{"_id":"68c42b982b8419808f1c08b0","title":"DHS_COFR","name":"dhsCofr","path":"dhscofr","type":"form","display":"form","tags":[],"access":[{"type":"read_all","roles":["5f9ae327f1b65926a66350f3","5f9ae327f1b65921a76350f4"]},{"type":"update_all","roles":["5f9ae327f1b65926a66350f3"]}],"submissionAccess":[{"type":"create_all","roles":["5f9ae327f1b65926a66350f3","5f9ae327f1b65921a76350f4"]}],"owner":"5f9acba5f1b659b9e06350e4","components":[{"label":"Top of Form","columns":[{"components":[{"label":"<font color=\"red\">authorizationToken</font>","key":"authorizationToken","type":"hidden","input":true,"tableView":false,"hideOnChildrenHidden":false,"width":12,"id":"ehkr227","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","calculateServer":false,"widget":{"type":"input"},"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"inputType":"hidden"}],"width":2,"offset":0,"push":0,"pull":0,"size":"md","currentWidth":2},{"components":[{"label":"<font color=\"red\">agencyFormId</font>","key":"agencyFormId","type":"hidden","input":true,"tableView":false,"hideOnChildrenHidden":false,"width":12,"id":"ezdxp5z","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","calculateServer":false,"widget":{"type":"input"},"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"inputType":"hidden"}],"width":2,"offset":0,"push":0,"pull":0,"size":"md","currentWidth":2},{"components":[{"label":"min/max","persistent":"client-only","calculateServer":true,"trigger":{"init":true,"server":true},"dataSrc":"url","fetch":{"url":"{{ config.PAYGOV_ENV }}/public/api/v1/minmaxamount/{{ data.agencyFormId }}","method":"get","headers":[{"key":"X-Paygov-Authorization-Token","value":"{{ data.authorizationToken }}"}],"forwardHeaders":true,"authenticate":false},"key":"minMax","type":"datasource","input":true,"tableView":false,"hideOnChildrenHidden":false,"width":12,"id":"ehoyg3p","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[]}],"size":"md","width":2,"offset":0,"push":0,"pull":0,"currentWidth":2},{"components":[{"label":"Company Profile","persistent":"client-only","calculateServer":true,"trigger":{"init":true,"server":true},"dataSrc":"url","fetch":{"url":"{{ config.PAYGOV_ENV }}/public/api/v1/companyprofile/{{ data.agencyFormId }}","method":"get","headers":[{"key":"X-Paygov-Authorization-Token","value":"{{ data.authorizationToken }}"}],"forwardHeaders":true,"authenticate":false},"key":"CompanyDataFromPaygov","type":"datasource","input":true,"tableView":false,"validate":{"multiple":true,"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"unique":false},"hideOnChildrenHidden":false,"keyModified":true,"multiple":true,"width":12,"id":"ei58l44","placeholder":"","prefix":"","customClass":"","suffix":"","protected":false,"unique":false,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","attributes":{},"validateOn":"change","conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[]}],"size":"md","width":2,"offset":0,"push":0,"pull":0,"currentWidth":2}],"key":"topOfForm","type":"columns","input":false,"tableView":false,"hideOnChildrenHidden":false,"lockKey":true,"source":"5eac84259b53ff041c170ee7","isNew":true,"id":"ezga3t","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":false,"hidden":false,"clearOnHide":false,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","calculateServer":false,"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"tree":false,"lazyLoad":false,"autoAdjust":false},{"label":"Columns","columns":[{"components":[{"label":"Application Fee","applyMaskOn":"change","tableView":false,"calculateValue":"if(data.CompanyDataFromPaygov.length > 0){  \r\n  var amount = parseFloat(data.CompanyDataFromPaygov[0]['Application Fee']);\r\n  value = (\"$\" + amount.toFixed(2).replace(/(\\d)(?=(\\d{3})+\\.)/g, \"$1,\").toString());\r\n}\r\n","calculateServer":true,"key":"ApplicationFee","type":"hidden","input":true,"hideOnChildrenHidden":false,"id":"ewszwhe","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","widget":{"type":"input"},"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"inputType":"hidden"}],"width":2,"offset":0,"push":0,"pull":0,"size":"md","currentWidth":2},{"components":[{"label":"Certification Fee","applyMaskOn":"change","tableView":false,"calculateValue":"if(data.CompanyDataFromPaygov.length > 0){  \r\n  var amount = parseFloat(data.CompanyDataFromPaygov[0]['Certification Fee']);\r\n  value = (\"$\" + amount.toFixed(2).replace(/(\\d)(?=(\\d{3})+\\.)/g, \"$1,\").toString());\r\n}\r\n","calculateServer":true,"key":"CertificationFee","type":"hidden","input":true,"hideOnChildrenHidden":false,"id":"euwn1it","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","widget":{"type":"input"},"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"inputType":"hidden"}],"width":2,"offset":0,"push":0,"pull":0,"size":"md","currentWidth":2},{"components":[{"label":"Add Vessel","applyMaskOn":"change","tableView":false,"calculateValue":"if(data.CompanyDataFromPaygov.length > 0){  \r\n  var amount = parseFloat(data.CompanyDataFromPaygov[0]['Add Vessel']);\r\n  value = (\"$\" + amount.toFixed(2).replace(/(\\d)(?=(\\d{3})+\\.)/g, \"$1,\").toString());\r\n}\r\n","calculateServer":true,"key":"AddVessel","type":"hidden","input":true,"hideOnChildrenHidden":false,"id":"elmo9mp","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","widget":{"type":"input"},"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"inputType":"hidden"}],"size":"md","width":2,"currentWidth":2},{"components":[{"label":"Renewal Fee","applyMaskOn":"change","tableView":false,"calculateValue":"if(data.CompanyDataFromPaygov.length > 0){  \r\n  var amount = parseFloat(data.CompanyDataFromPaygov[0]['Renewal Fee']);\r\n  value = (\"$\" + amount.toFixed(2).replace(/(\\d)(?=(\\d{3})+\\.)/g, \"$1,\").toString());\r\n}\r\n","calculateServer":true,"key":"RenewalFee","type":"hidden","input":true,"hideOnChildrenHidden":false,"id":"ef0xt54","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","widget":{"type":"input"},"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"inputType":"hidden"}],"size":"md","width":2,"currentWidth":2},{"components":[{"label":"Vessel Name Change Fee","applyMaskOn":"change","tableView":false,"calculateValue":"if(data.CompanyDataFromPaygov.length > 0){  \r\n  var amount = parseFloat(data.CompanyDataFromPaygov[0]['Vessel Name Change Fee']);\r\n  value = (\"$\" + amount.toFixed(2).replace(/(\\d)(?=(\\d{3})+\\.)/g, \"$1,\").toString());\r\n}\r\n","calculateServer":true,"key":"VesselNameChangeFee","type":"hidden","input":true,"hideOnChildrenHidden":false,"id":"eumkgr7","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","widget":{"type":"input"},"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"inputType":"hidden"}],"size":"md","width":2,"currentWidth":2},{"components":[],"size":"md","width":2,"currentWidth":2}],"key":"columns","type":"columns","input":false,"tableView":false,"id":"ehzxodg","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":false,"hidden":false,"clearOnHide":false,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","calculateServer":false,"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"tree":false,"lazyLoad":false,"autoAdjust":false},{"label":"HTML","tag":"h3","attrs":[{"attr":"","value":""}],"content":"Certificate of Financial Responsibility (COFRs)","refreshOnChange":false,"key":"html","type":"htmlelement","input":false,"tableView":false,"id":"e14pzib","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":false,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","calculateServer":false,"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[]},{"label":"HTML","attrs":[{"attr":"","value":""}],"content":"Click here to download a copy of the Application for Vessel Certificate of Financial Responsibility to attach to this form: <a href=\"https://www.uscg.mil/Mariners/National-Pollution-Funds-Center/COFRs/ECOFR-Active-Vessel-Status/\" target=\"_blank\">ECOFR Active Vessel Status</a>\n\n","refreshOnChange":false,"key":"html1","type":"htmlelement","input":false,"tableView":false,"id":"emmws2","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":false,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","calculateServer":false,"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"tag":"p"},{"label":"Company Name","applyMaskOn":"change","tableView":true,"validateOn":"blur","validate":{"required":true,"custom":"valid = pgFormioGlobal().validateText(input);","maxLength":50,"customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false,"minLength":"","pattern":""},"key":"companyName","type":"textfield","input":true,"lockKey":true,"source":"5eac84259b53ff041c170ee7","isNew":true,"id":"ev9vbz","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","calculateServer":false,"widget":{"type":"input"},"attributes":{},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"mask":false,"inputType":"text","inputFormat":"plain","inputMask":"","displayMask":"","spellcheck":true,"truncateMultipleSpaces":false},{"label":"Point of Contact Name","applyMaskOn":"change","tableView":true,"validateOn":"blur","validate":{"required":true,"custom":"valid = pgFormioGlobal().validateText(input);","maxLength":50,"customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false,"minLength":"","pattern":""},"key":"partyGivenName","type":"textfield","input":true,"hideOnChildrenHidden":false,"lockKey":true,"source":"5eac84253f388e5b14ba3b29","isNew":true,"id":"ez4rfbs","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","calculateServer":false,"widget":{"type":"input"},"attributes":{},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"mask":false,"inputType":"text","inputFormat":"plain","inputMask":"","displayMask":"","spellcheck":true,"truncateMultipleSpaces":false},{"label":"Phone Number","applyMaskOn":"change","tableView":true,"validateOn":"blur","validate":{"required":true,"custom":"if (input === \"\" || input === null || input === undefined) {\r\n  valid = true;\r\n} else {\r\n  var regEx = /^\\(?\\d{3}\\)?\\s?-?\\d{3}-?\\d{4}$/;\r\n  if (!regEx.test(input)) {\r\n    valid = \"Invalid Telephone Number\";\r\n  } else {\r\n    var str = input.replace(/[^\\d]/g, \"\");\r\n    var newValue = \"(\"+ str.substr(0,3) + \") \" + str.substr(3,3) + \"-\" + str.substr(6);\r\n    if (typeof instance != \"undefined\") {\r\n     instance.setValue(newValue);\r\n    }\r\n    else {\r\n      data[component.key] = newValue;\r\n    }\r\n    valid = true;\r\n  }\r\n}","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false,"minLength":"","maxLength":"","pattern":""},"key":"partyPhone","type":"textfield","input":true,"hideOnChildrenHidden":false,"lockKey":true,"source":"5eac84259b53ff041c170ee7","isNew":true,"id":"e08miiv","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","calculateServer":false,"widget":{"type":"input"},"attributes":{},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"mask":false,"inputType":"text","inputFormat":"plain","inputMask":"","displayMask":"","spellcheck":true,"truncateMultipleSpaces":false},{"label":"Email Address","applyMaskOn":"change","tableView":true,"validateOn":"blur","validate":{"required":true,"custom":"valid = pgFormioGlobal().validateEmail(input);","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false,"minLength":"","maxLength":"","pattern":""},"key":"partyEmail","type":"textfield","input":true,"hideOnChildrenHidden":false,"lockKey":true,"source":"5eac84253f388e5b14ba3b29","isNew":true,"id":"etao7ir","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","calculateServer":false,"widget":{"type":"input"},"attributes":{},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"mask":false,"inputType":"text","inputFormat":"plain","inputMask":"","displayMask":"","spellcheck":true,"truncateMultipleSpaces":false},{"title":"Transaction Type","collapsible":false,"key":"transactionType","type":"panel","label":"Panel","input":false,"tableView":false,"components":[{"label":"New COFR application ( {{ data.ApplicationFee }} application fee and {{ data.CertificationFee }} per vessel certification fee)","tableView":false,"defaultValue":false,"redrawOn":"CompanyDataFromPaygov","key":"CofrApplication","type":"checkbox","input":true,"id":"efq2jrt","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","modalEdit":false,"dataGridLabel":true,"labelPosition":"right","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","calculateServer":false,"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"inputType":"checkbox","value":"","name":""},{"label":"Columns","columns":[{"components":[{"label":"Quantity","applyMaskOn":"change","mask":false,"tableView":false,"delimiter":false,"requireDecimal":false,"inputFormat":"plain","truncateMultipleSpaces":false,"validate":{"required":true,"max":10,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false,"min":"","step":"any","integer":""},"key":"quantityVesselCert","type":"number","input":true,"id":"exaz9hk","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","calculateServer":false,"widget":{"type":"input"},"attributes":{},"validateOn":"change","conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[]}],"width":6,"offset":0,"push":0,"pull":0,"size":"md","currentWidth":6},{"components":[{"label":"COFR Total","applyMaskOn":"change","mask":false,"spellcheck":true,"tableView":false,"currency":"USD","inputFormat":"plain","truncateMultipleSpaces":false,"calculateValue":"var appFee = data.CofrApplication === true ? parseFloat(data.ApplicationFee.replace(/[^\\-\\d\\.]/g, '')) : 0;\nvar certFee = parseFloat(data.CertificationFee.replace(/[^\\-\\d\\.]/g, ''));\nvar qty = !_.isNil(data.quantityVesselCert) ? data.quantityVesselCert : 0;\nvar total = appFee + certFee * qty;\n\nvalue = parseFloat(total.toFixed(2));","calculateServer":true,"key":"COFRTotal","type":"currency","input":true,"delimiter":true,"id":"ealvqa","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","widget":{"type":"input"},"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false,"min":"","max":"","step":"any","integer":""},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[]}],"width":6,"offset":0,"push":0,"pull":0,"size":"md","currentWidth":6}],"key":"columns2","customConditional":"show = data.CofrApplication === true;","type":"columns","input":false,"tableView":false,"id":"elfkaue","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":false,"hidden":false,"clearOnHide":false,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","calculateServer":false,"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"tree":false,"lazyLoad":false,"autoAdjust":false},{"label":"Add a vessel to an active COFR record ( {{ data.AddVessel }} per Vessel )","tableView":false,"defaultValue":false,"redrawOn":"CompanyDataFromPaygov","key":"addVessel","type":"checkbox","input":true,"id":"eoemz5h","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","modalEdit":false,"dataGridLabel":true,"labelPosition":"right","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","calculateServer":false,"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"inputType":"checkbox","value":"","name":""},{"label":"Columns","columns":[{"components":[{"label":"Quantity","applyMaskOn":"change","mask":false,"tableView":false,"delimiter":false,"requireDecimal":false,"inputFormat":"plain","truncateMultipleSpaces":false,"validate":{"required":true,"max":10,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false,"min":"","step":"any","integer":""},"key":"quantityAddVessel","type":"number","input":true,"id":"e4gprpc","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","calculateServer":false,"widget":{"type":"input"},"attributes":{},"validateOn":"change","conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[]}],"width":6,"offset":0,"push":0,"pull":0,"size":"md","currentWidth":6},{"components":[{"label":"Add Vessel Total","applyMaskOn":"change","mask":false,"spellcheck":true,"tableView":false,"currency":"USD","inputFormat":"plain","truncateMultipleSpaces":false,"calculateValue":"var fee = data.addVessel === true ? parseFloat(data.AddVessel.replace(/[^\\-\\d\\.]/g, '')) : 0;\nvar qty = !_.isNil(data.quantityAddVessel) ? data.quantityAddVessel : 0;\nvar total = fee * qty;\n\nvalue = parseFloat(total.toFixed(2));","calculateServer":true,"key":"addVesselTotal","type":"currency","input":true,"delimiter":true,"id":"ebp87hm","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","widget":{"type":"input"},"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false,"min":"","max":"","step":"any","integer":""},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[]}],"width":6,"offset":0,"push":0,"pull":0,"size":"md","currentWidth":6}],"key":"columns4","customConditional":"show = data.addVessel === true;","type":"columns","input":false,"tableView":false,"id":"eb4skh","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":false,"hidden":false,"clearOnHide":false,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","calculateServer":false,"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"tree":false,"lazyLoad":false,"autoAdjust":false},{"label":"Renewal of active COFR ( {{ data.RenewalFee }} per vessel)","tableView":false,"defaultValue":false,"redrawOn":"CompanyDataFromPaygov","key":"renewalOfActiveCofr","type":"checkbox","input":true,"id":"ekx1ko","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","modalEdit":false,"dataGridLabel":true,"labelPosition":"right","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","calculateServer":false,"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"inputType":"checkbox","value":"","name":""},{"label":"Columns","columns":[{"components":[{"label":"Quantity","applyMaskOn":"change","mask":false,"tableView":false,"delimiter":false,"requireDecimal":false,"inputFormat":"plain","truncateMultipleSpaces":false,"validate":{"required":true,"max":10,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false,"min":"","step":"any","integer":""},"key":"quantityRenewal","type":"number","input":true,"id":"evbkwc","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","calculateServer":false,"widget":{"type":"input"},"attributes":{},"validateOn":"change","conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[]}],"width":6,"offset":0,"push":0,"pull":0,"size":"md","currentWidth":6},{"components":[{"label":"Renewal Total","applyMaskOn":"change","mask":false,"spellcheck":true,"tableView":false,"currency":"USD","inputFormat":"plain","truncateMultipleSpaces":false,"calculateValue":"\nvar fee = data.renewalOfActiveCofr === true ? parseFloat(data.RenewalFee.replace(/[^\\-\\d\\.]/g, '')) : 0;\nvar qty = !_.isNil(data.quantityRenewal) ? data.quantityRenewal : 0;\nvar total = fee * qty;\n\nvalue = parseFloat(total.toFixed(2));\n","calculateServer":true,"key":"RenewalTotal","type":"currency","input":true,"delimiter":true,"id":"ef2ldb6","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","widget":{"type":"input"},"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false,"min":"","max":"","step":"any","integer":""},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[]}],"width":6,"offset":0,"push":0,"pull":0,"size":"md","currentWidth":6}],"key":"columns3","customConditional":"show = data.renewalOfActiveCofr === true;","type":"columns","input":false,"tableView":false,"id":"eczhflf","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":false,"hidden":false,"clearOnHide":false,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","calculateServer":false,"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"tree":false,"lazyLoad":false,"autoAdjust":false},{"label":"Vessel name change (please include new name / ex name and effective date of name change on application form) ( {{ data.VesselNameChangeFee }} per vessel)","tableView":false,"defaultValue":false,"redrawOn":"CompanyDataFromPaygov","key":"vesselNameChange","type":"checkbox","input":true,"id":"ediqhdi","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","modalEdit":false,"dataGridLabel":true,"labelPosition":"right","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","calculateServer":false,"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"inputType":"checkbox","value":"","name":""},{"label":"Columns","columns":[{"components":[{"label":"Quantity","applyMaskOn":"change","mask":false,"tableView":false,"delimiter":false,"requireDecimal":false,"inputFormat":"plain","truncateMultipleSpaces":false,"validate":{"required":true,"max":10,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false,"min":"","step":"any","integer":""},"key":"quantityNameChange","type":"number","input":true,"id":"eui1x3q","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","calculateServer":false,"widget":{"type":"input"},"attributes":{},"validateOn":"change","conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[]}],"width":6,"offset":0,"push":0,"pull":0,"size":"md","currentWidth":6},{"components":[{"label":"Name Change Total","applyMaskOn":"change","mask":false,"spellcheck":true,"tableView":false,"currency":"USD","inputFormat":"plain","truncateMultipleSpaces":false,"calculateValue":"var fee = data.vesselNameChange === true ? parseFloat(data.VesselNameChangeFee.replace(/[^\\-\\d\\.]/g, '')) : 0;\nvar qty = !_.isNil(data.quantityNameChange) ? data.quantityNameChange : 0;\nvar total = fee * qty;\n\nvalue = parseFloat(total.toFixed(2));","calculateServer":true,"key":"nameChangeTotal","type":"currency","input":true,"delimiter":true,"id":"eggyww9","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","widget":{"type":"input"},"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false,"min":"","max":"","step":"any","integer":""},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[]}],"width":6,"offset":0,"push":0,"pull":0,"size":"md","currentWidth":6}],"key":"columns5","customConditional":"show = data.vesselNameChange === true;","type":"columns","input":false,"tableView":false,"id":"eddl5mc","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":false,"hidden":false,"clearOnHide":false,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","calculateServer":false,"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"tree":false,"lazyLoad":false,"autoAdjust":false},{"label":"Columns","columns":[{"components":[{"label":"Pay house account fees","tableView":false,"key":"payHouseAccFee","type":"checkbox","input":true,"defaultValue":false,"id":"e3gf7hh","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":true,"labelPosition":"right","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","calculateServer":false,"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"inputType":"checkbox","value":"","name":""}],"width":6,"offset":0,"push":0,"pull":0,"size":"md","currentWidth":6},{"components":[{"label":"Pay house account fees Amount","applyMaskOn":"change","mask":false,"spellcheck":true,"tableView":false,"currency":"USD","inputFormat":"plain","truncateMultipleSpaces":false,"validate":{"required":true,"custom":"\t\tif (_.isNil(input)) {\r\n\t\t  valid = true;\r\n\t\t} else {\r\n\t\t  if (input < parseFloat(data.minMax.minAmount)) {\r\n\t\t\t    valid = \"Your payment is below the allowed amount. Please enter a higher dollar amount.\";\r\n\t\t\t  } else if (input > parseFloat(data.minMax.maxAmount)) {\r\n\t\t\t    valid = \"Your payment is above the maximum allowed amount. Please enter a lower dollar amount.\";\r\n\t\t\t  } else {\r\n\t\t\t    valid = true;\r\n\t\t\t}\r\n\t\t}\r\n","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false,"min":"","max":"","step":"any","integer":""},"key":"payHouseAmount","customConditional":"show = data.payHouseAccFee;","type":"currency","input":true,"delimiter":true,"id":"e4crmpo","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","calculateServer":false,"widget":{"type":"input"},"attributes":{},"validateOn":"change","conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[]}],"width":6,"offset":0,"push":0,"pull":0,"size":"md","currentWidth":6}],"key":"columns1","type":"columns","input":false,"tableView":false,"id":"e95bfbh","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":false,"hidden":false,"clearOnHide":false,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","calculateServer":false,"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"tree":false,"lazyLoad":false,"autoAdjust":false}],"id":"esm58cuy","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":false,"hidden":false,"clearOnHide":false,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","calculateServer":false,"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"tree":false,"lazyLoad":false,"theme":"default","breadcrumb":"default"},{"label":"Payment Amount","applyMaskOn":"change","mask":false,"spellcheck":true,"tableView":false,"currency":"USD","inputFormat":"plain","truncateMultipleSpaces":false,"calculateValue":"var total = _.isNumber(data.COFRTotal) ? data.COFRTotal : 0;\ntotal += _.isNumber(data.addVesselTotal) ? data.addVesselTotal : 0;\ntotal += _.isNumber(data.RenewalTotal) ? data.RenewalTotal : 0;\ntotal += _.isNumber(data.nameChangeTotal) ? data.nameChangeTotal : 0;\ntotal += _.isNumber(data.payHouseAmount) ? data.payHouseAmount : 0;\nvalue = parseFloat(total.toFixed(2));","calculateServer":true,"validateOn":"blur","validate":{"required":true,"custom":"if (_.isNil(input)) {\r\n  valid = true;\r\n} else {\r\n  if (!_.isEmpty(data.minMax)) {\r\n    if (input < parseFloat(data.minMax.minAmount)) {\r\n  \t    valid = \"Your payment is below the allowed amount. Please enter a higher dollar amount.\";\r\n  \t  } else if (input > parseFloat(data.minMax.maxAmount)) {\r\n  \t    valid = \"Your payment is above the maximum allowed amount. Please enter a lower dollar amount.\";\r\n  \t  } else {\r\n  \t    valid = true;\r\n  \t}\r\n\t}\r\n}","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false,"min":"","max":"","step":"any","integer":""},"key":"RemittanceNetAmount","type":"currency","input":true,"delimiter":true,"hideOnChildrenHidden":false,"lockKey":true,"source":"5eac84259b53ff041c170ee7","isNew":true,"id":"ehguh8a","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","widget":{"type":"input"},"attributes":{},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[]},{"label":"HTML","attrs":[{"attr":"","value":""}],"content":"User Agreement<br><br>\r\nI declare that all information submitted electronically to the best of my knowledge and belief, is true, correct, and complete.  The applicant named in future applications is the responsible operator of all vessels now listed in or later added to application.  I agree that in the event the agent designated in item 4 of Part 1 above, or that agent's replacement as may be designated later with the approval of the Director, Coast Guard National Pollution Funds Center, cannot be served due to death, disability, unavailability, or similar event, the Director, Coast Guard National Pollution Funds Center, is considered the agent for service of process.  \r\n","refreshOnChange":false,"key":"html2","type":"htmlelement","input":false,"tableView":false,"id":"enzefc9","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":false,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","calculateServer":false,"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"tag":"p"},{"label":"By checking this box, I acknowledge I am an authorized official of the applicant, or, if acting under a power of attorney, pursuant to the power vested in me by the applicant as evidenced by the attached power of attorney*.   I understand that any person who knowingly and willfully makes a false statement in this enrollment or future electronic submission is subject to the sanctions prescribed in 18 U.S.C. 1001","tableView":false,"defaultValue":false,"validate":{"required":true,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"key":"iAcknowledge","type":"checkbox","input":true,"id":"esrzuti","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":true,"labelPosition":"right","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","calculateServer":false,"attributes":{},"validateOn":"change","conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"inputType":"checkbox","value":"","name":""},{"label":"HTML                                                                      ","attrs":[{"attr":"","value":""}],"content":"<br><b><font color=\"#E52207\">*A COFR cannot be issued until a letter of authority is received, and signed letter of concurrence from US agent of process designated on CG-5585 application form.</font></b><br>&nbsp;","refreshOnChange":false,"key":"html3","type":"htmlelement","input":false,"tableView":false,"id":"ex7nl3","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":false,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","calculateServer":false,"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"tag":"p"},{"label":"Standard Buttons","columns":[{"components":[{"label":"Continue","showValidations":false,"block":true,"customClass":"usa-button","tableView":false,"key":"submit","customConditional":"show = !data.showReassignButton ? true : data.showSubmitButton;","type":"button","input":true,"hideOnChildrenHidden":false,"id":"eu8kru","placeholder":"","prefix":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":false,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":true,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","calculateServer":false,"widget":{"type":"input"},"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"size":"md","leftIcon":"","rightIcon":"","action":"submit","disableOnInvalid":false,"theme":"primary"}],"width":2,"offset":0,"push":0,"pull":0,"size":"md","currentWidth":2},{"components":[{"label":"View PDF","action":"event","showValidations":false,"block":true,"customClass":"usa-button usa-button--outline","tableView":false,"key":"viewPdf","attributes":{"class":"usa-button--outline"},"type":"button","event":"viewPdf","input":true,"hideOnChildrenHidden":false,"id":"el2zpym","placeholder":"","prefix":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":false,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":true,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","calculateServer":false,"widget":{"type":"input"},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"size":"md","leftIcon":"","rightIcon":"","disableOnInvalid":false,"theme":"primary"}],"width":2,"offset":0,"push":0,"pull":0,"size":"md","currentWidth":2},{"components":[{"label":"Save","action":"event","showValidations":false,"block":true,"customClass":"usa-button usa-button--outline","tableView":false,"key":"save","customConditional":"show = data.showSaveButton;","type":"button","event":"save","input":true,"hideOnChildrenHidden":false,"id":"ew588ba","placeholder":"","prefix":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":false,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":true,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","calculateServer":false,"widget":{"type":"input"},"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"size":"md","leftIcon":"","rightIcon":"","disableOnInvalid":false,"theme":"primary"}],"size":"md","width":2,"offset":0,"push":0,"pull":0,"currentWidth":2},{"components":[{"label":"Reassign","action":"event","showValidations":false,"block":true,"customClass":"usa-button usa-button--outline","tableView":false,"key":"reassign","customConditional":"show = data.showReassignButton;","type":"button","event":"reassign","input":true,"hideOnChildrenHidden":false,"id":"enkxcbr","placeholder":"","prefix":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":false,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":true,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","calculateServer":false,"widget":{"type":"input"},"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"size":"md","leftIcon":"","rightIcon":"","disableOnInvalid":false,"theme":"primary"}],"size":"md","width":2,"offset":0,"push":0,"pull":0,"currentWidth":2},{"components":[],"size":"md","width":2,"offset":0,"push":0,"pull":0,"currentWidth":2},{"components":[],"size":"md","width":2,"offset":0,"push":0,"pull":0,"currentWidth":2}],"key":"standardButtons","type":"columns","input":false,"tableView":false,"lockKey":true,"source":"5eac84253f388e59f3ba3b2c","isNew":true,"id":"e6xjm","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":false,"hidden":false,"clearOnHide":false,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","calculateServer":false,"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"tree":false,"lazyLoad":false,"autoAdjust":false},{"label":"SBU Footer","tableView":true,"form":"5fc7c311de457463ee152fb3","useOriginalRevision":false,"reference":false,"key":"sbuFooter","customConditional":"show = instance.options.pdf;","type":"form","input":true,"lockKey":true,"source":"5eac84259b53ff041c170ee7","isNew":true,"id":"eb3pqga","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","calculateServer":false,"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"src":"","path":"","components":[{"label":"HTML","tag":"p style=\"font-size: 11px\"","attrs":[{"attr":"","value":""}],"content":"<br><br>\r\n\r\nThe content of this document may contain Sensitive But Unclassified (SBU) data and/or Controlled Unclassified Information (CUI).\r\n","refreshOnChange":false,"key":"sbu_label","type":"htmlelement","input":false,"tableView":false},{"label":"HiddenTestField","calculateValue":"value = \"\";","calculateServer":true,"key":"hiddenTestField","type":"hidden","input":true,"tableView":false}]},{"label":"Columns","columns":[{"components":[{"label":"CCF 1","calculateValue":"value = data.companyName;","calculateServer":true,"key":"custom_field_1","type":"hidden","input":true,"tableView":true,"lockKey":true,"hideOnChildrenHidden":false,"id":"ekz1m1j","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","widget":{"type":"input"},"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"inputType":"hidden"},{"label":"CCF 2","calculateValue":"value = data.partyGivenName;","calculateServer":true,"key":"custom_field_2","type":"hidden","input":true,"tableView":true,"lockKey":true,"hideOnChildrenHidden":false,"id":"ewbfe5o","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","widget":{"type":"input"},"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"inputType":"hidden"}],"width":2,"offset":0,"push":0,"pull":0,"size":"md","type":"column","hideOnChildrenHidden":false,"input":true,"key":"","tableView":true,"label":"","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"dataGridLabel":false,"labelPosition":"top","labelWidth":30,"labelMargin":3,"description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","allowCalculateOverride":false,"refreshOn":"","clearOnRefresh":false,"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false},"conditional":{"eq":""},"id":"eciwb9nj","currentWidth":2},{"components":[{"label":"CCF 3","calculateValue":"value = data.partyPhone;","calculateServer":true,"key":"custom_field_3","type":"hidden","input":true,"tableView":true,"lockKey":true,"hideOnChildrenHidden":false,"id":"e89o797","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","widget":{"type":"input"},"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"inputType":"hidden"},{"label":"CCF 4","calculateValue":"value = data.partyEmail;","calculateServer":true,"key":"custom_field_4","type":"hidden","input":true,"tableView":true,"lockKey":true,"hideOnChildrenHidden":false,"id":"ebmlqj","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","widget":{"type":"input"},"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"inputType":"hidden"}],"width":2,"offset":0,"push":0,"pull":0,"size":"md","type":"column","hideOnChildrenHidden":false,"input":true,"key":"","tableView":true,"label":"","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"dataGridLabel":false,"labelPosition":"top","labelWidth":30,"labelMargin":3,"description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","allowCalculateOverride":false,"refreshOn":"","clearOnRefresh":false,"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false},"conditional":{"eq":""},"id":"exw7tvmt","currentWidth":2},{"components":[{"label":"CCF 5","applyMaskOn":"change","tableView":true,"calculateValue":"var str = data.CofrApplication === true ? \"New COFR application; \" : \"\";\nstr += data.addVessel === true ? \"Add a Vessel  to an active COFR record; \" : \"\";\nstr += data.renewalOfActiveCofr === true ? \"Renewal of active COFR record; \" : \"\";\nstr += data.vesselNameChange === true ? \"Vessel Name change; \" : \"\";\nstr += data.payHouseAccFee === true ? \"Pay House Account Fee; \" : \"\";\n\nvalue = str;\n","calculateServer":true,"key":"custom_field_5","type":"hidden","input":true,"lockKey":true,"hideOnChildrenHidden":false,"id":"ebqvs1c","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","widget":{"type":"input"},"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"inputType":"hidden"},{"label":"CCF 6","calculateValue":"value = \"\";","calculateServer":true,"key":"custom_field_6","type":"hidden","input":true,"tableView":true,"lockKey":true,"hideOnChildrenHidden":false,"id":"eafe5cf","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","widget":{"type":"input"},"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"inputType":"hidden"}],"width":2,"offset":0,"push":0,"pull":0,"type":"column","hideOnChildrenHidden":false,"input":true,"key":"","tableView":true,"label":"","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"dataGridLabel":false,"labelPosition":"top","labelWidth":30,"labelMargin":3,"description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","allowCalculateOverride":false,"refreshOn":"","clearOnRefresh":false,"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false},"conditional":{"eq":""},"id":"eyl1ak5p","size":"md","currentWidth":2},{"components":[{"label":"CCF 7","calculateValue":"value = \"\";","calculateServer":true,"key":"custom_field_7","type":"hidden","input":true,"tableView":true,"lockKey":true,"hideOnChildrenHidden":false,"id":"ernw1oo","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","widget":{"type":"input"},"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"inputType":"hidden"},{"label":"CCF 8","calculateValue":"value = \"\";","calculateServer":true,"key":"custom_field_8","type":"hidden","input":true,"tableView":true,"lockKey":true,"hideOnChildrenHidden":false,"id":"e8421n","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","widget":{"type":"input"},"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"inputType":"hidden"}],"width":2,"offset":0,"push":0,"pull":0,"type":"column","hideOnChildrenHidden":false,"input":true,"key":"","tableView":true,"label":"","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"dataGridLabel":false,"labelPosition":"top","labelWidth":30,"labelMargin":3,"description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","allowCalculateOverride":false,"refreshOn":"","clearOnRefresh":false,"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false},"conditional":{"eq":""},"id":"eervrqza","size":"md","currentWidth":2},{"components":[{"label":"CCF 9","calculateValue":"value = \"\";","calculateServer":true,"key":"custom_field_9","type":"hidden","input":true,"tableView":true,"lockKey":true,"hideOnChildrenHidden":false,"id":"e9ik83","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","widget":{"type":"input"},"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"inputType":"hidden"},{"label":"CCF 10","calculateValue":"value = \"\";","calculateServer":true,"key":"custom_field_10","type":"hidden","input":true,"tableView":true,"lockKey":true,"hideOnChildrenHidden":false,"id":"e10cd8n","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","widget":{"type":"input"},"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"inputType":"hidden"}],"width":2,"offset":0,"push":0,"pull":0,"type":"column","hideOnChildrenHidden":false,"input":true,"key":"","tableView":true,"label":"","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"dataGridLabel":false,"labelPosition":"top","labelWidth":30,"labelMargin":3,"description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","allowCalculateOverride":false,"refreshOn":"","clearOnRefresh":false,"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false},"conditional":{"eq":""},"id":"eyj91ysh","size":"md","currentWidth":2},{"components":[{"label":"CCF 11","calculateValue":"value = \"\";","calculateServer":true,"key":"custom_field_11","type":"hidden","input":true,"tableView":true,"lockKey":true,"hideOnChildrenHidden":false,"id":"eabcx2","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","widget":{"type":"input"},"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"inputType":"hidden"},{"label":"CCF 12","calculateValue":"value = \"\";","calculateServer":true,"key":"custom_field_12","type":"hidden","input":true,"tableView":true,"lockKey":true,"hideOnChildrenHidden":false,"id":"epyqby","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","widget":{"type":"input"},"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"inputType":"hidden"}],"width":2,"offset":0,"push":0,"pull":0,"type":"column","hideOnChildrenHidden":false,"input":true,"key":"","tableView":true,"label":"","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"dataGridLabel":false,"labelPosition":"top","labelWidth":30,"labelMargin":3,"description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","allowCalculateOverride":false,"refreshOn":"","clearOnRefresh":false,"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false},"conditional":{"eq":""},"id":"e15b2tie","size":"md","currentWidth":2}],"hideLabel":true,"key":"panelColumns2","type":"columns","labelWidth":30,"labelMargin":3,"input":false,"tableView":false,"clearOnRefresh":false,"path":"panelColumns2","lockKey":true,"source":"5eac8425c2464812cf69235e","isNew":true,"id":"e5cet79","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":false,"hidden":false,"clearOnHide":false,"refreshOn":"","redrawOn":"","modalEdit":false,"dataGridLabel":false,"labelPosition":"top","description":"","errorLabel":"","tooltip":"","tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","calculateServer":false,"attributes":{},"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false,"strictDateValidation":false,"multiple":false,"unique":false},"conditional":{"eq":""},"overlay":{"style":"","left":"","top":"","width":"","height":""},"allowCalculateOverride":false,"encrypted":false,"showCharCount":false,"showWordCount":false,"properties":{},"allowMultipleMasks":false,"addons":[],"tree":false,"lazyLoad":false,"autoAdjust":false}],"settings":{},"properties":{},"created":"2025-09-12T14:18:00.688Z","modified":"2025-09-12T14:18:01.026Z","project":"5f9ae327f1b65987a86350f2","controller":"","revisions":"original","submissionRevisions":"","_vid":0,"_rid":"68c42b982b8419808f1c08aa","_vnote":"(Source version:4, User:cflorea, Build:23099174)","_vuser":"admin","revisionId":"68c42b982b8419808f1c08b0","config":{"PAYGOV_ENV":"https://www.pay.gov","STATIC_ASSETS_ENV":"https://www.pay.gov/public/static-assets/paygov","COMPANY_PROFILE":"public/api/v1/companyprofile","MIN_MAX_AMOUNT":"public/api/v1/minmaxamount","GET_COUNTRIES":"public/api/v1/getCountries","GET_STATES":"public/api/v1/getStates"},"module":"{options:{form:{evalContext:{pgFormioGlobal:function(){function o(a,e,t,o){if(a=a&&a.replace(e,\"\")){if(t)return t;t=(o||\"Input\")+\" contains invalid \";e=a.replace(/[\\x00-\\x20\\x7F]/g,\"\");return 1===e.length?t+=e+\" \":1<e.length&&(t+=e.split(\"\").join(\" \")+\" \"),a.length>e.length&&((o=a.replace(/[^ ]/g,\"\")).length?a.length===e.length+o.length?t+=e.length?\"and space \":\"space \":t+=\"space and non-printable \":t+=e.length?\"and non-printable \":\"non-printable \"),t+\"character\"+(1<a.length?\"s.\":\".\")}return!0}return{countries:function(){return[{alpha3Code:\"USA\",countryName:\"United States\"},{alpha3Code:\"CAN\",countryName:\"Canada\"},{alpha3Code:\"AFG\",countryName:\"Afghanistan\"},{alpha3Code:\"ALA\",countryName:\"Aland Islands\"},{alpha3Code:\"ALB\",countryName:\"Albania\"},{alpha3Code:\"DZA\",countryName:\"Algeria\"},{alpha3Code:\"ASM\",countryName:\"American Samoa\"},{alpha3Code:\"AND\",countryName:\"Andorra\"},{alpha3Code:\"AGO\",countryName:\"Angola\"},{alpha3Code:\"AIA\",countryName:\"Anguilla\"},{alpha3Code:\"ATG\",countryName:\"Antigua and Barbuda\"},{alpha3Code:\"ARG\",countryName:\"Argentina\"},{alpha3Code:\"ARM\",countryName:\"Armenia\"},{alpha3Code:\"ABW\",countryName:\"Aruba\"},{alpha3Code:\"AUS\",countryName:\"Australia\"},{alpha3Code:\"AUT\",countryName:\"Austria\"},{alpha3Code:\"AZE\",countryName:\"Azerbaijan\"},{alpha3Code:\"BHS\",countryName:\"Bahamas\"},{alpha3Code:\"BHR\",countryName:\"Bahrain\"},{alpha3Code:\"BGD\",countryName:\"Bangladesh\"},{alpha3Code:\"BRB\",countryName:\"Barbados\"},{alpha3Code:\"BLR\",countryName:\"Belarus\"},{alpha3Code:\"BEL\",countryName:\"Belgium\"},{alpha3Code:\"BLZ\",countryName:\"Belize\"},{alpha3Code:\"BEN\",countryName:\"Benin\"},{alpha3Code:\"BMU\",countryName:\"Bermuda\"},{alpha3Code:\"BTN\",countryName:\"Bhutan\"},{alpha3Code:\"BOL\",countryName:\"Bolivia\"},{alpha3Code:\"BES\",countryName:\"Bonaire and Sint Eustatius and Saba\"},{alpha3Code:\"BIH\",countryName:\"Bosnia and Herzegovina\"},{alpha3Code:\"BWA\",countryName:\"Botswana\"},{alpha3Code:\"BRA\",countryName:\"Brazil\"},{alpha3Code:\"VGB\",countryName:\"British Virgin Islands\"},{alpha3Code:\"BRN\",countryName:\"Brunei Darussalam\"},{alpha3Code:\"BGR\",countryName:\"Bulgaria\"},{alpha3Code:\"BFA\",countryName:\"Burkina Faso\"},{alpha3Code:\"BDI\",countryName:\"Burundi\"},{alpha3Code:\"KHM\",countryName:\"Cambodia\"},{alpha3Code:\"CMR\",countryName:\"Cameroon\"},{alpha3Code:\"CPV\",countryName:\"Cape Verde\"},{alpha3Code:\"CYM\",countryName:\"Cayman Islands\"},{alpha3Code:\"CAF\",countryName:\"Central African Republic\"},{alpha3Code:\"TCD\",countryName:\"Chad\"},{alpha3Code:\"CHL\",countryName:\"Chile\"},{alpha3Code:\"CHN\",countryName:\"China\"},{alpha3Code:\"COL\",countryName:\"Colombia\"},{alpha3Code:\"COM\",countryName:\"Comoros\"},{alpha3Code:\"COG\",countryName:\"Congo\"},{alpha3Code:\"COD\",countryName:\"Congo Democratic Republic\"},{alpha3Code:\"COK\",countryName:\"Cook Islands\"},{alpha3Code:\"CRI\",countryName:\"Costa Rica\"},{alpha3Code:\"CIV\",countryName:\"Cote d'Ivoire\"},{alpha3Code:\"HRV\",countryName:\"Croatia\"},{alpha3Code:\"CUB\",countryName:\"Cuba\"},{alpha3Code:\"CUW\",countryName:\"Curacao\"},{alpha3Code:\"CYP\",countryName:\"Cyprus\"},{alpha3Code:\"CZE\",countryName:\"Czech Republic\"},{alpha3Code:\"DNK\",countryName:\"Denmark\"},{alpha3Code:\"DJI\",countryName:\"Djibouti\"},{alpha3Code:\"DMA\",countryName:\"Dominica\"},{alpha3Code:\"DOM\",countryName:\"Dominican Republic\"},{alpha3Code:\"ECU\",countryName:\"Ecuador\"},{alpha3Code:\"EGY\",countryName:\"Egypt\"},{alpha3Code:\"SLV\",countryName:\"El Salvador\"},{alpha3Code:\"GNQ\",countryName:\"Equatorial Guinea\"},{alpha3Code:\"ERI\",countryName:\"Eritrea\"},{alpha3Code:\"EST\",countryName:\"Estonia\"},{alpha3Code:\"ETH\",countryName:\"Ethiopia\"},{alpha3Code:\"FLK\",countryName:\"Falkland Islands\"},{alpha3Code:\"FRO\",countryName:\"Faroe Islands\"},{alpha3Code:\"FJI\",countryName:\"Fiji\"},{alpha3Code:\"FIN\",countryName:\"Finland\"},{alpha3Code:\"FRA\",countryName:\"France\"},{alpha3Code:\"GUF\",countryName:\"French Guiana\"},{alpha3Code:\"PYF\",countryName:\"French Polynesia\"},{alpha3Code:\"GAB\",countryName:\"Gabon\"},{alpha3Code:\"GMB\",countryName:\"Gambia\"},{alpha3Code:\"GEO\",countryName:\"Georgia\"},{alpha3Code:\"DEU\",countryName:\"Germany\"},{alpha3Code:\"GHA\",countryName:\"Ghana\"},{alpha3Code:\"GIB\",countryName:\"Gibraltar\"},{alpha3Code:\"GRC\",countryName:\"Greece\"},{alpha3Code:\"GRL\",countryName:\"Greenland\"},{alpha3Code:\"GRD\",countryName:\"Grenada\"},{alpha3Code:\"GLP\",countryName:\"Guadeloupe\"},{alpha3Code:\"GUM\",countryName:\"Guam\"},{alpha3Code:\"GTM\",countryName:\"Guatemala\"},{alpha3Code:\"GGY\",countryName:\"Guernsey\"},{alpha3Code:\"GIN\",countryName:\"Guinea\"},{alpha3Code:\"GNB\",countryName:\"Guinea Bissau\"},{alpha3Code:\"GUY\",countryName:\"Guyana\"},{alpha3Code:\"HTI\",countryName:\"Haiti\"},{alpha3Code:\"VAT\",countryName:\"Holy See Vatican City\"},{alpha3Code:\"HND\",countryName:\"Honduras\"},{alpha3Code:\"HKG\",countryName:\"Hong Kong\"},{alpha3Code:\"HUN\",countryName:\"Hungary\"},{alpha3Code:\"ISL\",countryName:\"Iceland\"},{alpha3Code:\"IND\",countryName:\"India\"},{alpha3Code:\"IDN\",countryName:\"Indonesia\"},{alpha3Code:\"IRQ\",countryName:\"Iraq\"},{alpha3Code:\"IRL\",countryName:\"Ireland\"},{alpha3Code:\"IMN\",countryName:\"Isle of Man\"},{alpha3Code:\"ISR\",countryName:\"Israel\"},{alpha3Code:\"ITA\",countryName:\"Italy\"},{alpha3Code:\"JAM\",countryName:\"Jamaica\"},{alpha3Code:\"JPN\",countryName:\"Japan\"},{alpha3Code:\"JEY\",countryName:\"Jersey\"},{alpha3Code:\"JOR\",countryName:\"Jordan\"},{alpha3Code:\"KAZ\",countryName:\"Kazakhstan\"},{alpha3Code:\"KEN\",countryName:\"Kenya\"},{alpha3Code:\"KIR\",countryName:\"Kiribati\"},{alpha3Code:\"PRK\",countryName:\"Korea Democratic Peoples Republic\"},{alpha3Code:\"KOR\",countryName:\"Korea Republic\"},{alpha3Code:\"QZZ\",countryName:\"Kosovo\"},{alpha3Code:\"KWT\",countryName:\"Kuwait\"},{alpha3Code:\"KGZ\",countryName:\"Kyrgyzstan\"},{alpha3Code:\"LAO\",countryName:\"Lao People's Democratic Republic\"},{alpha3Code:\"LVA\",countryName:\"Latvia\"},{alpha3Code:\"LBN\",countryName:\"Lebanon\"},{alpha3Code:\"LSO\",countryName:\"Lesotho\"},{alpha3Code:\"LBR\",countryName:\"Liberia\"},{alpha3Code:\"LBY\",countryName:\"Libya\"},{alpha3Code:\"LIE\",countryName:\"Liechtenstein\"},{alpha3Code:\"LTU\",countryName:\"Lithuania\"},{alpha3Code:\"LUX\",countryName:\"Luxembourg\"},{alpha3Code:\"MAC\",countryName:\"Macao\"},{alpha3Code:\"MKD\",countryName:\"Macedonia\"},{alpha3Code:\"MDG\",countryName:\"Madagascar\"},{alpha3Code:\"MWI\",countryName:\"Malawi\"},{alpha3Code:\"MYS\",countryName:\"Malaysia\"},{alpha3Code:\"MDV\",countryName:\"Maldives\"},{alpha3Code:\"MLI\",countryName:\"Mali\"},{alpha3Code:\"MLT\",countryName:\"Malta\"},{alpha3Code:\"MHL\",countryName:\"Marshall Islands\"},{alpha3Code:\"MTQ\",countryName:\"Martinique\"},{alpha3Code:\"MRT\",countryName:\"Mauritania\"},{alpha3Code:\"MUS\",countryName:\"Mauritius\"},{alpha3Code:\"SJM\",countryName:\"Mayen Islands\"},{alpha3Code:\"MYT\",countryName:\"Mayotte\"},{alpha3Code:\"MEX\",countryName:\"Mexico\"},{alpha3Code:\"FSM\",countryName:\"Micronesia Federated States\"},{alpha3Code:\"MDA\",countryName:\"Moldova\"},{alpha3Code:\"MCO\",countryName:\"Monaco\"},{alpha3Code:\"MNG\",countryName:\"Mongolia\"},{alpha3Code:\"MNE\",countryName:\"Montenegro\"},{alpha3Code:\"MSR\",countryName:\"Montserrat\"},{alpha3Code:\"MAR\",countryName:\"Morocco\"},{alpha3Code:\"MOZ\",countryName:\"Mozambique\"},{alpha3Code:\"MMR\",countryName:\"Myanmar\"},{alpha3Code:\"NAM\",countryName:\"Namibia\"},{alpha3Code:\"NRU\",countryName:\"Nauru\"},{alpha3Code:\"NPL\",countryName:\"Nepal\"},{alpha3Code:\"NLD\",countryName:\"Netherlands\"},{alpha3Code:\"ANT\",countryName:\"Netherlands Antilles\"},{alpha3Code:\"NCL\",countryName:\"New Caledonia\"},{alpha3Code:\"NZL\",countryName:\"New Zealand\"},{alpha3Code:\"NIC\",countryName:\"Nicaragua\"},{alpha3Code:\"NER\",countryName:\"Niger\"},{alpha3Code:\"NGA\",countryName:\"Nigeria\"},{alpha3Code:\"NIU\",countryName:\"Niue\"},{alpha3Code:\"NFK\",countryName:\"Norfolk Island\"},{alpha3Code:\"MNP\",countryName:\"Northern Mariana Islands\"},{alpha3Code:\"NOR\",countryName:\"Norway\"},{alpha3Code:\"OMN\",countryName:\"Oman\"},{alpha3Code:\"PAK\",countryName:\"Pakistan\"},{alpha3Code:\"PLW\",countryName:\"Palau\"},{alpha3Code:\"PSE\",countryName:\"Palestinian Territory\"},{alpha3Code:\"PAN\",countryName:\"Panama\"},{alpha3Code:\"PNG\",countryName:\"Papua New Guinea\"},{alpha3Code:\"PRY\",countryName:\"Paraguay\"},{alpha3Code:\"PER\",countryName:\"Peru\"},{alpha3Code:\"PHL\",countryName:\"Philippines\"},{alpha3Code:\"PCN\",countryName:\"Pitcairn\"},{alpha3Code:\"POL\",countryName:\"Poland\"},{alpha3Code:\"PRT\",countryName:\"Portugal\"},{alpha3Code:\"PRI\",countryName:\"Puerto Rico\"},{alpha3Code:\"QAT\",countryName:\"Qatar\"},{alpha3Code:\"REU\",countryName:\"Reunion\"},{alpha3Code:\"ROU\",countryName:\"Romania\"},{alpha3Code:\"RUS\",countryName:\"Russian Federation\"},{alpha3Code:\"RWA\",countryName:\"Rwanda\"},{alpha3Code:\"BLM\",countryName:\"Saint Barthelemy\"},{alpha3Code:\"SHN\",countryName:\"Saint Helena\"},{alpha3Code:\"KNA\",countryName:\"Saint Kitts and Nevis\"},{alpha3Code:\"LCA\",countryName:\"Saint Lucia\"},{alpha3Code:\"MAF\",countryName:\"Saint Martin\"},{alpha3Code:\"SPM\",countryName:\"Saint Pierre and Miquelon\"},{alpha3Code:\"VCT\",countryName:\"Saint Vincent and the Grenadines\"},{alpha3Code:\"WSM\",countryName:\"Samoa\"},{alpha3Code:\"SMR\",countryName:\"San Marino\"},{alpha3Code:\"STP\",countryName:\"Sao Tome and Principe\"},{alpha3Code:\"SAU\",countryName:\"Saudi Arabia\"},{alpha3Code:\"SEN\",countryName:\"Senegal\"},{alpha3Code:\"SRB\",countryName:\"Serbia\"},{alpha3Code:\"SYC\",countryName:\"Seychelles\"},{alpha3Code:\"SLE\",countryName:\"Sierra Leone\"},{alpha3Code:\"SGP\",countryName:\"Singapore\"},{alpha3Code:\"SXM\",countryName:\"Sint Maarten Dutch Part\"},{alpha3Code:\"SVK\",countryName:\"Slovakia\"},{alpha3Code:\"SVN\",countryName:\"Slovenia\"},{alpha3Code:\"SLB\",countryName:\"Solomon Islands\"},{alpha3Code:\"SOM\",countryName:\"Somalia\"},{alpha3Code:\"ZAF\",countryName:\"South Africa\"},{alpha3Code:\"ESP\",countryName:\"Spain\"},{alpha3Code:\"LKA\",countryName:\"Sri Lanka\"},{alpha3Code:\"SUR\",countryName:\"Suriname\"},{alpha3Code:\"SWZ\",countryName:\"Swaziland\"},{alpha3Code:\"SWE\",countryName:\"Sweden\"},{alpha3Code:\"CHE\",countryName:\"Switzerland\"},{alpha3Code:\"SYR\",countryName:\"Syrian Arab Republic\"},{alpha3Code:\"TWN\",countryName:\"Taiwan\"},{alpha3Code:\"TJK\",countryName:\"Tajikistan\"},{alpha3Code:\"TZA\",countryName:\"Tanzania\"},{alpha3Code:\"THA\",countryName:\"Thailand\"},{alpha3Code:\"TLS\",countryName:\"Timor Leste\"},{alpha3Code:\"TGO\",countryName:\"Togo\"},{alpha3Code:\"TKL\",countryName:\"Tokelau\"},{alpha3Code:\"TON\",countryName:\"Tonga\"},{alpha3Code:\"TTO\",countryName:\"Trinidad and Tobago\"},{alpha3Code:\"TUN\",countryName:\"Tunisia\"},{alpha3Code:\"TUR\",countryName:\"Turkey\"},{alpha3Code:\"TKM\",countryName:\"Turkmenistan\"},{alpha3Code:\"TCA\",countryName:\"Turks and Caicos Islands\"},{alpha3Code:\"TUV\",countryName:\"Tuvalu\"},{alpha3Code:\"UGA\",countryName:\"Uganda\"},{alpha3Code:\"UKR\",countryName:\"Ukraine\"},{alpha3Code:\"ARE\",countryName:\"United Arab Emirates\"},{alpha3Code:\"GBR\",countryName:\"United Kingdom\"},{alpha3Code:\"URY\",countryName:\"Uruguay\"},{alpha3Code:\"UZB\",countryName:\"Uzbekistan\"},{alpha3Code:\"VUT\",countryName:\"Vanuatu\"},{alpha3Code:\"VEN\",countryName:\"Venezuela\"},{alpha3Code:\"VNM\",countryName:\"Vietnam\"},{alpha3Code:\"VIR\",countryName:\"Virgin Islands, US\"},{alpha3Code:\"WLF\",countryName:\"Wallis and Futuna Islands\"},{alpha3Code:\"ESH\",countryName:\"Western Sahara\"},{alpha3Code:\"YEM\",countryName:\"Yemen\"},{alpha3Code:\"ZMB\",countryName:\"Zambia\"},{alpha3Code:\"ZWE\",countryName:\"Zimbabwe\"}]},states:function(){return{USA:[{stateAbbreviation:\"AL\",stateName:\"Alabama\"},{stateAbbreviation:\"AK\",stateName:\"Alaska\"},{stateAbbreviation:\"AS\",stateName:\"American Samoa\"},{stateAbbreviation:\"AZ\",stateName:\"Arizona\"},{stateAbbreviation:\"AR\",stateName:\"Arkansas\"},{stateAbbreviation:\"CA\",stateName:\"California\"},{stateAbbreviation:\"CO\",stateName:\"Colorado\"},{stateAbbreviation:\"CT\",stateName:\"Connecticut\"},{stateAbbreviation:\"DE\",stateName:\"Delaware\"},{stateAbbreviation:\"DC\",stateName:\"District Of Columbia\"},{stateAbbreviation:\"FM\",stateName:\"Federated States of Micronesia\"},{stateAbbreviation:\"FL\",stateName:\"Florida\"},{stateAbbreviation:\"GA\",stateName:\"Georgia\"},{stateAbbreviation:\"GU\",stateName:\"Guam\"},{stateAbbreviation:\"HI\",stateName:\"Hawaii\"},{stateAbbreviation:\"ID\",stateName:\"Idaho\"},{stateAbbreviation:\"IL\",stateName:\"Illinois\"},{stateAbbreviation:\"IN\",stateName:\"Indiana\"},{stateAbbreviation:\"IA\",stateName:\"Iowa\"},{stateAbbreviation:\"KS\",stateName:\"Kansas\"},{stateAbbreviation:\"KY\",stateName:\"Kentucky\"},{stateAbbreviation:\"LA\",stateName:\"Louisiana\"},{stateAbbreviation:\"ME\",stateName:\"Maine\"},{stateAbbreviation:\"MH\",stateName:\"Marshall Islands\"},{stateAbbreviation:\"MD\",stateName:\"Maryland\"},{stateAbbreviation:\"MA\",stateName:\"Massachusetts\"},{stateAbbreviation:\"MI\",stateName:\"Michigan\"},{stateAbbreviation:\"AA\",stateName:\"Military Americas\"},{stateAbbreviation:\"AE\",stateName:\"Military East\"},{stateAbbreviation:\"AP\",stateName:\"Military Pacific\"},{stateAbbreviation:\"MN\",stateName:\"Minnesota\"},{stateAbbreviation:\"MS\",stateName:\"Mississippi\"},{stateAbbreviation:\"MO\",stateName:\"Missouri\"},{stateAbbreviation:\"MT\",stateName:\"Montana\"},{stateAbbreviation:\"NE\",stateName:\"Nebraska\"},{stateAbbreviation:\"NV\",stateName:\"Nevada\"},{stateAbbreviation:\"NH\",stateName:\"New Hampshire\"},{stateAbbreviation:\"NJ\",stateName:\"New Jersey\"},{stateAbbreviation:\"NM\",stateName:\"New Mexico\"},{stateAbbreviation:\"NY\",stateName:\"New York\"},{stateAbbreviation:\"NC\",stateName:\"North Carolina\"},{stateAbbreviation:\"ND\",stateName:\"North Dakota\"},{stateAbbreviation:\"MP\",stateName:\"Northern Mariana Islands\"},{stateAbbreviation:\"OH\",stateName:\"Ohio\"},{stateAbbreviation:\"OK\",stateName:\"Oklahoma\"},{stateAbbreviation:\"OR\",stateName:\"Oregon\"},{stateAbbreviation:\"PW\",stateName:\"Palau\"},{stateAbbreviation:\"PA\",stateName:\"Pennsylvania\"},{stateAbbreviation:\"PR\",stateName:\"Puerto Rico\"},{stateAbbreviation:\"RI\",stateName:\"Rhode Island\"},{stateAbbreviation:\"SC\",stateName:\"South Carolina\"},{stateAbbreviation:\"SD\",stateName:\"South Dakota\"},{stateAbbreviation:\"TN\",stateName:\"Tennessee\"},{stateAbbreviation:\"TX\",stateName:\"Texas\"},{stateAbbreviation:\"UT\",stateName:\"Utah\"},{stateAbbreviation:\"UM\",stateName:\"U.S. Minor Outlying Islands\"},{stateAbbreviation:\"VT\",stateName:\"Vermont\"},{stateAbbreviation:\"VI\",stateName:\"Virgin Islands of the U.S.\"},{stateAbbreviation:\"VA\",stateName:\"Virginia\"},{stateAbbreviation:\"WA\",stateName:\"Washington\"},{stateAbbreviation:\"WV\",stateName:\"West Virginia\"},{stateAbbreviation:\"WI\",stateName:\"Wisconsin\"},{stateAbbreviation:\"WY\",stateName:\"Wyoming\"}],CAN:[{stateAbbreviation:\"AB\",stateName:\"Alberta\"},{stateAbbreviation:\"BC\",stateName:\"British Columbia\"},{stateAbbreviation:\"MB\",stateName:\"Manitoba\"},{stateAbbreviation:\"NB\",stateName:\"New Brunswick\"},{stateAbbreviation:\"NL\",stateName:\"Newfoundland and Labrador\"},{stateAbbreviation:\"NS\",stateName:\"Nova Scotia\"},{stateAbbreviation:\"NT\",stateName:\"Northwest Territories\"},{stateAbbreviation:\"NU\",stateName:\"Nunavut\"},{stateAbbreviation:\"ON\",stateName:\"Ontario\"},{stateAbbreviation:\"PE\",stateName:\"Prince Edward Island\"},{stateAbbreviation:\"QC\",stateName:\"Quebec\"},{stateAbbreviation:\"SK\",stateName:\"Saskatchewan\"},{stateAbbreviation:\"YT\",stateName:\"Yukon\"}]}},validateText:function(a,e,t){return o(a,/[-a-zA-Z0-9_ \\$'\\(\\),\\.@\\|&:/]/g,e,t)},validateTextArea:function(a,e,t){return o(a,/[-a-zA-Z0-9_ \\$'\\(\\),\\.@\\|&:/\\r\\n\\t]/g,e,t)},validateEmail:function(a,e,t){return!a||(!0!==(e=o(a,/[-a-zA-Z0-9#\\$&'\\*\\+/=\\?\\^_`\\{\\|\\}~@\\.]/g,e,t||\"Email\"))?e:a.length<6?\"Email must have at least 6 characters.\":70<a.length?\"Email must not have more than 70 characters.\":!!/^[-a-zA-Z0-9#\\$&'\\*\\+/=\\?\\^_`\\{\\|\\}~]+(?:\\.[-a-zA-Z0-9#\\$&'\\*\\+/=\\?\\^_`\\{\\|\\}~]+)*@(?:[a-zA-Z0-9](?:[a-zA-Z0-9-]*[a-zA-Z0-9])?\\.)+[a-zA-Z0-9](?:[a-zA-Z0-9-]*[a-zA-Z0-9])?$/.test(a)||\"Email must be valid.\")},validateMinMax:function(a,e,t){if(a){if(!(0<=a))return\"Input must be a valid dollar amount.\";e=e.minMax||t.config.minMax;if(a<parseFloat(e.minAmount))return\"Your payment is below the allowed amount. Please enter a higher dollar amount.\";if(a>parseFloat(e.maxAmount))return\"Your payment is above the maximum allowed amount. Please enter a lower dollar amount.\"}return!0}}}}}}}"}