buckeyesf.com
Open in
urlscan Pro
34.69.219.172
Public Scan
URL:
https://buckeyesf.com/
Submission: On June 06 via api from US — Scanned from DE
Submission: On June 06 via api from US — Scanned from DE
Form analysis 4 forms found in the DOM
#
<form id="quote-start-bb6ef98" action="#" class="w-full mt-4 grid gap-6 @2xl:grid-cols-3 @2xl:items-center @2xl:bg-sf-charcoal-100 @2xl:p-6 @2xl:mt-0 @5xl:gap-6 @5xl:p-8 @lg:grid-cols-2 @lg:gap-4"
:class="!['zip', 'loc'].includes(type()) ? '@lg:grid-cols-1 gap-x-0 @lg:gap-y-4 @2xl:gap-x-4' : '@lg:grid-cols-2 @lg:gap-4'">
<div :class="!['zip', 'loc'].includes(type()) ? '@2xl:col-span-2' : ''" class="">
<!-- start partial: shared/components/ui/select-input-label.hbs -->
<label for="gaq-product-bb6ef98"
class="font-mecherlesans-reg relative block h-12 w-full border-b border-sf-charcoal text-base text-sf-charcoal placeholder-current [&_select]:h-full [&_select]:w-full [&_select]:cursor-pointer [&_select]:appearance-none [&_select]:px-3 [&_select]:transition-shadow [&_select]:focus-within:outline-none [&_select]:focus-within:ring [&_select]:focus-within:ring-inset [&_select]:focus-within:ring-sf-red-500 "
:class="{}">
<span class="absolute -top-4 left-0 text-xs font-semi">Select an Insurance Product</span>
<div class="relative flex flex-row items-center w-full h-full">
<select id="gaq-product-bb6ef98" name="field-auto" @change="selectProduct()" x-model="productKey" aria-controls="specific-location-info-bb6ef98" :aria-describedby="productSelected ? '' : describeErrorsID()" class="bg-white"
aria-describedby="">
<option value="" selected="" hidden="">Select Product</option>
<template x-for="line in lineOptions">
<option :value="line.key" x-text="line.label" :selected="line.key === productKey"></option>
</template>
<option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="auto">Auto</option>
<option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="homeowners">Homeowners</option>
<option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="condo">Condo Owners</option>
<option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="renters">Renters</option>
<option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="life">Life</option>
<option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="hospital">Hospital Income</option>
<option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="medicare">Medicare Supplement</option>
<option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="pet">Pet Insurance</option>
<option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="business">Small Business</option>
</select>
<div class="absolute right-4 pointer-events-none">
<div class="svg-outer"><svg xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 12 7" class="svg-inner" aria-hidden="true" style="fill: currentColor; " preserveAspectRatio="xMinYMid meet">
<path fill="currentColor" fill-rule="evenodd" d="M.293.293a1 1 0 0 1 1.414 0L6 4.586 10.293.293a1 1 0 1 1 1.414 1.414l-5 5a1 1 0 0 1-1.414 0l-5-5a1 1 0 0 1 0-1.414" clip-rule="evenodd"></path>
</svg></div>
</div>
</div>
</label>
<!-- end partial: shared/components/ui/select-input-label.hbs -->
</div>
<template x-if="['zip', 'loc'].includes(type())">
<div id="specific-location-info-bb6ef98">
<div x-show="type() === 'zip'" x-cloak="">
<!-- start partial: shared/components/ui/text-input-label.hbs -->
<div class="relative w-full " :class="{}">
<input id="gaq-zip-bb6ef98" type="text" class="bg-white m2-form-input peer" x-model="zip" name="field-zip" autocomplete="postal-code" placeholder="ZIP Code" aria-required="true" :aria-invalid="!isZipValid()"
:aria-describedby="isZipValid() ? '' : describeErrorsID()" @keydown.enter.prevent="validate()">
<label
class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
for="gaq-zip-bb6ef98"> ZIP Code </label>
</div><!-- end partial: shared/components/ui/text-input-label.hbs -->
</div>
<div x-show="type() === 'loc'" x-cloak="">
<!-- start partial: shared/components/ui/select-input-label.hbs -->
<label for="gaq-loc-bb6ef98"
class="font-mecherlesans-reg relative block h-12 w-full border-b border-sf-charcoal text-base text-sf-charcoal placeholder-current [&_select]:h-full [&_select]:w-full [&_select]:cursor-pointer [&_select]:appearance-none [&_select]:px-3 [&_select]:transition-shadow [&_select]:focus-within:outline-none [&_select]:focus-within:ring [&_select]:focus-within:ring-inset [&_select]:focus-within:ring-sf-red-500 "
:class="{}">
<span class="absolute -top-4 left-0 text-xs font-semi">State Selection</span>
<div class="relative flex flex-row items-center w-full h-full">
<select id="gaq-loc-bb6ef98" class="bg-white" x-model="state" name="field-state" aria-required="true" :aria-invalid="!isStateValid()" :aria-describedby="isStateValid() ? '' : describeErrorsID()" @keydown.enter.prevent="validate()">
<option value="" selected="" hidden="">Your State</option>
<option value="AL" :selected="'AL' === state">Alabama</option>
<option value="AK" :selected="'AK' === state">Alaska</option>
<option value="AZ" :selected="'AZ' === state">Arizona</option>
<option value="AR" :selected="'AR' === state">Arkansas</option>
<option value="CA" :selected="'CA' === state">California</option>
<option value="CO" :selected="'CO' === state">Colorado</option>
<option value="CT" :selected="'CT' === state">Connecticut</option>
<option value="DE" :selected="'DE' === state">Delaware</option>
<option value="FL" :selected="'FL' === state">Florida</option>
<option value="GA" :selected="'GA' === state">Georgia</option>
<option value="HI" :selected="'HI' === state">Hawaii</option>
<option value="ID" :selected="'ID' === state">Idaho</option>
<option value="IL" :selected="'IL' === state">Illinois</option>
<option value="IN" :selected="'IN' === state">Indiana</option>
<option value="IA" :selected="'IA' === state">Iowa</option>
<option value="KS" :selected="'KS' === state">Kansas</option>
<option value="KY" :selected="'KY' === state">Kentucky</option>
<option value="LA" :selected="'LA' === state">Louisiana</option>
<option value="ME" :selected="'ME' === state">Maine</option>
<option value="MD" :selected="'MD' === state">Maryland</option>
<option value="MA" :selected="'MA' === state">Massachusetts</option>
<option value="MI" :selected="'MI' === state">Michigan</option>
<option value="MN" :selected="'MN' === state">Minnesota</option>
<option value="MS" :selected="'MS' === state">Mississippi</option>
<option value="MO" :selected="'MO' === state">Missouri</option>
<option value="MT" :selected="'MT' === state">Montana</option>
<option value="NE" :selected="'NE' === state">Nebraska</option>
<option value="NV" :selected="'NV' === state">Nevada</option>
<option value="NH" :selected="'NH' === state">New Hampshire</option>
<option value="NJ" :selected="'NJ' === state">New Jersey</option>
<option value="NM" :selected="'NM' === state">New Mexico</option>
<option value="NY" :selected="'NY' === state">New York</option>
<option value="NC" :selected="'NC' === state">North Carolina</option>
<option value="ND" :selected="'ND' === state">North Dakota</option>
<option value="OH" :selected="'OH' === state">Ohio</option>
<option value="OK" :selected="'OK' === state">Oklahoma</option>
<option value="OR" :selected="'OR' === state">Oregon</option>
<option value="PA" :selected="'PA' === state">Pennsylvania</option>
<option value="RI" :selected="'RI' === state">Rhode Island</option>
<option value="SC" :selected="'SC' === state">South Carolina</option>
<option value="SD" :selected="'SD' === state">South Dakota</option>
<option value="TN" :selected="'TN' === state">Tennessee</option>
<option value="TX" :selected="'TX' === state">Texas</option>
<option value="UT" :selected="'UT' === state">Utah</option>
<option value="VT" :selected="'VT' === state">Vermont</option>
<option value="VA" :selected="'VA' === state">Virginia</option>
<option value="WA" :selected="'WA' === state">Washington</option>
<option value="DC" :selected="'DC' === state">Washington, D.C.</option>
<option value="WV" :selected="'WV' === state">West Virginia</option>
<option value="WI" :selected="'WI' === state">Wisconsin</option>
<option value="WY" :selected="'WY' === state">Wyoming</option>
</select>
<div class="absolute right-4 pointer-events-none">
<div class="svg-outer"><svg xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 12 7" class="svg-inner" aria-hidden="true" style="fill: currentColor; " preserveAspectRatio="xMinYMid meet">
<path fill="currentColor" fill-rule="evenodd" d="M.293.293a1 1 0 0 1 1.414 0L6 4.586 10.293.293a1 1 0 1 1 1.414 1.414l-5 5a1 1 0 0 1-1.414 0l-5-5a1 1 0 0 1 0-1.414" clip-rule="evenodd"></path>
</svg></div>
</div>
</div>
</label>
<!-- end partial: shared/components/ui/select-input-label.hbs -->
</div>
</div>
</template>
<div id="specific-location-info-bb6ef98">
<div x-show="type() === 'zip'">
<!-- start partial: shared/components/ui/text-input-label.hbs -->
<div class="relative w-full " :class="{}">
<input id="gaq-zip-bb6ef98" type="text" class="bg-white m2-form-input peer" x-model="zip" name="field-zip" autocomplete="postal-code" placeholder="ZIP Code" aria-required="true" :aria-invalid="!isZipValid()"
:aria-describedby="isZipValid() ? '' : describeErrorsID()" @keydown.enter.prevent="validate()" aria-describedby="">
<label
class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
for="gaq-zip-bb6ef98"> ZIP Code </label>
</div><!-- end partial: shared/components/ui/text-input-label.hbs -->
</div>
<div x-show="type() === 'loc'" style="display: none;">
<!-- start partial: shared/components/ui/select-input-label.hbs -->
<label for="gaq-loc-bb6ef98"
class="font-mecherlesans-reg relative block h-12 w-full border-b border-sf-charcoal text-base text-sf-charcoal placeholder-current [&_select]:h-full [&_select]:w-full [&_select]:cursor-pointer [&_select]:appearance-none [&_select]:px-3 [&_select]:transition-shadow [&_select]:focus-within:outline-none [&_select]:focus-within:ring [&_select]:focus-within:ring-inset [&_select]:focus-within:ring-sf-red-500 "
:class="{}">
<span class="absolute -top-4 left-0 text-xs font-semi">State Selection</span>
<div class="relative flex flex-row items-center w-full h-full">
<select id="gaq-loc-bb6ef98" class="bg-white" x-model="state" name="field-state" aria-required="true" :aria-invalid="!isStateValid()" :aria-describedby="isStateValid() ? '' : describeErrorsID()" @keydown.enter.prevent="validate()"
aria-describedby="">
<option value="" selected="" hidden="">Your State</option>
<option value="AL" :selected="'AL' === state">Alabama</option>
<option value="AK" :selected="'AK' === state">Alaska</option>
<option value="AZ" :selected="'AZ' === state">Arizona</option>
<option value="AR" :selected="'AR' === state">Arkansas</option>
<option value="CA" :selected="'CA' === state">California</option>
<option value="CO" :selected="'CO' === state">Colorado</option>
<option value="CT" :selected="'CT' === state">Connecticut</option>
<option value="DE" :selected="'DE' === state">Delaware</option>
<option value="FL" :selected="'FL' === state">Florida</option>
<option value="GA" :selected="'GA' === state">Georgia</option>
<option value="HI" :selected="'HI' === state">Hawaii</option>
<option value="ID" :selected="'ID' === state">Idaho</option>
<option value="IL" :selected="'IL' === state">Illinois</option>
<option value="IN" :selected="'IN' === state">Indiana</option>
<option value="IA" :selected="'IA' === state">Iowa</option>
<option value="KS" :selected="'KS' === state">Kansas</option>
<option value="KY" :selected="'KY' === state">Kentucky</option>
<option value="LA" :selected="'LA' === state">Louisiana</option>
<option value="ME" :selected="'ME' === state">Maine</option>
<option value="MD" :selected="'MD' === state">Maryland</option>
<option value="MA" :selected="'MA' === state">Massachusetts</option>
<option value="MI" :selected="'MI' === state">Michigan</option>
<option value="MN" :selected="'MN' === state">Minnesota</option>
<option value="MS" :selected="'MS' === state">Mississippi</option>
<option value="MO" :selected="'MO' === state">Missouri</option>
<option value="MT" :selected="'MT' === state">Montana</option>
<option value="NE" :selected="'NE' === state">Nebraska</option>
<option value="NV" :selected="'NV' === state">Nevada</option>
<option value="NH" :selected="'NH' === state">New Hampshire</option>
<option value="NJ" :selected="'NJ' === state">New Jersey</option>
<option value="NM" :selected="'NM' === state">New Mexico</option>
<option value="NY" :selected="'NY' === state">New York</option>
<option value="NC" :selected="'NC' === state">North Carolina</option>
<option value="ND" :selected="'ND' === state">North Dakota</option>
<option value="OH" :selected="'OH' === state">Ohio</option>
<option value="OK" :selected="'OK' === state">Oklahoma</option>
<option value="OR" :selected="'OR' === state">Oregon</option>
<option value="PA" :selected="'PA' === state">Pennsylvania</option>
<option value="RI" :selected="'RI' === state">Rhode Island</option>
<option value="SC" :selected="'SC' === state">South Carolina</option>
<option value="SD" :selected="'SD' === state">South Dakota</option>
<option value="TN" :selected="'TN' === state">Tennessee</option>
<option value="TX" :selected="'TX' === state">Texas</option>
<option value="UT" :selected="'UT' === state">Utah</option>
<option value="VT" :selected="'VT' === state">Vermont</option>
<option value="VA" :selected="'VA' === state">Virginia</option>
<option value="WA" :selected="'WA' === state">Washington</option>
<option value="DC" :selected="'DC' === state">Washington, D.C.</option>
<option value="WV" :selected="'WV' === state">West Virginia</option>
<option value="WI" :selected="'WI' === state">Wisconsin</option>
<option value="WY" :selected="'WY' === state">Wyoming</option>
</select>
<div class="absolute right-4 pointer-events-none">
<div class="svg-outer"><svg xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 12 7" class="svg-inner" aria-hidden="true" style="fill: currentColor; " preserveAspectRatio="xMinYMid meet">
<path fill="currentColor" fill-rule="evenodd" d="M.293.293a1 1 0 0 1 1.414 0L6 4.586 10.293.293a1 1 0 1 1 1.414 1.414l-5 5a1 1 0 0 1-1.414 0l-5-5a1 1 0 0 1 0-1.414" clip-rule="evenodd"></path>
</svg></div>
</div>
</div>
</label>
<!-- end partial: shared/components/ui/select-input-label.hbs -->
</div>
</div>
<div class="w-full @lg:col-span-2 @2xl:col-span-1">
<button @click.stop.prevent="validate()" type="button" :disabled="submitting" class="btn btn-primary">
<span x-show="productKey !== 'business'">Start a Quote</span>
<span x-show="productKey === 'business'" style="display: none;">Request a Quote</span>
</button>
</div>
<template x-if="errors.length > 0">
<div role="alert" aria-atomic="true" :id="ariaDescribedByErrorsID">
<template x-for="error in errors">
<h3 class="p-3 border-2 font-med text-sf-red-700 bg-sf-red-100 border-sf-red-700 rounded-2xl" x-html="error"></h3>
</template>
</div>
</template>
</form>#
<form id="quote-start-mhsacd7" action="#" class="w-full mt-4 grid gap-6 @2xl:grid-cols-3 @2xl:items-center @2xl:bg-sf-charcoal-100 @2xl:p-6 @2xl:mt-0 @5xl:gap-6 @5xl:p-8 @lg:grid-cols-2 @lg:gap-4"
:class="!['zip', 'loc'].includes(type()) ? '@lg:grid-cols-1 gap-x-0 @lg:gap-y-4 @2xl:gap-x-4' : '@lg:grid-cols-2 @lg:gap-4'">
<div :class="!['zip', 'loc'].includes(type()) ? '@2xl:col-span-2' : ''" class="">
<!-- start partial: shared/components/ui/select-input-label.hbs -->
<label for="gaq-product-mhsacd7"
class="font-mecherlesans-reg relative block h-12 w-full border-b border-sf-charcoal text-base text-sf-charcoal placeholder-current [&_select]:h-full [&_select]:w-full [&_select]:cursor-pointer [&_select]:appearance-none [&_select]:px-3 [&_select]:transition-shadow [&_select]:focus-within:outline-none [&_select]:focus-within:ring [&_select]:focus-within:ring-inset [&_select]:focus-within:ring-sf-red-500 "
:class="{}">
<span class="absolute -top-4 left-0 text-xs font-semi">Select an Insurance Product</span>
<div class="relative flex flex-row items-center w-full h-full">
<select id="gaq-product-mhsacd7" name="field-auto" @change="selectProduct()" x-model="productKey" aria-controls="specific-location-info-mhsacd7" :aria-describedby="productSelected ? '' : describeErrorsID()" class="bg-white"
aria-describedby="">
<option value="" selected="" hidden="">Select Product</option>
<template x-for="line in lineOptions">
<option :value="line.key" x-text="line.label" :selected="line.key === productKey"></option>
</template>
<option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="auto">Auto</option>
<option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="homeowners">Homeowners</option>
<option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="condo">Condo Owners</option>
<option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="renters">Renters</option>
<option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="life">Life</option>
<option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="hospital">Hospital Income</option>
<option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="medicare">Medicare Supplement</option>
<option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="pet">Pet Insurance</option>
<option :value="line.key" x-text="line.label" :selected="line.key === productKey" value="business">Small Business</option>
</select>
<div class="absolute right-4 pointer-events-none">
<div class="svg-outer"><svg xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 12 7" class="svg-inner" aria-hidden="true" style="fill: currentColor; " preserveAspectRatio="xMinYMid meet">
<path fill="currentColor" fill-rule="evenodd" d="M.293.293a1 1 0 0 1 1.414 0L6 4.586 10.293.293a1 1 0 1 1 1.414 1.414l-5 5a1 1 0 0 1-1.414 0l-5-5a1 1 0 0 1 0-1.414" clip-rule="evenodd"></path>
</svg></div>
</div>
</div>
</label>
<!-- end partial: shared/components/ui/select-input-label.hbs -->
</div>
<template x-if="['zip', 'loc'].includes(type())">
<div id="specific-location-info-mhsacd7">
<div x-show="type() === 'zip'" x-cloak="">
<!-- start partial: shared/components/ui/text-input-label.hbs -->
<div class="relative w-full " :class="{}">
<input id="gaq-zip-mhsacd7" type="text" class="bg-white m2-form-input peer" x-model="zip" name="field-zip" autocomplete="postal-code" placeholder="ZIP Code" aria-required="true" :aria-invalid="!isZipValid()"
:aria-describedby="isZipValid() ? '' : describeErrorsID()" @keydown.enter.prevent="validate()">
<label
class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
for="gaq-zip-mhsacd7"> ZIP Code </label>
</div><!-- end partial: shared/components/ui/text-input-label.hbs -->
</div>
<div x-show="type() === 'loc'" x-cloak="">
<!-- start partial: shared/components/ui/select-input-label.hbs -->
<label for="gaq-loc-mhsacd7"
class="font-mecherlesans-reg relative block h-12 w-full border-b border-sf-charcoal text-base text-sf-charcoal placeholder-current [&_select]:h-full [&_select]:w-full [&_select]:cursor-pointer [&_select]:appearance-none [&_select]:px-3 [&_select]:transition-shadow [&_select]:focus-within:outline-none [&_select]:focus-within:ring [&_select]:focus-within:ring-inset [&_select]:focus-within:ring-sf-red-500 "
:class="{}">
<span class="absolute -top-4 left-0 text-xs font-semi">State Selection</span>
<div class="relative flex flex-row items-center w-full h-full">
<select id="gaq-loc-mhsacd7" class="bg-white" x-model="state" name="field-state" aria-required="true" :aria-invalid="!isStateValid()" :aria-describedby="isStateValid() ? '' : describeErrorsID()" @keydown.enter.prevent="validate()">
<option value="" selected="" hidden="">Your State</option>
<option value="AL" :selected="'AL' === state">Alabama</option>
<option value="AK" :selected="'AK' === state">Alaska</option>
<option value="AZ" :selected="'AZ' === state">Arizona</option>
<option value="AR" :selected="'AR' === state">Arkansas</option>
<option value="CA" :selected="'CA' === state">California</option>
<option value="CO" :selected="'CO' === state">Colorado</option>
<option value="CT" :selected="'CT' === state">Connecticut</option>
<option value="DE" :selected="'DE' === state">Delaware</option>
<option value="FL" :selected="'FL' === state">Florida</option>
<option value="GA" :selected="'GA' === state">Georgia</option>
<option value="HI" :selected="'HI' === state">Hawaii</option>
<option value="ID" :selected="'ID' === state">Idaho</option>
<option value="IL" :selected="'IL' === state">Illinois</option>
<option value="IN" :selected="'IN' === state">Indiana</option>
<option value="IA" :selected="'IA' === state">Iowa</option>
<option value="KS" :selected="'KS' === state">Kansas</option>
<option value="KY" :selected="'KY' === state">Kentucky</option>
<option value="LA" :selected="'LA' === state">Louisiana</option>
<option value="ME" :selected="'ME' === state">Maine</option>
<option value="MD" :selected="'MD' === state">Maryland</option>
<option value="MA" :selected="'MA' === state">Massachusetts</option>
<option value="MI" :selected="'MI' === state">Michigan</option>
<option value="MN" :selected="'MN' === state">Minnesota</option>
<option value="MS" :selected="'MS' === state">Mississippi</option>
<option value="MO" :selected="'MO' === state">Missouri</option>
<option value="MT" :selected="'MT' === state">Montana</option>
<option value="NE" :selected="'NE' === state">Nebraska</option>
<option value="NV" :selected="'NV' === state">Nevada</option>
<option value="NH" :selected="'NH' === state">New Hampshire</option>
<option value="NJ" :selected="'NJ' === state">New Jersey</option>
<option value="NM" :selected="'NM' === state">New Mexico</option>
<option value="NY" :selected="'NY' === state">New York</option>
<option value="NC" :selected="'NC' === state">North Carolina</option>
<option value="ND" :selected="'ND' === state">North Dakota</option>
<option value="OH" :selected="'OH' === state">Ohio</option>
<option value="OK" :selected="'OK' === state">Oklahoma</option>
<option value="OR" :selected="'OR' === state">Oregon</option>
<option value="PA" :selected="'PA' === state">Pennsylvania</option>
<option value="RI" :selected="'RI' === state">Rhode Island</option>
<option value="SC" :selected="'SC' === state">South Carolina</option>
<option value="SD" :selected="'SD' === state">South Dakota</option>
<option value="TN" :selected="'TN' === state">Tennessee</option>
<option value="TX" :selected="'TX' === state">Texas</option>
<option value="UT" :selected="'UT' === state">Utah</option>
<option value="VT" :selected="'VT' === state">Vermont</option>
<option value="VA" :selected="'VA' === state">Virginia</option>
<option value="WA" :selected="'WA' === state">Washington</option>
<option value="DC" :selected="'DC' === state">Washington, D.C.</option>
<option value="WV" :selected="'WV' === state">West Virginia</option>
<option value="WI" :selected="'WI' === state">Wisconsin</option>
<option value="WY" :selected="'WY' === state">Wyoming</option>
</select>
<div class="absolute right-4 pointer-events-none">
<div class="svg-outer"><svg xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 12 7" class="svg-inner" aria-hidden="true" style="fill: currentColor; " preserveAspectRatio="xMinYMid meet">
<path fill="currentColor" fill-rule="evenodd" d="M.293.293a1 1 0 0 1 1.414 0L6 4.586 10.293.293a1 1 0 1 1 1.414 1.414l-5 5a1 1 0 0 1-1.414 0l-5-5a1 1 0 0 1 0-1.414" clip-rule="evenodd"></path>
</svg></div>
</div>
</div>
</label>
<!-- end partial: shared/components/ui/select-input-label.hbs -->
</div>
</div>
</template>
<div id="specific-location-info-mhsacd7">
<div x-show="type() === 'zip'">
<!-- start partial: shared/components/ui/text-input-label.hbs -->
<div class="relative w-full " :class="{}">
<input id="gaq-zip-mhsacd7" type="text" class="bg-white m2-form-input peer" x-model="zip" name="field-zip" autocomplete="postal-code" placeholder="ZIP Code" aria-required="true" :aria-invalid="!isZipValid()"
:aria-describedby="isZipValid() ? '' : describeErrorsID()" @keydown.enter.prevent="validate()" aria-describedby="">
<label
class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
for="gaq-zip-mhsacd7"> ZIP Code </label>
</div><!-- end partial: shared/components/ui/text-input-label.hbs -->
</div>
<div x-show="type() === 'loc'" style="display: none;">
<!-- start partial: shared/components/ui/select-input-label.hbs -->
<label for="gaq-loc-mhsacd7"
class="font-mecherlesans-reg relative block h-12 w-full border-b border-sf-charcoal text-base text-sf-charcoal placeholder-current [&_select]:h-full [&_select]:w-full [&_select]:cursor-pointer [&_select]:appearance-none [&_select]:px-3 [&_select]:transition-shadow [&_select]:focus-within:outline-none [&_select]:focus-within:ring [&_select]:focus-within:ring-inset [&_select]:focus-within:ring-sf-red-500 "
:class="{}">
<span class="absolute -top-4 left-0 text-xs font-semi">State Selection</span>
<div class="relative flex flex-row items-center w-full h-full">
<select id="gaq-loc-mhsacd7" class="bg-white" x-model="state" name="field-state" aria-required="true" :aria-invalid="!isStateValid()" :aria-describedby="isStateValid() ? '' : describeErrorsID()" @keydown.enter.prevent="validate()"
aria-describedby="">
<option value="" selected="" hidden="">Your State</option>
<option value="AL" :selected="'AL' === state">Alabama</option>
<option value="AK" :selected="'AK' === state">Alaska</option>
<option value="AZ" :selected="'AZ' === state">Arizona</option>
<option value="AR" :selected="'AR' === state">Arkansas</option>
<option value="CA" :selected="'CA' === state">California</option>
<option value="CO" :selected="'CO' === state">Colorado</option>
<option value="CT" :selected="'CT' === state">Connecticut</option>
<option value="DE" :selected="'DE' === state">Delaware</option>
<option value="FL" :selected="'FL' === state">Florida</option>
<option value="GA" :selected="'GA' === state">Georgia</option>
<option value="HI" :selected="'HI' === state">Hawaii</option>
<option value="ID" :selected="'ID' === state">Idaho</option>
<option value="IL" :selected="'IL' === state">Illinois</option>
<option value="IN" :selected="'IN' === state">Indiana</option>
<option value="IA" :selected="'IA' === state">Iowa</option>
<option value="KS" :selected="'KS' === state">Kansas</option>
<option value="KY" :selected="'KY' === state">Kentucky</option>
<option value="LA" :selected="'LA' === state">Louisiana</option>
<option value="ME" :selected="'ME' === state">Maine</option>
<option value="MD" :selected="'MD' === state">Maryland</option>
<option value="MA" :selected="'MA' === state">Massachusetts</option>
<option value="MI" :selected="'MI' === state">Michigan</option>
<option value="MN" :selected="'MN' === state">Minnesota</option>
<option value="MS" :selected="'MS' === state">Mississippi</option>
<option value="MO" :selected="'MO' === state">Missouri</option>
<option value="MT" :selected="'MT' === state">Montana</option>
<option value="NE" :selected="'NE' === state">Nebraska</option>
<option value="NV" :selected="'NV' === state">Nevada</option>
<option value="NH" :selected="'NH' === state">New Hampshire</option>
<option value="NJ" :selected="'NJ' === state">New Jersey</option>
<option value="NM" :selected="'NM' === state">New Mexico</option>
<option value="NY" :selected="'NY' === state">New York</option>
<option value="NC" :selected="'NC' === state">North Carolina</option>
<option value="ND" :selected="'ND' === state">North Dakota</option>
<option value="OH" :selected="'OH' === state">Ohio</option>
<option value="OK" :selected="'OK' === state">Oklahoma</option>
<option value="OR" :selected="'OR' === state">Oregon</option>
<option value="PA" :selected="'PA' === state">Pennsylvania</option>
<option value="RI" :selected="'RI' === state">Rhode Island</option>
<option value="SC" :selected="'SC' === state">South Carolina</option>
<option value="SD" :selected="'SD' === state">South Dakota</option>
<option value="TN" :selected="'TN' === state">Tennessee</option>
<option value="TX" :selected="'TX' === state">Texas</option>
<option value="UT" :selected="'UT' === state">Utah</option>
<option value="VT" :selected="'VT' === state">Vermont</option>
<option value="VA" :selected="'VA' === state">Virginia</option>
<option value="WA" :selected="'WA' === state">Washington</option>
<option value="DC" :selected="'DC' === state">Washington, D.C.</option>
<option value="WV" :selected="'WV' === state">West Virginia</option>
<option value="WI" :selected="'WI' === state">Wisconsin</option>
<option value="WY" :selected="'WY' === state">Wyoming</option>
</select>
<div class="absolute right-4 pointer-events-none">
<div class="svg-outer"><svg xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 12 7" class="svg-inner" aria-hidden="true" style="fill: currentColor; " preserveAspectRatio="xMinYMid meet">
<path fill="currentColor" fill-rule="evenodd" d="M.293.293a1 1 0 0 1 1.414 0L6 4.586 10.293.293a1 1 0 1 1 1.414 1.414l-5 5a1 1 0 0 1-1.414 0l-5-5a1 1 0 0 1 0-1.414" clip-rule="evenodd"></path>
</svg></div>
</div>
</div>
</label>
<!-- end partial: shared/components/ui/select-input-label.hbs -->
</div>
</div>
<div class="w-full @lg:col-span-2 @2xl:col-span-1">
<button @click.stop.prevent="validate()" type="button" :disabled="submitting" class="btn btn-primary">
<span x-show="productKey !== 'business'">Start a Quote</span>
<span x-show="productKey === 'business'" style="display: none;">Request a Quote</span>
</button>
</div>
<template x-if="errors.length > 0">
<div role="alert" aria-atomic="true" :id="ariaDescribedByErrorsID">
<template x-for="error in errors">
<h3 class="p-3 border-2 font-med text-sf-red-700 bg-sf-red-100 border-sf-red-700 rounded-2xl" x-html="error"></h3>
</template>
</div>
</template>
</form>POST
<form x-show="!sendResponse && !sending" :action="`/contact${qs}`" method="post" aria-describedby="disclaimers">
<h2 x-show="true" class="hidden text-2xl font-med md:block"> You can also call us at <a :id="$id('phone-link-contact-form')" aria-label="You can also call us at (440) 835-9330" href="tel:4408359330" class="red-link">
(440) 835-9330
</a>
</h2>
<h2 class="text-2xl text-center mb-4 font-med md:hidden"> Contact Us </h2>
<div class="flex flex-col min-w-0 md:mt-8 md:flex-row">
<div class="w-full md:w-1/2 md:shrink-0 md:mr-8 lg:w-2/3 xl:m-0">
<div class="flex flex-col w-full xl:flex-row">
<div class="flex flex-col xl:h-full xl:justify-between xl:w-1/2 xl:pr-8">
<div class="hidden mt-4 xl:block">
<!-- start partial: shared/components/contact-forms/cf-prefs.hbs -->
<fieldset x-id="[
'xl-contact-form-pref-email',
'xl-contact-form-pref-phone',
'xl-contact-form-pref',
]">
<legend class="text-sm uppercase"> Your preferred method of contact </legend>
<ul class="mt-2 flex flex-row">
<li>
<input :id="$id('xl-contact-form-pref-email')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="email" x-model="form.pref"
@change="clearPrefErrors()">
<label :for="$id('xl-contact-form-pref-email')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Email </label>
</li>
<li>
<input :id="$id('xl-contact-form-pref-phone')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="phone" x-model="form.pref"
@change="clearPrefErrors()">
<label :for="$id('xl-contact-form-pref-phone')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Phone </label>
</li>
</ul>
</fieldset><!-- end partial: shared/components/contact-forms/cf-prefs.hbs -->
</div>
<div class="xl:mt-6">
<!-- start partial: shared/components/contact-forms/cf-contact-info.hbs -->
<div class="flex flex-col w-full space-y-5" x-id="['contact-form-name', 'contact-form-phone', 'contact-form-email', 'contact-form-email-or-phone']">
<!-- start partial: shared/components/contact-forms/cf-text-field.hbs -->
<!-- start partial: shared/components/ui/text-input-label.hbs -->
<div class="relative w-full " :class="{}">
<input :id="$id('contact-form-name')" class="m2-form-input peer " name="contact-form-name" x-model="form.name" :aria-required="true" autocomplete="name" type="text" placeholder="Your Name" :aria-invalid="hasError('name')"
:aria-describedby="hasError('name') ? $id('error', 'name') : null" :error="hasError('name')" @keydown.debounce.750ms="validateName()">
<label
class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
:for="$id('contact-form-name')"> Your Name<span aria-hidden="true" x-show="hasError('name')">*</span>
</label>
</div><!-- end partial: shared/components/ui/text-input-label.hbs -->
<!-- end partial: shared/components/contact-forms/cf-text-field.hbs -->
<!-- start partial: shared/components/contact-forms/cf-text-field.hbs -->
<!-- start partial: shared/components/ui/text-input-label.hbs -->
<div class="relative w-full " :class="{}">
<input :id="$id('contact-form-phone')" class="m2-form-input peer " name="contact-form-phone" x-model="form.phone" :aria-required="hasError('phone') && form.pref == 'phone'" autocomplete="tel" type="text"
placeholder="Your Phone" :aria-invalid="hasError('phone')" :aria-describedby="hasError('phone') ? $id('error', 'phone') : null" :error="hasError('phone')" @keydown.debounce.750ms="validatePhone()">
<label
class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
:for="$id('contact-form-phone')"> Your Phone<span aria-hidden="true" x-show="hasError('phone')">*</span>
</label>
</div><!-- end partial: shared/components/ui/text-input-label.hbs -->
<!-- end partial: shared/components/contact-forms/cf-text-field.hbs -->
<!-- start partial: shared/components/contact-forms/cf-text-field.hbs -->
<!-- start partial: shared/components/ui/text-input-label.hbs -->
<div class="relative w-full " :class="{}">
<input :id="$id('contact-form-email')" class="m2-form-input peer " name="contact-form-email" x-model="form.email" :aria-required="hasError('email') && form.pref == 'email'" autocomplete="email" type="text"
placeholder="Your Email" :aria-invalid="hasError('email')" :aria-describedby="hasError('email') ? $id('error', 'email') : null" :error="hasError('email')" @keydown.debounce.750ms="validateEmail()">
<label
class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
:for="$id('contact-form-email')"> Your Email<span aria-hidden="true" x-show="hasError('email')">*</span>
</label>
</div><!-- end partial: shared/components/ui/text-input-label.hbs -->
<!-- end partial: shared/components/contact-forms/cf-text-field.hbs -->
</div><!-- end partial: shared/components/contact-forms/cf-contact-info.hbs -->
</div>
</div>
<div class="flex-col hidden xl:w-1/2 md:flex xl:flex-col-reverse xl:justify-end">
<div class="h-full mt-5">
<!-- start partial: shared/components/contact-forms/cf-message.hbs -->
<div class="relative h-full" x-id="[
'md-contact-form-message'
]">
<!-- start partial: shared/components/ui/text-input-label.hbs -->
<div class="relative w-full h-full" :class="{}">
<textarea :id="$id('md-contact-form-message')" ref="message" x-model="form.message" class="m2-form-input peer h-48 xl:h-full pa11y-ignore" placeholder="Your Message:" :aria-invalid="hasError('message')"
:aria-describedby="`md-message-warning ${hasError("message") ? $id("error", "message") : ""}`" :aria-required="hasError('message')" @keydown.debounce.750ms="validateMessage()"
:error="hasError('message')"></textarea>
<label
class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
:for="$id('md-contact-form-message')"> Your Message:<span aria-hidden="true" x-show="hasError('message')">*</span>
</label>
</div><!-- end partial: shared/components/ui/text-input-label.hbs -->
</div><!-- end partial: shared/components/contact-forms/cf-message.hbs -->
</div>
<div class="mt-4">
<!-- start partial: shared/components/contact-forms/cf-message-warning.hbs -->
<p class="text-xs" id="md-message-warning"> For your protection, please do not include sensitive personal information such as social security numbers, credit/debit card number, or health/medical information. </p>
<!-- end partial: shared/components/contact-forms/cf-message-warning.hbs -->
</div>
</div>
</div>
</div>
<div class="flex flex-col w-full md:w-1/2 lg:w-1/3 xl:justify-between xl:pl-8">
<div class="mt-6 xl:hidden md:m-0">
<!-- start partial: shared/components/contact-forms/cf-prefs.hbs -->
<fieldset x-id="[
'xl-contact-form-pref-email',
'xl-contact-form-pref-phone',
'xl-contact-form-pref',
]">
<legend class="text-sm uppercase"> Your preferred method of contact </legend>
<ul class="mt-2 flex flex-row">
<li>
<input :id="$id('xl-contact-form-pref-email')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="email" x-model="form.pref" @change="clearPrefErrors()">
<label :for="$id('xl-contact-form-pref-email')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Email </label>
</li>
<li>
<input :id="$id('xl-contact-form-pref-phone')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="phone" x-model="form.pref" @change="clearPrefErrors()">
<label :for="$id('xl-contact-form-pref-phone')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Phone </label>
</li>
</ul>
</fieldset><!-- end partial: shared/components/contact-forms/cf-prefs.hbs -->
</div>
<div class="flex w-full mt-4 xl:h-full">
<!-- start partial: shared/components/contact-forms/cf-more-info.hbs -->
<fieldset class="flex w-full flex-col" x-id="['contact-form-checkbox-input']">
<legend class="mb-2 text-sm uppercase"> I'd like more info about: <span aria-hidden="true" x-show="hasError('message')"> * </span>
</legend>
<div class="grid sm:grid-flow-col sm:grid-cols-2 sm:grid-rows-3 md:grid-cols-1 md:grid-rows-6 xl:h-full">
<template x-for="(i, k) in moreVals" :key="i.id">
<div :id="$id(`contact-form-checkbox-${i.id}`)" class="m2-contact-form-checkbox">
<input :id="$id('contact-form-checkbox-input', i.id)" class="m2-checkbox-input absolute h-0 w-0 overflow-hidden border-none p-0" x-model="form.more" type="checkbox"
:aria-describedby="hasError('message') ? $id('error', 'message') : null" :value="i.label" :aria-label="`${k + 1} of ${moreVals().length}, I'd like more info about ${i.label}`" :aria-invalid="hasError('more')"
@click="validateMessage()">
<label :for="$id('contact-form-checkbox-input', i.id)" class="m2-checkbox-label flex cursor-pointer items-center rounded py-2 pl-8 transition-all hover:bg-sf-charcoal-100">
<svg viewBox="0 0 100 100" class="absolute left-1 h-4 w-4">
<path class="path" fill="none" stroke="#000" stroke-width="13" stroke-linecap="round" stroke-linejoin="round" stroke-miterlimit="10" d="M12.1 52.1l24.4 24.4 53-53"></path>
</svg>
<span class="text-sm" x-html="i.label"></span>
</label>
</div>
</template>
</div>
</fieldset><!-- end partial: shared/components/contact-forms/cf-more-info.hbs -->
</div>
<div class="mt-4 text-xs md:hidden">
<!-- start partial: shared/components/contact-forms/cf-message-warning.hbs -->
<p class="text-xs" id="message-warning"> For your protection, please do not include sensitive personal information such as social security numbers, credit/debit card number, or health/medical information. </p>
<!-- end partial: shared/components/contact-forms/cf-message-warning.hbs -->
</div>
<div class="mt-5 md:hidden">
<!-- start partial: shared/components/contact-forms/cf-message.hbs -->
<div class="relative h-full" x-id="[
'contact-form-message'
]">
<!-- start partial: shared/components/ui/text-input-label.hbs -->
<div class="relative w-full h-full" :class="{}">
<textarea :id="$id('contact-form-message')" ref="message" x-model="form.message" class="m2-form-input peer h-48 pa11y-ignore" placeholder="Your Message:" :aria-invalid="hasError('message')"
:aria-describedby="`message-warning ${hasError("message") ? $id("error", "message") : ""}`" :aria-required="hasError('message')" @keydown.debounce.750ms="validateMessage()"
:error="hasError('message')"></textarea>
<label
class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
:for="$id('contact-form-message')"> Your Message:<span aria-hidden="true" x-show="hasError('message')">*</span>
</label>
</div><!-- end partial: shared/components/ui/text-input-label.hbs -->
</div><!-- end partial: shared/components/contact-forms/cf-message.hbs -->
</div>
</div>
</div>
<div class="flex flex-col w-full mt-4 md:flex-row xl:justify-end">
<div class="md:w-1/2 xl:w-1/3">
<!-- start partial: shared/components/contact-forms/cf-file-input.hbs -->
<div x-ref="contactFormAttachments" class="w-full" x-data="initFileInput()">
<div x-show="$store.fileList.length" class="w-full mb-2 text-xl italic text-center border-b-2 border-gray-400 border-dashed" x-text="$store.fileList.length + ' attached file' + ($store.fileList.length > 1 ? 's:' : ':')">
</div>
<template x-for="(att, idx) in $store.fileList">
<div :key="idx" class="relative my-2 grid w-full grid-cols-4 flex-nowrap bg-sf-charcoal-100 p-4">
<div class="flex justify-center h-12 col-span-1 mr-4">
<img x-show="checkType(att) === 'img'" :id="att.name" class="object-contain" :alt="att.name">
<template x-if="checkType(att) != 'img'">
<div x-html="svgIcon(checkType(att), "h-full")" class="h-full">
</div>
</template>
</div>
<div class="flex flex-col justify-center col-span-3 mr-1">
<div class="flex flex-row w-full mb-1">
<span :aria-label="`This file is ${friendlySize(att.size)} in size`" data-microtip-position="bottom-right" role="tooltip" class="px-2 py-1 text-xs rounded-full w-max bg-sf-charcoal-200" x-html="friendlySize(att.size)"></span>
<span :aria-label="`This file is a ${friendlyExtension(att.name)} file`" data-microtip-position="bottom-right" role="tooltip" class="px-2 py-1 ml-1 text-xs rounded-full w-max bg-sf-charcoal-200"
x-html="friendlyExtension(att.name)"></span>
</div>
<p class="text-sm truncate md:text-base" x-text="att.name">
</p>
</div>
<a href="#" :title="`Cancel upload of ${att.name}`" @click.prevent="removeFile(idx)" class="absolute top-0 p-2 right-1">
<span class="red-link whitespace-nowrap">
<div class="svg-outer"><svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 12 14" class="svg-inner" aria-hidden="true" style="fill: currentColor; " preserveAspectRatio="xMinYMid meet"><path d="M8.57 8.43 7.429 9.571a.25.25 0 0 1-.359 0L6 8.501l-1.07 1.07a.25.25 0 0 1-.359 0L3.43 8.43a.25.25 0 0 1 0-.359l1.07-1.07-1.07-1.07a.25.25 0 0 1 0-.359l1.141-1.141a.25.25 0 0 1 .359 0L6 5.501l1.07-1.07a.25.25 0 0 1 .359 0L8.57 5.572a.25.25 0 0 1 0 .359L7.5 7.001l1.07 1.07a.25.25 0 0 1 0 .359M10.25 7c0-2.344-1.906-4.25-4.25-4.25S1.75 4.656 1.75 7 3.656 11.25 6 11.25 10.25 9.344 10.25 7M12 7A6 6 0 0 1 0 7a6 6 0 0 1 12 0"></path></svg></div>
Remove
</span>
</a>
</div>
</template>
<div x-id="['m2-file-upload-input']">
<label :for="$id("m2-file-upload-input")">
<span role="button" class="text-lg btn btn-secondary" :aria-controls="$id("m2-file-upload-input")" tabindex="0" @keydown.enter="$refs['file-upload-input'].click()" @keydown.space="$refs['file-upload-input'].click()"
x-text="`Add Attachments ${sizeRemainingMessage()}`">
</span>
</label>
<input x-ref="file-upload-input" type="file" hidden="" :id="$id("m2-file-upload-input")" name="m2-cf-attachments" multiple="" :aria-disabled="tooManyBytes" :accept="acceptableFileTypes" @change="pickFiles($event.target.files)">
<div class="mt-2 text-xs"> Please attach only <span x-text="readableExtensionList()"></span> file(s) — Unsupported file types will not be delivered to the agent. </div>
</div>
</div><!-- end partial: shared/components/contact-forms/cf-file-input.hbs -->
</div>
<div class="w-full mt-4 md:w-1/2 md:m-0 md:pl-8 xl:w-1/3">
<!-- start partial: shared/components/contact-forms/cf-submit.hbs -->
<button @click="submit" type="button" :aria-disabled="isSendDisabled()" class="btn btn-primary"> Send Email </button><!-- end partial: shared/components/contact-forms/cf-submit.hbs -->
</div>
</div>
<!-- start partial: shared/components/contact-forms/cf-errors.hbs -->
<div x-show="hasErrors" role="alert" class="my-4 rounded-2xl bg-sf-red-100 p-4 text-sf-red-700">
<!-- The only way ATs will read all of the text below on failed validation is if they are rendered as <p> elements -->
<!-- "Please forgive this" -->
<h3 class="font-semi mb-2 text-xl"> Please correct the following: </h3>
<ul class="list-inside list-disc">
<template x-for="(message, key) in errors" :key="$id('error', key)">
<li class="mb-1" :id="$id('error', key)" x-html="message"></li>
</template>
</ul>
</div><!-- end partial: shared/components/contact-forms/cf-errors.hbs -->
<div id="disclaimers">
<div class="mt-4">
<!-- start partial: shared/components/contact-forms/cf-disclaimer.hbs -->
<p :id="$id('cf-disclaimer')" class="text-xs leading-3"> By filling out the form, you are providing express consent by electronic signature that you may be contacted by telephone (via call and/or text messages) and/or email for marketing
purposes by State Farm Mutual Automobile Insurance Company, its subsidiaries and affiliates ("State Farm") or an independent contractor State Farm agent regarding insurance products and services using the phone number and/or email address you
have provided to State Farm, even if your phone number is listed on a Do Not Call Registry. You further agree that such contact may be made using an automatic telephone dialing system and/or prerecorded voice (message and data rates may
apply). Your consent is not a condition of purchase. By continuing, you agree to the terms of the disclosures above. </p><!-- end partial: shared/components/contact-forms/cf-disclaimer.hbs -->
</div>
<p class="mt-2" x-show="!false">
<!-- start partial: shared/components/contact-forms/cf-coverage-disclaimer.hbs -->
</p>
<p class="text-xs leading-3">
<span class="font-bold"> Please note: </span> Insurance coverage cannot be bound or changed via submission of this online e-mail form or via voice mail. To make policy changes or request additional coverage, please speak with a licensed
representative in the agent's office, or by contacting the State Farm toll-free customer service line at
<span><a href="tel:8557337333" class="red-link" aria-label="Contact the State Farm toll-free customer service line">(855) 733-7333</a>.</span>
</p><!-- end partial: shared/components/contact-forms/cf-coverage-disclaimer.hbs -->
<p></p>
</div>
</form>POST
<form x-show="!sendResponse && !sending" :action="`/contact${qs}`" method="post" aria-describedby="disclaimers">
<h2 x-show="true" class="hidden text-2xl font-med md:block"> You can also call us at <a :id="$id('phone-link-contact-form')" aria-label="You can also call us at (440) 835-9330" href="tel:4408359330" class="red-link">
(440) 835-9330
</a>
</h2>
<h2 class="text-2xl text-center mb-4 font-med md:hidden"> Contact Us </h2>
<div class="flex flex-col min-w-0 md:mt-8 md:flex-row">
<div class="w-full md:w-1/2 md:shrink-0 md:mr-8 lg:w-2/3 xl:m-0">
<div class="flex flex-col w-full xl:flex-row">
<div class="flex flex-col xl:h-full xl:justify-between xl:w-1/2 xl:pr-8">
<div class="hidden mt-4 xl:block">
<!-- start partial: shared/components/contact-forms/cf-prefs.hbs -->
<fieldset x-id="[
'xl-contact-form-pref-email',
'xl-contact-form-pref-phone',
'xl-contact-form-pref',
]">
<legend class="text-sm uppercase"> Your preferred method of contact </legend>
<ul class="mt-2 flex flex-row">
<li>
<input :id="$id('xl-contact-form-pref-email')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="email" x-model="form.pref"
@change="clearPrefErrors()">
<label :for="$id('xl-contact-form-pref-email')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Email </label>
</li>
<li>
<input :id="$id('xl-contact-form-pref-phone')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="phone" x-model="form.pref"
@change="clearPrefErrors()">
<label :for="$id('xl-contact-form-pref-phone')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Phone </label>
</li>
</ul>
</fieldset><!-- end partial: shared/components/contact-forms/cf-prefs.hbs -->
</div>
<div class="xl:mt-6">
<!-- start partial: shared/components/contact-forms/cf-contact-info.hbs -->
<div class="flex flex-col w-full space-y-5" x-id="['contact-form-name', 'contact-form-phone', 'contact-form-email', 'contact-form-email-or-phone']">
<!-- start partial: shared/components/contact-forms/cf-text-field.hbs -->
<!-- start partial: shared/components/ui/text-input-label.hbs -->
<div class="relative w-full " :class="{}">
<input :id="$id('contact-form-name')" class="m2-form-input peer " name="contact-form-name" x-model="form.name" :aria-required="true" autocomplete="name" type="text" placeholder="Your Name" :aria-invalid="hasError('name')"
:aria-describedby="hasError('name') ? $id('error', 'name') : null" :error="hasError('name')" @keydown.debounce.750ms="validateName()">
<label
class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
:for="$id('contact-form-name')"> Your Name<span aria-hidden="true" x-show="hasError('name')">*</span>
</label>
</div><!-- end partial: shared/components/ui/text-input-label.hbs -->
<!-- end partial: shared/components/contact-forms/cf-text-field.hbs -->
<!-- start partial: shared/components/contact-forms/cf-text-field.hbs -->
<!-- start partial: shared/components/ui/text-input-label.hbs -->
<div class="relative w-full " :class="{}">
<input :id="$id('contact-form-phone')" class="m2-form-input peer " name="contact-form-phone" x-model="form.phone" :aria-required="hasError('phone') && form.pref == 'phone'" autocomplete="tel" type="text"
placeholder="Your Phone" :aria-invalid="hasError('phone')" :aria-describedby="hasError('phone') ? $id('error', 'phone') : null" :error="hasError('phone')" @keydown.debounce.750ms="validatePhone()">
<label
class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
:for="$id('contact-form-phone')"> Your Phone<span aria-hidden="true" x-show="hasError('phone')">*</span>
</label>
</div><!-- end partial: shared/components/ui/text-input-label.hbs -->
<!-- end partial: shared/components/contact-forms/cf-text-field.hbs -->
<!-- start partial: shared/components/contact-forms/cf-text-field.hbs -->
<!-- start partial: shared/components/ui/text-input-label.hbs -->
<div class="relative w-full " :class="{}">
<input :id="$id('contact-form-email')" class="m2-form-input peer " name="contact-form-email" x-model="form.email" :aria-required="hasError('email') && form.pref == 'email'" autocomplete="email" type="text"
placeholder="Your Email" :aria-invalid="hasError('email')" :aria-describedby="hasError('email') ? $id('error', 'email') : null" :error="hasError('email')" @keydown.debounce.750ms="validateEmail()">
<label
class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
:for="$id('contact-form-email')"> Your Email<span aria-hidden="true" x-show="hasError('email')">*</span>
</label>
</div><!-- end partial: shared/components/ui/text-input-label.hbs -->
<!-- end partial: shared/components/contact-forms/cf-text-field.hbs -->
</div><!-- end partial: shared/components/contact-forms/cf-contact-info.hbs -->
</div>
</div>
<div class="flex-col hidden xl:w-1/2 md:flex xl:flex-col-reverse xl:justify-end">
<div class="h-full mt-5">
<!-- start partial: shared/components/contact-forms/cf-message.hbs -->
<div class="relative h-full" x-id="[
'md-contact-form-message'
]">
<!-- start partial: shared/components/ui/text-input-label.hbs -->
<div class="relative w-full h-full" :class="{}">
<textarea :id="$id('md-contact-form-message')" ref="message" x-model="form.message" class="m2-form-input peer h-48 xl:h-full pa11y-ignore" placeholder="Your Message:" :aria-invalid="hasError('message')"
:aria-describedby="`md-message-warning ${hasError("message") ? $id("error", "message") : ""}`" :aria-required="hasError('message')" @keydown.debounce.750ms="validateMessage()"
:error="hasError('message')"></textarea>
<label
class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
:for="$id('md-contact-form-message')"> Your Message:<span aria-hidden="true" x-show="hasError('message')">*</span>
</label>
</div><!-- end partial: shared/components/ui/text-input-label.hbs -->
</div><!-- end partial: shared/components/contact-forms/cf-message.hbs -->
</div>
<div class="mt-4">
<!-- start partial: shared/components/contact-forms/cf-message-warning.hbs -->
<p class="text-xs" id="md-message-warning"> For your protection, please do not include sensitive personal information such as social security numbers, credit/debit card number, or health/medical information. </p>
<!-- end partial: shared/components/contact-forms/cf-message-warning.hbs -->
</div>
</div>
</div>
</div>
<div class="flex flex-col w-full md:w-1/2 lg:w-1/3 xl:justify-between xl:pl-8">
<div class="mt-6 xl:hidden md:m-0">
<!-- start partial: shared/components/contact-forms/cf-prefs.hbs -->
<fieldset x-id="[
'xl-contact-form-pref-email',
'xl-contact-form-pref-phone',
'xl-contact-form-pref',
]">
<legend class="text-sm uppercase"> Your preferred method of contact </legend>
<ul class="mt-2 flex flex-row">
<li>
<input :id="$id('xl-contact-form-pref-email')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="email" x-model="form.pref" @change="clearPrefErrors()">
<label :for="$id('xl-contact-form-pref-email')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Email </label>
</li>
<li>
<input :id="$id('xl-contact-form-pref-phone')" class="m2-radio-input pointer-events-none absolute m-0 h-0 w-0 p-0 opacity-0" :name="$id('xl-contact-form-pref')" type="radio" value="phone" x-model="form.pref" @change="clearPrefErrors()">
<label :for="$id('xl-contact-form-pref-phone')" class="m2-radio-label mr-4 inline-flex cursor-pointer select-none items-start text-sm leading-6"> Your Phone </label>
</li>
</ul>
</fieldset><!-- end partial: shared/components/contact-forms/cf-prefs.hbs -->
</div>
<div class="flex w-full mt-4 xl:h-full">
<!-- start partial: shared/components/contact-forms/cf-more-info.hbs -->
<fieldset class="flex w-full flex-col" x-id="['contact-form-checkbox-input']">
<legend class="mb-2 text-sm uppercase"> I'd like more info about: <span aria-hidden="true" x-show="hasError('message')"> * </span>
</legend>
<div class="grid sm:grid-flow-col sm:grid-cols-2 sm:grid-rows-3 md:grid-cols-1 md:grid-rows-6 xl:h-full">
<template x-for="(i, k) in moreVals" :key="i.id">
<div :id="$id(`contact-form-checkbox-${i.id}`)" class="m2-contact-form-checkbox">
<input :id="$id('contact-form-checkbox-input', i.id)" class="m2-checkbox-input absolute h-0 w-0 overflow-hidden border-none p-0" x-model="form.more" type="checkbox"
:aria-describedby="hasError('message') ? $id('error', 'message') : null" :value="i.label" :aria-label="`${k + 1} of ${moreVals().length}, I'd like more info about ${i.label}`" :aria-invalid="hasError('more')"
@click="validateMessage()">
<label :for="$id('contact-form-checkbox-input', i.id)" class="m2-checkbox-label flex cursor-pointer items-center rounded py-2 pl-8 transition-all hover:bg-sf-charcoal-100">
<svg viewBox="0 0 100 100" class="absolute left-1 h-4 w-4">
<path class="path" fill="none" stroke="#000" stroke-width="13" stroke-linecap="round" stroke-linejoin="round" stroke-miterlimit="10" d="M12.1 52.1l24.4 24.4 53-53"></path>
</svg>
<span class="text-sm" x-html="i.label"></span>
</label>
</div>
</template>
</div>
</fieldset><!-- end partial: shared/components/contact-forms/cf-more-info.hbs -->
</div>
<div class="mt-4 text-xs md:hidden">
<!-- start partial: shared/components/contact-forms/cf-message-warning.hbs -->
<p class="text-xs" id="message-warning"> For your protection, please do not include sensitive personal information such as social security numbers, credit/debit card number, or health/medical information. </p>
<!-- end partial: shared/components/contact-forms/cf-message-warning.hbs -->
</div>
<div class="mt-5 md:hidden">
<!-- start partial: shared/components/contact-forms/cf-message.hbs -->
<div class="relative h-full" x-id="[
'contact-form-message'
]">
<!-- start partial: shared/components/ui/text-input-label.hbs -->
<div class="relative w-full h-full" :class="{}">
<textarea :id="$id('contact-form-message')" ref="message" x-model="form.message" class="m2-form-input peer h-48 pa11y-ignore" placeholder="Your Message:" :aria-invalid="hasError('message')"
:aria-describedby="`message-warning ${hasError("message") ? $id("error", "message") : ""}`" :aria-required="hasError('message')" @keydown.debounce.750ms="validateMessage()"
:error="hasError('message')"></textarea>
<label
class="font-semi peer-placeholder-shown:font-reg peer-focus:font-semi absolute -top-4 left-0 cursor-default text-xs text-sf-charcoal transition-all peer-placeholder-shown:left-3 peer-placeholder-shown:top-3 peer-placeholder-shown:cursor-text peer-placeholder-shown:select-none peer-placeholder-shown:text-base peer-focus:-top-4 peer-focus:left-0 peer-focus:cursor-default peer-focus:text-xs peer-focus:text-sf-charcoal"
:for="$id('contact-form-message')"> Your Message:<span aria-hidden="true" x-show="hasError('message')">*</span>
</label>
</div><!-- end partial: shared/components/ui/text-input-label.hbs -->
</div><!-- end partial: shared/components/contact-forms/cf-message.hbs -->
</div>
</div>
</div>
<div class="flex flex-col w-full mt-4 md:flex-row xl:justify-end">
<div class="md:w-1/2 xl:w-1/3">
<!-- start partial: shared/components/contact-forms/cf-file-input.hbs -->
<div x-ref="contactFormAttachments" class="w-full" x-data="initFileInput()">
<div x-show="$store.fileList.length" class="w-full mb-2 text-xl italic text-center border-b-2 border-gray-400 border-dashed" x-text="$store.fileList.length + ' attached file' + ($store.fileList.length > 1 ? 's:' : ':')">
</div>
<template x-for="(att, idx) in $store.fileList">
<div :key="idx" class="relative my-2 grid w-full grid-cols-4 flex-nowrap bg-sf-charcoal-100 p-4">
<div class="flex justify-center h-12 col-span-1 mr-4">
<img x-show="checkType(att) === 'img'" :id="att.name" class="object-contain" :alt="att.name">
<template x-if="checkType(att) != 'img'">
<div x-html="svgIcon(checkType(att), "h-full")" class="h-full">
</div>
</template>
</div>
<div class="flex flex-col justify-center col-span-3 mr-1">
<div class="flex flex-row w-full mb-1">
<span :aria-label="`This file is ${friendlySize(att.size)} in size`" data-microtip-position="bottom-right" role="tooltip" class="px-2 py-1 text-xs rounded-full w-max bg-sf-charcoal-200" x-html="friendlySize(att.size)"></span>
<span :aria-label="`This file is a ${friendlyExtension(att.name)} file`" data-microtip-position="bottom-right" role="tooltip" class="px-2 py-1 ml-1 text-xs rounded-full w-max bg-sf-charcoal-200"
x-html="friendlyExtension(att.name)"></span>
</div>
<p class="text-sm truncate md:text-base" x-text="att.name">
</p>
</div>
<a href="#" :title="`Cancel upload of ${att.name}`" @click.prevent="removeFile(idx)" class="absolute top-0 p-2 right-1">
<span class="red-link whitespace-nowrap">
<div class="svg-outer"><svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 12 14" class="svg-inner" aria-hidden="true" style="fill: currentColor; " preserveAspectRatio="xMinYMid meet"><path d="M8.57 8.43 7.429 9.571a.25.25 0 0 1-.359 0L6 8.501l-1.07 1.07a.25.25 0 0 1-.359 0L3.43 8.43a.25.25 0 0 1 0-.359l1.07-1.07-1.07-1.07a.25.25 0 0 1 0-.359l1.141-1.141a.25.25 0 0 1 .359 0L6 5.501l1.07-1.07a.25.25 0 0 1 .359 0L8.57 5.572a.25.25 0 0 1 0 .359L7.5 7.001l1.07 1.07a.25.25 0 0 1 0 .359M10.25 7c0-2.344-1.906-4.25-4.25-4.25S1.75 4.656 1.75 7 3.656 11.25 6 11.25 10.25 9.344 10.25 7M12 7A6 6 0 0 1 0 7a6 6 0 0 1 12 0"></path></svg></div>
Remove
</span>
</a>
</div>
</template>
<div x-id="['m2-file-upload-input']">
<label :for="$id("m2-file-upload-input")">
<span role="button" class="text-lg btn btn-secondary" :aria-controls="$id("m2-file-upload-input")" tabindex="0" @keydown.enter="$refs['file-upload-input'].click()" @keydown.space="$refs['file-upload-input'].click()"
x-text="`Add Attachments ${sizeRemainingMessage()}`">
</span>
</label>
<input x-ref="file-upload-input" type="file" hidden="" :id="$id("m2-file-upload-input")" name="m2-cf-attachments" multiple="" :aria-disabled="tooManyBytes" :accept="acceptableFileTypes" @change="pickFiles($event.target.files)">
<div class="mt-2 text-xs"> Please attach only <span x-text="readableExtensionList()"></span> file(s) — Unsupported file types will not be delivered to the agent. </div>
</div>
</div><!-- end partial: shared/components/contact-forms/cf-file-input.hbs -->
</div>
<div class="w-full mt-4 md:w-1/2 md:m-0 md:pl-8 xl:w-1/3">
<!-- start partial: shared/components/contact-forms/cf-submit.hbs -->
<button @click="submit" type="button" :aria-disabled="isSendDisabled()" class="btn btn-primary"> Send Email </button><!-- end partial: shared/components/contact-forms/cf-submit.hbs -->
</div>
</div>
<!-- start partial: shared/components/contact-forms/cf-errors.hbs -->
<div x-show="hasErrors" role="alert" class="my-4 rounded-2xl bg-sf-red-100 p-4 text-sf-red-700">
<!-- The only way ATs will read all of the text below on failed validation is if they are rendered as <p> elements -->
<!-- "Please forgive this" -->
<h3 class="font-semi mb-2 text-xl"> Please correct the following: </h3>
<ul class="list-inside list-disc">
<template x-for="(message, key) in errors" :key="$id('error', key)">
<li class="mb-1" :id="$id('error', key)" x-html="message"></li>
</template>
</ul>
</div><!-- end partial: shared/components/contact-forms/cf-errors.hbs -->
<div id="disclaimers">
<div class="mt-4">
<!-- start partial: shared/components/contact-forms/cf-disclaimer.hbs -->
<p :id="$id('cf-disclaimer')" class="text-xs leading-3"> By filling out the form, you are providing express consent by electronic signature that you may be contacted by telephone (via call and/or text messages) and/or email for marketing
purposes by State Farm Mutual Automobile Insurance Company, its subsidiaries and affiliates ("State Farm") or an independent contractor State Farm agent regarding insurance products and services using the phone number and/or email address you
have provided to State Farm, even if your phone number is listed on a Do Not Call Registry. You further agree that such contact may be made using an automatic telephone dialing system and/or prerecorded voice (message and data rates may
apply). Your consent is not a condition of purchase. By continuing, you agree to the terms of the disclosures above. </p><!-- end partial: shared/components/contact-forms/cf-disclaimer.hbs -->
</div>
<p class="mt-2" x-show="!false">
<!-- start partial: shared/components/contact-forms/cf-coverage-disclaimer.hbs -->
</p>
<p class="text-xs leading-3">
<span class="font-bold"> Please note: </span> Insurance coverage cannot be bound or changed via submission of this online e-mail form or via voice mail. To make policy changes or request additional coverage, please speak with a licensed
representative in the agent's office, or by contacting the State Farm toll-free customer service line at
<span><a href="tel:8557337333" class="red-link" aria-label="Contact the State Farm toll-free customer service line">(855) 733-7333</a>.</span>
</p><!-- end partial: shared/components/contact-forms/cf-coverage-disclaimer.hbs -->
<p></p>
</div>
</form>Text Content
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State Farm® Insurance Agent
JAMES MOYER
1991 Crocker Road Suite 120
Westlake, OH 44145-1998
On Southeast corner of Crocker Rd. and Detroit Rd in Gemini Building.
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1991 Crocker Road Suite 120
Westlake, OH 44145-1998
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INSURANCE PRODUCTS OFFERED
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Mon-Fri
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Sat-Sun
Closed
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ADDRESS
1991 Crocker Road Suite 120
Westlake, OH 44145-1998
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* PHONE
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Simple Insights®
SIMPLE INSIGHTS®
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WHY SHOULD I REVIEW MY HOME INSURANCE ANNUALLY?
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as social security numbers, credit/debit card number, or health/medical
information.
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Remove
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agent.
Send Email
PLEASE CORRECT THE FOLLOWING:
By filling out the form, you are providing express consent by electronic
signature that you may be contacted by telephone (via call and/or text messages)
and/or email for marketing purposes by State Farm Mutual Automobile Insurance
Company, its subsidiaries and affiliates ("State Farm") or an independent
contractor State Farm agent regarding insurance products and services using the
phone number and/or email address you have provided to State Farm, even if your
phone number is listed on a Do Not Call Registry. You further agree that such
contact may be made using an automatic telephone dialing system and/or
prerecorded voice (message and data rates may apply). Your consent is not a
condition of purchase. By continuing, you agree to the terms of the disclosures
above.
Please note: Insurance coverage cannot be bound or changed via submission of
this online e-mail form or via voice mail. To make policy changes or request
additional coverage, please speak with a licensed representative in the agent's
office, or by contacting the State Farm toll-free customer service line at (855)
733-7333.
AGENT LICENSE FOR JAMES MOYER
OH-738412
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Prices vary by state. Options selected by customer; availability, amount of
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prospectus page on statefarm.com. Read it carefully. AP2023/02/0243
Securities distributed by State Farm VP Management Corp. State Farm VP
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44319-4107 Phone: 330-659-7522
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