legalhold.na.wkelms.net Open in urlscan Pro
2606:4700:4400::ac40:9a8f  Public Scan

Form analysis
1 forms found in the DOM

Name: myForm — POST

<form role="form" method="post" name="myForm" class="ng-pristine ng-valid-maxlength ng-invalid ng-invalid-required">
  <div class="row setup-content" id="step-1" style="">
    <div class="col-md-12 form-div">
      <h1 class="headingSmall"><span>Do you want to Acknowledge?</span></h1>
      <div id="choose" style="display: none;">
        <span class="selection"> Please choose the acknowledgement! </span>
      </div>
      <div>
        <label class="radiobutton">
          <input type="radio" class="option-input radio ng-pristine ng-untouched ng-valid ng-empty" id="yes" name="accept" value="Yes" ng-click="acceptAck()" ng-model="acceptData">
          <span class="radiochoice">Yes</span>
        </label>
        <label class="radiobutton">
          <input type="radio" class="option-input radio ng-pristine ng-untouched ng-valid ng-empty" id="no" name="accept" value="No" ng-click="acceptAck()" ng-model="acceptData">
          <span class="radiochoice">No</span>
        </label>
        <label class="radiobutton">
          <input type="radio" class="option-input radio ng-pristine ng-untouched ng-valid ng-empty" id="more" name="accept" value="More information" ng-click="acceptAck()" ng-model="acceptData">
          <span class="radiochoice">More Information</span>
        </label>
      </div>
    </div>
    <button class="btn btn-indigo btn-rounded nextBtn float-right" type="button">Proceed to Step 2</button>
  </div>
  <!-- Second Step -->
  <div class="row setup-content" id="step-2" style="display: none;">
    <div class="col-md-12 form-div">
      <div id="questForm" ng-hide="questions" class="ng-hide">
        <span class="contact100-form-title"> Acknowledgment </span>
        <!-- ngRepeat: item in questionsItems -->
        <div ng-repeat="item in questionsItems" class="ng-scope">
          <div class="question">
            <label class="label-input100 ng-binding" for="question"><b class="ng-binding">Question #1.</b> Please check this box if you know of others who should be on this hold.</label>
            <!--  TO SUPPORT t360 where question type not implemented now  -->
            <!-- ngIf: !item.questionType -->
            <!-- ngIf: item.questionType =='TEXT' -->
            <!-- ngIf: item.questionType=='RADIO' -->
            <div class="wrap-input100 validate-input ng-scope" ng-if="item.questionType=='RADIO'">
              <label class="container">Yes <input type="radio" name="answerinputRadio0" ng-model="answer[$index]" value="Yes" class="ng-pristine ng-untouched ng-valid ng-empty"><span class="checkmark"></span></label>
              <label class="container">No <input type="radio" name="answerinputRadio0" ng-model="answer[$index]" value="No" class="ng-pristine ng-untouched ng-valid ng-empty"><span class="checkmark"></span></label>
              <span class="focus-input100"></span>
            </div><!-- end ngIf: item.questionType=='RADIO' -->
          </div>
        </div><!-- end ngRepeat: item in questionsItems -->
        <label class="label-input100" for="message">Additional Comments</label>
        <div class="wrap-input100 validate-input">
          <textarea id="message" class="input100 ng-pristine ng-untouched ng-valid ng-empty ng-valid-maxlength" ng-model="comments" name="answerinputAddtional" maxlength="255" placeholder="Write us a message"></textarea>
          <span class="focus-input100"></span>
        </div>
      </div>
      <div id="additionquestForm" ng-hide="additional">
        <span class="contact100-form-title"> Acknowledgment </span>
        <label class="additionallabel-input100" for="message">Additional Comments<strong style="color: red;">*</strong></label>
        <div class="additionalwrap-input100 validate-input">
          <textarea id="message" class="input100 ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required ng-valid-maxlength" ng-model="comments" name="additionalAnsinput" maxlength="255" placeholder="Write us a message"
            required=""></textarea>
          <!-- <p class="text-right">{{ 200 - comments.length + ' / 200' }}</p> -->
          <span class="focus-input100"></span>
        </div>
      </div>
    </div>
    <button class="btn btn-indigo btn-rounded prevBtn float-left" type="button">Back To Edit</button>
    <!-- <button class="btn btn-indigo btn-rounded nextBtn float-right" type="button" ng-disabled="myForm.answerinputText.$error.required">Proceed to Step 3</button> -->
    <button class="btn btn-indigo btn-rounded nextSubBtn float-right" type="button">Proceed to Step 3</button>
  </div>
</form>

Text Content

LEGAL HOLDS

Thank you for your acknowledgment.




IT'S JUST 3 SIMPLE STEPS...

1

Acknowledge

2

Questions & Comments

3

Verify & Submit


DO YOU WANT TO ACKNOWLEDGE?

Please choose the acknowledgement!
Yes No More Information
Proceed to Step 2
Acknowledgment
Question #1. Please check this box if you know of others who should be on this
hold.
Yes No
Additional Comments

Acknowledgment Additional Comments*

Back To Edit Proceed to Step 3
Acknowledgment
Question #1. Please check this box if you know of others who should be on this
hold. Answer:
Additional Comments

Additional Comments

Back To Edit
 
 



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