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/***************************************************
DATE: May 15, 2017
AUTHOR: VIATEQ CORPORATION / Dennis R. Dunston
DESCRIPTION: This Javascript helps to resolve form inputs and menu behavior.
***************************************************/
var str_html = "";
/*************************
*************************/
function check_date_required(id) {
var d = new Date();
var n = d.getMonth()+1+"/"+d.getDate()+"/"+d.getFullYear();
document.getElementById(id).setAttribute('value',n);
return true;
}
/*************************
*************************/
function noNumbers(e) {
keynum = e.which;
alert(keynum);
if (keynum == 13)
document.getElementById("Address1").focus();
}
/*************************
Sleep - This functions was created for GoogleChrome which does not respond the checkbox quickly.
*************************/
function sleep(delay) {
var start = new Date().getTime();
while (new Date().getTime() < start + delay);
}
function disableEnterKey(e) {
var key;
if(window.event)
key = window.event.keycode; // IE
else
key = e.which;
return (key !=13);
}
/***************************************************
Check Email
***************************************************/
function check_email(id) {
var regex = /^([\w-]+(?:\.[\w-]+)*)@((?:[\w-]+\.)*\w[\w-]{0,66})\.([a-z]{2,6}(?:\.[a-z]{2})?)$/i;
str = document.getElementById(id).value;
str = str.trim();
document.getElementById(id).value = str;
if (str.length > 0) {
if (str.length < 3 || str.match(regex) == null) {
alert("Please re-enter your email address.");
document.getElementById(id).focus();
document.getElementById(id).select();
return false;
}
return true;
}
return true;
}
/***************************************************
Check Email
***************************************************/
function check_email_and_telephone(id) {
var regex = /^([\w-]+(?:\.[\w-]+)*)@((?:[\w-]+\.)*\w[\w-]{0,66})\.([a-z]{2,6}(?:\.[a-z]{2})?)$/i;
str = document.getElementById(id).value;
str = str.trim();
document.getElementById(id).value = str;
tel = document.getElementById('Telephone1').value;
if (str.length > 0) {
if (str.length < 3 || str.match(regex) == null) {
alert("Thov rov sau koj email chaw nyob.");
document.getElementById(id).focus();
document.getElementById(id).select();
return false;
}
return true;
}
else
{
if (str.length == 0 && tel.length == 0) {
alert("Yuav tsum tau teb. Thov sau koj email chaw nyob los yog xov tooj.");
document.getElementById('Telephone1').focus();
document.getElementById('Telephone1').select();
return false;
}
}
return true;
}
/***************************************************
Check Email
***************************************************/
function check_email_not_required(id) {
var regex = /^([\w-]+(?:\.[\w-]+)*)@((?:[\w-]+\.)*\w[\w-]{0,66})\.([a-z]{2,6}(?:\.[a-z]{2})?)$/i;
str = document.getElementById(id).value;
str = str.trim();
document.getElementById(id).value = str;
if (str.length > 0) {
if (str.length < 3 || str.match(regex) == null) {
alert("Thov rov sau koj email chaw nyob.");
document.getElementById(id).focus();
document.getElementById(id).select();
//document.getElementById(id).value =" ";
return false;
}
}
return true;
}
/***************************************************
Check Email
***************************************************/
function check_contact_email(id) {
var regex = /^([\w-]+(?:\.[\w-]+)*)@((?:[\w-]+\.)*\w[\w-]{0,66})\.([a-z]{2,6}(?:\.[a-z]{2})?)$/i;
str = document.getElementById(id).value;
str = str.trim();
document.getElementById(id).value = str;
if (str.length > 0) {
if (str.length < 3 || str.match(regex) == null) {
alert("Thov rov sau koj taw tes rau email chaw nyob.");
document.getElementById(id).focus();
document.getElementById(id).select();
//document.getElementById(id).value =" ";
return false;
}
}
return true;
}
/***************************************************
Attorney Email
***************************************************/
function check_attorney_email(id) {
var regex = /^([\w-]+(?:\.[\w-]+)*)@((?:[\w-]+\.)*\w[\w-]{0,66})\.([a-z]{2,6}(?:\.[a-z]{2})?)$/i;
str = document.getElementById(id).value;
str = str.trim();
document.getElementById(id).value = str;
if (str.length > 0) {
if (str.length < 3 || str.match(regex) == null) {
alert("Thov rov sau koj tus neeg sawv cev los yog tus kws lij choj email chaw nyob.");
document.getElementById(id).focus();
document.getElementById(id).select();
//document.getElementById(id).value =" ";
return false;
}
}
return true;
}
/***************************************************
Check Telephone
***************************************************/
function check_agency_telephone(id) {
var phonenumber = document.getElementById(id).value;
var phoneno = /^\(?([0-9]{3})\)?[-. ]?([0-9]{3})[-. ]?([0-9]{4})$/;
phonenumber = phonenumber.trim();
document.getElementById(id).value = phonenumber;
if (phonenumber.match(phoneno))
{
return true;
}
else
{
alert("Thov rov qab mus rau lub koom haum tus xov tooj 999-999-9999.");
document.getElementById(id).focus();
document.getElementById(id).select();
return false;
}
}
/***************************************************
Check Telephone
***************************************************/
function check_telephone(id) {
var phonenumber = document.getElementById(id).value;
var phoneno = /^\(?([0-9]{3})\)?[-. ]?([0-9]{3})[-. ]?([0-9]{4})$/;
phonenumber = phonenumber.trim();
document.getElementById(id).value = phonenumber;
if (phonenumber.match(phoneno))
{
return true;
}
else
{
alert("Thov rov qab mus rau lub koom haum tus xov tooj 999-999-9999.");
document.getElementById(id).focus();
document.getElementById(id).select();
return false;
}
}
/***************************************************
Company Telephone
***************************************************/
function check_company_telephone(id) {
var phonenumber = document.getElementById(id).value;
var phoneno = /^\(?([0-9]{3})\)?[-. ]?([0-9]{3})[-. ]?([0-9]{4})$/;
phonenumber = phonenumber.trim();
document.getElementById(id).value = phonenumber;
if (phonenumber.match(phoneno))
{
return true;
}
else
{
alert("Thov rov qab mus rau lub koom haum tus xov tooj 999-999-9999.");
document.getElementById(id).focus();
document.getElementById(id).select();
return false;
}
}
/***************************************************
Check Telephone Required
***************************************************/
function check_telephone_required(id) {
var phonenumber = document.getElementById(id).value;
var phoneno = /^\(?([0-9]{3})\)?[-. ]?([0-9]{3})[-. ]?([0-9]{4})$/;
phonenumber = phonenumber.trim();
document.getElementById(id).value = phonenumber;
if (phonenumber.match(phoneno))
{
return true;
}
else
{
alert("Thov rov qab mus rau lub koom haum tus xov tooj 999-999-9999.");
document.getElementById(id).focus();
document.getElementById(id).select();
return false;
}
}
/***************************************************
Check Telephone Not Required for complainant
***************************************************/
function check_telephone_not_required2(id) {
var phonenumber = document.getElementById(id).value;
var phoneno = /^\(?([0-9]{3})\)?[-. ]?([0-9]{3})[-. ]?([0-9]{4})$/;
phonenumber = phonenumber.trim();
document.getElementById(id).value = phonenumber;
if (phonenumber.match(phoneno))
{
return true;
}
else
{
alert("Thov rov qab mus rau lub koom haum tus xov tooj 999-999-9999.");
document.getElementById(id).focus();
document.getElementById(id).select();
return false;
}
}
/***************************************************
Check Telephone Not Required
***************************************************/
function check_telephone_not_required(id) {
var phonenumber = document.getElementById(id).value;
var phoneno = /^\(?([0-9]{3})\)?[-. ]?([0-9]{3})[-. ]?([0-9]{4})$/;
phonenumber = phonenumber.trim();
document.getElementById(id).value = phonenumber;
if (phonenumber.match(phoneno))
{
return true;
}
else
{
alert("Thov rov qab mus rau lub koom haum tus xov tooj 999-999-9999.");
document.getElementById(id).focus();
document.getElementById(id).select();
return false;
}
}
/***************************************************
Telephone for Point of Contact
***************************************************/
function check_contact_telephone(id) {
var phonenumber = document.getElementById(id).value;
var phoneno = /^\(?([0-9]{3})\)?[-. ]?([0-9]{3})[-. ]?([0-9]{4})$/;
phonenumber = phonenumber.trim();
document.getElementById(id).value = phonenumber;
if (phonenumber.match(phoneno))
{
return true;
}
else
{
alert("Thov rov qab mus rau lub koom haum tus xov tooj 999-999-9999.");
document.getElementById(id).focus();
document.getElementById(id).select();
return false;
}
}
/***************************************************
Telephone for Attorney
***************************************************/
function check_attorney_telephone(id) {
var phonenumber = document.getElementById(id).value;
var phoneno = /^\(?([0-9]{3})\)?[-. ]?([0-9]{3})[-. ]?([0-9]{4})$/;
phonenumber = phonenumber.trim();
document.getElementById(id).value = phonenumber;
if (phonenumber.match(phoneno))
{
return true;
}
else
{
alert("Thov rov qab mus rau lub koom haum tus xov tooj 999-999-9999.");
document.getElementById(id).focus();
document.getElementById(id).select();
return false;
}
}
/***************************************************
Check Zip code 2
***************************************************/
function check_zipcode2(id) {
var zipcodenumber = document.getElementById(id).value;
var zipcodeformat = /^[0-9]{5}(?:-[0-9]{4})?$/;
zipcodenumber = zipcodenumber.trim();
document.getElementById(id).value = zipcodenumber;
if (zipcodenumber.match(zipcodeformat))
{
return true;
}
else
{
alert("Thov rov qab mus rau lub koom haum tus xov tooj 999-999-9999.");
document.getElementById(id).focus();
document.getElementById(id).select();
return false;
}
}
/***************************************************
Check to make sure a state is selected
***************************************************/
function check_state_selected(id) {
str = document.getElementById(id).value;
str = str.trim();
if (str.length < 1 ) {
//alert("Required Field. Please select a state from the drop down list.");
document.getElementById(id).focus();
document.getElementById(id).select();
return false;
}
else
{
//document.getElementById('Zipcode1').select();
// document.getElementById('Zipcode1').focus();
return true;
}
}
/***************************************************
Check Zip code
***************************************************/
function check_zipcode(id) {
var zipcodenumber = document.getElementById(id).value;
var zipcodeformat = /^[0-9]{5}(?:-[0-9]{4})?$/;
zipcodenumber = zipcodenumber.trim();
document.getElementById(id).value = zipcodenumber;
if (zipcodenumber.match(zipcodeformat))
{
return true;
}
else
{
alert("Thov rov qab mus rau lub koom haum tus xov tooj 999-999-9999.");
document.getElementById(id).focus();
document.getElementById(id).select();
return false;
}
}
/***************************************************
Check Zip code
***************************************************/
function check_company_zipcode(id) {
var zipcodenumber = document.getElementById(id).value;
var zipcodeformat = /^[0-9]{5}(?:-[0-9]{4})?$/;
zipcodenumber = zipcodenumber.trim();
document.getElementById(id).value = zipcodenumber;
if (zipcodenumber.match(zipcodeformat))
{
return true;
}
else
{
alert("Thov rov qab mus rau lub koom haum tus xov tooj 999-999-9999.");
document.getElementById(id).focus();
document.getElementById(id).select();
return false;
}
}
/***************************************************
Contact Zip code
***************************************************/
function check_contact_zipcode(id) {
var zipcodenumber = document.getElementById(id).value;
var zipcodeformat = /^[0-9]{5}(?:-[0-9]{4})?$/;
zipcodenumber = zipcodenumber.trim();
document.getElementById(id).value = zipcodenumber;
if (zipcodenumber.match(zipcodeformat))
{
return true;
}
else
{
alert("Thov rov qab mus rau lub koom haum tus xov tooj 999-999-9999.");
document.getElementById(id).focus();
document.getElementById(id).select();
return false;
}
}
/***************************************************
Check Zip code
***************************************************/
function check_attorney_zipcode(id) {
var zipcodenumber = document.getElementById(id).value;
var zipcodeformat = /^[0-9]{5}(?:-[0-9]{4})?$/;
zipcodenumber = zipcodenumber.trim();
document.getElementById(id).value = zipcodenumber;
if (zipcodenumber.match(zipcodeformat))
{
return true;
}
else
{
alert("Thov rov qab mus rau lub koom haum tus xov tooj 999-999-9999.");
document.getElementById(id).focus();
document.getElementById(id).select();
return false;
}
}
/***************************************************
Check State name for special characters and blanks
***************************************************/
function check_state_required(id){
str = document.getElementById(id).value;
str = str.trim();
document.getElementById(id).value = str;
//alert("test state >" + str + "<");
if (str.length < 1) {
alert("Yuav Tsum Muaj Cov Ntaub Ntawv, thov xaiv ib lub xeev raws li cov npe hauv qab no.");
//document.getElementById(id).value ="";
document.getElementById(id).select();
//document.getElementById(id).focus();
return false;
}
else
{
//alert("Required Field. State ok.");
return true;
}
}
/***************************************************
Check State name for special characters and blanks
***************************************************/
function check_state_not_required(id){
str = document.getElementById(id).value;
str = str.trim();
document.getElementById(id).value = str;
if (str.length < 1) {
alert("Yuav Tsum Muaj Cov Ntaub Ntawv, thov xaiv ib lub xeev raws li cov npe hauv qab no.");
//document.getElementById(id).value ="";
document.getElementById(id).select();
//document.getElementById(id).focus();
return false;
}
return true;
}
/***************************************************
***************************************************/
function check_textarea_required(id){
var regex = /^[a-zA-Z0-9-'<\n\r()">_*!;?:%#,/=\\ .\b]+$/;
str = document.getElementById(id).value;
str = str.trim();
document.getElementById(id).value = str;
if (str.length > 0) {
if (str.match(regex) == null || str.match("ftp") || str.match(".jpg") || str.match(".png") || str.match(".gif") || str.match("file:") || str.match("http") || str.match(".jpeg")) {
alert("Yuav tsum tau teb. Thov rov ntaus koj tsis txaus siab narrative tsis muaj tus cim tshwj xeeb ( ' @ ~ ^ | [] {}).");
document.getElementById(id).focus();
document.getElementById(id).select();
return false;
}
}
else
{
alert("Yuav tsum tau teb. Koj tsis txaus siab narrative yog dawb paug, thov rov hom.");
//document.getElementById(id).focus();
//document.getElementById(id).select();
return false;
}
return true;
}
/***************************************************
***************************************************/
function check_company_textarea_required(id){
var regex = /^[a-zA-Z0-9-'<\n\r()">_*!;?:%#,/=\\ .\b]+$/;
str = document.getElementById(id).value;
str = str.trim();
document.getElementById(id).value = str;
if (str.length > 0) {
if (str.match(regex) == null || str.match("ftp") || str.match(".jpg") || str.match(".png") || str.match(".gif") || str.match("file:") || str.match("http") || str.match(".jpeg")) {
alert("Yuav tsum tau teb. Thov rov ntaus koj kev ntxub ntxaug narrative tsis muaj tus cim tshwj xeeb ( ' @ ~ ^ | [] {}).");
document.getElementById(id).focus();
document.getElementById(id).select();
return false;
}
}
else
{
alert("Yuav tsum tau teb. Koj ntxub ntxaug narrative yog dawb paug.");
document.getElementById(id).focus();
document.getElementById(id).select();
return false;
}
return true;
}
/***************************************************
Check Name (First, Middle, and Last) for special characters and blanks
***************************************************/
function check_name_required(id){
var regex = /^[a-zA-Z-'\n\r .\b]+$/;
str = document.getElementById(id).value;
str = str.trim();
document.getElementById(id).value = str;
if (str.length > 0) {
if (str.match(regex) == null || str.match("ftp") || str.match(".jpg") || str.match(".png") || str.match(".gif") || str.match("file:") || str.match("http") ) {
alert("Yuav Tsum Muaj Cov Ntaub Ntawv, thov ntaus txoj kev qhov chaw nyob kom raug.");
document.getElementById(id).select();
document.getElementById(id).focus();
return false;
}
}
else
{
alert("Yuav Tsum Muaj Cov Ntaub Ntawv, thov ntaus txoj kev qhov chaw nyob kom raug.");
document.getElementById(id).select();
document.getElementById(id).focus();
return false;
}
// document.getElementById(id).select();
// document.getElementById(id).focus();
return true;
}
/***************************************************
Check Name (First, Middle, and Last) for special characters and blanks
***************************************************/
function check_name_not_required(id){
var regex = /^[a-zA-Z-'\n\r .\b]+$/;
str = document.getElementById(id).value;
str = str.trim();
document.getElementById(id).value = str;
if (str.length > 0) {
if (str.match(regex) == null || str.match("ftp") || str.match(".jpg") || str.match(".png") || str.match(".gif") || str.match("file:") || str.match("http") ) {
alert("Yuav Tsum Muaj Cov Ntaub Ntawv, thov ntaus txoj kev qhov chaw nyob kom raug.");
document.getElementById(id).select();
document.getElementById(id).focus();
return false;
}
}
return true;
}
/***************************************************
Check Name (First, Middle, and Last) for special characters and blanks
***************************************************/
function check_contact_name(id){
var regex = /^[a-zA-Z-'\n\r .\b]+$/;
str = document.getElementById(id).value;
str = str.trim();
document.getElementById(id).value = str;
if (str.length > 0) {
if (str.match(regex) == null || str.match("ftp") || str.match(".jpg") || str.match(".png") || str.match(".gif") || str.match("file:") || str.match("http") ) {
alert("Yuav Tsum Muaj Cov Ntaub Ntawv, thov ntaus txoj kev qhov chaw nyob kom raug.");
document.getElementById(id).select();
document.getElementById(id).focus();
return false;
}
}
return true;
}
/***************************************************
Check Name (First, Middle, and Last) for special characters and blanks
***************************************************/
function check_attorney_name(id){
var regex = /^[a-zA-Z-'\n\r .\b]+$/;
str = document.getElementById(id).value;
str = str.trim();
document.getElementById(id).value = str;
if (str.length > 0) {
if (str.match(regex) == null || str.match("ftp") || str.match(".jpg") || str.match(".png") || str.match(".gif") || str.match("file:") || str.match("http") ) {
alert("Yuav Tsum Muaj Cov Ntaub Ntawv, thov ntaus txoj kev qhov chaw nyob kom raug.");
document.getElementById(id).select();
document.getElementById(id).focus();
return false;
}
}
return true;
}
/***************************************************
Signature
***************************************************/
function check_signature_required(id){
var regex = /^[a-zA-Z-'\n\r .\b]+$/;
str = document.getElementById(id).value;
str = str.trim();
document.getElementById(id).value = str;
if (str.length > 0) {
if (str.match(regex) == null || str.match("ftp") || str.match(".jpg") || str.match(".png") || str.match(".gif") || str.match("file:") || str.match("http") ) {
alert("Yuav Tsum Muaj Cov Ntaub Ntawv, thov ntaus txoj kev qhov chaw nyob kom raug.");
document.getElementById(id).select();
document.getElementById(id).focus();
return false;
}
}
else
{
alert("Yuav Tsum Muaj Cov Ntaub Ntawv, thov ntaus txoj kev qhov chaw nyob kom raug.");
document.getElementById(id).select();
document.getElementById(id).focus();
return false;
}
return true;
}
/***************************************************
Check contact name for allegations.
***************************************************/
function check_allegations_contact_name(id){
var regex = /^[a-zA-Z-'\n\r .\b]+$/;
str = document.getElementById(id).value;
str = str.trim();
document.getElementById(id).value = str;
if (str.length > 0) {
if (str.match(regex) == null || str.match("ftp") || str.match(".jpg") || str.match(".png") || str.match(".gif") || str.match("file:") || str.match("http") ) {
alert("Thov ntaus ib tug siv tau cov lus sib liam ntawm kev ua hauj lwm kev ntxub ntxaug hu lub npe.");
document.getElementById(id).select();
document.getElementById(id).focus();
return false;
}
}
else
{
alert("Thov ntaus ib tug siv tau cov lus sib liam ntawm kev ua hauj lwm kev ntxub ntxaug hu lub npe.");
document.getElementById(id).select();
document.getElementById(id).focus();
return false;
}
return true;
}
/***************************************************
Address Company
***************************************************/
function check_company_address_required(id){
var regex = /^[a-zA-Z0-9-'#, .\b]+$/;
str = document.getElementById(id).value;
str = str.trim();
document.getElementById(id).value = str;
if (str.length > 0) {
if (str.match(regex) == null || str.match("ftp") || str.match(".jpg") || str.match(".png") || str.match(".gif") || str.match("file:") || str.match("http") ) {
alert("Yuav tsum tau teb. Thov ntaus nyob rau hauv ib tug siv tau lub tuam txhab txoj kev chaw nyob.");
document.getElementById(id).select();
document.getElementById(id).focus();
return false;
}
}
else
{
alert("Yuav tsum tau teb. Thov ntaus nyob rau hauv ib tug siv tau lub tuam txhab txoj kev chaw nyob.");
document.getElementById(id).select();
document.getElementById(id).focus();
return false;
}
return true;
}
/***************************************************
Check address for special characters and blanks
***************************************************/
function check_address_required(id){
var regex = /^[a-zA-Z0-9-'#, .\b]+$/;
str = document.getElementById(id).value;
str = str.trim();
document.getElementById(id).value = str;
if (str.length > 0) {
if (str.match(regex) == null || str.match("ftp") || str.match(".jpg") || str.match(".png") || str.match(".gif") || str.match("file:") || str.match("http") ) {
alert("Yuav Tsum Muaj Cov Ntaub Ntawv, thov ntaus lub npe nroog kom raug.");
document.getElementById(id).select();
document.getElementById(id).focus();
return false;
}
}
return true;
}
/***************************************************
Check address for special characters and blanks
***************************************************/
function check_address_not_required(id){
var regex = /^[a-zA-Z0-9-'#, .\b]+$/;
str = document.getElementById(id).value;
str = str.trim();
document.getElementById(id).value = str;
if (str.length > 0) {
if (str.match(regex) == null || str.match("ftp") || str.match(".jpg") || str.match(".png") || str.match(".gif") || str.match("file:") || str.match("http") ) {
alert("Yuav Tsum Muaj Cov Ntaub Ntawv, thov ntaus lub npe nroog kom raug.");
document.getElementById(id).select();
document.getElementById(id).focus();
return false;
}
}
return true;
}
/***************************************************
Check address for special characters and blanks
***************************************************/
function check_contact_address(id){
var regex = /^[a-zA-Z0-9-'#, .\b]+$/;
str = document.getElementById(id).value;
str = str.trim();
document.getElementById(id).value = str;
if (str.length > 0) {
if (str.match(regex) == null || str.match("ftp") || str.match(".jpg") || str.match(".png") || str.match(".gif") || str.match("file:") || str.match("http") ) {
alert("Thov ntaus nyob rau hauv ib tug siv tau txoj kev chaw nyob rau hauv lub taw tes ntawm kev sib cuag.");
document.getElementById(id).select();
document.getElementById(id).focus();
return false;
}
}
return true;
}
/***************************************************
Check address for special characters and blanks
***************************************************/
function check_attorney_address(id){
var regex = /^[a-zA-Z0-9-'#, .\b]+$/;
str = document.getElementById(id).value;
str = str.trim();
document.getElementById(id).value = str;
if (str.length > 0) {
if (str.match(regex) == null || str.match("ftp") || str.match(".jpg") || str.match(".png") || str.match(".gif") || str.match("file:") || str.match("http") ) {
alert("Thov ntaus ib tug siv tau txoj kev chaw nyob rau tus neeg sawv cev los yog tus kws lij choj.");
document.getElementById(id).select();
document.getElementById(id).focus();
return false;
}
}
return true;
}
/***************************************************
Check City name for special characters and blanks
***************************************************/
function check_city_name_required(id){
var regex = /^[a-zA-Z0-9-'#, .\b]+$/;
str = document.getElementById(id).value;
str = str.trim();
document.getElementById(id).value = str;
if (str.length > 0) {
if (str.match(regex) == null || str.match("ftp") || str.match(".jpg") || str.match(".png") || str.match(".gif") || str.match("file:") || str.match("http") ) {
alert("Yuav Tsum Muaj Cov Ntaub Ntawv, thov ntaus lub npe tuam txhab kom raug.");
document.getElementById(id).select();
document.getElementById(id).focus();
return false;
}
}
else
{
alert("Yuav Tsum Muaj Cov Ntaub Ntawv, thov ntaus lub npe tuam txhab kom raug.");
document.getElementById(id).select();
document.getElementById(id).focus();
return false;
}
return true;
}
/***************************************************
Check City name for special characters and blanks
***************************************************/
function check_company_city_name_required(id){
var regex = /^[a-zA-Z0-9-'#, .\b]+$/;
str = document.getElementById(id).value;
str = str.trim();
document.getElementById(id).value = str;
if (str.length > 0) {
if (str.match(regex) == null || str.match("ftp") || str.match(".jpg") || str.match(".png") || str.match(".gif") || str.match("file:") || str.match("http") ) {
alert("Yuav tsum tau teb. Thov sau ib tug siv tau nroog lub npe rau lub tuam txhab.");
document.getElementById(id).select();
document.getElementById(id).focus();
return false;
}
}
else
{
alert("Yuav tsum tau teb. Thov sau ib tug siv tau nroog lub npe rau lub tuam txhab.");
document.getElementById(id).select();
document.getElementById(id).focus();
return false;
}
return true;
}
/***************************************************
Check City name for special characters and blanks
***************************************************/
function check_city_name_not_required(id){
var regex = /^[a-zA-Z0-9-'#, .\b]+$/;
str = document.getElementById(id).value;
str = str.trim();
document.getElementById(id).value = str;
if (str.length > 0) {
if (str.match(regex) == null || str.match("ftp") || str.match(".jpg") || str.match(".png") || str.match(".gif") || str.match("file:") || str.match("http") ) {
alert("Yuav Tsum Muaj Cov Ntaub Ntawv, thov ntaus lub npe tuam txhab kom raug.");
document.getElementById(id).select();
document.getElementById(id).focus();
return false;
}
}
return true;
}
/***************************************************
Check City name for special characters and blanks
***************************************************/
function check_contact_city_name(id){
var regex = /^[a-zA-Z0-9-'#, .\b]+$/;
str = document.getElementById(id).value;
str = str.trim();
document.getElementById(id).value = str;
if (str.length > 0) {
if (str.match(regex) == null || str.match("ftp") || str.match(".jpg") || str.match(".png") || str.match(".gif") || str.match("file:") || str.match("http") ) {
alert("Thov sau ib tug siv tau nroog lub npe rau ntawm tus taw tes ntawm kev sib cuag.");
document.getElementById(id).select();
document.getElementById(id).focus();
return false;
}
}
return true;
}
/***************************************************
Check City name for special characters and blanks
***************************************************/
function check_attorney_city_name(id){
var regex = /^[a-zA-Z0-9-'#, .\b]+$/;
str = document.getElementById(id).value;
str = str.trim();
document.getElementById(id).value = str;
if (str.length > 0) {
if (str.match(regex) == null || str.match("ftp") || str.match(".jpg") || str.match(".png") || str.match(".gif") || str.match("file:") || str.match("http") ) {
alert("Thov ntaus ib tug siv tau nroog lub npe rau tus neeg sawv cev los yog tus kws lij choj.");
document.getElementById(id).select();
document.getElementById(id).focus();
return false;
}
}
return true;
}
/***************************************************
Check Agency and Company Name for special characters and blanks
***************************************************/
function check_company_name_required(id){
var regex = /^[a-zA-Z0-9-'#, .\b]+$/;
str = document.getElementById(id).value;
str = str.trim();
document.getElementById(id).value = str;
if (str.length > 0) {
if (str.match(regex) == null || str.match("ftp") || str.match(".jpg") || str.match(".png") || str.match(".gif") || str.match("file:") || str.match("http") ) {
alert("Yuav Tsum Muaj Cov Ntaub Ntawv, thov ntaus lub npe tuam txhab kom raug.");
document.getElementById(id).select();
document.getElementById(id).focus();
return false;
}
}
else
{
alert("Yuav Tsum Muaj Cov Ntaub Ntawv, thov ntaus lub npe tuam txhab kom raug.");
document.getElementById(id).select();
document.getElementById(id).focus();
return false;
}
return true;
}
/***************************************************
Check Agency and Company Name for special characters and blanks
***************************************************/
function check_agency_name(id){
var regex = /^[a-zA-Z0-9-'#, .\b]+$/;
str = document.getElementById(id).value;
str = str.trim();
document.getElementById(id).value = str;
if (str.length > 0) {
if (str.match(regex) == null || str.match("ftp") || str.match(".jpg") || str.match(".png") || str.match(".gif") || str.match("file:") || str.match("http") ) {
alert("Yuav tsum tau teb, thov koj ntaus ib tug siv tau lub koom haum lub npe.");
document.getElementById(id).select();
document.getElementById(id).focus();
return false;
}
}
else
{
alert("Yuav tsum tau teb, thov koj ntaus ib tug siv tau lub koom haum lub npe.");
document.getElementById(id).select();
document.getElementById(id).focus();
return false;
}
return true;
}
/***************************************************
MISC -
***************************************************/
function validateForm(id) {
document.getElementById("myform").Instructions.value = "NoShow";
document.myform.submit();
}
function clear_form() {
document.myform.reset();
return false;
}
function instructions() {
document.myform2.submit();
return false;
}
/***************************************************
UT8 Check
***************************************************/
function isEmail(email) {
return /^((([a-z]|\d|[!#\$%&'\*\+\-\/=\?\^_`{\|}~]|[\u00A0-\uD7FF\uF900-\uFDCF\uFDF0-\uFFEF])+(\.([a-z]|\d|[!#\$%&'\*\+\-\/=\?\^_`{\|}~]|[\u00A0-\uD7FF\uF900-\uFDCF\uFDF0-\uFFEF])+)*)|((\x22)((((\x20|\x09)*(\x0d\x0a))?(\x20|\x09)+)?(([\x01-\x08\x0b\x0c\x0e-\x1f\x7f]|\x21|[\x23-\x5b]|[\x5d-\x7e]|[\u00A0-\uD7FF\uF900-\uFDCF\uFDF0-\uFFEF])|(\\([\x01-\x09\x0b\x0c\x0d-\x7f]|[\u00A0-\uD7FF\uF900-\uFDCF\uFDF0-\uFFEF]))))*(((\x20|\x09)*(\x0d\x0a))?(\x20|\x09)+)?(\x22)))@((([a-z]|\d|[\u00A0-\uD7FF\uF900-\uFDCF\uFDF0-\uFFEF])|(([a-z]|\d|[\u00A0-\uD7FF\uF900-\uFDCF\uFDF0-\uFFEF])([a-z]|\d|-|\.|_|~|[\u00A0-\uD7FF\uF900-\uFDCF\uFDF0-\uFFEF])*([a-z]|\d|[\u00A0-\uD7FF\uF900-\uFDCF\uFDF0-\uFFEF])))\.)+(([a-z]|[\u00A0-\uD7FF\uF900-\uFDCF\uFDF0-\uFFEF])|(([a-z]|[\u00A0-\uD7FF\uF900-\uFDCF\uFDF0-\uFFEF])([a-z]|\d|-|\.|_|~|[\u00A0-\uD7FF\uF900-\uFDCF\uFDF0-\uFFEF])*([a-z]|[\u00A0-\uD7FF\uF900-\uFDCF\uFDF0-\uFFEF])))$/i.test(email);
}
/***************************************************
GO BACK
***************************************************/
function goBack() {
window.history.back();
}
/***************************************************
Treatedc - Switches buttons on and off
***************************************************/
function change_button_value(id) {
str = id;
//alert("Element: --->" + str);
if (str.match("Treated5")) {
//document.getElementById("Treated5").value ="1";
//document.getElementById("Treated6").value ="0";
//document.getElementById("Treated5").checked = true;
//document.getElementById("Treated6").checked = false;
if (document.getElementById("Treated5").checked == true) {
//alert("False");
document.getElementById("Treated5").checked = true;
}
else
{
//alert("True");
document.getElementById("Treated5").checked = false;
}
}
if (str.match("Treated6")) {
//document.getElementById("Treated6").value ="0";
//document.getElementById("Treated5").value ="1";
//document.getElementById("Treated6").checked = true;
//document.getElementById("Treated5").checked = false;
if (document.getElementById("Treated6").checked == true) {
document.getElementById("Treated6").checked = true;
}
else
{
document.getElementById("Treated6").checked = false;
}
}
if (str.match("Attorney5_You")) {
//document.getElementById("Attorney5_You").value ="1";
//document.getElementById("Attorney6_You").value ="0";
//document.getElementById("Attorney5_You").checked = true;
//document.getElementById("Attorney6_You").checked = false;
if (document.getElementById("Attorney5_You").checked == true) {
document.getElementById("Attorney5_You").checked = true;
}
else
{
document.getElementById("Attorney5_You").checked = false;
}
}
if (str.match("Attorney6_You")) {
//document.getElementById("Attorney6_You").value ="2";
//document.getElementById("Attorney5_You").value ="0";
//document.getElementById("Attorney6_You").checked = true;
//document.getElementById("Attorney5_You").checked = false;
if (document.getElementById("Attorney6_You").checked == true) {
document.getElementById("Attorney6_You").checked = true;
}
else
{
document.getElementById("Attorney6_You").checked = false;
}
}
if (str.match("Home1")) {
if (document.getElementById("Home1").checked == true) {
//alert("False");
document.getElementById("Home1").checked = true;
}
else
{
//alert("True");
document.getElementById("Home1").checked = false;
}
}
if (str.match("Work1")) {
if (document.getElementById("Work1").checked == true) {
//alert("False");
document.getElementById("Work1").checked = true;
}
else
{
//alert("True");
document.getElementById("Work1").checked = false;
}
}
if (str.match("Cell1")) {
if (document.getElementById("Cell1").checked == true) {
//alert("False");
document.getElementById("Cell1").checked = true;
}
else
{
//alert("True");
document.getElementById("Cell1").checked = false;
}
}
if (str.match("Home2")) {
if (document.getElementById("Home2").checked == true) {
//alert("False");
document.getElementById("Home2").checked = true;
}
else
{
//alert("True");
document.getElementById("Home2").checked = false;
}
}
if (str.match("Work2")) {
if (document.getElementById("Work2").checked == true) {
//alert("False");
document.getElementById("Work2").checked = true;
}
else
{
//alert("True");
document.getElementById("Work2").checked = false;
}
}
if (str.match("Cell2")) {
if (document.getElementById("Cell2").checked == true) {
//alert("False");
document.getElementById("Cell2").checked = true;
}
else
{
//alert("True");
document.getElementById("Cell2").checked = false;
}
}
if (str.match("Allegations_Yes")) {
if (document.getElementById("Allegations_Yes").checked == true) {
//alert("yes - False");
document.getElementById("Allegations_Yes").checked = true;
document.getElementById("Allegations_No").checked = false;
}
else
{
//alert("yes - True");
document.getElementById("Allegations_Yes").checked = false;
//document.getElementById("Allegations_No").checked = false;
}
}
if (str.match("Allegations_No")) {
//alert("All no");
if (document.getElementById("Allegations_No").checked == true) {
alert("no - False");
document.getElementById("Allegations_No").checked = true;
document.getElementById("Allegations_Yes").checked = false;
}
else
{
alert(" no - True");
document.getElementById("Allegations_No").checked = false;
//document.getElementById("Allegations_Yes").checked = false;
}
}
}
/***************************************************
Message some buttons before input.
***************************************************/
function message_for_button(id) {
str = id;
if (str.match("Allegations_Yes")) {
alert("Please enter the agency name, agency point of contact, and agency telephone number.");
}
}
/***************************************************
on_off - Switches buttons on and off
***************************************************/
function button_on_off(id) {
str = id;
document.getElementById(id).select();
document.getElementById(id).focus();
/*alert("Element: --->" + str);*/
if (document.getElementById(id).value == 1) {
document.getElementById(id).value = 0;
document.getElementById(id).checked = false;
}
else
{
document.getElementById(id).value = 1;
document.getElementById(id).checked = true;
}
}
/***************************************************
on_or_off - Switches buttons on or off
***************************************************/
function test(event,id,id2) {
//var key;
var key = event.which || event.keyCode;
alert("Keypressed = " + key);
return true;
}
/***************************************************
on_or_off - Switches buttons on or off
***************************************************/
function button_on_or_off(event,id,id2) {
//var key;
var key = event.which || event.keyCode;
//alert("Keypressed = " + key);
//alert("ID = " + document.getElementById(id).checked);
// Opera 8.0+ (UA detection to detect Blink/v8-powered Opera)
isOpera = !!window.opera || navigator.userAgent.indexOf(' OPR/') >= 0;
// Firefox 1.0+
isFirefox = typeof InstallTrigger !== 'undefined';
// Safari 3.0+
isSafari = /constructor/i.test(window.HTMLElement) || (function (p) { return p.toString() === "[object SafariRemoteNotification]"; })(!window['safari'] || safari.pushNotification);
// Internet Explorer 6-11
isIE = /*@cc_on!@*/false || !!document.documentMode;
// Edge 20+
//isEdge = !isIE && !!window.StyleMedia;
// Chrome 1+
isChrome = !!window.chrome && !!window.chrome.webstore;
// Blink engine detection
//isBlink = (isChrome || isOpera) && !!window.CSS;
//alert("IsOpera :" + isOpera);
//alert("isFirefox :" + isFirefox);
//alert("isSafari :" + isSafari);
//alert("isIE :" + isIE);
//alert("isChrome :" + isChrome);
document.getElementById(id).select();
document.getElementById(id).focus();
//alert("Keypressed = " + key);
if (key == 32) {
if (isIE) {
if (document.getElementById(id).checked == "" || document.getElementById(id).checked == false) {
//alert(" ie ID = false");
document.getElementById(id2).checked = false;
document.getElementById(id).checked = true;
//if (document.getElementById(id2).checked == true) {
// document.getElementById(id2).checked = false;
//}
}
else
{
//alert(" ie ID = True");
document.getElementById(id).checked = false;
}
return true;
}
if (isSafari) {
if (document.getElementById(id).checked == "" || document.getElementById(id).checked == false) {
// alert("safa ID = false");
document.getElementById(id).checked = false;
}
else
{
document.getElementById(id2).checked = false;
// alert(" safa ID = True");
document.getElementById(id).checked = true;
if (document.getElementById(id2).checked == true) {
document.getElementById(id2).checked = false;
}
}
return true;
}
if (isChrome) {
//alert("o chr ID");
if (document.getElementById(id).checked == "" || document.getElementById(id).checked == false) {
// alert("chr ID = false");
document.getElementById(id).checked = false;
}
else
{
//if (document.getElementById(id2).checked == true) {
document.getElementById(id2).checked = false;
//}
// alert("chr ID = True");
document.getElementById(id).checked = true;
}
return true;
}
}
else
{
if (isChrome) {
//alert("chr ID = false");
if (document.getElementById(id).checked == "" || document.getElementById(id).checked == false) {
// alert("chr ID = false");
document.getElementById(id).checked = false;
}
else
{
//if (document.getElementById(id2).checked == true) {
document.getElementById(id2).checked = false;
//}
// alert("chr ID = True");
document.getElementById(id).checked = true;
}
return true;
}
if (isFirefox) {
if (document.getElementById(id).checked == "" || document.getElementById(id).checked == false) {
//alert("fire ID = false");
document.getElementById(id).checked = false;
}
else
{
document.getElementById(id2).checked = false;
//alert(" fire ID = True");
document.getElementById(id).checked = true;
if (document.getElementById(id2).checked == true) {
document.getElementById(id2).checked = false;
}
}
return true;
}
}
return true;
} //End of Function
/***************************************************
on_or_off 2 just the event and the id - Switches buttons on or off
***************************************************/
function button_on_or_off2(event,id) {
//var key;
var key = event.which || event.keyCode;
//alert("Keypressed = " + key);
//alert("ID = " + document.getElementById(id).checked);
// Opera 8.0+ (UA detection to detect Blink/v8-powered Opera)
isOpera = !!window.opera || navigator.userAgent.indexOf(' OPR/') >= 0;
// Firefox 1.0+
isFirefox = typeof InstallTrigger !== 'undefined';
// Safari 3.0+
isSafari = /constructor/i.test(window.HTMLElement) || (function (p) { return p.toString() === "[object SafariRemoteNotification]"; })(!window['safari'] || safari.pushNotification);
// Internet Explorer 6-11
isIE = /*@cc_on!@*/false || !!document.documentMode;
// Edge 20+
//isEdge = !isIE && !!window.StyleMedia;
// Chrome 1+
isChrome = !!window.chrome && !!window.chrome.webstore;
// Blink engine detection
//isBlink = (isChrome || isOpera) && !!window.CSS;
//alert("IsOpera :" + isOpera);
//alert("isFirefox :" + isFirefox);
//alert("isSafari :" + isSafari);
//alert("isIE :" + isIE);
//alert("isChrome :" + isChrome);
//alert("Keypressed = " + key);
document.getElementById(id).select();
document.getElementById(id).focus();
if (key == 32) {
if (isIE) {
if (document.getElementById(id).checked == "" || document.getElementById(id).checked == false) {
//alert(" ie ID = false");
document.getElementById(id).checked = true;
}
else
{
//alert(" ie ID = True");
document.getElementById(id).checked = false;
}
return true;
}
if (isSafari) {
if (document.getElementById(id).checked == "" || document.getElementById(id).checked == false) {
// alert("safa ID = false");
document.getElementById(id).checked = false;
}
else
{
// alert(" safa ID = True");
document.getElementById(id).checked = true;
}
return true;
}
if (isChrome) {
//alert("o chr ID");
if (document.getElementById(id).checked == "" || document.getElementById(id).checked == false) {
// alert("chr ID = false");
document.getElementById(id).checked = false;
}
else
{
// alert("chr ID = True");
document.getElementById(id).checked = true;
}
return true;
}
}
else
{
if (isChrome) {
//alert("chr ID = false");
if (document.getElementById(id).checked == "" || document.getElementById(id).checked == false) {
// alert("chr ID = false");
document.getElementById(id).checked = false;
}
else
{
// alert("chr ID = True");
document.getElementById(id).checked = true;
}
return true;
}
if (isFirefox) {
if (document.getElementById(id).checked == "" || document.getElementById(id).checked == false) {
//alert("fire ID = false");
document.getElementById(id).checked = false;
}
else
{
//alert(" fire ID = True");
document.getElementById(id).checked = true;
}
return true;
}
}
return true;
} //End of Function
/***************************************************
on_or_off - Switches buttons on or off
***************************************************/
function mouse_on_or_off(id,id2) {
document.getElementById(id).select();
document.getElementById(id).focus();
if (document.getElementById(id).checked == "" || document.getElementById(id).checked == false) {
//document.getElementById(id).focus();
//document.getElementById(id).select();
document.getElementById(id).checked = false;
}
else
{
//document.getElementById(id).focus();
//document.getElementById(id).select();
document.getElementById(id).checked = true;
if (document.getElementById(id2).checked == true) {
// document.getElementById(id2).select();
document.getElementById(id2).checked = false;
}
}
} //End of Function
/***************************************************
BUILDHTML
***************************************************/
function buildhtml(text) {
str_html = str_html + text + "\n"
return true;
}
/***************************************************
PADDING
***************************************************/
function padd(text,len) {
fill = " ";
text = text + fill;
//text = "<u><pre>" + text.substring(text, len) + "</pre></u>";
//text = "<u>" + text.substring(text, len) + "</u>";
//text = text.substring(text, len);
text = '<input size=' + len + ' width=auto type=text value="' + text + '">';
return text;
}
/***************************************************
PRINT FORM
***************************************************/
function print_form() {
//alert("print");
//document.getElementById("myform").Instructions.value = "MyPrint";
//alert(document.getElementById("myform").Instructions.value);
//document.getElementById("log").innerHTML="<h1>some thing you want</h1>";
//document.myform.submit();
F_Fullname1 = document.getElementById("Fullname1").value;
F_Address1 = document.getElementById("Address1").value;
F_City1 = document.getElementById("City1").value;
F_State1 = document.getElementById("state1").value;
F_Zipcode1 = document.getElementById("Zipcode1").value;
F_Telephone1 = document.getElementById("Telephone1").value;
F_Home1 = "";
if (document.getElementById("Home1").checked) { F_Home1 = "checked";}
F_Work1 = "";
if (document.getElementById("Work1").checked) { F_Work1 = "checked";}
F_Cell1 = "";
if (document.getElementById("Cell1").checked) { F_Cell1 = "checked";}
F_Email1 = document.getElementById("Email1").value;
F_Allegations_Yes = "";
if (document.getElementById("Allegations_Yes").checked) {F_Allegations_Yes = "checked";}
F_Allegations_No = "";
if (document.getElementById("Allegations_No").checked) {F_Allegations_No = "checked";}
F_Agency_Name1 = document.getElementById("Agency_Name1").value;
F_Agency_POC1 = document.getElementById("Agency_POC1").value;
F_Agency_Telephone1 = document.getElementById("Agency_Telephone1").value;
F_Fullname2 = document.getElementById("Fullname2").value;
F_Address2 = document.getElementById("Address2").value;
F_City2 = document.getElementById("City2").value;
F_State2 = document.getElementById("state2").value;
F_Zipcode2 = document.getElementById("Zipcode2").value;
F_Telephone2 = document.getElementById("Telephone2").value;
F_Home2 = "";
if (document.getElementById("Home2").checked) { F_Home2 = "checked";}
F_Work2 = "";
if (document.getElementById("Work2").checked) { F_Work2 = "checked";}
F_Cell2 = "";
if (document.getElementById("Cell2").checked) { F_Cell2 = "checked";}
F_Email2 = document.getElementById("Email2").value;
F_Fullname3 = document.getElementById("Fullname3").value;
F_Address3 = document.getElementById("Address3").value;
F_City3 = document.getElementById("City3").value;
F_State3 = document.getElementById("state3").value;
F_Zipcode3 = document.getElementById("Zipcode3").value;
F_Telephone3 = document.getElementById("Telephone3").value;
F_Narrative5 = document.getElementById("Narrative5").value;
F_Race40 = "";
if (document.getElementById("Race40").checked) {F_Race40 = "checked";}
F_Race41 = "";
if (document.getElementById("Race41").checked) {F_Race41 = "checked";}
F_Race42 = "";
if (document.getElementById("Race42").checked) {F_Race42 = "checked";}
F_Race43 = "";
if (document.getElementById("Race43").checked) {F_Race43 = "checked";}
F_Race44 = "";
if (document.getElementById("Race44").checked) {F_Race44 = "checked";}
F_Race45 = "";
if (document.getElementById("Race45").checked) {F_Race45 = "checked";}
F_National_Origin41 = "";
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buildhtml(" alt='United States Department of Labor'");
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buildhtml(" alt='Office of Federal Contract Compliance Programs'");
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buildhtml("<h1>");
buildhtml("Kev Tsis Txaus Siab Txuam Kev Ntxub Ntxaug Fab Hauj Lwm ntawm Lub Lag Luam Cog Lus los yog Ceg Lag Luam Cog Lus Nrog Tsoom Fwv");
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buildhtml("OMB: 1250-0002<br>");
buildhtml("Hnub Tas Sij Hawm: 5/31/2020");
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buildhtml("<b>Thov piav rau nram no txog yam koj xav tias lub chaw hauj lwm tau ua los yog tau tsis ua uas koj ntseeg tias tsim muaj txoj kev ntxub ntxaug los yog kev tawm tsam, nrog rau:</b>");
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buildhtml("<li>Cov yam ntxwv ua lub chaw hauj lwm tau coj rau koj.</li>");
buildhtml("<li>Vim li cas koj thiaj ntseeg tias cov yam ntxwv ntawd yog tim koj: haiv neeg; xim nqaij daim tawv; kev ntseeg; zeej xeeb; kev yeem sib deev; poj niam los txiv neej; yug txawv teb chaws, kev tsis taus, qib qub tub rog; thiab/los yog cov lus nug txog, cov lus sib tham, los yog cov kev qhia tawm qhov nyiaj them koj los yog them lwm cov; thiab/los yog muaj kev tawm tsam vim ua tsab ntawv tsis txaus siab, koom nrog cov txheej txheem lis kev ntxub ntxaug, txwv txiav tsis kheev muaj kev ntxub ntxaug txhaum cai, los yog ua raws li lwm cov cai uas tiv thaiv los ntawm OFCCP.</li>");
buildhtml("<li>Thaum twg, qhov twg thiab leej twg ntxuam nrog cov yam ntxwv tshwm sim hauv lub hauj lwm.</li>");
buildhtml("<li>Yog tias muaj, tsim muaj cov kev mob li cas raug koj los yog raug lwm cov neeg vim los ntawm txoj kev ntxub ntxaug los yog kev tawm tsam.</li>");
buildhtml("<li>Yog tias muaj, koj lub hauj lwm los yog cov neeg sawv cev nres koj lub hauj lwm puas tau muab cov lus piav qhia dab tsi li cas txog lawv cov yam ntxwv coj.</li>");
buildhtml("<li>Leej twg raug tib yam los yog teeb meem zoo xws li koj raug thiab coj li cas rau lawv.Qhia cov ncauj lus xws li haiv neeg, xim nqaij daim tawv, kev ntseeg, zej xeeb, kev yeem sib deev, poj niam los yog txiv neej, yog txawv teb chaws, kev tsis taus, qib tiv thaiv rau cov ib neeg no, yog tias paub.</li>");
buildhtml("<li>Koj muaj cov ncauj lus twg txog tsoom fwv cov kev cog ua lag luam nrog lub lag luam uas koj ua hauj lwm rau thaum lub sij hawm muaj qhov kev ntxub ntxaug los yog kev tawm tsam uas koj piav hauv tsab ntawv teev kev tsis txaus siab no.</li>");
buildhtml("</ol>");
buildhtml("<p>");
buildhtml(F_Narrative6);
buildhtml("</p>");
buildhtml("</th>");
buildhtml("</tr>");
buildhtml("<!------------------------");
buildhtml("SECTION 7");
buildhtml("------------------------->");
buildhtml("<tr>");
buildhtml("<td>");
buildhtml("<h2><b>");
buildhtml("Koj puas xav tias txoj kev ntxub ntxaug puas txog los yog muaj feem xyuam lwm cov neeg?");
buildhtml("</b></h2>");
buildhtml("</td>");
buildhtml("<td>");
buildhtml("<table width='100%' border='0' cellspacing='0' cellpadding='5'>");
buildhtml("<tr><td>");
buildhtml("Koj puas ntseeg tias lwm cov neeg ua hauj lwm los yog neeg ua ntawv thov hauj lwm raug tib cov kev raws li koj piav saum no?");
buildhtml("<br>");
buildhtml("<input name=F_Treated5 type='checkbox' " + F_Treated5 + " ><label>Ntseeg</label>");
buildhtml("<input name=F_Treated6 type='checkbox' " + F_Treated6 + " ><label>Tsis Ntseeg</label>");
buildhtml("</td></tr>");
buildhtml("</table>");
buildhtml("</td>");
buildhtml("</tr>");
buildhtml("<!------------------------");
buildhtml("SECTION 8");
buildhtml("------------------------->");
buildhtml("<tr>");
buildhtml("<td>");
buildhtml("<h2><b>");
buildhtml("Koj puas muaj tus kws lij choj los yog lwm tus neeg sawv nres koj?");
buildhtml("</b></h2>");
buildhtml("</td>");
buildhtml("<td>");
buildhtml("<table width='100%' border='0' cellspacing='0' cellpadding='5'>");
buildhtml("<tr><td>");
buildhtml("og koj muaj tus kws lij choj los yog lwm tus neeg los yog ib lub koom haum sawv cev nres koj, thov qhia kev hu cuag tau lawv rau nram no.");
buildhtml("<br><br>");
buildhtml("Npe (Npe, Npe Nruab Nrab, Xeem): " + padd(F_Fullname21,40) + "<br>");
buildhtml("Chaw Nyob: " + padd(F_Address21,50) + "<br>");
buildhtml("Zos: " + padd(F_City21,50) + "<br>");
buildhtml("Xeev:: " + padd(F_State21,3) + " Zauv Cim Cheeb Tsam: " + padd(F_Zipcode21,10) + "<br>");
buildhtml("Xov Tooj: " + padd(F_Telephone21,15) + "<br>");
buildhtml("Chaw xa ntawv E-mail: " + padd(F_Email21,50) + "<br>");
buildhtml("<br>");
buildhtml("Peb hu cuag tau leej twg yog peb xav paub ntxiv txog cov lus koj piav yam tau tshwm sim ntawd?");
buildhtml("<br>");
buildhtml("<input name=F_Attorney5_You type='checkbox' " + F_Attorney5_You + " ><label>Koj</label>");
buildhtml("<input name=F_Attorney6_You type='checkbox' " + F_Attorney6_You + " ><label>Tus Neeg Sawv Nres Koj</label>");
buildhtml("</td></tr>");
buildhtml("</table>");
buildhtml("</td>");
buildhtml("</tr>");
buildhtml("<!------------------------");
buildhtml("SECTION 9");
buildhtml("------------------------->");
buildhtml("<tr>");
buildhtml("<td>");
buildhtml("<h2><b>");
buildhtml("Kos Npe thiab Kev Txheeb Meej");
buildhtml("</b></h2>");
buildhtml("</td>");
buildhtml("<td>");
buildhtml("<table width='100%' border='0' cellspacing='0' cellpadding='5'>");
buildhtml("<tr><td>");
buildhtml("Kuv qhia raws txoj cai tias cov ncauj lus sau saum no muaj tseeb thiab yog raws li kuv muaj peev xwm paub los yog ntseeg tau.Nqe lus dag yuav raug txim raws txoj cai.");
buildhtml("<br><br>");
buildhtml("Ntawm no kuv tso cai kev qhia tawm txhua yam ntaub ntawv teev kab mob kev nkeg uas yuav tsum tau muaj rau txoj kev tshawb fawb no.");
buildhtml("</td></tr>");
buildhtml("<tr><td>");
buildhtml("Neeg Tsis Txaus Siab Kos Npe: " + padd(F_Print_Signature,25));
buildhtml(" Hnub tim: " + padd(F_Print_Signature_Date,15));
buildhtml("</td></tr>");
buildhtml("</table>");
buildhtml("</td>");
buildhtml("</tr>");
buildhtml("</table>");
buildhtml("<table align=center width=780px border=0 cellspacing=0 cellpadding=0>");
buildhtml("<tr>");
buildhtml("<th colspan=2 width='100%' style='text-align:right;'>");
buildhtml("<br>");
buildhtml("Tsab Ntawv CC-4 (kho tshia 5/2017)");
buildhtml("<br>");
buildhtml("</th>");
buildhtml("</tr>");
buildhtml("</table>");
buildhtml("</table>");
buildhtml("</body>");
buildhtml("</html>");
childWindow = window.open('','childWindow','location=yes, menubar=yes, toolbar=yes');
childWindow.document.open();
childWindow.document.write(str_html);
childWindow.document.close();
childWindow.print();
childWindow.close();
str_html = "";
return true;
}