KGRKJGETMRETU895U-589TY5MIGM5JGB5SDFESFREWTGR54TY
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Current File : /domains/conceptlabs1/viateq/demo/english.txt
'----------------------------------------
'  PREPARE ENGLISH
'----------------------------------------
function prepare_email_English()
str_html = ""
html_txt = ""

htmlsubject 	= EMAIL_TITLE_SUBJECT
htmltitle 	= HTML_TITLE_SUBJECT

buildhtml("<!DOCTYPE html>")
buildhtml("<html lang='en'>")
buildhtml("<head>")
buildhtml("<title> OFCCP Complaint Form </title>")
buildhtml("<meta http-equiv='Content-type' content='text/html;charset=UTF-8'>")
buildhtml("<meta http-equiv='Content-Style-Type' content='text/css'>")
buildhtml("<meta name='generator' content=''>")
buildhtml("<meta name='viewport' content='width=device-width, initial-scale=1'>")
buildhtml("<style>")
buildhtml("body, a, h1, h2, h3, h4, ul, ol, li, p, label, td, th, u { font-family: Tahoma, Arial, verdana, sans-serif;}")
buildhtml("body, a, h1, h2, h3, h4, ul, ol, li, p, label, td, th, u { color:black; font-weight:normal; line-height:115%;}")

buildhtml("h1 { text-align:right;}")
buildhtml("h2 { text-align:left;}")
buildhtml("h3 { text-align:left;}")
buildhtml("h4 { text-align:right;}")
buildhtml("td { text-align:left;}")
buildhtml("th { text-align:left;}")
buildhtml("ol { text-align:left;}")
buildhtml("li { text-align:left;}")
buildhtml("u  { text-align:right;}")

buildhtml("a  { font-size: 11.5px;}")
buildhtml("h1 { font-size: 18px;}")
buildhtml("h2 { font-size: 13px;}")
buildhtml("h3 { font-size: 11.5px;}")
buildhtml("h4 { font-size: 11px;}")
buildhtml("td { font-size: 11.5px;}")
buildhtml("th { font-size: 11.5px;}")
buildhtml("ol { font-size: 11.5px;}")
buildhtml("li { font-size: 11.5px;}")
buildhtml("u  { font-size: 11.5px;}")
buildhtml("p  { font-size: 11.5px;}")

buildhtml(".tab1  { margin-left: 10px;}")

buildhtml("h1, h2, h3, h4 {margin:0; padding:0;}")
buildhtml("button {margin:0;}")
buildhtml("td { vertical-align: top; text-align:left;}")
buildhtml("th { vertical-align: top; text-align:left;}")

buildhtml("h4 {margin-top:7px;}")

buildhtml(".check_choice {")
buildhtml("display:inline-block;")
buildhtml("padding-left:2px;")
buildhtml("padding-right:2px;")
buildhtml("}")

buildhtml(".check_box {")
buildhtml("width:12px;") 
buildhtml("height:12px; ")
buildhtml("display:inline-block;")
buildhtml("text-align:center;")
buildhtml("vertical-align:bottom;")
buildhtml("border:1px solid black;")
buildhtml("margin-right:2px;")
buildhtml("} ")
buildhtml(".check_mark {")
buildhtml("font-size: 9px;")
buildhtml("}")
buildhtml("</style>")
buildhtml("</head>")

buildhtml("<body>")
buildhtml("<table bgcolor='white' width='780' border=0 cellspacing='0' cellpadding='0' align='center' cols=2>")
buildhtml("<!------------------------")
buildhtml("FORM TITLE")
buildhtml("------------------------->")
buildhtml("<tr>")
buildhtml("<td>")
buildhtml("<a style='float: left;' href='https://www.dol.gov'>")
buildhtml("<img src='https://raw.githubusercontent.com/GSA/logo/master/labor.png'")
buildhtml(" align='top' width='45' border='0'")
buildhtml(" alt='United States Department of Labor'")
buildhtml(" title='United States Department of Labor'>")
buildhtml("</a>")
buildhtml("<a style='float: left;' href='https://www.dol.gov/ofccp/aboutof.html'>")
buildhtml("<img src='https://www.dol.gov/sites/default/files/slide47.jpg'")
buildhtml(" align='top' width='155' border='0'")
buildhtml(" alt='Office of Federal Contract Compliance Programs'")
buildhtml(" title='Office of Federal Contract Compliance Programs'>")
buildhtml("</a>")
buildhtml("</td>")
buildhtml("<td>")
buildhtml("<h1>")
buildhtml("Complaint Involving Employment Discrimination by a<br>Federal Contractor or Subcontractor")
buildhtml("</h1>")
buildhtml("</td>")
buildhtml("</tr>")
buildhtml("<tr>")
buildhtml("<td>")
buildhtml("</td>")
buildhtml("<td>")
buildhtml("<h4>")
buildhtml("<u>Please read the instructions before completing this form. </u>")
buildhtml("</h4>")
buildhtml("</td>")
buildhtml("</tr>")
buildhtml("<tr>")
buildhtml("<td>")
buildhtml("<h4 style='text-align:left; margin-top:10px;'>")
buildhtml("OMB: 1250-0002<br>")
buildhtml("Expires: 5/31/2020")
buildhtml("</h4>")
buildhtml("</td>")
buildhtml("<td>")
buildhtml("<h4>")
buildhtml("<button style='margin-right: 15px; margin-top: 5px;' readonly> Reset Form </button>")
buildhtml("<button style='margin-right: 15px; margin-top: 5px;' readonly> Print Form </button>")
buildhtml("<button style='margin-right: 0px; margin-top: 5px;' readonly> Submit </button>")
buildhtml("</h4>")
buildhtml("</td>")
buildhtml("</tr>")
buildhtml("</table>")

buildhtml("<br>") 
   
buildhtml("<table bgcolor='white' width='780' border='1' cellspacing='0' cellpadding='5' align='center' style='border-collapse:collapse'>")
     
buildhtml("<!------------------------")    
buildhtml("SECTION 1")    
buildhtml("------------------------->")
buildhtml("<tr>")
buildhtml("<td width='170' valign='top' align=left>")
buildhtml("<h2><b>")
buildhtml("How can we<br> reach you?")
buildhtml("</b></h2>")
buildhtml("</td>")
buildhtml("<td width='610' >")
buildhtml("<table width='100%' border='0' cellspacing='0' cellpadding='5'>")
     
buildhtml("<tr><td>")
buildhtml("Name (First, Middle, Last):  " & padd(F_Fullname1,45) & "<br><br>")
buildhtml("Street Address:  " & padd(F_Address1,50) & "<br><br>")
buildhtml("City:  " & padd(F_City1,50) & "<br><br>")
buildhtml("State:  " & padd(F_State1,3) & " Zip Code: " & padd(F_Zipcode1,10) & "<br><br>")
buildhtml("Telephone Number:  " & padd(F_Telephone1,15) & "<br><br>")

'----------------------------
' Telephone Number 
'----------------------------
choice_title1 	= "Home"
choice_title2 	= "Work"
choice_title3 	= "Cell"

checkmark_off	= "<div class='check_box'></div><div class='check_choice'>"
checkmark_on	= "<div class='check_box'><div class='check_mark'><b>&#10003;</b></div></div><div class='check_choice'>"

choice1		= checkmark_off & choice_title1 & "</div>"
choice2		= checkmark_off & choice_title2 & "</div>"
choice3		= checkmark_off & choice_title3 & "</div>"

if (InStr(F_Telephone_type1, "1") > 0) then choice1 = checkmark_on & choice_title1 & "</div>" 
if (InStr(F_Telephone_type1, "2") > 0) then choice2 = checkmark_on & choice_title2 & "</div>" 
if (InStr(F_Telephone_type1, "3") > 0) then choice3 = checkmark_on & choice_title3 & "</div>" 

buildhtml(choice1)
buildhtml(choice2)
buildhtml(choice3)

buildhtml("<br><br>")
      
buildhtml("E-mail: "& padd(F_Email1,50) & "<br><br>") 
    
buildhtml("<h3>")
buildhtml("Have you filed these allegations of employment discrimination with another federal or local agency?")

buildhtml("</h3>")     
     
'----------------------------
' Allegations 
'----------------------------
choice_title1 	= "Yes"
choice_title2 	= "No"

checkmark_off	= "<div class='check_box'></div><div class='check_choice'>"
checkmark_on	= "<div class='check_box'><div class='check_mark'><b>&#10003;</b></div></div><div class='check_choice'>"

choice1		= checkmark_off & choice_title1 & "</div>"
choice2		= checkmark_off & choice_title2 & "</div>"

if (InStr(F_Allegations1, "1") > 0) then choice1 = checkmark_on & choice_title1 & "</div>" 
if (InStr(F_Allegations1, "2") > 0) then choice2 = checkmark_on & choice_title2 & "</div>" 

buildhtml("<br>")
buildhtml(choice1)
buildhtml(choice2)

     
buildhtml("<br><br>")

buildhtml("<h3>")     
buildhtml("If yes, which agency? "& "<br>")
buildhtml("</h3>")     

buildhtml("Agency Name:  " & padd(F_Agency_Name1,40) & "<br><br>")
buildhtml("Contact Name:  " & padd(F_Agency_POC1,30) & " Phone Number: " & padd(F_Agency_Telephone1,13) & "<br><br>")
     
buildhtml("</td></tr>")
     
buildhtml("</table>")
buildhtml("</td>")
buildhtml("</tr>")

buildhtml("<!------------------------")    
buildhtml("SECTION 2")    
buildhtml("------------------------->")
buildhtml("<tr>")

buildhtml("<td valign='top' align=left>")
buildhtml("<h2><b>")
buildhtml("Who can we<br> contact if we<br> cannot reach<br>you?")
buildhtml("</b></h2>")
buildhtml("</td>")

buildhtml("<td>")
     
buildhtml("<table width='100%' border='0' cellspacing='0' cellpadding='5'>")
buildhtml("<tr>")
buildhtml("<td>")
buildhtml("Name (First, Middle, Last):  " & padd(F_Fullname2,45) & "<br><br>")
buildhtml("Street Address:  " & padd(F_Address2,50) & "<br><br>")
buildhtml("City: " & padd(F_City2,50) & "<br><br>")
buildhtml("State:  " & padd(F_State2,3) & " Zip Code: "& padd(F_Zipcode2,10) & "<br><br>")
buildhtml("Telephone Number:  " & padd(F_Telephone2,15) & "<br><br>")
     
'----------------------------
' Telephone Number 
'----------------------------
choice_title1 	= "Home"
choice_title2 	= "Work"
choice_title3 	= "Cell"

checkmark_off	= "<div class='check_box'></div><div class='check_choice'>"
checkmark_on	= "<div class='check_box'><div class='check_mark'><b>&#10003;</b></div></div><div class='check_choice'>"

choice1		= checkmark_off & choice_title1 & "</div>"
choice2		= checkmark_off & choice_title2 & "</div>"
choice3		= checkmark_off & choice_title3 & "</div>"

if (InStr(F_Telephone_type2, "1") > 0) then choice1 = checkmark_on & choice_title1 & "</div>" 
if (InStr(F_Telephone_type2, "2") > 0) then choice2 = checkmark_on & choice_title2 & "</div>" 
if (InStr(F_Telephone_type2, "3") > 0) then choice3 = checkmark_on & choice_title3 & "</div>" 

buildhtml(choice1)
buildhtml(choice2)
buildhtml(choice3)

buildhtml("<br><br>")
     
buildhtml("E-mail:   " & padd(F_Email2,50) & "<br><br> ")
     
buildhtml("</td>")
buildhtml("</tr>")
buildhtml("</table>")

buildhtml("</td>")

buildhtml("</tr>")
      
buildhtml("<!------------------------")    
buildhtml("SECTION 3")    
buildhtml("------------------------->")
buildhtml("<tr>")

buildhtml("<td valign='top' align=left>")
buildhtml("<h2><b>")
buildhtml("What is the name<br> of the employer<br> that you believe<br> discriminated or<br> retaliated against<br> you?")
buildhtml("</b></h2>")
buildhtml("</td>")

buildhtml("<td>")

buildhtml("<table width='100%' border='0' cellspacing='0' cellpadding='5'>")
buildhtml("<tr>")
buildhtml("<td>")
buildhtml("Company Name:   " & padd(F_Fullname3,50) & "<br><br>")
buildhtml("Street Address:   " & padd(F_Address3,50) & "<br><br>")
buildhtml("City:   " & padd(F_City3,50) & "<br><br>")
buildhtml("State:   " & padd(F_State3,3) & " Zip Code: " & padd(F_Zipcode3,12) & "<br><br>")
buildhtml("Telephone Number:   " & padd(F_Telephone3,15) & "<br><br>")
     
buildhtml("<h3><b>")
buildhtml("Give the date(s) and times you believe you were discriminated against:")
buildhtml("</b></h3>")
     
F_Narrative5 = Replace(F_Narrative5, nlcr, "<br><br>")      
buildhtml(F_Narrative5)     
     
buildhtml("<br>")
buildhtml("</td>")
buildhtml("</tr>")
buildhtml("</table>")
buildhtml("</td>")
buildhtml("</tr>")  

         
buildhtml("<!------------------------")
buildhtml("SECTION 4")
buildhtml("------------------------->")
buildhtml("<tr>")
buildhtml("<td>")
buildhtml("<h2><b>")
buildhtml("Why do you<br>believe your<br>employer<br>discriminated or<br>retaliated against<br>you?")
buildhtml("</b></h2>")
buildhtml("</td>")

buildhtml("<td>")
buildhtml("<table width='100%' border='0' cellspacing='0' cellpadding='0' cols=4>")
     
buildhtml("<tr valign='top'>")
'---------------------     
' ROW 1 of 4       
'---------------------     
buildhtml("<td >")
buildhtml("<table width=150 border='0' cellspacing='0' cellpadding='4' cols=2 > ")
     
choice_title0 	= "Race"
choice_title1 	= "American Indian or Alaska<br>Native<br>Indicate Tribal Affiliation"
choice_title2 	= "Asian"
choice_title3 	= "Black or African American"
choice_title4 	= "Native Hawaiian or Other Pacific Islander"
choice_title5 	= "White"

checkmark_col1 	= "<tr><td valign='top' align='left'>"

checkmark_off	= "<div class='check_box'></div>"
checkmark_on	= "<div class='check_box'><div class='check_mark'><b>&#10003;</b></div></div>"

choice0		= checkmark_col1 & checkmark_off & "</td>"

checkmark_col1 	= "<tr><td valign='top' align='left' style='margin-left:25px;'>"
choice1		= checkmark_col1 & checkmark_off & "</td>"
choice2		= checkmark_col1 & checkmark_off & "</td>"
choice3		= checkmark_col1 & checkmark_off & "</td>"
choice4		= checkmark_col1 & checkmark_off & "</td>"
choice5		= checkmark_col1 & checkmark_off & "</td>"

if (F_Race40 = 1) then choice0 = checkmark_col1 & checkmark_on & "</td>"

checkmark_col1 	= "<tr><td valign='top' align='left' style='padding:5px;'>"
if (F_Race41 = 1) then choice1 = checkmark_col1 & checkmark_on & "</td>" 
if (F_Race42 = 1) then choice2 = checkmark_col1 & checkmark_on & "</td>"
if (F_Race43 = 1) then choice3 = checkmark_col1 & checkmark_on & "</td>"
if (F_Race44 = 1) then choice4 = checkmark_col1 & checkmark_on & "</td>"
if (F_Race45 = 1) then choice5 = checkmark_col1 & checkmark_on & "</td>"

checkmark_col2 	= "<td valign='middle' align='left' height=10>"

choice0		= choice0 & checkmark_col2 & choice_title0 & "</td></tr>"

'choice1	= choice1 & checkmark_col2 & choice_title1 & "</td></tr>"
choice2		= choice2 & checkmark_col2 & choice_title2 & "</td></tr>" 
choice3		= choice3 & checkmark_col2 & choice_title3 & "</td></tr>" 
choice4		= choice4 & checkmark_col2 & choice_title4 & "</td></tr>" 
choice5		= choice5 & checkmark_col2 & choice_title5 & "</td></tr>" 

buildhtml(choice0)
buildhtml(choice1)

buildhtml(checkmark_col2)
buildhtml(choice_title1)
buildhtml("<p style='display:block; width:60px; word-break:break-all;'>")
buildhtml("<u>")
buildhtml(F_Race4_Tribal_Affiliation4)
buildhtml("</u>")
buildhtml("</p>")
buildhtml("</td>")
buildhtml("</tr>")

buildhtml(choice2)
buildhtml(choice3)
buildhtml(choice4)
buildhtml(choice5)

buildhtml("</table>")
buildhtml(" </td>")

'---------------------     
' ROW 2 of 4     
'---------------------     
buildhtml("<td>")
buildhtml("<table width=130 border='0' cellspacing='0' cellpadding='4' cols=2>")
     
choice_title1 	= "National Origin"
choice_title2 	= "Hispanic or Latino"
choice_title3 	= "Other"
choice_title4 	= "Color"
choice_title5 	= "Religion"
choice_title6 	= "Sex"

checkmark_col1 	= "<tr><td valign='top' align='left'>"
checkmark_off	= "<div class='check_box'></div>"
checkmark_on	= "<div class='check_box'><div class='check_mark'><b>&#10003;</b></div></div>"

choice1		= checkmark_col1 & checkmark_off & "</td>"
choice2		= checkmark_col1 & checkmark_off & "</td>"
choice3		= checkmark_col1 & checkmark_off & "</td>"
choice4		= checkmark_col1 & checkmark_off & "</td>"
choice5		= checkmark_col1 & checkmark_off & "</td>"
choice6		= checkmark_col1 & checkmark_off & "</td>"

if (F_National_Origin41 = 1) then choice1 = checkmark_col1 & checkmark_on & "</td>"
if (F_National_Origin411 = 1) then choice2 = checkmark_col1 & checkmark_on & "</td>" 
if (F_National_Origin412 = 1) then choice3 = checkmark_col1 & checkmark_on & "</td>"
if (F_Color4 = 1) then choice4 = checkmark_col1 & checkmark_on & "</td>"
if (F_Religion4 = 1) then choice5 = checkmark_col1 & checkmark_on & "</td>"
if (F_Sex4 = 1) then choice6 = checkmark_col1 & checkmark_on & "</td>"

checkmark_col2 	= "<td valign='middle' align='left' height=10>"

choice1		= choice1 & checkmark_col2 & choice_title1 & "</td></tr>"
choice2		= choice2 & checkmark_col2 & choice_title2 & "</td></tr>"
choice3		= choice3 & checkmark_col2 & choice_title3 & "</td></tr>" 
choice4		= choice4 & checkmark_col2 & choice_title4 & "</td></tr>" 
choice5		= choice5 & checkmark_col2 & choice_title5 & "</td></tr>" 
choice6		= choice6 & checkmark_col2 & choice_title6 & "</td></tr>" 

buildhtml(choice1)
buildhtml(choice2)
buildhtml(choice3)
buildhtml(choice4)
buildhtml(choice5)
buildhtml(choice6)
     
buildhtml("</table>")
buildhtml("</td> ")     

'---------------------     
' ROW 3 of 4     
'---------------------     
buildhtml("<td> ")   
buildhtml("<table width=160 border='0' cellspacing='0' cellpadding='4' cols=2 >")
     
choice_title1 	= "Sexual Orientation"
choice_title2 	= "Gender Identity"
choice_title3 	= "Inquiring About Pay"
choice_title4 	= "Discussing Pay"
choice_title5 	= "Disclosing Pay"


checkmark_col1 	= "<tr><td valign='top' align='left'>"
checkmark_off	= "<div class='check_box'></div>"
checkmark_on	= "<div class='check_box'><div class='check_mark'><b>&#10003;</b></div></div>"

choice1		= checkmark_col1 & checkmark_off & "</td>"
choice2		= checkmark_col1 & checkmark_off & "</td>"
choice3		= checkmark_col1 & checkmark_off & "</td>"
choice4		= checkmark_col1 & checkmark_off & "</td>"
choice5		= checkmark_col1 & checkmark_off & "</td>"

if (F_Sexual_Orientation4 = 1) then choice1 = checkmark_col1 & checkmark_on & "</td>"
if (F_Gender_Identity4 = 1) then choice2 = checkmark_col1 & checkmark_on & "</td>" 
if (F_Inquiring_About_Pay4 = 1) then choice3 = checkmark_col1 & checkmark_on & "</td>"
if (F_Discussing_Pay4 = 1) then choice4 = checkmark_col1 & checkmark_on & "</td>"
if (F_Disclosing_Pay4 = 1) then choice5 = checkmark_col1 & checkmark_on & "</td>"

checkmark_col2 	= "<td valign='middle' align='left' height=10>"

choice1		= choice1 & checkmark_col2 & choice_title1 & "</td></tr>"
choice2		= choice2 & checkmark_col2 & choice_title2 & "</td></tr>"
choice3		= choice3 & checkmark_col2 & choice_title3 & "</td></tr>" 
choice4		= choice4 & checkmark_col2 & choice_title4 & "</td></tr>" 
choice5		= choice5 & checkmark_col2 & choice_title5 & "</td></tr>" 
choice6		= choice6 & checkmark_col2 & choice_title6 & "</td></tr>" 

buildhtml(choice1)
buildhtml(choice2)
buildhtml(choice3)
buildhtml(choice4)
buildhtml(choice5)
     
buildhtml("</table>")
 buildhtml("</td>")

 '---------------------    
 ' ROW 4 of 4    
 '---------------------    
buildhtml("<td> ")  
buildhtml("<table width=70 border='0' cellspacing='0' cellpadding='4' cols=2 > ") 

choice_title1 	= "Protected Veteran Status"
choice_title2 	= "Disability"
choice_title3 	= "Retaliation"

checkmark_col1 	= "<tr><td valign='top' align='left'>"
checkmark_off	= "<div class='check_box'></div>"
checkmark_on	= "<div class='check_box'><div class='check_mark'><b>&#10003;</b></div></div>"

choice1		= checkmark_col1 & checkmark_off & "</td>"
choice2		= checkmark_col1 & checkmark_off & "</td>"
choice3		= checkmark_col1 & checkmark_off & "</td>"

if (F_Protected_Veteran_Status4 = 1) then choice1 = checkmark_col1 & checkmark_on & "</td>"
if (F_Disability4 = 1) then choice2 = checkmark_col1 & checkmark_on & "</td>" 
if (F_Retaliation4 = 1) then choice3 = checkmark_col1 & checkmark_on & "</td>"

checkmark_col2 	= "<td valign='middle' align='left' height=10>"

choice1		= choice1 & checkmark_col2 & choice_title1 & "</td></tr>"
choice2		= choice2 & checkmark_col2 & choice_title2 & "</td></tr>"
choice3		= choice3 & checkmark_col2 & choice_title3 & "</td></tr>" 

buildhtml(choice1)
buildhtml(choice2)
buildhtml(choice3)
     
buildhtml("</table>")
buildhtml("</td>")
buildhtml("</tr>")
buildhtml("</table>")
    
buildhtml("</td>")
buildhtml("</tr>")
     
buildhtml("<!------------------------")    
buildhtml("SECTION 5")    
buildhtml("------------------------->")
buildhtml("<tr>")
buildhtml("<th width='100%' colspan=2 valign='left' align=left>")
     
buildhtml("<table bgcolor='white' width='100%' border='0' cellspacing='0' cellpadding='0' align='left'>")
buildhtml("<tr><td>")

buildhtml("<h2><b>")
buildhtml("How did you learn that you could file a complaint with OFCCP?")
buildhtml("</b></h2>")
buildhtml("<h3>")

choice_title1 	= "Internet"
choice_title2 	= "Poster"
choice_title3 	= "Community Organization"
choice_title4 	= "OFCCP Meeting/Event"
choice_title5 	= "Brochure"
choice_title6 	= "Other"

checkmark_off	= "<div class='check_box'></div><div class='check_choice'>"
checkmark_on	= "<div class='check_box'><div class='check_mark'><b>&#10003;</b></div></div><div class='check_choice'>"

choice1		= checkmark_off & choice_title1 & "</div>"
choice2		= checkmark_off & choice_title2 & "</div>"
choice3		= checkmark_off & choice_title3 & "</div>"
choice4		= checkmark_off & choice_title4 & "</div>"
choice5		= checkmark_off & choice_title5 & "</div>"
choice6		= checkmark_off & choice_title6 & "</div>"

if (F_Complaint51 = 1) then choice1 = checkmark_on & choice_title1 & "</div>" 
if (F_Complaint52 = 1) then choice2 = checkmark_on & choice_title2 & "</div>" 
if (F_Complaint53 = 1) then choice3 = checkmark_on & choice_title3 & "</div>" 
if (F_Complaint54 = 1) then choice4 = checkmark_on & choice_title4 & "</div>" 
if (F_Complaint55 = 1) then choice5 = checkmark_on & choice_title5 & "</div>" 
if (F_Complaint56 = 1) then choice6 = checkmark_on & choice_title6 & "</div>" 

buildhtml(choice1)
buildhtml(choice2)
buildhtml(choice3)
buildhtml(choice4)
buildhtml(choice5)
buildhtml(choice6)

buildhtml("</h3>")

buildhtml("</td>")  
buildhtml("</tr>")   
buildhtml("</table>")  
     
buildhtml("</th>")  
buildhtml("</tr>") 


     
buildhtml("<!------------------------")    
buildhtml("SECTION 6")    
buildhtml("------------------------->")
buildhtml("<tr>")
buildhtml("<th width='100%' colspan=2 valign='top' align='left'>")
buildhtml("<h2><b>Your Complaint:</b></h2>")
buildhtml("<b>Please describe below what you think the employer did or didn't do that you believe caused discrimination or retaliation, including:</b>")
     
buildhtml("<ol>")
buildhtml("<li>What actions the employer took against you.</li>")
buildhtml("<li>Why you believe those actions were based on your: race; color; religion; sex; sexual orientation; gender identity; national origin; disability; veteran status; and/or inquiries about, discussions, or disclosures of your pay or the pay of others; and/or in retaliation for filing a complaint, participating in discrimination proceedings, opposing unlawful discrimination, or exercising any other rights protected by OFCCP.</li>")
buildhtml("<li>When the employer actions happened, where they happened, and who was involved.</li>")
buildhtml("<li>What harm, if any, you or others suffered because of the alleged discrimination or retaliation.</li>")
buildhtml("<li>What explanation, if any, your employer or people representing your employer offered for their actions.</li>")
buildhtml("<li>Who was in the same or similar situation as you and how they were treated. Include information such as the race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected status of these individuals, if known.</li>")
buildhtml("<li>What information you have about federal contracts the company that you worked for had at the time of the discrimination or retaliation you describe in this complaint.</li>")
buildhtml("</ol>")
     
buildhtml("<br><p>")
F_Narrative6 = Replace(F_Narrative6, nlcr, "<br><br>")    
buildhtml(F_Narrative6) 
buildhtml("</p><br>")    
buildhtml("</th>")
buildhtml("</tr>")
     
buildhtml("<!------------------------")    
buildhtml("SECTION 7")    
buildhtml("------------------------->")
buildhtml("<tr>")

buildhtml("<td>")
buildhtml("<h2><b>")
buildhtml("Do you think the<br>discrimination<br>includes or affects<br>others?")
buildhtml("</b></h2>")
buildhtml("</td>")

buildhtml("<td>")
buildhtml("<table width='100%' border='0' cellspacing='0' cellpadding='5'>")
buildhtml("<tr><td>")
buildhtml("Do you believe other employees or applicants were treated the same way as you described above?")
buildhtml("<br>")

'----------------------------
' treated 
'----------------------------
choice_title1 	= "Yes"
choice_title2 	= "No"

checkmark_off	= "<div class='check_box'></div><div class='check_choice'>"
checkmark_on	= "<div class='check_box'><div class='check_mark'><b>&#10003;</b></div></div><div class='check_choice'>"

choice1		= checkmark_off & choice_title1 & "</div>"
choice2		= checkmark_off & choice_title2 & "</div>"

if (InStr(F_Treated5, "1") > 0) then choice1 = checkmark_on & choice_title1 & "</div>" 
if (InStr(F_Treated5, "2") > 0) then choice2 = checkmark_on & choice_title2 & "</div>" 

buildhtml("<br>")
buildhtml(choice1)
buildhtml(choice2)
   
buildhtml("</td></tr>")
buildhtml("</table>")
buildhtml("</td>")
buildhtml("</tr>") 

buildhtml("<!------------------------")    
buildhtml("SECTION 8")    
buildhtml("------------------------->")
buildhtml("<tr>")
buildhtml("<td>")
buildhtml("<h2><b>")
buildhtml("Do you have an <br>attorney or other<br> representative?")
buildhtml("</b></h2>")
buildhtml("</td>")
buildhtml("<td>")
buildhtml("<table width='100%' border='0' cellspacing='0' cellpadding='5'>")
buildhtml("<tr><td>")
     
buildhtml("If you are represented by an attorney, or another person, or an organization, please provide their contact information below.")
buildhtml("<br><br>")
     
buildhtml("Name (First, Middle, Last): " & padd(F_Fullname21,40) & "<br><br>")
buildhtml("Street Address: " & padd(F_Address21,50) & "<br><br>")
buildhtml("City: " & padd(F_City21,50) & "<br><br>")  
buildhtml("State: " & padd(F_State21,3) & " Zip Code: " & padd(F_Zipcode21,10) & "<br><br>") 
buildhtml("Telephone Number: " & padd(F_Telephone21,15) & "<br><br>")
buildhtml("E-mail: " & padd(F_Email21,50) & "<br><br>")
      
buildhtml("Who should we contact if we need more information about your description of what occurred?")
buildhtml("<br>")

'----------------------------
' treated 
'----------------------------
choice_title1 	= "You"
choice_title2 	= "Your Representative"

checkmark_off	= "<div class='check_box'></div><div class='check_choice'>"
checkmark_on	= "<div class='check_box'><div class='check_mark'><b>&#10003;</b></div></div><div class='check_choice'>"

choice1		= checkmark_off & choice_title1 & "</div>"
choice2		= checkmark_off & choice_title2 & "</div>"

if (InStr(F_Attorney5, "1") > 0) then choice1 = checkmark_on & choice_title1 & "</div>" 
if (InStr(F_Attorney5, "2") > 0) then choice2 = checkmark_on & choice_title2 & "</div>" 

buildhtml("<br>")
buildhtml(choice1)
buildhtml(choice2)
    
buildhtml("</td></tr>")
     
buildhtml("</table>")
buildhtml("</td>")
buildhtml("</tr>")
     
buildhtml("<!------------------------")    
buildhtml("SECTION 9")    
buildhtml("------------------------->")
buildhtml("<tr>")
buildhtml("<td>")
buildhtml("<h2><b>")
buildhtml("Signature and<br>Verification")
buildhtml("</b></h2>")
buildhtml("</td>")
buildhtml("<td>")
buildhtml("<table width='100%' border='0' cellspacing='0' cellpadding='5'>")
buildhtml("<tr><td>")
buildhtml("I declare under penalty of perjury that the information given above is true and correct to the best of my knowledge or belief.")
buildhtml("<br><br>")
buildhtml("A willful false statement is punishable by law.I hereby authorize the release of any medical information needed for this investigation.")
buildhtml("</td></tr>")
     
buildhtml("<tr><td>")
buildhtml("Signature of Complainant: " & padd(F_Print_Signature,25))
buildhtml(" Date: " & 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("Form CC-4 (Revised 5/2017)")
buildhtml("<br>")
buildhtml("</th>")
buildhtml("</tr>")
buildhtml("</table>")

buildhtml("</body>")
buildhtml("</html>")
end function

Anon7 - 2021