Project Claire: intake step1b.html

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Last modified: July 17, 2005

<!-- intake_step1b.html = Eligible Alien Status subtemplate -->
<!-- called from intakes.php at line 77 -->

<script type="text/javascript" src="/pika/js/pop_up_help.js"></script>

<!-- "content-container" DIV -->

<div id="content-container">

    <!-- "side-content" DIV -->

    <div class="side-content">

        <!-- primary client info -->

        <h2>Primary Client</h2>

        <p>
        <a href='%%[base_url]%%/contacts.php/%%[contact_id]%%/?intake_id=%%[intake_id]%%'>%%[client_name]%%</a><br />
        Address:<br />
        %%[client_address]%%<br />
        Phone: %%[client_phone]%%<br />
        Notes: %%[phone_notes]%%<br />
        Language: %%[language,language,text]%%<br />
        DOB: %%[birth_date]%%<br />
        %%[client_remove]%%
        </p>
			
        %%[client_list]%%

        %%[case_charges]%%

        %%[opposing_list]%%

        %%[other_contacts_list]%%

        <!-- intake workflow -->
        
        <h2>Intake Workflow</h2>

        <ul>
        <li><a href="%%[base_url]%%/intakes.php/%%[intake_id]%%/step1/">Step 1: Citizenship</a></li>
        <li><a href="%%[base_url]%%/intakes.php/%%[intake_id]%%/step1b/">Step 1b: Eligible Alien</a></li>
        <li><a href="%%[base_url]%%/intakes.php/%%[intake_id]%%/step2/">Step 2: Income|Assets</a></li>
        </ul>

    </div> <!-- "side-content" closing DIV -->
	
    <!-- "main-content" DIV -->

    <div class="main-content"> <!-- "wrapper" for "main content" area -->
		
        <!-- alien status -->
        
        <h2>Step 1b: Eligible Alien Status</h2>
		
        <form action="%%[base_url]%%/ops/update_intake.php" method=post name="ws">

            <!-- radio buttons = status -->
            
            <div class="radio-buttons alien-status01">

                <h3>Select: Status</h3>

                <div>
                %%[noncitizentype radio]%%
                </div>

            </div>
	
            <!-- radio buttons = document -->

            <div class="radio-buttons alien-status02">

                <h3>Select: Document Type</h3>
                
                <div>                    
                %%[noncitizendoc radio]%%
                </div>

            </div>
            
            <!-- popup help -->
            
            <div class="step1b-help">
            <a class="context-help" href="javascript:popUp('%%[base_url]%%/helpdocs/help_citizen.html')" title="Click to see definitions and applicable rules for each of these terms.">:: What do these terms mean?</a>
            </div>
            
            <div class="clear-fix""></div>
            
            <!-- document text field -->

            <div class="alien-document">
            Doc No. <input type="text" name="noncitizendocnum" value="%%[noncitizendocnum]%%" />
            </div>
			
            <!-- intake notes -->
            
            <div class="notes">
            Intake Notes:<br />
            <textarea id="intake-notes" name="intake_notes" cols="" rows="6" tabindex="1">%%[intake_notes]%%</textarea>
            </div>

            <input type="hidden" name="intake_id" value="%%[intake_id]%%" />
            <input type="hidden" name="current_step" value="1" />
		
            <!-- submit buttons -->
            
            <div class="input-submit-step">
            <input class="button initial-intake" type="submit" name="button_press_5" value="Continue" tabindex="1" onmouseover="this.className='button button-hover'" onmouseout="this.className='button initial-intake'"onclick="return radio_button_checker()" title="Confirm the prospective client is an LSC-eligible alien and go the financial eligibility page." />
            <input class="button initial-intake" type="submit" name="button_press_2" value="Not Eligible" tabindex="1" onclick="return confirm('Are you sure you want to\nreject this intake and\ndelete all intake data?');" onmouseover="this.className='button button-hover'" onmouseout="this.className='button initial-intake'" title="Confirm the prospective client is NOT eligible and DELETE this intake record." />
            <input class="button initial-intake" type="submit" name="button_press_3" value="Save" tabindex="1" onmouseover="this.className='button button-hover'" onmouseout="this.className='button initial-intake'" title="Save this intake record." />
            </div>
	
        </form> <!-- closing FORM -->

    </div> <!-- "main-content" closing DIV -->
	
</div> <!-- "content-container" closing DIV -->



<!-- additional validation scripts -->

<script type="text/javascript">
<!-- 
function radio_button_docchecker()
{
// set var radio_choiced to false
var radio_choiced = false;

// Loop from zero to the one minus the number of radio button selections
for (counterd = 0; counterd < document.ws.noncitizendoc.length; counterd++)
{
// If a radio button has been selected it will return true
// (If not it will return false)
if (document.ws.noncitizendoc[counterd].checked)
radio_choiced = true; 
}

if (!radio_choiced)
{
// If there were no selections made display an alert box 
alert("Please select a Document Type.")
return (false);
}
return (true);
}
function radio_button_checker()
{
// set var radio_choice to false
var radio_choice = false;

// Loop from zero to the one minus the number of radio button selections
for (counter = 0; counter < document.ws.noncitizentype.length; counter++)
{
// If a radio button has been selected it will return true
// (If not it will return false)
if (document.ws.noncitizentype[counter].checked)
radio_choice = true; 
}

if (!radio_choice)
{
// If there were no selections made display an alert box 
alert("Please select a Status.")
return (false);
}
return (radio_button_docchecker());
}
// -->
</script>


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