auto.mygova.com Open in urlscan Pro
34.120.230.5  Public Scan

URL: https://auto.mygova.com/
Submission: On April 01 via api from US — Scanned from US

Form analysis 1 forms found in the DOM

POST /free_answer

<form class="edit_survey" id="edit_survey_10758216" data-type="free_answer" action="/free_answer" accept-charset="UTF-8" data-remote="true" method="post">
  <div class="card border-0 shadow-custom free-answer-card">
    <div class="card-body p-5 ">
      <div class="form-row">
        <input value="7509" type="hidden" name="survey[page_id]" id="survey_page_id">
        <div class="form-group col-sm-6 px-3">
          <label class="label-custom label-custom-sm"> Zip </label>
          <input type="text" name="survey[results][0][value]" id="zip_code" class="form-control form-control-lg question_input_14762" placeholder="_____" required="required" maxlength="5">
          <input type="hidden" name="survey[results][0][question_id]" id="survey_results_0_question_id" value="14762">
          <small>
          </small>
        </div>
        <div class="form-group col-sm-6 px-3">
          <label class="label-custom label-custom-sm"> State </label>
          <select name="survey[results][1][value]" class="form-control form-control-lg" placeholder="" required="true" id="" data-question-id="14763">
            <option value="" selected="" disabled="">Select Option</option>
            <option data-option-id="643734" value="AL">Alabama</option>
            <option data-option-id="643735" value="AK">Alaska</option>
            <option data-option-id="643736" value="AZ">Arizona</option>
            <option data-option-id="643737" value="AR">Arkansas</option>
            <option data-option-id="643738" value="CA">California</option>
            <option data-option-id="643739" value="CO">Colorado</option>
            <option data-option-id="643740" value="CT">Connecticut</option>
            <option data-option-id="643741" value="DE">Delaware</option>
            <option data-option-id="643742" value="FL">Florida</option>
            <option data-option-id="643743" value="GA">Georgia</option>
            <option data-option-id="643744" value="HI">Hawaii</option>
            <option data-option-id="643745" value="ID">Idaho</option>
            <option data-option-id="643746" value="IL">Illinois</option>
            <option data-option-id="643747" value="IN">Indiana</option>
            <option data-option-id="643748" value="IA">Iowa</option>
            <option data-option-id="643749" value="KS">Kansas</option>
            <option data-option-id="643750" value="KY">Kentucky</option>
            <option data-option-id="643751" value="LA">Louisiana</option>
            <option data-option-id="643752" value="ME">Maine</option>
            <option data-option-id="643753" value="MD">Maryland</option>
            <option data-option-id="643754" value="MA">Massachusetts</option>
            <option data-option-id="643755" value="MI">Michigan</option>
            <option data-option-id="643756" value="MN">Minnesota</option>
            <option data-option-id="643757" value="MS">Mississippi</option>
            <option data-option-id="643758" value="MO">Missouri</option>
            <option data-option-id="643759" value="MT">Montana</option>
            <option data-option-id="643760" value="NE">Nebraska</option>
            <option data-option-id="643761" value="NV">Nevada</option>
            <option data-option-id="643762" value="NH">New Hampshire</option>
            <option data-option-id="643763" value="NJ">New Jersey</option>
            <option data-option-id="643764" value="NM">New Mexico</option>
            <option data-option-id="643765" value="NY">New York</option>
            <option data-option-id="643766" value="NC">North Carolina</option>
            <option data-option-id="643767" value="ND">North Dakota</option>
            <option data-option-id="643768" value="OH">Ohio</option>
            <option data-option-id="643769" value="OK">Oklahoma</option>
            <option data-option-id="643770" value="OR">Oregon</option>
            <option data-option-id="643771" value="PA">Pennsylvania</option>
            <option data-option-id="643772" value="RI">Rhode Island</option>
            <option data-option-id="643773" value="SC">South Carolina</option>
            <option data-option-id="643774" value="SD">South Dakota</option>
            <option data-option-id="643775" value="TN">Tennessee</option>
            <option data-option-id="643776" value="TX">Texas</option>
            <option data-option-id="643777" value="UT">Utah</option>
            <option data-option-id="643778" value="VT">Vermont</option>
            <option data-option-id="643779" value="VA">Virginia</option>
            <option data-option-id="643780" value="WA">Washington</option>
            <option data-option-id="643781" value="WV">West Virginia</option>
            <option data-option-id="643782" value="WI">Wisconsin</option>
            <option data-option-id="643783" value="WY">Wyoming</option>
          </select>
          <input type="hidden" name="survey[results][1][question_id]" id="survey_results_1_question_id" value="14763">
          <input type="hidden" name="survey[results][1][option_id]" id="survey_results_1_option_id" value="" data-result-question-id="14763">
          <script type="text/javascript">
            document.querySelector("[data-question-id~='14763']").addEventListener("change", function(event) {
              let optionId = event.target.selectedOptions[0].dataset.optionId;
              let hiddenField = document.querySelector("[data-result-question-id~='14763']");
              if (!!hiddenField) {
                hiddenField.value = optionId;
              }
            })
          </script>
          <small>
          </small>
        </div>
        <div class="form-group col-sm-6 px-3">
          <label class="label-custom label-custom-sm"> First Name </label>
          <input type="text" name="survey[results][2][value]" id="" class="form-control form-control-lg question_input_14764" placeholder="" required="required">
          <input type="hidden" name="survey[results][2][question_id]" id="survey_results_2_question_id" value="14764">
          <small>
          </small>
        </div>
        <div class="form-group col-sm-6 px-3">
          <label class="label-custom label-custom-sm"> Last Name </label>
          <input type="text" name="survey[results][3][value]" id="" class="form-control form-control-lg question_input_14765" placeholder="" required="required">
          <input type="hidden" name="survey[results][3][question_id]" id="survey_results_3_question_id" value="14765">
          <small>
          </small>
        </div>
        <div class="form-group col-sm-6 px-3">
          <label class="label-custom label-custom-sm"> Military Status </label>
          <select name="survey[results][4][value]" class="form-control form-control-lg" placeholder="" required="true" id="" data-question-id="14766">
            <option value="" selected="" disabled="">Select Option</option>
            <option data-option-id="643784" value="1">Yes, we are a military family</option>
            <option data-option-id="643785" value="0">No, we are not a military family</option>
          </select>
          <input type="hidden" name="survey[results][4][question_id]" id="survey_results_4_question_id" value="14766">
          <input type="hidden" name="survey[results][4][option_id]" id="survey_results_4_option_id" value="" data-result-question-id="14766">
          <script type="text/javascript">
            document.querySelector("[data-question-id~='14766']").addEventListener("change", function(event) {
              let optionId = event.target.selectedOptions[0].dataset.optionId;
              let hiddenField = document.querySelector("[data-result-question-id~='14766']");
              if (!!hiddenField) {
                hiddenField.value = optionId;
              }
            })
          </script>
          <small>
          </small>
        </div>
        <div class="form-group col-sm-6 px-3">
          <label class="label-custom label-custom-sm"> Are you currently insured? </label>
          <select name="survey[results][5][value]" class="form-control form-control-lg" placeholder="" required="true" id="" data-question-id="14767">
            <option value="" selected="" disabled="">Select Option</option>
            <option data-option-id="643786" value="1">Yes</option>
            <option data-option-id="643787" value="0">No</option>
          </select>
          <input type="hidden" name="survey[results][5][question_id]" id="survey_results_5_question_id" value="14767">
          <input type="hidden" name="survey[results][5][option_id]" id="survey_results_5_option_id" value="" data-result-question-id="14767">
          <script type="text/javascript">
            document.querySelector("[data-question-id~='14767']").addEventListener("change", function(event) {
              let optionId = event.target.selectedOptions[0].dataset.optionId;
              let hiddenField = document.querySelector("[data-result-question-id~='14767']");
              if (!!hiddenField) {
                hiddenField.value = optionId;
              }
            })
          </script>
          <small>
          </small>
        </div>
        <div class="form-group col-sm-6 px-3">
          <label class="label-custom label-custom-sm"> Marital Status </label>
          <select name="survey[results][6][value]" class="form-control form-control-lg" placeholder="" required="true" id="" data-question-id="14768">
            <option value="" selected="" disabled="">Select Option</option>
            <option data-option-id="643788" value="Married">Married</option>
            <option data-option-id="643789" value="Single">Single</option>
            <option data-option-id="643790" value="Divorced">Divorced</option>
            <option data-option-id="643791" value="Other">Other</option>
          </select>
          <input type="hidden" name="survey[results][6][question_id]" id="survey_results_6_question_id" value="14768">
          <input type="hidden" name="survey[results][6][option_id]" id="survey_results_6_option_id" value="" data-result-question-id="14768">
          <script type="text/javascript">
            document.querySelector("[data-question-id~='14768']").addEventListener("change", function(event) {
              let optionId = event.target.selectedOptions[0].dataset.optionId;
              let hiddenField = document.querySelector("[data-result-question-id~='14768']");
              if (!!hiddenField) {
                hiddenField.value = optionId;
              }
            })
          </script>
          <small>
          </small>
        </div>
        <div class="form-group col-sm-6 px-3">
          <label class="label-custom label-custom-sm"> Are you a homeowner? </label>
          <select name="survey[results][7][value]" class="form-control form-control-lg" placeholder="" required="true" id="" data-question-id="14769">
            <option value="" selected="" disabled="">Select Option</option>
            <option data-option-id="643792" value="1">Homeowner</option>
            <option data-option-id="643793" value="0">I rent</option>
          </select>
          <input type="hidden" name="survey[results][7][question_id]" id="survey_results_7_question_id" value="14769">
          <input type="hidden" name="survey[results][7][option_id]" id="survey_results_7_option_id" value="" data-result-question-id="14769">
          <script type="text/javascript">
            document.querySelector("[data-question-id~='14769']").addEventListener("change", function(event) {
              let optionId = event.target.selectedOptions[0].dataset.optionId;
              let hiddenField = document.querySelector("[data-result-question-id~='14769']");
              if (!!hiddenField) {
                hiddenField.value = optionId;
              }
            })
          </script>
          <small>
          </small>
        </div>
        <div class="form-group col-sm-6 px-3">
          <label class="label-custom label-custom-sm"> Email </label>
          <input type="text" name="survey[results][8][value]" id="email_address" class="form-control form-control-lg question_input_14770" placeholder="" required="required">
          <input type="hidden" name="survey[results][8][question_id]" id="survey_results_8_question_id" value="14770">
          <small>
          </small>
        </div>
        <div class="form-group col-sm-6 px-3">
          <label class="label-custom label-custom-sm"> Phone Number </label>
          <input type="tel" name="survey[results][9][value]" id="phone_number" class="form-control form-control-lg question_input_14771" placeholder="___-___-____" required="required" maxlength="12">
          <input type="hidden" name="survey[results][9][question_id]" id="survey_results_9_question_id" value="14771">
          <small>
          </small>
        </div>
        <input type="text" name="survey[results][10][value]" id="trusted_form" class="form-control form-control-lg question_input_14772" placeholder="" hidden="hidden">
        <input type="hidden" name="survey[results][10][question_id]" id="survey_results_10_question_id" value="14772">
        <input type="text" name="survey[results][11][value]" id="leadid_token" class="form-control form-control-lg question_input_14773" placeholder="" hidden="hidden">
        <input type="hidden" name="survey[results][11][question_id]" id="survey_results_11_question_id" value="14773">
        <input type="text" name="survey[results][12][value]" id="ip_address" class="form-control form-control-lg question_input_14774" placeholder="" hidden="hidden">
        <input type="hidden" name="survey[results][12][question_id]" id="survey_results_12_question_id" value="14774">
        <input type="text" name="survey[results][13][value]" id="" class="form-control form-control-lg question_input_14775" placeholder="" hidden="hidden">
        <input type="hidden" name="survey[results][13][question_id]" id="survey_results_13_question_id" value="14775">
        <input type="text" name="survey[results][14][value]" id="user_agent" class="form-control form-control-lg question_input_14776" placeholder="" hidden="hidden">
        <input type="hidden" name="survey[results][14][question_id]" id="survey_results_14_question_id" value="14776">
        <input type="text" name="survey[results][15][value]" id="" class="form-control form-control-lg question_input_14777" placeholder="" hidden="hidden">
        <input type="hidden" name="survey[results][15][question_id]" id="survey_results_15_question_id" value="14777">
        <div class="form-row">
          <div class="col-12">
            <script id="LeadiDscript_campaign" type="text/javascript" async="" src="//create.lidstatic.com/campaign/ee9e1545-a46e-9025-2e7e-bcb8aab0199e.js?snippet_version=2"></script>
            <script id="LeadiDscript" type="text/javascript">
              (function() {
                var s = document.createElement('script');
                s.id = 'LeadiDscript_campaign';
                s.type = 'text/javascript';
                s.async = true;
                s.src = '//create.lidstatic.com/campaign/ee9e1545-a46e-9025-2e7e-bcb8aab0199e.js?snippet_version=2';
                var LeadiDscript = document.getElementById('LeadiDscript');
                LeadiDscript.parentNode.insertBefore(s, LeadiDscript);
              })();
            </script>
            <noscript><img src="//create.leadid.com/noscript.gif?lac=8888a8b8-de61-d6a7-d2f9-d9d52ca81cd7&amp;lck=ee9e1545-a46e-9025-2e7e-bcb8aab0199e&amp;snippet_version=2"></noscript>
            <script type="text/javascript">
              (function() {
                var field = 'xxTrustedFormCertUrl';
                var provideReferrer = false;
                var invertFieldSensitivity = false;
                var tf = document.createElement('script');
                tf.type = 'text/javascript';
                tf.async = true;
                tf.src = 'http' + ('https:' == document.location.protocol ? 's' : '') + '://api.trustedform.com/trustedform.js?provide_referrer=' + escape(provideReferrer) + '&field=' + escape(field) + '&l=' + new Date().getTime() + Math.random() +
                  '&invert_field_sensitivity=' + invertFieldSensitivity;
                var s = document.getElementsByTagName('script')[0];
                s.parentNode.insertBefore(tf, s);
              })();
            </script>
            <noscript>
              <img src="http://api.trustedform.com/ns.gif">
            </noscript>
            <script type="text/javascript">
              function trustedFormCertUrlCallback(certificateUrl) {
                $("#trusted_form").val(certificateUrl);
              }
            </script>
            <script>
              $(function() {
                $("#user_agent").val(navigator.userAgent);
              })
            </script>
          </div>
        </div>
        <script>
          var emailValid = false;
          var phoneValid = false;
          $("#phone_number").mask('000-000-0000', {
            placeholder: "___-___-____"
          });
          $("#ssn").mask('000-00-0000', {
            placeholder: "__-__-____"
          });
          $("#zip_code").mask('00000', {
            placeholder: "_____"
          });
          // months
          $("#months").mask('00', {
            placeholder: "__"
          });
          $("form").submit(function(e) {
            if ($("#months").length > 0) {
              return validateMonths($("#months"))
            }
          });
          $("#months").keyup(function() {
            validateMonths(this)
            removeLeadingZero(this, 2)
          })

          function validateMonths(input) {
            var val = $(input).val()
            $(".invalid-text").remove()
            if (val <= 12) {
              console.log("valid months")
            } else {
              $(input).parent().append("<label class='help-text invalid-text'>Months must be between 0 and 12</label>")
              return false
            }
          }

          function removeLeadingZero(input, length) {
            var val = $(input).val();
            if (val.length == length && val[0] == "0") {
              $(input).val(val[1]);
            }
          }
          // Date Validations using Domain's date format
          var dateFormat = "mm/dd/yyyy";
          var mask = dateFormat.replace(/\w/gi, '0');
          $(".date-field").mask(mask, {
            placeholder: dateFormat
          });
          $("#birth_date").mask(mask, {
            placeholder: dateFormat
          });
          $("form").submit(function(e) {
            if ($("#birth_date").length > 0) {
              return validateDateField($("#birth_date"))
            }
          });
          $("#birth_date").keyup(function() {
            validateDateField(this)
          })
          $(".date-field").keyup(function() {
            validateDateField(this)
          });

          function validateDateField(input) {
            var val = $(input).val()
            $(".invalid-text").remove()
            if (val.length == 10) {
              if (moment(val, dateFormat.toUpperCase()).isSameOrAfter('1910-01-01')) {
                console.log("valid date")
              } else {
                $(input).parent().append("<label class='help-text invalid-text'>Invalid Date</label>")
                $(input).val("")
                return false
              }
            } else {
              $(input).parent().append("<label class='help-text invalid-text'>Date too short</label>")
              return false
            }
          }
          // if type is tel - only allow numbers
          $('input[type=tel]').keyup(function() {
            this.value = this.value.replace(/[^0-9-/\.]/g, '');
          });
          if ($("#date-selectors").length > 0) {
            var html = "<select class='' id='date-months'><option>1</option></select>"
            $("form").prepend(html);
          }
          // fill ip_address id with value of user's ip address
          if ($("#ip_address").length > 0) {
            fetch('https://jsonip.com', {
              mode: 'cors'
            }).then((resp) => resp.json()).then((data) => {
              $("#ip_address").val(data.ip);
            })
          }

          function validateEmailAddress(emailAddress) {
            var pattern = /^(([^<>()\[\]\\.,;:\s@"]+(\.[^<>()\[\]\\.,;:\s@"]+)*)|(".+"))@((\[[0-9]{1,3}\.[0-9]{1,3}\.[0-9]{1,3}\.[0-9]{1,3}])|(([a-zA-Z\-0-9]+\.)+[a-zA-Z]{2,}))$/;
            return pattern.test(emailAddress);
          }

          function addErrorText(input, text) {
            $(input).parent().append("<label class='help-text invalid-text'>Invalid " + text + "</label>")
            $(input).addClass("invalid-input")
          }

          function removeErrorText(input) {
            var el = $(input).siblings(".invalid-text")[0]
            $(el).remove()
            $(input).removeClass("invalid-input")
          }

          function addVerifyingText(input) {
            $(input).parent().append("<label class='help-text verifying'>Verifying...</label>")
          }

          function removeVerifyingText(input) {
            var el = $(input).siblings(".verifying")[0]
            $(el).remove()
          }

          function checkTwilio(input, phoneNumber) {
            var areaCode = phoneNumber.substr(0, 3)
            var badAreaCodes = ["800", "833", "844", "855", "866", "877", "888"]
            removeVerifyingText(input);
            if (badAreaCodes.indexOf(areaCode) >= 0) {
              addErrorText(input, "Phone Number")
              phoneValid = false;
              console.log("bad area code")
            } else {
              addVerifyingText(input);
              $.ajax({
                url: "/check-phone",
                method: "POST",
                dataType: "script",
                data: {
                  area_code: areaCode
                },
              }).complete(function(data) {
                removeErrorText(input);
                removeVerifyingText(input);
                if (data.responseText == "success") {
                  phoneValid = true;
                } else {
                  addErrorText(input, "Phone Number")
                  phoneValid = false;
                }
              });
            }
          };

          function validateEmail(input) {
            $.ajax({
              url: "/validation-count",
              method: "POST",
              dataType: "script",
              data: {
                validation_type: 'E'
              },
            }).complete(function(data) {
              if (data.responseText == "success") {
                console.log("Email Success")
              } else {
                console.log("Email Failed")
              }
            });
            var address = $(input).val();
            var group = $(input).parents(".form-group")[0]
            $(group).find("label").remove(".invalid-text");
            $(group).find("input").removeClass("invalid-input");
            if ($(input).length > 0) {
              if (!validateEmailAddress(address)) {
                // alert("Invalid Email Address!");
                addErrorText(input, "Email Address")
                emailValid = false;
              } else {
                $(input).mailcheck({
                  suggested: function(element, suggestion) {
                    // console.log(suggestion)
                    $(element).parent().append("<label class='help-text invalid-text'>Did you mean <u id='suggestion'>" + suggestion.full + "</u>?</label>")
                    $(element).addClass("invalid-input")
                    suggestionText();
                    emailValid = true;
                  },
                  empty: function(element) {
                    // console.log(element);
                    emailValid = true;
                  }
                })
              }
            } else {
              emailValid = false;
            }
          }

          function validatePhone(phoneInput) {
            $.ajax({
              url: "/validation-count",
              method: "POST",
              dataType: "script",
              data: {
                validation_type: 'P'
              },
            }).complete(function(data) {
              if (data.responseText == "success") {
                console.log("Phone Success")
              } else {
                console.log("Phone Failed")
              }
            });
            var group = $(phoneInput).parents(".form-group")[0]
            $(group).find("label").remove(".invalid-text");
            $(group).find("input").removeClass("invalid-input");
            var phoneNumber = $(phoneInput).val().replace(/-/g, "");
            if ($(phoneInput).val().length > 1) {
              removeErrorText(phoneInput);
              checkTwilio(phoneInput, phoneNumber);
            } else {
              console.log("number no length")
              addErrorText(phoneInput, "Phone Number")
            }
          }
          suggestionText = function() {
            $("#suggestion").click(function() {
              var group = $(this).parents(".form-group")[0]
              var input = $(group).find("input");
              input.val($(this).text())
              $("label").remove(".invalid-text");
              $("input").removeClass("invalid-input");
            })
          }
          $("#email_address").change(function() {
            validateEmail(this);
          })
          $("#email_address").keyup(function() {
            $('#free_answer_submit').prop('disabled', false)
          })
          // $("#phone_number").change(function() {
          //     validatePhone(this);
          // })
          var previousValue;
          $("#phone_number").keyup(function() {
            var currentValue = $(this).val().replace(/-/g, "")
            //  console.log(previousValue, currentValue)
            $('#free_answer_submit').prop('disabled', false)
            if (previousValue != currentValue && currentValue.length > 9) {
              validatePhone(this);
              previousValue = currentValue
            }
          });
          $("#phone_number").change(function() {
            var currentValue = $(this).val().replace(/-/g, "")
            $('#free_answer_submit').prop('disabled', false)
            if (currentValue.length < 10) {
              removeErrorText(this);
              addErrorText(this, "Phone Number")
            }
          })

          function validateForm(emailInput, phoneInput) {
            if (emailInput.length > 0 && !emailValid) {
              toastr.error('Email Address Invalid')
              return false;
            }
            if (phoneInput.length > 0 && !phoneValid) {
              toastr.error('Phone Number Invalid')
              return false;
            }
          }
          $("form").submit(function(e) {
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*$271/month Savings Calculation:
https://www.cnbc.com/2019/06/03/as-mortgage-rates-plunge-millions-more-homeowners-can-benefit-from-refinancing.html
*2020/2021 Refinance Savings range from $247-$745/month:
https://wisemoneylife.com/millions-still-eligible-for-massive-mortgage-savings/