welcome page","sortOrder":1},{"id":"af638305e346fdec5af8ebad","name":"Firefoam","sortOrder":2,"copyOf":"acd45227cac332d443c4e1db"},{"id":"4d6313fc796fbc99f35a8e77","name":"Firefoam duration","sortOrder":3,"copyOf":"af638305e346fdec5af8ebad","conditionalLogic":{"action":"show","ruleBlocks":[{"sortOrder":0,"rules":[{"observedField":"buttons_57263971186489","operator":"selected_option","criteria":"192368f189795a7f9199624d"}]}]}},{"id":"282d86d9c951d2ceb14cf013","name":"Firefoam occassions","sortOrder":4,"copyOf":"4d6313fc796fbc99f35a8e77","conditionalLogic":{"action":"show","ruleBlocks":[{"sortOrder":0,"rules":[{"observedField":"buttons_57263971186489","operator":"selected_option","criteria":"192368f189795a7f9199624d"}]}]}},{"id":"1a23b0dc7671df3bd2d2b5d0","name":"Occupation","sortOrder":5,"copyOf":"acd45227cac332d443c4e1db"},{"id":"acd45227cac332d443c4e1db","name":"Injury","sortOrder":6},{"id":"ff4727c9498ef9c0a6c989d9","name":"Year of diagnosis","sortOrder":7,"conditionalLogic":null},{"id":"fadba8819fe0505b9cb9f326","name":"Attorney","sortOrder":8,"conditionalLogic":null},{"id":"c6713a0fe5299542239f8a90","name":"Attorney Mismatch","sortOrder":9,"conditionalLogic":{"action":"show","ruleBlocks":[{"sortOrder":0,"rules":[{"observedField":"buttons_861829943747678","operator":"selected_option","criteria":"833967cf9a728253200929a9"}]}]}},{"id":"8738f58293daa382ea86e475","name":"Contact details","sortOrder":10,"conditionalLogic":null}],"formName":"Firefoam","fields":{"Decorative Header_52363373085874":{"type":"Decorative Header","value":"We'll get started on your Free Case Review right away!","width":12,"step":"complete","sortOrder":1,"fieldStyle":{"fontSize":{"value":19,"unit":"px"},"fontWeight":"Bold"},"margins":{"marginTop":20},"stepId":"complete"},"Decorative Header_797442086161467":{"type":"Decorative Header","value":"Were you (or a loved one) professionally diagnosed with any of the following within the last 20 years?","width":12,"step":2,"sortOrder":1,"fieldStyle":{"fontSize":{"value":25,"unit":"px"},"fontWeight":"Bold","textAlign":"left"},"stepId":"acd45227cac332d443c4e1db","margins":{"marginBottom":0}},"Decorative Header_576559560634956":{"type":"Decorative Header","value":"Approximately what year were you or a loved one diagnosed with the illness?","width":12,"step":5,"sortOrder":1,"fieldStyle":{"fontSize":{"value":25,"unit":"px"},"fontWeight":"Bold","textAlign":"left"},"stepId":"ff4727c9498ef9c0a6c989d9","margins":{"marginBottom":0}},"Decorative_Paragraph_194067845817258":{"type":"Decorative Paragraph","value":"This is what will happen now:\n\n1. You'll be contacted by one of our legal partners to start your Free Case Review\n\n2. Hand over the required documentation as soon as possible to increase the chance of success\n\n3. If all details are correct, we'll fight on your behalf for the highest compensation possible. This is completely risk-free.","width":12,"step":"complete","sortOrder":2,"margins":{"marginBottom":60},"stepId":"complete","fieldStyle":{"lineHeight":"190%"}},"buttons_109446974978914":{"type":"Buttons","validationRules":{"required":true},"label":"Injury","width":12,"multiple":false,"buttonStyle":{"rt_buttonsPerRow":2,"rt_buttonsPerRowMobile":1,"buttonsType":"Rectangle","spacing":20,"showControls":"Yes","rt_compactLayoutOnMobile":"Yes"},"options":[{"text":"Kidney Cancer","image":null,"id":"70c0a9378e749251d6da0647"},{"text":"Thyroid disease","image":null,"id":"26d7290c44ade1e138e33489"},{"text":"Liver Cancer","id":"4aa2d0676e2b31322c5ba7d6"},{"text":"Thyroid cancer","image":null,"id":"034fa5997da2349718c01eb0"},{"text":"Ulcerative Colitis","id":"cd688d984891cf9918f17913"},{"text":"Testicular Cancer","id":"192368f189795a7f9199624d"},{"text":"Other Injury","image":null,"id":"7ce2fb66fb3754675bef42b7"}],"stepId":"acd45227cac332d443c4e1db","sortOrder":2,"hideLabel":true},"decorative_header_235172494296605":{"type":"Decorative Header","value":"Used Firefighting Foam and suffering from cancer?\n\n","width":12,"sortOrder":1,"stepId":"27eb4a1b1b082ade23f4559e","fieldStyle":{"fontSize":{"value":25,"unit":"px"},"textAlign":"left"},"margins":{"marginBottom":-20}},"decorative_header_656607592367283":{"type":"Decorative Header","value":"Based on your information, you likely qualify for Significant Financial Compensation in the Firefoam Lawsuit.","width":12,"stepId":"8738f58293daa382ea86e475","sortOrder":1,"fieldStyle":{"fontSize":{"value":25,"unit":"px"},"textAlign":"left"},"conditionalLogic":{"action":"show","ruleBlocks":[{"sortOrder":0,"rules":[{"observedField":"buttons_57263971186489","operator":"selected_option","criteria":"192368f189795a7f9199624d"}]},{"sortOrder":2,"rules":[{"observedField":"buttons_834629745573640","operator":"not_selected_option","criteria":"371fd5978d4df0463de12a2f"}]},{"sortOrder":3,"rules":[{"observedField":"buttons_109446974978914","operator":"not_selected_option","criteria":"7ce2fb66fb3754675bef42b7"}]}]}},"decorative_paragraph_157556002269067":{"type":"Decorative Paragraph","value":"Enter your contact details below to get a Free Case Review. This is completely Risk Free.","width":12,"stepId":"8738f58293daa382ea86e475","sortOrder":4,"fieldStyle":{"fontSize":{"value":18,"unit":"px"},"textAlign":"left"}},"decorative_header_894193740805577":{"type":"Decorative Header","value":"Have you signed with an attorney for this lawsuit?","width":12,"stepId":"fadba8819fe0505b9cb9f326","sortOrder":1,"fieldStyle":{"fontSize":{"value":25,"unit":"px"},"textAlign":"left"}},"decorative_paragraph_260567631866786":{"type":"Decorative Paragraph","value":"In order to qualify for a Free Case Review, we need to make sure that you are currently **not already represented** for this case.","width":12,"stepId":"fadba8819fe0505b9cb9f326","sortOrder":2,"fieldStyle":{"fontSize":{"value":20,"unit":"px"},"textAlign":"left"}},"buttons_861829943747678":{"type":"Buttons","validationRules":{"required":true},"label":"Attorney","width":12,"multiple":false,"buttonStyle":{"rt_buttonsPerRow":2,"rt_buttonsPerRowMobile":1,"buttonsType":"Rectangle","spacing":20,"showControls":"Yes","rt_compactLayoutOnMobile":"Yes"},"options":[{"text":"I want a free case review","id":"d8a04793f71f8079aa557592"},{"text":"I'm already represented by an attorney","id":"833967cf9a728253200929a9"}],"stepId":"fadba8819fe0505b9cb9f326","sortOrder":3,"hideLabel":true},"text_415843839585727":{"type":"Text","label":"First Name","width":12,"stepId":"8738f58293daa382ea86e475","sortOrder":5,"multiline":false,"validationRules":{"required":true},"hideLabel":false},"text_322450854217988":{"type":"Text","label":"Last Name","width":12,"stepId":"8738f58293daa382ea86e475","sortOrder":6,"validationRules":{"required":true},"hideLabel":false},"email_56969655482013":{"type":"Email","label":"What is your email address?","width":12,"stepId":"8738f58293daa382ea86e475","sortOrder":7,"hideLabel":false,"useZerobounce":true},"phone_714906604341255":{"type":"Phone","label":"What is your phone number?","width":12,"stepId":"8738f58293daa382ea86e475","sortOrder":8,"hideLabel":false,"customQueryParamName":"phone","useTwilioLookup":true},"decorative_header_171555512718524":{"type":"Decorative Header","value":"We can't help you if you are already represented by an Attorney for this lawsuit. If you've made a mistake, click 'back'.","width":12,"stepId":"c6713a0fe5299542239f8a90","sortOrder":1,"fieldStyle":{"fontSize":{"value":25,"unit":"px"},"textAlign":"left"}},"hidden_401676091091106":{"type":"Hidden","hiddenFieldName":"utm_source","width":12,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":3},"hidden_851736750090217":{"type":"Hidden","hiddenFieldName":"utm_medium","width":12,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":4},"hidden_766171750375034":{"type":"Hidden","hiddenFieldName":"utm_campaign","width":12,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":5},"hidden_890099763029058":{"type":"Hidden","hiddenFieldName":"affid","width":12,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":6},"hidden_105407969648525":{"type":"Hidden","hiddenFieldName":"fbclid","width":12,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":7,"defaultValue":""},"decorative_header_483656864050639":{"type":"Decorative Header","value":"Were you (or a loved one) exposed to firefighting foam (AFFF)?","width":12,"step":2,"sortOrder":1,"fieldStyle":{"fontSize":{"value":25,"unit":"px"},"fontWeight":"Bold","textAlign":"left"},"stepId":"af638305e346fdec5af8ebad","margins":{"marginBottom":0}},"buttons_57263971186489":{"type":"Buttons","validationRules":{"required":true},"label":"exposed to firefoam","width":12,"multiple":false,"buttonStyle":{"rt_buttonsPerRow":2,"rt_buttonsPerRowMobile":1,"buttonsType":"Rectangle","spacing":20,"showControls":"Yes","rt_compactLayoutOnMobile":"Yes"},"options":[{"text":"Yes","id":"192368f189795a7f9199624d"},{"text":"No","image":null,"id":"70c0a9378e749251d6da0647"}],"stepId":"af638305e346fdec5af8ebad","sortOrder":2,"hideLabel":true},"single_select_500731344528238":{"type":"Single Select","width":12,"label":"Select the year you (or a loved one) were diagnosed","options":[{"text":"2025","id":"4685079136eb7bb67b64b339"},{"text":"2024","id":"57f922d2d04d4f27ae49efb5"},{"text":"2023","id":"3ee3c78b8bbc4b8aa0129a9d"},{"text":"2022","image":null,"id":"00137ce81ab7cd161ea8847c"},{"text":"2021","image":null,"id":"498b59ae80628091395bf612"},{"text":"2020","image":null,"id":"8cfbf109624d15ad32d09f42"},{"text":"2019","image":null,"id":"a61a76cf399db0f6a63c827b"},{"text":"2018","image":null,"id":"e14f82a64f6b6efb3351d387"},{"text":"2017","image":null,"id":"b343fa80d645d96796bfd622"},{"text":"2016","image":null,"id":"5ab2f396b2c83d6e27d2aca3"},{"text":"2015","image":null,"id":"60cad44714ade050ad3a7a9c"},{"text":"2014","image":null,"id":"682929c841ccb12ec751ec17"},{"text":"2013","image":null,"id":"ade453f73bc29b094c0029af"},{"text":"2012","image":null,"id":"cee37a338f7d7e5ca2094625"},{"text":"2011","image":null,"id":"26af5b68bc47c38f902b6c53"},{"text":"2010","image":null,"id":"c550f6e2ce07622afc1e201d"},{"text":"2009","image":null,"id":"317dec938d2186e4dc9437f2"},{"text":"2008","image":null,"id":"547f1d38f311f405bbe89261"},{"text":"2007","image":null,"id":"e6565dadf70dd0559926e621"},{"text":"2006","image":null,"id":"58b3930b1b550de0d79bf726"},{"text":"2005","image":null,"id":"fa87e91b8e1ad8299304f2e9"},{"text":"2004","image":null,"id":"8529955fe3b5893e57c70b76"},{"text":"2003","image":null,"id":"1115176f3b2d5ca1e92639a8"},{"text":"2002","image":null,"id":"efde3ef15bb523285df47a1b"},{"text":"2001","image":null,"id":"a3481092b7cfa171a103a97a"},{"text":"2000","image":null,"id":"f9b81e67322edc2941fcf4d8"},{"text":"Before 2000","image":null,"id":"76254c9f348eec4787b976a1"}],"helperText":null,"stepId":"ff4727c9498ef9c0a6c989d9","sortOrder":2,"validationRules":{"required":true}},"decorative_header_571065188909647":{"type":"Decorative Header","value":"In what occupation were you (or a loved one) directly exposed to firefighting foam (AFFF)?","width":12,"step":2,"sortOrder":1,"fieldStyle":{"fontSize":{"value":25,"unit":"px"},"fontWeight":"Bold","textAlign":"left"},"stepId":"1a23b0dc7671df3bd2d2b5d0","margins":{"marginBottom":0}},"buttons_834629745573640":{"type":"Buttons","validationRules":{"required":true},"label":"Occupation","width":12,"multiple":false,"buttonStyle":{"rt_buttonsPerRow":2,"rt_buttonsPerRowMobile":1,"buttonsType":"Rectangle","spacing":20,"showControls":"Yes","rt_compactLayoutOnMobile":"Yes"},"options":[{"text":"Firefighter (civilian or military)","id":"192368f189795a7f9199624d"},{"text":"First Responder (civilian or military)","image":null,"id":"70c0a9378e749251d6da0647"},{"text":"Airport personnel","id":"cd688d984891cf9918f17913"},{"text":"Aviation engineer working around planes","id":"4aa2d0676e2b31322c5ba7d6"},{"text":"Navy service member","image":null,"id":"26d7290c44ade1e138e33489"},{"text":"Military service personnel who trained with AFFF","image":null,"id":"034fa5997da2349718c01eb0"},{"text":"Other military personnel","image":null,"id":"7ce2fb66fb3754675bef42b7"},{"text":"Other occupation","image":null,"id":"371fd5978d4df0463de12a2f"}],"stepId":"1a23b0dc7671df3bd2d2b5d0","sortOrder":2,"hideLabel":true},"decorative_header_891395285234620":{"type":"Decorative Header","value":"Based on your information, you likely qualify for Significant Financial Compensation in the PFAS Lawsuit.","width":12,"stepId":"8738f58293daa382ea86e475","sortOrder":2,"fieldStyle":{"fontSize":{"value":25,"unit":"px"},"textAlign":"left"},"conditionalLogic":{"action":"show","ruleBlocks":[{"sortOrder":0,"rules":[{"observedField":"buttons_57263971186489","operator":"selected_option","criteria":"70c0a9378e749251d6da0647"},{"observedField":"buttons_834629745573640","operator":"selected_option","criteria":"371fd5978d4df0463de12a2f"}]},{"sortOrder":2,"rules":[{"observedField":"buttons_109446974978914","operator":"not_selected_option","criteria":"7ce2fb66fb3754675bef42b7"}]}]}},"decorative_header_327976533847108":{"type":"Decorative Header","value":"Based on your information, you might qualify for Significant Financial Compensation in the Firefoam Lawsuit.","width":12,"stepId":"8738f58293daa382ea86e475","sortOrder":3,"fieldStyle":{"fontSize":{"value":25,"unit":"px"},"textAlign":"left"},"conditionalLogic":{"action":"show","ruleBlocks":[{"sortOrder":0,"rules":[{"observedField":"buttons_109446974978914","operator":"selected_option","criteria":"7ce2fb66fb3754675bef42b7"}]}]}},"zipcode_871606994966647":{"type":"Zipcode","label":"What is your zip code?","zipcodeFieldFormat":"zipcode_usa","width":12,"stepId":"8738f58293daa382ea86e475","sortOrder":9},"decorative_header_966834753807046":{"type":"Decorative Header","value":"How long have you (or a loved one) been exposed to firefighting foam (AFFF)?","width":12,"step":2,"sortOrder":1,"fieldStyle":{"fontSize":{"value":25,"unit":"px"},"fontWeight":"Bold","textAlign":"left"},"stepId":"4d6313fc796fbc99f35a8e77","margins":{"marginBottom":0}},"buttons_977432516132477":{"type":"Buttons","validationRules":{"required":true},"label":"firefoam duration","width":12,"multiple":false,"buttonStyle":{"rt_buttonsPerRow":2,"rt_buttonsPerRowMobile":1,"buttonsType":"Rectangle","spacing":20,"showControls":"Yes","rt_compactLayoutOnMobile":"Yes"},"options":[{"text":"More than 1 year","id":"192368f189795a7f9199624d"},{"text":"Less than 1 year","image":null,"id":"70c0a9378e749251d6da0647"}],"stepId":"4d6313fc796fbc99f35a8e77","sortOrder":2,"hideLabel":true},"decorative_header_219360329289759":{"type":"Decorative Header","value":"On how many occasions were you (or a loved one) directly exposed to firefighting foam (AFFF)?","width":12,"step":2,"sortOrder":1,"fieldStyle":{"fontSize":{"value":25,"unit":"px"},"fontWeight":"Bold","textAlign":"left"},"stepId":"282d86d9c951d2ceb14cf013","margins":{"marginBottom":0}},"buttons_109356132476249":{"type":"Buttons","validationRules":{"required":true},"label":"firefoam occassions","width":12,"multiple":false,"buttonStyle":{"rt_buttonsPerRow":2,"rt_buttonsPerRowMobile":1,"buttonsType":"Rectangle","spacing":20,"showControls":"Yes","rt_compactLayoutOnMobile":"Yes"},"options":[{"text":"1-9 exposures","id":"192368f189795a7f9199624d"},{"text":"10 or more exposures","image":null,"id":"70c0a9378e749251d6da0647"}],"stepId":"282d86d9c951d2ceb14cf013","sortOrder":2,"hideLabel":true},"decorative_paragraph_768948305648531":{"type":"Decorative Paragraph","value":"By submitting your information you provide your electronic signature and consent to be called and/or texted by partners in our legal network regarding your potential claim via automated technology and/or prerecorded voice at the number you provided. This consent overrides your listing on a state, national, or company do-not-call list. Your consent is not required to obtain legal services. And I accept the Term of Conditions and Privacy Policy.","width":12,"stepId":"8738f58293daa382ea86e475","sortOrder":2,"location":"footer","fieldStyle":{"textAlign":"left"}},"decorative_paragraph_137970613407488":{"type":"Decorative Paragraph","value":"1_welcome","width":12,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":9,"customCssClasses":"step-name"},"decorative_paragraph_373628330618424":{"type":"Decorative Paragraph","value":"2_exposed","width":12,"stepId":"af638305e346fdec5af8ebad","sortOrder":3,"customCssClasses":"step-name"},"decorative_paragraph_852144126905256":{"type":"Decorative Paragraph","value":"2a_exposed_duration","width":12,"stepId":"4d6313fc796fbc99f35a8e77","sortOrder":3,"customCssClasses":"step-name"},"decorative_paragraph_563323031481166":{"type":"Decorative Paragraph","value":"2b_occasions_exposed","width":12,"stepId":"282d86d9c951d2ceb14cf013","sortOrder":3,"customCssClasses":"step-name"},"decorative_paragraph_162120971648681":{"type":"Decorative Paragraph","value":"3_occupation_exposed","width":12,"stepId":"1a23b0dc7671df3bd2d2b5d0","sortOrder":3,"customCssClasses":"step-name"},"decorative_paragraph_354695983484492":{"type":"Decorative Paragraph","value":"4_injury","width":12,"stepId":"acd45227cac332d443c4e1db","sortOrder":3,"customCssClasses":"step-name"},"decorative_paragraph_559794782175396":{"type":"Decorative Paragraph","value":"5_years_of_diagnosed","width":12,"stepId":"ff4727c9498ef9c0a6c989d9","sortOrder":3,"customCssClasses":"step-name"},"decorative_paragraph_42039206975321":{"type":"Decorative Paragraph","value":"6_attorney","width":12,"stepId":"fadba8819fe0505b9cb9f326","sortOrder":4,"customCssClasses":"step-name"},"decorative_paragraph_364866820490567":{"type":"Decorative Paragraph","value":"6a_attorney_mismatch","width":12,"stepId":"c6713a0fe5299542239f8a90","sortOrder":2,"customCssClasses":"step-name"},"decorative_paragraph_900561176892820":{"type":"Decorative Paragraph","value":"7_personal_information","width":12,"stepId":"8738f58293daa382ea86e475","sortOrder":10,"customCssClasses":"step-name"},"decorative_paragraph_479521625578519":{"type":"Decorative Paragraph","value":"Find out if you qualify for **Significant Financial Compensation**.","width":12,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":2,"fieldStyle":{"fontSize":{"value":20,"unit":"px"},"textAlign":"left"}},"decorative_paragraph_589064738460517":{"type":"Decorative Paragraph","value":"🔒 All Case Reviews are free and fully confidential","width":12,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":4,"location":"footer","fieldStyle":{"textAlign":"left"}},"decorative_paragraph_117706468698099":{"type":"Decorative Paragraph","value":"✅ Complete the form in just 30 seconds","width":12,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":1,"location":"footer","fieldStyle":{"fontSize":{"value":16,"unit":"px"},"textAlign":"left"},"margins":{"marginBottom":-20}},"decorative_paragraph_600835908115152":{"type":"Decorative Paragraph","value":"✅ Free and No risks involved","width":12,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":2,"location":"footer","fieldStyle":{"fontSize":{"value":16,"unit":"px"},"textAlign":"left"},"margins":{"marginBottom":-20}},"decorative_paragraph_195442493353842":{"type":"Decorative Paragraph","value":"✅ Find out if you're eligible for financial compensation today","width":12,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":3,"location":"footer","fieldStyle":{"textAlign":"left","fontSize":{"value":16,"unit":"px"}}},"decorative_paragraph_887620171808761":{"type":"Decorative Paragraph","value":"🔒 All Case Reviews are free and fully confidential","width":12,"stepId":"af638305e346fdec5af8ebad","sortOrder":1,"location":"footer","fieldStyle":{"textAlign":"left"}},"decorative_paragraph_269186390983076":{"type":"Decorative Paragraph","value":"🔒 All Case Reviews are free and fully confidential","width":12,"stepId":"4d6313fc796fbc99f35a8e77","sortOrder":1,"location":"footer","fieldStyle":{"textAlign":"left"}},"decorative_paragraph_927930765147389":{"type":"Decorative Paragraph","value":"🔒 All Case Reviews are free and fully confidential","width":12,"stepId":"282d86d9c951d2ceb14cf013","sortOrder":1,"location":"footer","fieldStyle":{"textAlign":"left"}},"decorative_paragraph_526323846119591":{"type":"Decorative Paragraph","value":"🔒 All Case Reviews are free and fully confidential","width":12,"stepId":"1a23b0dc7671df3bd2d2b5d0","sortOrder":1,"location":"footer","fieldStyle":{"textAlign":"left"}},"decorative_paragraph_365857335011243":{"type":"Decorative Paragraph","value":"🔒 All Case Reviews are free and fully confidential","width":12,"stepId":"acd45227cac332d443c4e1db","sortOrder":1,"location":"footer","fieldStyle":{"textAlign":"left"}},"decorative_paragraph_741081063769906":{"type":"Decorative Paragraph","value":"🔒 All Case Reviews are free and fully confidential","width":12,"stepId":"ff4727c9498ef9c0a6c989d9","sortOrder":1,"fieldStyle":{"textAlign":"left"},"location":"footer"},"decorative_paragraph_616665571568936":{"type":"Decorative Paragraph","value":"🔒 All Case Reviews are free and fully confidential","width":12,"stepId":"fadba8819fe0505b9cb9f326","sortOrder":1,"location":"footer","fieldStyle":{"textAlign":"left"}},"decorative_paragraph_632608084205536":{"type":"Decorative Paragraph","value":"🔒 All Case Reviews are free and fully confidential","width":12,"stepId":"c6713a0fe5299542239f8a90","sortOrder":1,"location":"footer","fieldStyle":{"textAlign":"left"}},"decorative_paragraph_179449117530481":{"type":"Decorative Paragraph","value":"🔒 All Case Reviews are free and fully confidential","width":12,"stepId":"8738f58293daa382ea86e475","sortOrder":1,"location":"footer","fieldStyle":{"textAlign":"left"}},"hidden_172958856712927":{"type":"Hidden","hiddenFieldName":"http_referrer","width":12,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":8}},"options":{"numberOfSteps":5,"dateFormat":"DD/MM/YYYY","progressBar":{"enable":true},"continueButton":{"continueText":"Next","submitText":"Receive results","backText":"Back"},"customStyles":{"width":{"unit":"px","value":580},"parentContainerMinHeight":{"value":0,"unit":"px"},"parentBackgroundImage":{"imageInitialHeight":1362,"imageInitialWidth":2066,"imageHeight":1362,"imageWidth":2066,"imageUrl":"https://res.cloudinary.com/dqnjggegp/image/upload/v1597337140/uploads/qmsfk98ank3wfp1ehvyg.jpg"},"headerMarginTop":40,"parentBackgroundColor":"#ffffff","innerFormBackgroundColor":"#ffffff","innerFormBackgroundTransparency":"","primaryColor":"#0a83ca","bodyTextColor":"#343434","parentContainerBackgroundType":"color","innerFormBackgroundType":"none","buttonBorderColor":"#ff7500","buttonColorSelected":"#ffa659","buttonBorderColorSelected":"#ff7500","footerMarginBottom":70,"errorColor":"#ff4e4e","buttonColor":"#ff7500","buttonTextColor":"#ffffff","inputLabelColor":"#a3a3a3","inputTextColor":"#000000","defaultFont":"Open Sans","sq_buttonFont":"Poppins","sq_buttonFontSize":15,"showShadows":"Yes","sq_buttonTextColor":"#343434","sq_buttonColor":"#FFFFFF","sq_buttonColorSelected":"#FFFFFF","sq_buttonBorderColor":"#DADADA","sq_buttonBorderColorSelected":"primary","sq_buttonBannerColor":"#ffffff","rt_buttonFont":"Poppins","rt_buttonFontSize":15,"rt_buttonColor":"#FFFFFF","rt_buttonColorSelected":"#FFFFFF","rt_buttonTextColor":"#343434","rt_buttonBorderColor":"#DADADA","rt_buttonBorderColorSelected":"primary","inputLabelFont":"Poppins","inputFontSize":16,"continueSubmitButtonFontSize":15,"fullModeBackgroundColor":"#ffffff","canvasSetup":"full","link_buttonColor":"#34ca37","link_buttonTextColor":"#ffffff"},"localization":{"dateFormat":"MM/DD/YYYY"},"exportTransparentBackground":false,"customScript":"","customRedirectUrls":[{"url":"https://legalclaimassistant.com/firefoam-thank-you/","conditionalLogic":{"ruleBlocks":[{"sortOrder":0,"rules":[{"observedField":"buttons_57263971186489","operator":"selected_option","criteria":"192368f189795a7f9199624d"}]},{"sortOrder":2,"rules":[{"observedField":"buttons_834629745573640","operator":"not_selected_option","criteria":"371fd5978d4df0463de12a2f"}]},{"sortOrder":3,"rules":[{"observedField":"buttons_109446974978914","operator":"not_selected_option","criteria":"7ce2fb66fb3754675bef42b7"}]},{"sortOrder":4,"rules":[{"observedField":"buttons_861829943747678","operator":"selected_option","criteria":"d8a04793f71f8079aa557592"}]}]}},{"url":"https://legalclaimassistant.com/pfas-one-more-step/","conditionalLogic":{"ruleBlocks":[{"sortOrder":0,"rules":[{"observedField":"buttons_57263971186489","operator":"selected_option","criteria":"70c0a9378e749251d6da0647"},{"observedField":"buttons_834629745573640","operator":"selected_option","criteria":"371fd5978d4df0463de12a2f"}]},{"sortOrder":2,"rules":[{"observedField":"buttons_109446974978914","operator":"selected_option","criteria":"192368f189795a7f9199624d"},{"observedField":"buttons_109446974978914","operator":"selected_option","criteria":"cd688d984891cf9918f17913"},{"observedField":"buttons_109446974978914","operator":"selected_option","criteria":"4aa2d0676e2b31322c5ba7d6"},{"observedField":"buttons_109446974978914","operator":"selected_option","criteria":"70c0a9378e749251d6da0647"}]},{"sortOrder":3,"rules":[{"observedField":"buttons_861829943747678","operator":"selected_option","criteria":"d8a04793f71f8079aa557592"}]}]}},{"url":"https://legalclaimassistant.com/firefoam-one-more-step/","conditionalLogic":{"ruleBlocks":[{"sortOrder":0,"rules":[{"observedField":"buttons_57263971186489","operator":"selected_option","criteria":"70c0a9378e749251d6da0647"},{"observedField":"buttons_834629745573640","operator":"selected_option","criteria":"371fd5978d4df0463de12a2f"}]},{"sortOrder":2,"rules":[{"observedField":"buttons_109446974978914","operator":"selected_option","criteria":"7ce2fb66fb3754675bef42b7"},{"observedField":"buttons_109446974978914","operator":"selected_option","criteria":"26d7290c44ade1e138e33489"},{"observedField":"buttons_109446974978914","operator":"selected_option","criteria":"034fa5997da2349718c01eb0"}]}]}},{"url":"https://legalclaimassistant.com/pfas-one-more-step/","conditionalLogic":{"ruleBlocks":[{"sortOrder":0,"rules":[{"observedField":"buttons_861829943747678","operator":"selected_option","criteria":"833967cf9a728253200929a9"}]}]}}],"logo":{"value":"https://res.cloudinary.com/dqnjggegp/image/upload/v1736173261/uploads/ekrnrakviufuxdxqwdhh.png","linkUrl":"","imageWidth":54,"imageHeight":20,"imageInitialWidth":1546,"imageInitialHeight":577},"additionalInfo":null,"footer":{"component":"decorativeParagraph","decorativeParagraph":{"value":"© 2025 Legal Claim Assistant. All Rights Reserved.\n\n[Terms of Service](https://legalclaimassistant.com/terms-and-conditions/) | [Privacy Policy](https://legalclaimassistant.com/privacy-policy/) | [Contact Us](https://legalclaimassistant.com/contact/) | [Marketing Partners](https://legalclaimassistant.com/marketing-partners/)"}},"captureSystemDetails":true,"actionOnSubmit":"redirect","sendCustomRedirectQueryParams":true,"analyticsSettings":{"trustedForm":{"enabled":true},"google_analytics":{"trackingId":"G-TCY2DS6HJ9"},"custom_gtm":{"childContainerId":"GTM-KCQJVTL5","parentContainerId":"GTM-T2D8L7SQ"}},"customCss":".MuiFilledInput-input{\nmin-height: 40px;\n}\n\n.react-tel-input .form-control{\nmin-height: 80px;\n}"},"ownedByUser":"677a656476f3b5000b4f2ab7","personalisation":{"form_related_to":"(None - start with a blank slate)"},"created":"2025-01-10T11:20:42.080Z","__v":0,"lastEdited":"2025-09-10T09:39:29.908Z","screenshotUrl":"https://res.cloudinary.com/dqnjggegp/image/upload/v1757497175/growform-production/form-screenshots/6781028ab60c39000bdebc5f.png","leadsCount":133,"isActive":true},"accountIsActive":true,"accountIsFreeTrial":false}}; // ---- Utils ---- function safeJSONStringify(obj) { return JSON.stringify(obj) .replace(/<\/(script|style)/gi, '<\\/$1') .replace(//g, '--\\>') .replace(/\u2028/g, '\\u2028') .replace(/\u2029/g, '\\u2029'); } function preloadScript(href) { try { if (!href) return; if (document.querySelector('link[rel="preload"][href="' + href + '"]')) return; var l = document.createElement("link"); l.rel = "preload"; l.as = "script"; l.href = href; l.crossOrigin = ""; // allow cache reuse in iframe document.head.appendChild(l); } catch (_) {} } function parseQuery() { var out = {}; try { if (!window.location.search) return out; var usp = new URLSearchParams(window.location.search); usp.forEach(function (v, k) { out[k] = v; }); } catch (_) {} return out; } function buildIframeHTML(opts) { var html = '\n' + '\n' + '\n' + ' \n' + ' \n' + ' \n' + '\n' + '\n' + ' \n' + '
\n' + '