{"_id":"68d15c4e2b8419808f30f0dc","title":"NPS_AKRO_Franchise_v1","name":"npsAkroFranchiseV1","path":"npsakrofranchisev1","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":"Logo","tag":"img","attrs":[{"attr":"src","value":"{{ config.STATIC_ASSETS_ENV }}/NPS/images/npslogo.gif"},{"attr":"alt","value":"National Park Service"},{"attr":"title","value":"National Park Service"},{"attr":"style","value":"max-width: 80px;"}],"refreshOnChange":false,"key":"logo","type":"htmlelement","tableView":false,"input":false,"hideOnChildrenHidden":false,"hideLabel":true},{"label":"HTML","tag":"H3","attrs":[{"attr":"","value":""}],"content":"Glacier Bay National Park & Preserve Concession Franchise Fees<br>&nbsp;","refreshOnChange":false,"key":"html","type":"htmlelement","tableView":false,"input":false,"hideOnChildrenHidden":false,"hideLabel":true},{"label":"HTML","attrs":[{"attr":"","value":""}],"content":"<font color=\"red\">*</font> Required Field <br> &nbsp;","refreshOnChange":false,"tableView":false,"key":"html1","type":"htmlelement","input":false,"hideLabel":true},{"label":"Top of Form","columns":[{"components":[{"label":"<font color=\"red\">authorizationToken</font>","key":"authorizationToken","type":"hidden","input":true,"tableView":false,"hideOnChildrenHidden":true,"width":12}],"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":true,"width":12}],"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":true,"width":12}],"width":2,"offset":0,"push":0,"pull":0,"size":"md","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},"hideOnChildrenHidden":true,"keyModified":true,"multiple":true,"width":12}],"width":2,"offset":0,"push":0,"pull":0,"size":"md","currentWidth":2}],"autoAdjust":true,"hideOnChildrenHidden":true,"key":"columns1","type":"columns","input":false,"tableView":false,"lockKey":true,"source":"5eac84259b53ff041c170ee7","isNew":true},{"title":"Business Information","collapsible":false,"key":"businessInformation","type":"panel","label":"Panel","input":false,"tableView":false,"components":[{"label":"Columns","columns":[{"components":[{"label":"Business Name","tableView":true,"validate":{"required":true,"custom":"valid = pgFormioGlobal().validateText(input);","maxLength":50},"key":"BusinessName","type":"textfield","input":true,"hideOnChildrenHidden":false,"lockKey":true,"source":"5eac84253f388e5b14ba3b29","isNew":true}],"width":8,"offset":0,"push":0,"pull":0,"size":"md","currentWidth":8},{"components":[],"width":2,"offset":0,"push":0,"pull":0,"size":"md","currentWidth":2}],"key":"columns","type":"columns","input":false,"tableView":false,"hideOnChildrenHidden":false},{"label":"Columns","columns":[{"components":[{"label":"Address","tableView":true,"validate":{"required":true,"custom":"valid = pgFormioGlobal().validateText(input);","maxLength":100},"key":"partyAddress","type":"textfield","input":true,"hideOnChildrenHidden":false}],"width":8,"offset":0,"push":0,"pull":0,"size":"md","currentWidth":8},{"components":[],"width":4,"offset":0,"push":0,"pull":0,"size":"md","currentWidth":4}],"key":"columns4","type":"columns","input":false,"tableView":false,"lockKey":true,"source":"5eac84253f388e5b14ba3b29","isNew":true,"hideOnChildrenHidden":false},{"label":"Columns","columns":[{"components":[{"label":"Country","widget":"html5","tableView":true,"dataSrc":"custom","defaultValue":"USA","data":{"custom":"values = pgFormioGlobal().countries();"},"dataType":"string","valueProperty":"alpha3Code","template":"<span>{{ item.countryName }}</span>","calculateServer":true,"validate":{"required":true,"onlyAvailableItems":true},"key":"partyCountry","type":"select","lazyLoad":false,"limit":5000,"input":true,"hideOnChildrenHidden":false,"lockKey":true,"source":"67c9a12ae86e202a23558c02","isNew":true}],"width":4,"offset":0,"push":0,"pull":0,"size":"md","currentWidth":4},{"components":[],"width":4,"offset":0,"push":0,"pull":0,"size":"md","currentWidth":4},{"components":[],"width":4,"offset":0,"push":0,"pull":0,"size":"md","currentWidth":4}],"key":"columns5","type":"columns","input":false,"tableView":false,"path":"columns2","lockKey":true,"source":"5eac84253f388e5b14ba3b29","isNew":true,"hideOnChildrenHidden":false},{"label":"Columns","columns":[{"components":[{"label":"City","tableView":true,"validate":{"required":true,"custom":"valid = pgFormioGlobal().validateText(input);","maxLength":50},"key":"partyCity","type":"textfield","input":true,"hideOnChildrenHidden":false}],"width":4,"offset":0,"push":0,"pull":0,"size":"md","currentWidth":4},{"components":[{"label":"State","widget":"html5","tableView":true,"dataSrc":"custom","data":{"custom":"if (data.partyCountry === \"USA\") {\n  values = pgFormioGlobal().states().USA;\n} else if (data.partyCountry === \"CAN\") {\n  values = pgFormioGlobal().states().CAN;\n}"},"valueProperty":"stateAbbreviation","template":"<span>{{ item.stateName }}</span>","refreshOn":"partyCountry","clearOnRefresh":true,"calculateServer":true,"validate":{"required":true,"onlyAvailableItems":true},"key":"partyState","customConditional":"show = data.partyCountry === \"USA\" || data.partyCountry === \"CAN\";","type":"select","lazyLoad":false,"input":true,"hideOnChildrenHidden":false,"lockKey":true,"source":"67c9a12ae86e202a23558c02","isNew":true},{"label":"State","tableView":true,"validate":{"custom":"valid = pgFormioGlobal().validateText(input);","maxLength":50},"key":"partyForeignState","customConditional":"show = data.partyCountry !== \"USA\" && data.partyCountry !== \"CAN\";","type":"textfield","input":true,"hideOnChildrenHidden":false}],"width":4,"offset":0,"push":0,"pull":0,"size":"md","currentWidth":4},{"components":[{"label":"Zip Code","tableView":true,"case":"uppercase","validate":{"required":true,"custom":"var val = input;\r\n\r\nif (input === \"\" || input === undefined || input === null) {\r\n  valid = true;\r\n} else {\r\n  if (data.partyCountry === \"USA\") {\r\n    var regEx = /^\\d{5}(-?\\d{4})?$/;\r\n    if (regEx.test(input)) {\r\n      var str = input.replace(/-/g, \"\");\r\n      val = str.length === 5 ? str : str.substr(0,5) + \"-\" + str.substr(5);\r\n      valid = true;\r\n    } else {\r\n      valid = \"Invalid Zip Code\";\r\n    }\r\n  } else if (data.partyCountry === \"CAN\") {\r\n    var regEx = /^[a-z]\\d[a-z] ?\\d[a-z]\\d$/i;\r\n    if (regEx.test(input)) {\r\n      str = input.replace(/\\s/g, \"\");\r\n      val = str.substr(0,3) + \" \" + str.substr(3);\r\n      valid = true;\r\n    } else {\r\n      valid = \"Invalid Postal Code\";\r\n    }\r\n  } else {\r\n    valid = pgFormioGlobal().validateText(input);\r\n  }\r\n}\r\n\r\nif (typeof instance != \"undefined\") {\r\n\tinstance.setValue(val);\r\n} else {\r\n  data[component.key] = val;  \r\n}","maxLength":10},"key":"partyZipcode","logic":[{"name":"Make Optional","trigger":{"type":"javascript","javascript":"result = data.partyCountry !== \"USA\" && data.partyCountry !== \"CAN\";"},"actions":[{"name":"Not Required","type":"property","property":{"label":"Required","value":"validate.required","type":"boolean"},"state":false},{"name":"Set Label","type":"property","property":{"label":"Label","value":"label","type":"string"},"text":"Zip or Postal Code"}]}],"type":"textfield","input":true,"hideOnChildrenHidden":false}],"width":4,"offset":0,"push":0,"pull":0,"size":"md","currentWidth":4}],"key":"columns3","type":"columns","input":false,"tableView":false,"path":"columns1","lockKey":true,"source":"5eac84253f388e5b14ba3b29","isNew":true,"hideOnChildrenHidden":false},{"label":"Columns","columns":[{"components":[{"label":"Phone","tableView":true,"validate":{"required":true,"custom":"var val = input;\r\n\r\nif (input === \"\" || input === null || input === undefined) {\r\n  valid = true;\r\n} else {\r\n  if (data.partyCountry === \"USA\" || data.partyCountry === \"CAN\" || data.partyCountry === \"MEX\") {\r\n    var regEx = /^\\(?\\d{3}\\)?\\s?-?\\d{3}-?\\d{4}$/;\r\n    if (!regEx.test(input)) {\r\n      valid = \"Invalid Telephone Number\";\r\n    } else {\r\n      var str = input.replace(/[^\\d]/g, \"\");\r\n      val = \"(\" + str.substr(0,3) + \") \" + str.substr(3,3) + \"-\" + str.substr(6);\r\n      valid = true;\r\n    }\r\n  } else {\r\n    var regEx = /^(?:[0-9-\\(\\)] ?){6,20}[0-9]$/;\r\n    valid = regEx.test(input) ? true : \"Invalid Telephone Number\";\r\n  }\r\n}\r\n\r\nif (typeof instance != \"undefined\") {\r\n\tinstance.setValue(val);\r\n} else {\r\n\tdata[component.key] = val;  \r\n}"},"key":"partyPhone","type":"textfield","input":true,"inputType":"tel","hideOnChildrenHidden":false,"lockKey":true,"source":"5eac84253f388e5b14ba3b29","isNew":true}],"width":4,"offset":0,"push":0,"pull":0,"size":"md","currentWidth":4},{"components":[{"label":"Email Address","tableView":true,"validateOn":"blur","validate":{"required":true,"custom":"valid = pgFormioGlobal().validateEmail(input);"},"key":"partyEmail","type":"textfield","input":true,"hideOnChildrenHidden":false,"lockKey":true,"source":"5eac84253f388e5b14ba3b29","isNew":true}],"width":4,"offset":0,"push":0,"pull":0,"size":"md","currentWidth":4},{"components":[],"size":"md","width":4,"offset":0,"push":0,"pull":0,"currentWidth":4}],"key":"columns6","type":"columns","input":false,"tableView":false,"lockKey":true,"source":"5eac84259b53ff041c170ee7","isNew":true,"hideOnChildrenHidden":false}]},{"title":"Fee Information","collapsible":false,"key":"feeInformation","type":"panel","label":"Panel","input":false,"tableView":false,"components":[{"label":"Columns","columns":[{"components":[{"label":"Contract Number","tableView":true,"case":"uppercase","calculateValue":"if (!_.isEmpty(data.BusinessList)) {\n  value = data.BusinessList.contractNumber;\n}","allowCalculateOverride":true,"validateOn":"blur","validate":{"required":true,"custom":"var regEx = /^[a-z]{4}[0-9]{3}-\\d{2}$/i;\r\nvalid = (input === \"\" || input === null || input === undefined || regEx.test(input)) ? true : \"Invalid Contract Number.\";","maxLength":255},"key":"ContractNumber","type":"textfield","input":true,"lockKey":true,"source":"5eac84259b53ff041c170ee7","isNew":true,"hideOnChildrenHidden":false}],"width":4,"offset":0,"push":0,"pull":0,"size":"md","currentWidth":4},{"components":[],"width":4,"offset":0,"push":0,"pull":0,"size":"md","currentWidth":4}],"key":"columns7","type":"columns","input":false,"tableView":false,"hideOnChildrenHidden":false},{"label":"Columns","columns":[{"components":[{"label":"Fee For Dates: <br>From","placeholder":"MM/DD/YYYY","widget":{"type":"calendar","altInput":true,"allowInput":true,"clickOpens":true,"enableDate":true,"enableTime":false,"mode":"single","noCalendar":false,"format":"MM/dd/yyyy","dateFormat":"MM/dd/yyyy","useLocaleSettings":false,"hourIncrement":1,"minuteIncrement":5,"time_24hr":false,"saveAs":"text","minDate":"2000-08-19T19:00:57.995Z","maxDate":"2050-08-21T19:00:57.995Z","locale":"en","displayInTimezone":"viewer"},"tableView":true,"validate":{"required":true,"custom":"if (!_.isEmpty(data.FeeDateForm) && !_.isEmpty(data.FeeDateTo)) {\n  valid = (new Date(data.FeeDateForm) <= new Date(data.FeeDateTo)) ? true : \"Start Date must be before End Date.\";\n} else {\n  valid = true;\n}"},"key":"FeeDateForm","type":"textfield","input":true,"hideOnChildrenHidden":false}],"width":4,"offset":0,"push":0,"pull":0,"size":"md","currentWidth":4},{"components":[{"label":"<br>To","placeholder":"MM/DD/YYYY","widget":{"type":"calendar","altInput":true,"allowInput":true,"clickOpens":true,"enableDate":true,"enableTime":false,"mode":"single","noCalendar":false,"format":"MM/dd/yyyy","dateFormat":"MM/dd/yyyy","useLocaleSettings":false,"hourIncrement":1,"minuteIncrement":5,"time_24hr":false,"saveAs":"text","minDate":"2000-08-19T19:00:57.995Z","maxDate":"2050-08-21T19:00:57.995Z","locale":"en","displayInTimezone":"viewer"},"tableView":true,"validate":{"required":true,"custom":"if (!_.isEmpty(data.FeeDateForm) && !_.isEmpty(data.FeeDateTo)) {\n  valid = (new Date(data.FeeDateForm) <= new Date(data.FeeDateTo)) ? true : \"Start Date must be before End Date.\";\n} else {\n  valid = true;\n}"},"key":"FeeDateTo","type":"textfield","input":true,"hideOnChildrenHidden":false}],"width":4,"offset":0,"push":0,"pull":0,"size":"md","currentWidth":4}],"key":"columns8","type":"columns","input":false,"tableView":false,"hideOnChildrenHidden":false},{"label":"Columns","columns":[{"components":[{"label":"Gross Revenue","mask":false,"spellcheck":true,"tableView":false,"currency":"USD","inputFormat":"plain","validate":{"required":true,"custom":"if (_.isNil(input)) {\n\t  valid = true;\n} else {\n    if (input < 10) {\n      valid = \"Your payment is below the allowed amount. Please enter a higher dollar amount.\";\n    } else if (input > 99999999) {\n  \t        valid = \"Your payment is above the maximum allowed amount. Please enter a lower dollar amount.\";\n      } else {\n  \t    valid = true;\n    \t}\n  }"},"key":"GrossRevenue","logic":[{"name":"Not Req","trigger":{"type":"javascript","javascript":"result = !_.isNil(data.NumberOfPassengers);"},"actions":[{"name":"Not Req","type":"property","property":{"label":"Required","value":"validate.required","type":"boolean"},"state":false}]}],"type":"currency","input":true,"delimiter":true,"hideOnChildrenHidden":false},{"label":"Authorized Deductions","mask":false,"spellcheck":true,"tableView":false,"currency":"USD","inputFormat":"plain","validate":{"custom":"if (input < 0) {\n  valid = \"Your payment is below the allowed amount. Please enter a higher dollar amount.\";\n} else if (input > 999999) {\n  \tvalid = \"Your payment is above the maximum allowed amount. Please enter a lower dollar amount.\";\n} else {\n  \tvalid = true;\n\t}"},"key":"GRAuthorizedDeductions","type":"currency","input":true,"delimiter":true,"hideOnChildrenHidden":false},{"label":"Gross Receipts Subject to Fees","mask":false,"spellcheck":true,"tableView":false,"currency":"USD","inputFormat":"plain","calculateValue":"var gross = _.isNumber(data.GrossRevenue) ? data.GrossRevenue : 0;\r\nvar deduct = _.isNumber(data.GRAuthorizedDeductions) ? data.GRAuthorizedDeductions : 0;\r\n\r\nvar total = gross - deduct\r\n\r\nvalue = parseFloat(total.toFixed(2));","calculateServer":true,"key":"GRSubjectToFees","type":"currency","input":true,"delimiter":true,"hideOnChildrenHidden":false},{"label":"Franchise Fee Percentage","suffix":"%","mask":false,"spellcheck":true,"tableView":false,"delimiter":false,"requireDecimal":true,"inputFormat":"plain","validate":{"min":0,"max":99.99},"key":"GRFeeStructure","logic":[{"name":"Req","trigger":{"type":"javascript","javascript":"result = !_.isNil(data.GrossRevenue);"},"actions":[{"name":"Req","type":"property","property":{"label":"Required","value":"validate.required","type":"boolean"},"state":true}]},{"name":"Not Req","trigger":{"type":"javascript","javascript":"result = _.isNil(data.GrossRevenue);"},"actions":[{"name":"Not Req","type":"property","property":{"label":"Required","value":"validate.required","type":"boolean"},"state":false}]}],"type":"number","decimalLimit":2,"input":true,"hideOnChildrenHidden":false},{"label":"Total Amount Calculated","mask":false,"spellcheck":true,"tableView":false,"currency":"USD","inputFormat":"plain","calculateValue":"var grSubjFee = _.isNumber(data.GRSubjectToFees) ? data.GRSubjectToFees : 0;\r\nvar grFeeStruc = _.isNumber(data.GRFeeStructure) ? data.GRFeeStructure / 100 : 0;\r\n\r\nvar total = grSubjFee * grFeeStruc;\r\n\r\nvalue = parseFloat(total.toFixed(2));","calculateServer":true,"key":"GRCalculated","type":"currency","input":true,"delimiter":true,"hideOnChildrenHidden":false},{"label":"Minimum Payment Due","mask":false,"spellcheck":true,"tableView":false,"currency":"USD","inputFormat":"plain","validate":{"custom":"if(!_.isNil(data.GrossRevenue)){\nif (input < 10) {\n  valid = \"Your payment is below the allowed amount. Please enter a higher dollar amount.\";\n} else if (input > 99999999) {\n  \tvalid = \"Your payment is above the maximum allowed amount. Please enter a lower dollar amount.\";\n} else {\n  \tvalid = true;\n\t}\n}else {\n  \tvalid = true;\n\t}"},"key":"GRMinimum","logic":[{"name":"Req","trigger":{"type":"javascript","javascript":"result = !_.isNil(data.GrossRevenue);"},"actions":[{"name":"Req","type":"property","property":{"label":"Required","value":"validate.required","type":"boolean"},"state":true}]}],"type":"currency","input":true,"delimiter":true,"hideOnChildrenHidden":false},{"label":"Amount Due Based on Gross Receipts","mask":false,"spellcheck":true,"tableView":false,"currency":"USD","inputFormat":"plain","calculateValue":"var calculated = _.isNumber(data.GRCalculated) ? data.GRCalculated : 0;\r\nvar min = _.isNumber(data.GRMinimum) ? data.GRMinimum : 0;\r\n\r\nvar total = \"0.00\";\r\n\r\nif(calculated>=min){\r\n  var total = calculated;\r\n} else {\r\n  var total = min;\r\n}\r\n\r\nvalue = parseFloat(total.toFixed(2));","calculateServer":true,"validate":{"required":true},"key":"GRAmountDue","type":"currency","input":true,"delimiter":true,"hideOnChildrenHidden":false},{"label":"HTML","attrs":[{"attr":"","value":""}],"content":"<br>OR<br>\n&nbsp;","refreshOnChange":false,"key":"html2","type":"htmlelement","input":false,"tableView":false,"hideOnChildrenHidden":false},{"label":"Total Number of Passengers","mask":false,"spellcheck":true,"tableView":false,"delimiter":false,"requireDecimal":false,"inputFormat":"plain","validate":{"required":true,"min":1,"max":99999999},"key":"NumberOfPassengers","logic":[{"name":"not req","trigger":{"type":"javascript","javascript":"result = !_.isNil(data.GrossRevenue);\n"},"actions":[{"name":"Not Req","type":"property","property":{"label":"Required","value":"validate.required","type":"boolean"},"state":false}]}],"type":"number","input":true,"hideOnChildrenHidden":false},{"label":"Franchise Fee Structure","mask":false,"spellcheck":true,"tableView":false,"currency":"USD","inputFormat":"plain","validate":{"required":true,"custom":"if (input < 0) {\r\n  valid = \"Your payment is below the allowed amount. Please enter a higher dollar amount.\";\r\n} else if (input > 999) {\r\n  \tvalid = \"Your payment is above the maximum allowed amount. Please enter a lower dollar amount.\";\r\n} else {\r\n  \tvalid = true;\r\n\t}\r\n"},"key":"NPFeeStructure","logic":[{"name":"not req","trigger":{"type":"javascript","javascript":"result = _.isNil(data.NumberOfPassengers);"},"actions":[{"name":"Not Req","type":"property","property":{"label":"Required","value":"validate.required","type":"boolean"},"state":false}]},{"name":"Req","trigger":{"type":"javascript","javascript":"result = !_.isNil(data.NumberOfPassengers);"},"actions":[{"name":"Req","type":"property","property":{"label":"Required","value":"validate.required","type":"boolean"},"state":true}]}],"type":"currency","input":true,"delimiter":true,"hideOnChildrenHidden":false},{"label":"Authorized Deductions","mask":false,"spellcheck":true,"tableView":false,"currency":"USD","inputFormat":"plain","validate":{"custom":"if (input < 0) {\r\n  valid = \"Your payment is below the allowed amount. Please enter a higher dollar amount.\";\r\n} else if (input > 999999) {\r\n  \tvalid = \"Your payment is above the maximum allowed amount. Please enter a lower dollar amount.\";\r\n} else {\r\n  \tvalid = true;\r\n\t}\r\n"},"key":"NPAuthorizedDeductions","type":"currency","input":true,"delimiter":true,"hideOnChildrenHidden":false},{"label":"Total Amount Calculated","mask":false,"spellcheck":true,"tableView":false,"currency":"USD","inputFormat":"plain","calculateValue":"var passengers = _.isNumber(data.NumberOfPassengers) ? data.NumberOfPassengers : 0;\r\nvar rate = _.isNumber(data.NPFeeStructure) ? data.NPFeeStructure : 0;\r\nvar deductions = _.isNumber(data.NPAuthorizedDeductions) ? data.NPAuthorizedDeductions : 0;\r\n\r\nvar total = (passengers * rate) - deductions;\r\n\r\nvalue = parseFloat(total.toFixed(2));","calculateServer":true,"key":"NPCalculated","type":"currency","input":true,"delimiter":true,"hideOnChildrenHidden":false},{"label":"Minimum Payment Due","mask":false,"spellcheck":true,"tableView":false,"currency":"USD","inputFormat":"plain","validate":{"required":true,"custom":"if(!_.isNil(data.NumberOfPassengers)){\r\nif (input < 10) {\r\n  valid = \"Your payment is below the allowed amount. Please enter a higher dollar amount.\";\r\n} else if (input > 99999999) {\r\n  \tvalid = \"Your payment is above the maximum allowed amount. Please enter a lower dollar amount.\";\r\n} else {\r\n  \tvalid = true;\r\n\t}\r\n}else {\r\n  \tvalid = true;\r\n\t}\r\n"},"key":"NPMinimum","logic":[{"name":"not req","trigger":{"type":"javascript","javascript":"result = _.isNil(data.NumberOfPassengers);"},"actions":[{"name":"Not Req","type":"property","property":{"label":"Required","value":"validate.required","type":"boolean"},"state":false}]},{"name":"Req","trigger":{"type":"javascript","javascript":"result = !_.isNil(data.NumberOfPassengers);"},"actions":[{"name":"Req","type":"property","property":{"label":"Required","value":"validate.required","type":"boolean"},"state":true}]}],"type":"currency","input":true,"delimiter":true,"hideOnChildrenHidden":false},{"label":"Amount Due Based on Passenger","mask":false,"spellcheck":true,"tableView":false,"currency":"USD","inputFormat":"plain","calculateValue":"var calculated = _.isNumber(data.NPCalculated) ? data.NPCalculated : 0;\r\nvar min = _.isNumber(data.NPMinimum) ? data.NPMinimum : 0;\r\n\r\nvar total = \"0.00\";\r\n\r\nif(calculated>=min){\r\n  var total = calculated;\r\n} else {\r\n  var total = min;\r\n}\r\n\r\nvalue = parseFloat(total.toFixed(2));","calculateServer":true,"key":"NPAmountDue","type":"currency","input":true,"delimiter":true,"hideOnChildrenHidden":false},{"label":"Total Amount Due","mask":false,"spellcheck":true,"tableView":false,"currency":"USD","inputFormat":"plain","calculateValue":"var dueGR = _.isNumber(data.GRAmountDue) ? data.GRAmountDue : 0;\r\nvar dueNP = _.isNumber(data.NPAmountDue) ? data.NPAmountDue : 0;\r\n\r\nvar total = \"0.00\";\r\n\r\nif(dueGR >= dueNP){\r\n  var total = data.GRAmountDue;\r\n} else {\r\n  var total = data.NPAmountDue;\r\n}\r\n\r\nvalue = parseFloat(total.toFixed(2));","calculateServer":true,"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}"},"key":"RemittanceNetAmount","type":"currency","input":true,"delimiter":true,"hideOnChildrenHidden":false,"lockKey":true,"source":"5eac84259b53ff041c170ee7","isNew":true}],"width":4,"offset":0,"push":0,"pull":0,"size":"md","currentWidth":4},{"components":[],"width":4,"offset":0,"push":0,"pull":0,"size":"md","currentWidth":4}],"key":"columns9","type":"columns","input":false,"tableView":false,"hideOnChildrenHidden":false}]},{"label":"Name of Concessioner Authorizing Official","tableView":true,"validate":{"custom":"valid = pgFormioGlobal().validateText(input);","maxLength":255},"key":"AuthorizingOfficial","type":"textfield","input":true,"lockKey":true,"source":"5eac84259b53ff041c170ee7","isNew":true},{"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}],"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}],"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}],"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}],"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":"columns10","type":"columns","input":false,"tableView":false,"lockKey":true,"source":"5eac84253f388e59f3ba3b2c","isNew":true,"hideOnChildrenHidden":false},{"label":"SBU Footer","tableView":true,"form":"5fc7c311de457463ee152fb3","reference":false,"key":"sbuFooter","customConditional":"show = instance.options.pdf;","type":"form","input":true,"lockKey":true,"source":"5eac84259b53ff041c170ee7","isNew":true,"revision":0,"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.BusinessName;","calculateServer":true,"key":"custom_field_1","type":"hidden","input":true,"tableView":true,"lockKey":true,"hideOnChildrenHidden":false,"mask":false,"inputFormat":"plain","spellcheck":true},{"label":"CCF 2","calculateValue":"value = \"PPAKGLBA00 POPCFCFC9.XZ0000 XXXP543199\";","calculateServer":true,"key":"custom_field_2","type":"hidden","input":true,"tableView":true,"lockKey":true,"hideOnChildrenHidden":false,"mask":false,"inputFormat":"plain","spellcheck":true}],"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.FBMS_Number;","calculateServer":true,"key":"custom_field_3","type":"hidden","input":true,"tableView":true,"lockKey":true,"hideOnChildrenHidden":false,"mask":false,"inputFormat":"plain","spellcheck":true},{"label":"CCF 4","calculateValue":"value = data.ContractNumber;","calculateServer":true,"key":"custom_field_4","type":"hidden","input":true,"tableView":true,"lockKey":true,"hideOnChildrenHidden":false,"mask":false,"inputFormat":"plain","spellcheck":true}],"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","tableView":true,"calculateValue":"value = (\"$\" + data.GRAmountDue.toFixed(2).replace(/(\\d)(?=(\\d{3})+\\.)/g, \"$1,\").toString());\n","calculateServer":true,"key":"custom_field_5","type":"hidden","input":true,"lockKey":true,"hideOnChildrenHidden":false,"mask":false,"inputFormat":"plain","spellcheck":true},{"label":"CCF 6","tableView":true,"calculateValue":"value = (\"$\" + data.NPAmountDue.toFixed(2).replace(/(\\d)(?=(\\d{3})+\\.)/g, \"$1,\").toString());\n","calculateServer":true,"key":"custom_field_6","type":"hidden","input":true,"lockKey":true,"hideOnChildrenHidden":false,"mask":false,"inputFormat":"plain","spellcheck":true}],"width":2,"offset":0,"push":0,"pull":0,"type":"column","hideOnChildrenHidden":false,"input":true,"key":"","tableView":true,"label":"","placeholder":"","prefix":"","customClass":"","suffix":"","multiple":false,"protected":false,"unique":false,"persistent":true,"hidden":false,"clearOnHide":true,"dataGridLabel":false,"labelPosition":"top","labelWidth":30,"labelMargin":3,"description":"","errorLabel":"","tooltip":"","hideLabel":false,"tabindex":"","disabled":false,"autofocus":false,"dbIndex":false,"customDefaultValue":"","calculateValue":"","allowCalculateOverride":false,"refreshOn":"","clearOnRefresh":false,"validateOn":"change","validate":{"required":false,"custom":"","customPrivate":false},"conditional":{"eq":""},"id":"eyl1ak5p","size":"md","currentWidth":2},{"components":[{"label":"CCF 7","tableView":true,"calculateValue":"//value = data.GrossRevenue;\nvalue = (\"$\" + data.GrossRevenue.toFixed(2).replace(/(\\d)(?=(\\d{3})+\\.)/g, \"$1,\").toString());\n","calculateServer":true,"key":"custom_field_7","type":"hidden","input":true,"lockKey":true,"hideOnChildrenHidden":false,"source":"5eac8425c2464812cf69235e","isNew":true,"mask":false,"inputFormat":"plain","spellcheck":true},{"label":"CCF 8","calculateValue":"value = data.NumberOfPassengers;","calculateServer":true,"key":"custom_field_8","type":"hidden","input":true,"tableView":true,"lockKey":true,"hideOnChildrenHidden":false,"source":"5eac8425c2464812cf69235e","isNew":true,"mask":false,"inputFormat":"plain","spellcheck":true}],"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 = data.AuthorizingOfficial;","calculateServer":true,"key":"custom_field_9","type":"hidden","input":true,"tableView":true,"lockKey":true,"hideOnChildrenHidden":false,"source":"5eac8425c2464812cf69235e","isNew":true,"mask":false,"inputFormat":"plain","spellcheck":true}],"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":[],"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,"hideOnChildrenHidden":false}],"settings":{},"properties":{},"created":"2021-11-10T13:46:28.681Z","modified":"2025-09-22T14:25:18.841Z","project":"5f9ae327f1b65987a86350f2","controller":"","revisions":"original","submissionRevisions":"","_vid":3,"_rid":"618bcd34976b26cb0fa1364e","_vnote":"(Source version:12, User:cflorea, Build:23368051)","_vuser":"admin","revisionId":"68d15c4e2b8419808f30f0dc","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}}}}}}}"}