/* growform client2
   bundle.url: https://assets.growform.co/ec151f65-mng51sgu/form.bundle.js
   resolve.source: memory
   resolve.at: 2026-04-01T19:11:15.697Z
   form.source: kv
   cache.age_ms: 5931
   fallback_used: false
*/
;(function () {
  var EMBED_TYPE = "iFrame";
  var FORM_ID = "69b70da53ac126c60b2dfb6e";
  var FORM_BUNDLE_URL = "https://assets.growform.co/ec151f65-mng51sgu/form.bundle.js"; // injected by worker (KV/memory/fallback)
  var FORM_DATA = {"data":{"form":{"_id":"69b70da53ac126c60b2dfb6e","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":"","logo":{"value":"https://res.cloudinary.com/dqnjggegp/image/upload/v1773661348/uploads/vfrcolh6ul6adh63rt1q.webp","linkUrl":"chatgpt_image_16_okt_2025__17_13_53_720","imageWidth":54,"imageHeight":20,"imageInitialWidth":200,"imageInitialHeight":75},"additionalInfo":null,"footer":{"component":"decorativeParagraph","decorativeParagraph":{"value":"<p>© 2026 Legal Claim Assistant. All Rights Reserved.</p><p><a target=\"_blank\" rel=\"noopener noreferrer\" href=\"https://legalclaimassistant.com/terms-and-conditions/\">Terms of Service</a> | <a target=\"_blank\" rel=\"noopener noreferrer\" href=\"https://legalclaimassistant.com/privacy-policy/\">Privacy Policy</a> | <a target=\"_blank\" rel=\"noopener noreferrer\" href=\"https://legalclaimassistant.com/contact/\">Contact Us</a></p>","v":2}},"captureSystemDetails":true,"actionOnSubmit":"redirect","sendCustomRedirectQueryParams":true,"analyticsSettings":{"trustedForm":{"enabled":true},"google_analytics":{"trackingId":"G-TCY2DS6HJ9"},"custom_gtm":{"childContainerId":"GTM-5HFZBLDT","parentContainerId":"GTM-WXS7R9VQ"},"facebook":{"pixelId":"2306958689725814"}},"customRedirectUrls":[{"url":"https://legalclaimassistant.com/mva-compensation-one-more-step/","conditionalLogic":{"ruleBlocks":[{"sortOrder":4,"rules":[{"observedField":"buttons_71583192723318","operator":"selected_option","criteria":"d8a04793f71f8079aa557592"}]},{"sortOrder":5,"rules":[{"observedField":"buttons_779608183619360","operator":"selected_option","criteria":"f3d8fce02096bdeb18d13be0"}]}]}},{"url":"https://legalclaimassistant.com/mva-compensation-one-more-step/","conditionalLogic":{"ruleBlocks":[{"sortOrder":0,"rules":[{"observedField":"buttons_71583192723318","operator":"selected_option","criteria":"833967cf9a728253200929a9"},{"observedField":"buttons_543738801937069","operator":"selected_option","criteria":"833967cf9a728253200929a9"}]}]}},{"url":"https://legalclaimassistant.com/wrongful-death-thank-you/","conditionalLogic":null},{"url":"https://legalclaimassistant.com/wrongful-death-one-more-step/","conditionalLogic":{"ruleBlocks":[{"sortOrder":0,"rules":[{"observedField":"buttons_71583192723318","operator":"selected_option","criteria":"d8a04793f71f8079aa557592"},{"observedField":"buttons_779608183619360","operator":"selected_option","criteria":"ceaa1ea787765e16be64ceff"}]}]}}],"customCss":".MuiFilledInput-input{\nmin-height: 40px;\n}\n\n.react-tel-input .form-control{\nmin-height: 80px;\n}"},"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_576559560634956":{"type":"Decorative Header","value":"Did you or a loved one cause the accident?","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%"}},"decorative_header_235172494296605":{"type":"Decorative Header","value":"Lost a loved one due to negligence? You may qualify for compensation","width":12,"sortOrder":1,"stepId":"27eb4a1b1b082ade23f4559e","fieldStyle":{"fontSize":{"value":25,"unit":"px"},"textAlign":"left"}},"buttons_71583192723318":{"type":"Buttons","validationRules":{"required":true},"label":"Were you at fault","width":12,"multiple":false,"buttonStyle":{"rt_buttonsPerRow":2,"rt_buttonsPerRowMobile":1,"buttonsType":"Rectangle","spacing":20,"showControls":"Yes","rt_compactLayoutOnMobile":"Yes"},"options":[{"text":"No","id":"d8a04793f71f8079aa557592"},{"text":"Yes","id":"833967cf9a728253200929a9"}],"stepId":"ff4727c9498ef9c0a6c989d9","sortOrder":2,"hideLabel":true},"hidden_401676091091106":{"type":"Hidden","hiddenFieldName":"utm_source","width":12,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":3,"customQueryParamName":"utm_source"},"hidden_851736750090217":{"type":"Hidden","hiddenFieldName":"utm_medium","width":12,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":4,"customQueryParamName":"utm_medium"},"hidden_766171750375034":{"type":"Hidden","hiddenFieldName":"utm_campaign","width":12,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":5,"customQueryParamName":"utm_campaign"},"hidden_890099763029058":{"type":"Hidden","hiddenFieldName":"affid","width":12,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":6,"customQueryParamName":"affid"},"hidden_105407969648525":{"type":"Hidden","hiddenFieldName":"fbclid","width":12,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":7,"defaultValue":"","customQueryParamName":"fbclid"},"decorative_paragraph_821630620601320":{"type":"Decorative Paragraph","value":"Completing this form only takes **30 seconds of your time** and is completely **risk-free**. ","width":12,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":2,"fieldStyle":{"fontSize":{"value":16,"unit":"px"},"textAlign":"left"}},"decorative_header_585975710673653":{"type":"Decorative Header","value":"Did you or a loved one get injured in the accident?","width":12,"step":5,"sortOrder":1,"fieldStyle":{"fontSize":{"value":25,"unit":"px"},"fontWeight":"Bold","textAlign":"left"},"stepId":"e025082298462f06a3727c21","margins":{"marginBottom":0}},"buttons_543738801937069":{"type":"Buttons","validationRules":{"required":true},"label":"Injured","width":12,"multiple":false,"buttonStyle":{"rt_buttonsPerRow":2,"rt_buttonsPerRowMobile":1,"buttonsType":"Rectangle","spacing":20,"showControls":"Yes","rt_compactLayoutOnMobile":"Yes"},"options":[{"text":"Yes","id":"d8a04793f71f8079aa557592"},{"text":"No","id":"833967cf9a728253200929a9"}],"stepId":"e025082298462f06a3727c21","sortOrder":2,"hideLabel":true},"decorative_header_768782220643411":{"type":"Decorative Header","value":"Based on your information, you may qualify for Financial Compensation.","width":12,"sortOrder":1,"stepId":"9f2b453d0160ab9b96496b8d","fieldStyle":{"fontSize":{"value":25,"unit":"px"},"textAlign":"left"}},"email_118316608346802":{"type":"Email","label":"What is your email address?","width":12,"stepId":"9f2b453d0160ab9b96496b8d","sortOrder":5,"useZerobounce":true},"phone_838171550770373":{"type":"Phone","label":"What is your phone number?","width":12,"stepId":"9f2b453d0160ab9b96496b8d","sortOrder":6,"customQueryParamName":"phone","useTwilioLookup":true},"decorative_paragraph_940843023877258":{"type":"Decorative Paragraph","value":"Enter your contact details below to get a **Free Case Review**. This is completely **confidential**.","width":12,"stepId":"9f2b453d0160ab9b96496b8d","sortOrder":2,"fieldStyle":{"fontSize":{"value":18,"unit":"px"},"textAlign":"left"}},"decorative_paragraph_719669871703873":{"type":"Decorative Paragraph","value":"<p>By submitting your information, you provide your electronic signature and consent to be called and/or texted (including SMS and WhatsApp messages) by licensed law firms and legal service providers within our referral network regarding your potential claim via automated technology and/or prerecorded voice at the number you provided. These calls and/or texts may be delivered via automated technology as soon as possible after your submission, regardless of the time of day. Message frequency may vary. Reply STOP to opt out of text messages. This consent overrides your listing on any state, national, or company do-not-call list. Your consent is not required to obtain legal services. By submitting, you also agree to the Terms and Conditions and Privacy Policy.</p>","width":12,"stepId":"9f2b453d0160ab9b96496b8d","sortOrder":1,"location":"footer","fieldStyle":{"fontSize":{"value":12,"unit":"px"},"fontWeight":null},"margins":{"marginTop":30},"v":2},"hidden_175440268718318":{"type":"Hidden","hiddenFieldName":"site_source_name","width":12,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":8},"hidden_302592775020487":{"type":"Hidden","hiddenFieldName":"placement","width":12,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":9},"hidden_580383698268195":{"type":"Hidden","hiddenFieldName":"ad_id","width":12,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":10},"text_711527885015993":{"type":"Text","label":"First name","width":12,"stepId":"9f2b453d0160ab9b96496b8d","sortOrder":3,"hideLabel":false,"validationRules":{"required":true}},"text_993255183226604":{"type":"Text","label":"Last name","width":12,"stepId":"9f2b453d0160ab9b96496b8d","sortOrder":4,"validationRules":{"required":true}},"decorative_header_444019784142344":{"type":"Decorative Header","value":"<p><strong>Did you or a loved one receive medical treatment after the accident?</strong></p>","width":12,"v":2,"sortOrder":1,"stepId":"82e9c01a6e8ed850cfcd3c66","fieldStyle":{"fontSize":{"value":25,"unit":"px"},"textAlign":"left"}},"buttons_779608183619360":{"type":"Buttons","validationRules":{"required":true},"label":"treatment","width":12,"multiple":false,"buttonStyle":{"rt_buttonsPerRow":2,"rt_buttonsPerRowMobile":1,"buttonsType":"Rectangle","spacing":20,"showControls":"Yes","rt_compactLayoutOnMobile":"Yes"},"options":[{"text":"Yes","id":"f3d8fce02096bdeb18d13be0"},{"text":"No","id":"ceaa1ea787765e16be64ceff"}],"stepId":"82e9c01a6e8ed850cfcd3c66","sortOrder":2,"hideLabel":true},"decorative_header_613698838609713":{"type":"Decorative Header","value":"<p><strong>Please provide a brief description of what happened</strong></p>","width":12,"v":2,"sortOrder":1,"stepId":"76fb0541df0633b9a76f3a95","fieldStyle":{"fontSize":{"value":25,"unit":"px"},"textAlign":"left"}},"text_229455652470303":{"type":"Text","label":"Please provide a brief description of what happened","width":12,"sortOrder":3,"stepId":"76fb0541df0633b9a76f3a95","multiline":true,"rows":3,"rowsMax":6,"validationRules":{"required":false}},"decorative_text_988435157008825":{"type":"Decorative Text","value":"<p>The more we understand your situation, the stronger we can build your case.</p>","fieldStyle":{"fontSize":{"value":14,"unit":"px"},"textAlign":"left"},"width":12,"v":2,"stepId":"76fb0541df0633b9a76f3a95","sortOrder":2},"decorative_header_934849257109636":{"type":"Decorative Header","value":"<p><strong>On what date did the accident approximately occur?</strong></p>","width":12,"v":2,"sortOrder":1,"stepId":"a42164064b1ccc047fd4b4e5","fieldStyle":{"fontSize":{"value":25,"unit":"px"},"textAlign":"left"}},"date_226359915105838":{"type":"Date","label":"MM/DD/YYYY (approx.)","width":12,"disablePast":false,"stepId":"a42164064b1ccc047fd4b4e5","sortOrder":2,"validationRules":{"required":true}},"decorative_header_236306879454896":{"type":"Decorative Header","value":"<p><strong>In which state did the accident happen?</strong></p>","width":12,"v":2,"sortOrder":1,"stepId":"d6edd92e736564c085af2a0b","fieldStyle":{"fontSize":{"value":24,"unit":"px"},"textAlign":"left"}},"buttons_844677138170246":{"type":"Buttons","validationRules":{"required":true},"label":"State","width":12,"multiple":false,"buttonStyle":{"rt_buttonsPerRow":2,"rt_buttonsPerRowMobile":1,"buttonsType":"Rectangle","spacing":20,"showControls":"Yes","rt_compactLayoutOnMobile":"Yes"},"options":[{"text":"Alabama","id":"b321b273464e1573fd68bca2"},{"text":"Arizona","id":"84183b336cac94af16faee48"},{"text":"California","id":"a231ee43a3f1041c02057ab2"},{"text":"Colorado","id":"d8f693d16588c5b7b2870a20"},{"text":"Florida","image":null,"id":"efe3fbebda0ec4575c813837"},{"text":"Georgia","image":null,"id":"b1ee7fd77e33e972ba72491f"},{"text":"Illinois","image":null,"id":"96f0efd1afbcb2b73d7b2859"},{"text":"Indiana","image":null,"id":"88a597edc64f139852821db6"},{"text":"Kentucky","image":null,"id":"1f388eea81fe247366b8e10f"},{"text":"North Carolina","image":null,"id":"d76cdea689bbf226e0973875"},{"text":"New Mexico","image":null,"id":"4e5961df5035288d1eb6966e"},{"text":"Nevada","image":null,"id":"08eaf2bcc4dcc4c8767a854e"},{"text":"New York","image":null,"id":"b69a4e4913c74d506840f06c"},{"text":"Ohio","image":null,"id":"4eacf0d7a8ac4129bdd2158a"},{"text":"Oklahoma","image":null,"id":"000d09fea95122ecc9df7c99"},{"text":"Tennessee","image":null,"id":"6a99e114130a142466865126"},{"text":"Texas","image":null,"id":"d4c5ababc628b5c4427443cd"},{"text":"Utah","image":null,"id":"145ac9f8edf85f45ed581ec9"},{"text":"Washington","image":null,"id":"c3334bf18dcc2ed1c879950d"},{"text":"Wisconsin","image":null,"id":"4eafb7d3af97dea411c09353"},{"text":"South Carolina","image":null,"id":"6e04b635e558123f8bb01cb6"},{"text":"Missouri","image":null,"id":"3cd1d4e3a5916f70aa946e61"},{"text":"Maryland","image":null,"id":"a6043cddec9f45a6015edb3a"},{"text":"Connecticut","image":null,"id":"8632ffd4ce83f692f4156895"},{"text":"Arkansas","image":null,"id":"25ffc7582e42893ceb75b470"},{"text":"Pennsylvania","image":null,"id":"101bd5ee62ebfced9e683c16"},{"text":"Other","image":null,"id":"6e77e3b65e175a6e1709e357"}],"stepId":"d6edd92e736564c085af2a0b","sortOrder":2,"hideLabel":true},"decorative_header_481300055131042":{"type":"Decorative Header","value":"What type of accident were you or a loved one involved in?","width":12,"step":5,"sortOrder":1,"fieldStyle":{"fontSize":{"value":25,"unit":"px"},"fontWeight":"Bold","textAlign":"left"},"stepId":"89df0050e40445b5e9d42bee","margins":{"marginBottom":0}},"buttons_386099499810185":{"type":"Buttons","validationRules":{"required":true},"label":"accident_type","width":12,"multiple":false,"buttonStyle":{"rt_buttonsPerRow":2,"rt_buttonsPerRowMobile":1,"buttonsType":"Rectangle","spacing":20,"showControls":"Yes","rt_compactLayoutOnMobile":"Yes"},"options":[{"text":"Car accident","id":"d8a04793f71f8079aa557592"},{"text":"Motorcycle or scooter accident","id":"833967cf9a728253200929a9"},{"text":"Bus or public transportation accident","image":null,"id":"b67ff7c497ab7b770fe6710d"},{"text":"Rideshare incident (Uber, Lyft, etc.)","image":null,"id":"f3167d8ce3c81f296a9a2e32"},{"text":"Other type of accident","image":null,"id":"526edd9b6111e9e65b1d2868"}],"stepId":"89df0050e40445b5e9d42bee","sortOrder":2,"hideLabel":true},"decorative_header_392962853825045":{"type":"Decorative Header","value":"Was anyone else in the vehicle?","width":12,"step":5,"sortOrder":1,"fieldStyle":{"fontSize":{"value":25,"unit":"px"},"fontWeight":"Bold","textAlign":"left"},"stepId":"4df9773883196375f9311322","margins":{"marginBottom":0}},"buttons_703907641449540":{"type":"Buttons","validationRules":{"required":true},"label":"passengers","width":12,"multiple":false,"buttonStyle":{"rt_buttonsPerRow":2,"rt_buttonsPerRowMobile":1,"buttonsType":"Rectangle","spacing":20,"showControls":"Yes","rt_compactLayoutOnMobile":"Yes"},"options":[{"text":"Yes","id":"d8a04793f71f8079aa557592"},{"text":"No","id":"833967cf9a728253200929a9"}],"stepId":"4df9773883196375f9311322","sortOrder":2,"hideLabel":true},"hidden_819469988512898":{"type":"Hidden","hiddenFieldName":"gclid","width":12,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":11},"hidden_847373530605524":{"type":"Hidden","hiddenFieldName":"utm_term","width":12,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":12},"hidden_678100817700611":{"type":"Hidden","hiddenFieldName":"matchtype","width":12,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":13},"decorative_header_223678856875061":{"type":"Decorative Header","value":"<p><span style=\"color: rgb(0, 0, 0)\"><strong>Did your loved one pass away because of an accident or someone else’s negligence?</strong></span></p>","width":12,"v":2,"sortOrder":1,"stepId":"3503a52c189c7c192ea8c2d5","fieldStyle":{"fontSize":{"value":24,"unit":"px"},"textAlign":"left"}},"buttons_345124130520228":{"type":"Buttons","validationRules":{"required":true},"label":"accident","width":12,"multiple":false,"buttonStyle":{"rt_buttonsPerRow":2,"rt_buttonsPerRowMobile":1,"buttonsType":"Rectangle","spacing":20,"showControls":"Yes","rt_compactLayoutOnMobile":"Yes"},"options":[{"text":"Yes","image":null,"id":"8632ffd4ce83f692f4156895"},{"text":"No","image":null,"id":"25ffc7582e42893ceb75b470"}],"stepId":"3503a52c189c7c192ea8c2d5","sortOrder":3,"hideLabel":true},"decorative_text_705875177519295":{"type":"Decorative Text","value":"<p><span style=\"color: #000000\">Examples: car accident, medical error, unsafe property, workplace incident.</span></p>","fieldStyle":{"fontSize":{"value":16,"unit":"px"},"textAlign":"left"},"width":12,"v":2,"stepId":"3503a52c189c7c192ea8c2d5","sortOrder":2},"decorative_header_823649807774188":{"type":"Decorative Header","value":"<p><strong>Did your loved one pass away within the last 18 months?</strong></p>","width":12,"v":2,"sortOrder":1,"stepId":"235bbfac4281df2266eb5792","fieldStyle":{"fontSize":{"value":24,"unit":"px"},"textAlign":"left"}},"buttons_477961827636915":{"type":"Buttons","validationRules":{"required":true},"label":" pass_away","width":12,"multiple":false,"buttonStyle":{"rt_buttonsPerRow":2,"rt_buttonsPerRowMobile":1,"buttonsType":"Rectangle","spacing":20,"showControls":"Yes","rt_compactLayoutOnMobile":"Yes"},"options":[{"text":"Yes","image":null,"id":"8632ffd4ce83f692f4156895"},{"text":"No","image":null,"id":"25ffc7582e42893ceb75b470"}],"stepId":"235bbfac4281df2266eb5792","sortOrder":2,"hideLabel":true},"decorative_header_266083150917907":{"type":"Decorative Header","value":"<p><strong>Did the person who caused the accident have insurance?</strong></p>","width":12,"v":2,"sortOrder":1,"stepId":"47513c64b204f785bc5324b8","fieldStyle":{"fontSize":{"value":24,"unit":"px"},"textAlign":"left"}},"buttons_616093622393692":{"type":"Buttons","validationRules":{"required":true},"label":"insurance","width":12,"multiple":false,"buttonStyle":{"rt_buttonsPerRow":2,"rt_buttonsPerRowMobile":1,"buttonsType":"Rectangle","spacing":20,"showControls":"Yes","rt_compactLayoutOnMobile":"Yes"},"options":[{"text":"Yes","image":null,"id":"8632ffd4ce83f692f4156895"},{"text":"Not sure","image":null,"id":"eb5a3c8b5e35f2adc35e5e35"},{"text":"No","image":null,"id":"25ffc7582e42893ceb75b470"}],"stepId":"47513c64b204f785bc5324b8","sortOrder":2,"hideLabel":true},"decorative_text_455224139168859":{"type":"Decorative Text","value":"<p>✅ Complete the form in just 1 minute</p>","fieldStyle":{"fontSize":{"value":14,"unit":"px"},"textAlign":"left"},"width":12,"v":2,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":1,"location":"footer","margins":{"marginTop":-10,"marginBottom":-20}},"decorative_text_578257527527469":{"type":"Decorative Text","value":"<p>✅ 100% Free &amp; Confidential</p>","fieldStyle":{"fontSize":{"value":14,"unit":"px"},"textAlign":"left"},"width":12,"v":2,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":2,"location":"footer","margins":{"marginBottom":-20}},"decorative_text_861216657617056":{"type":"Decorative Text","value":"<p>✅ Find out if you're eligible for financial compensation today</p>","fieldStyle":{"fontSize":{"value":14,"unit":"px"},"textAlign":"left"},"width":12,"v":2,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":3,"location":"footer"},"decorative_text_246337274630046":{"type":"Decorative Text","value":"<p>🔒 All Case Reviews are free and fully confidential</p>","fieldStyle":{"fontSize":{"value":14,"unit":"px"},"textAlign":"left"},"width":12,"v":2,"stepId":"27eb4a1b1b082ade23f4559e","sortOrder":4,"location":"footer"}},"ownedByUser":"677a656476f3b5000b4f2ab7","formName":"LCA - Wrongful Death ","personalisation":{"form_related_to":"(None - start with a blank slate)"},"lastEdited":"2026-03-23T14:38:30.204Z","created":"2026-03-15T19:51:01.198Z","steps":[{"id":"27eb4a1b1b082ade23f4559e","name":"Welcome page","sortOrder":1},{"id":"3503a52c189c7c192ea8c2d5","name":"accident","sortOrder":2,"copyOf":"d6edd92e736564c085af2a0b"},{"id":"e025082298462f06a3727c21","name":"Injured","sortOrder":3,"copyOf":"ff4727c9498ef9c0a6c989d9","conditionalLogic":{"action":"show","ruleBlocks":[{"sortOrder":0,"rules":[{"observedField":"buttons_345124130520228","operator":"selected_option","criteria":"25ffc7582e42893ceb75b470"}]}]}},{"id":"89df0050e40445b5e9d42bee","name":"Type of accident","sortOrder":4,"copyOf":"ff4727c9498ef9c0a6c989d9","conditionalLogic":{"action":"show","ruleBlocks":[{"sortOrder":0,"rules":[{"observedField":"buttons_345124130520228","operator":"selected_option","criteria":"25ffc7582e42893ceb75b470"}]}]}},{"id":"235bbfac4281df2266eb5792","name":" pass_away","sortOrder":5,"copyOf":"3503a52c189c7c192ea8c2d5","conditionalLogic":{"action":"show","ruleBlocks":[{"sortOrder":0,"rules":[{"observedField":"buttons_345124130520228","operator":"selected_option","criteria":"8632ffd4ce83f692f4156895"}]}]}},{"id":"47513c64b204f785bc5324b8","name":"insurance","sortOrder":6,"copyOf":"235bbfac4281df2266eb5792","conditionalLogic":{"action":"show","ruleBlocks":[{"sortOrder":0,"rules":[{"observedField":"buttons_345124130520228","operator":"selected_option","criteria":"8632ffd4ce83f692f4156895"}]}]}},{"id":"a42164064b1ccc047fd4b4e5","name":"Accident_date","sortOrder":7,"conditionalLogic":{"action":"show","ruleBlocks":[{"sortOrder":0,"rules":[{"observedField":"buttons_345124130520228","operator":"selected_option","criteria":"25ffc7582e42893ceb75b470"}]}]}},{"id":"d6edd92e736564c085af2a0b","name":"State","sortOrder":8,"conditionalLogic":{"action":"show","ruleBlocks":[{"sortOrder":0,"rules":[{"observedField":"buttons_345124130520228","operator":"selected_option","criteria":"25ffc7582e42893ceb75b470"}]}]}},{"id":"ff4727c9498ef9c0a6c989d9","name":"Were you at fault","sortOrder":9,"conditionalLogic":{"action":"show","ruleBlocks":[{"sortOrder":0,"rules":[{"observedField":"buttons_345124130520228","operator":"selected_option","criteria":"25ffc7582e42893ceb75b470"}]}]}},{"id":"4df9773883196375f9311322","name":"Anyone else in the vehicle","sortOrder":10,"copyOf":"ff4727c9498ef9c0a6c989d9","conditionalLogic":{"action":"show","ruleBlocks":[{"sortOrder":0,"rules":[{"observedField":"buttons_345124130520228","operator":"selected_option","criteria":"25ffc7582e42893ceb75b470"}]}]}},{"id":"82e9c01a6e8ed850cfcd3c66","name":"Treatment","sortOrder":11,"conditionalLogic":{"action":"show","ruleBlocks":[{"sortOrder":0,"rules":[{"observedField":"buttons_345124130520228","operator":"selected_option","criteria":"25ffc7582e42893ceb75b470"}]}]}},{"id":"76fb0541df0633b9a76f3a95","name":"Description","sortOrder":12},{"id":"9f2b453d0160ab9b96496b8d","name":"Contact Details","sortOrder":13}],"folderId":"69247d1bc4febb620194a13a","screenshotUrl":"https://res.cloudinary.com/dqnjggegp/image/upload/v1773751273/growform-production/form-screenshots/69b70da53ac126c60b2dfb6e.png","leadsCount":15,"isActive":true,"reportedSpam":false,"spamOcr":"LEGAL\nCLAIM\nASSISTANT\nLost a loved one due to negligence? You\nmay qualify for compensation\nCompleting this form only takes 30 seconds of your time and is\ncompletely risk-free.\nNEXT\n✓ Complete the form in just 1 minute\n✓ 100% Free & Confidential\n✓ Find out if you're eligible for financial compensation today\nAll Case Reviews are free and fully confidential\n© 2026 Legal Claim Assistant. All Rights Reserved.\nTerms of Service | Privacy Policy | Contact Us LEGAL CLAIM ASSISTANT Lost a loved one due to negligence ? You may qualify for compensation Completing this form only takes 30 seconds of your time and is completely risk - free . NEXT ✓ Complete the form in just 1 minute ✓ 100 % Free & Confidential ✓ Find out if you're eligible for financial compensation today All Case Reviews are free and fully confidential © 2026 Legal Claim Assistant . All Rights Reserved . Terms of Service | Privacy Policy | Contact Us","__v":0},"accountIsActive":true,"accountIsFreeTrial":false}};

  // ---- Utils ----
  function safeJSONStringify(obj) {
    return JSON.stringify(obj)
      .replace(/<\/(script|style)/gi, '<\\/$1')
      .replace(/<!--/g, '<\\!--')
      .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 =
'<!doctype html>\n' +
'<html lang="" style="font-size:14px; font-family:\'Muli\', sans-serif;">\n' +
'<head>\n' +
'  <meta http-equiv="Content-Type" content="text/html;charset=utf-8" />\n' +
'  <meta name="viewport" content="width=device-width, initial-scale=1">\n' +
'  <link href="https://fonts.googleapis.com/css2?family=Muli:ital,wght@0,400;0,700;1,400&display=swap" rel="stylesheet">\n' +
'</head>\n' +
'<body style="background:none; margin:0; overflow-x:clip; overflow-y:auto;">\n' +
'  <noscript>You need to enable JavaScript to run this app.</noscript>\n' +
'  <div id="growform_5ap8d5a8na90d" style="width:100%; overflow-x:hidden;"></div>\n' +
'  <script type="text/javascript" src="' + opts.bundleUrl + '"></' + 'script>\n' +
'  <script type="text/javascript">\n' +
'    (function(){\n' +
'      try {\n' +
'        if (window.Growform && typeof window.Growform.init === "function") {\n' +
'          window.Growform.init({\n' +
'            formId: ' + JSON.stringify(opts.formId) + ',\n' +
'            embedMethod: ' + JSON.stringify(opts.embedMethod) + ',\n' +
'            embedId: ' + JSON.stringify(opts.embedId) + ',\n' +
'            queryParams: ' + JSON.stringify(opts.query || {}) + ',\n' +
'            formData: ' + opts.formData + '\n' +
'          });\n' +
'        }\n' +
'      } catch(e) { /* swallow */ }\n' +
'    })();\n' +
'  </' + 'script>\n' +
'</body>\n' +
'</html>';
    return html;
  }

  function embedGrowform() {
    var growformEmbedId = "embed-" + Math.floor(Math.random() * 100000).toString();
    var iFrameHeight = (EMBED_TYPE === "modal") ? "100%" : "350px";

    preloadScript(FORM_BUNDLE_URL);

    var iframe = document.createElement("iframe");
    iframe.setAttribute("width", "100%");
    iframe.setAttribute("height", iFrameHeight);
    iframe.setAttribute("frameborder", "0");
    iframe.setAttribute("data-cookieconsent", "ignore");
    iframe.setAttribute("class", "growform_form growform_form_" + growformEmbedId);
    iframe.setAttribute("id", "growform_form");
    iframe.setAttribute("allowTransparency", "true");
    if (EMBED_TYPE !== "modal") {
      iframe.setAttribute("scrolling", "no");
    }

    var isTrustedFormEnabled = false;
    try {
      if (FORM_DATA && FORM_DATA.data && FORM_DATA.data.form && 
          FORM_DATA.data.form.options && FORM_DATA.data.form.options.analyticsSettings &&
          FORM_DATA.data.form.options.analyticsSettings.trustedForm &&
          FORM_DATA.data.form.options.analyticsSettings.trustedForm.enabled === true) {
        isTrustedFormEnabled = true;
      }
    } catch (_) {}

    if (isTrustedFormEnabled) {
      var baseUrl = "https://embed.growform.co/go/" + FORM_ID + "/embedMethod/" + EMBED_TYPE + "/";
      var iframeUrl = baseUrl + growformEmbedId;
      if (window.location.search) {
        iframeUrl = iframeUrl + window.location.search;
      }
      iframe.setAttribute("src", iframeUrl);
    } else {
      // Use srcdoc method for non-TrustedForm forms
      var html = buildIframeHTML({
        formId: FORM_ID,
        embedMethod: EMBED_TYPE,
        embedId: growformEmbedId,
        query: parseQuery(),
        bundleUrl: FORM_BUNDLE_URL,
        formData: safeJSONStringify(FORM_DATA)
      });

      try {
        if ("srcdoc" in iframe) {
          iframe.srcdoc = html;
        } else {
          var blob = new Blob([html], { type: "text/html" });
          iframe.src = URL.createObjectURL(blob);
        }
      } catch (_) {
        var blob2 = new Blob([html], { type: "text/html" });
        iframe.src = URL.createObjectURL(blob2);
      }
    }

    var currentScript = document.currentScript || (function(){
      var scripts = document.getElementsByTagName('script');
      return scripts[scripts.length - 1];
    })();
    if (currentScript && currentScript.parentNode) {
      currentScript.parentNode.insertBefore(iframe, currentScript.nextSibling);
    } else {
      // fallback if we can't find the script
      document.body.appendChild(iframe);
    }

    // ------- Public API on parent -------
    window.growform = window.growform || {};
    if (typeof window.growform.setHiddenField !== "function") {
      window.growform.setHiddenField = function(fieldName, value) {
        var iframes = document.getElementsByClassName("growform_form");
        for (var i = 0; i < iframes.length; i++) {
          if (iframes[i].contentWindow) {
            iframes[i].contentWindow.postMessage({
              action: "growform_set_hidden_field",
              fieldName: fieldName,
              value: value
            }, "*");
          }
        }
      };
    }

    // ------- Message plumbing (unchanged behaviours) -------
    function growform_receiveMessage(event) {
      var origin = event && event.origin ? event.origin : null;
      var hostOrigin = window.location.origin;

      if (
        origin !== null &&
        origin !== 'null' &&
        origin !== hostOrigin &&
        origin !== 'https://embed.growform.co'
      ) {
        console.warn('Blocked message from unexpected origin:', origin);
        return;
      }

      if (!event || !event.data || !event.data.action) return;
      if (event.data.growform_embed_id !== growformEmbedId) return;

      if (event.data.action === "growform_resize_height") {
        var h = parseInt(event.data.height, 10);
        if (!isNaN(h)) {
          var targetClass = "growform_form_" + growformEmbedId;
          h = Math.round(h) + 16;
          var el = document.getElementsByClassName(targetClass)[0];
          if (el) el.style.height = h + "px";
        }
      }

      if (event.data.action === "growform_submit_form") {
        var customScript = event.data.customScript;
        var elementId = "growform_CustomScriptPageDiv_" + growformEmbedId;
        if (!document.getElementById(elementId)) {
          var d = document.createElement("div");
          d.id = elementId;
          document.body.appendChild(d);
          d.innerHTML = customScript;
          var scripts = d.getElementsByTagName("script");
          for (var i = 0; i < scripts.length; i++) {
            try { eval(scripts[i].innerText); } catch (_) {}
          }
        }
      }

      if (event.data.action === "growform_add_parent_gtm_container") {
        var containerId = event.data.containerId;
        (function (w, d, s, l, i) {
          w[l] = w[l] || [];
          w[l].push({ "gtm.start": new Date().getTime(), event: "gtm.js" });
          var f = d.getElementsByTagName(s)[0],
              j = d.createElement(s),
              dl = l != "dataLayer" ? "&l=" + l : "";
          j.async = true;
          j.src = "https://www.googletagmanager.com/gtm.js?id=" + i + dl;
          f.parentNode.insertBefore(j, f);
        })(window, document, "script", "dataLayer", containerId);

        window.dataLayer = window.dataLayer || [];
        window.dataLayer.push({
          event: "growformAnalyticsSettings",
          growformAnalyticsSettings: event.data.analyticsSettings,
          growformEmbedId: growformEmbedId
        });
      }

      if (event.data.action === "growform_scroll_to_top") {
        var targetClass2 = "growform_form_" + growformEmbedId;
        var target = document.getElementsByClassName(targetClass2)[0];
        if (target && target.getBoundingClientRect) {
          var rect = target.getBoundingClientRect();
          var relY = rect.top;
          var absY = relY + (window.scrollY || window.pageYOffset || 0);
          var winH = window.innerHeight || document.documentElement.clientHeight;
          if (relY < 0 || relY > winH) {
            var offset = event.data.offset ? event.data.offset : 0;
            var y = absY + offset;
            setTimeout(function(){ window.scrollTo({ top: y, behavior: "smooth" }); }, 100);
          }
        }
      }

      if (event.data.action === "growform_form_loaded") {
        try {
          var ev = document.createEvent("Event");
          ev.initEvent("growform_loaded", true, true);
          window.dispatchEvent(ev);
        } catch (_) {
          try { window.dispatchEvent(new Event("growform_loaded")); } catch (_) {}
        }
      }
    }

    window.addEventListener("message", growform_receiveMessage, false);
  }

  embedGrowform();
})();