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edmondsgarrettedmondsgarrett
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task/WP-329 and bug/WP-330: Fixes for registration form (#236)
* Re-number superscripts - numbers 5, 6, and 7 are now 2, 3, and 4, and previous 2,3,4 are removed * Escape hyphen in regex for phone and email fields on contacts
1 parent 0ee18f6 commit e86b398

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+19
-21
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3 files changed

+19
-21
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‎apcd-cms/src/apps/registrations/templates/submission_form/registration_form_body.html

+10-10
Original file line numberDiff line numberDiff line change
@@ -270,7 +270,7 @@ <h5 id="entity_header_{{ent_no}}_{{r.reg_id}}">Entity {{ ent_no }}</h5>
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<div class="field-wrapper textinput">
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<div class="field-errors" style="display: none"></div>
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273-
<label for="fein_{{ent_no}}_{{r.reg_id}}"> FEIN<sup>5</sup> </label>
273+
<label for="fein_{{ent_no}}_{{r.reg_id}}"> FEIN<sup>2</sup> </label>
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<input
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type="text"
@@ -313,7 +313,7 @@ <h5 id="entity_header_{{ent_no}}_{{r.reg_id}}">Entity {{ ent_no }}</h5>
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<div class="field-wrapper textinput">
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<div class="field-errors" style="display: none"></div>
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316-
<label for="naic_company_code_{{ent_no}}_{{r.reg_id}}"> NAIC<sup>6</sup> Company Code </label>
316+
<label for="naic_company_code_{{ent_no}}_{{r.reg_id}}"> NAIC<sup>3</sup> Company Code </label>
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<input
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type="number"
@@ -450,7 +450,7 @@ <h6>
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<div class="field-errors" style="display: none"></div>
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<label for="total_claims_value_{{ent_no}}_{{r.reg_id}}">
453-
Total Claims Value (USD<sup>7</sup>)<span class="asterisk">*</span>
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Total Claims Value (USD<sup>4</sup>)<span class="asterisk">*</span>
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</label>
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<span class="s-affixed-input-wrapper__prefix">$</span>
@@ -517,7 +517,7 @@ <h4>
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<div class="field-wrapper textinput">
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<div class="field-errors" style="display: none"></div>
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520-
<label for="fein_1"> FEIN<sup>5</sup> </label>
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<label for="fein_1"> FEIN<sup>2</sup> </label>
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<input
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type="text"
@@ -560,7 +560,7 @@ <h4>
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<div class="field-wrapper textinput">
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<div class="field-errors" style="display: none"></div>
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563-
<label for="naic_company_code_1"> NAIC<sup>6</sup> Company Code </label>
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<label for="naic_company_code_1"> NAIC<sup>3</sup> Company Code </label>
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<input
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type="number"
@@ -737,7 +737,7 @@ <h6>
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<div class="field-errors" style="display: none"></div>
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<label for="total_claims_value_1">
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Total Claims Value (USD<sup>7</sup>)<span class="asterisk">*</span>
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Total Claims Value (USD<sup>4</sup>)<span class="asterisk">*</span>
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</label>
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<span class="s-affixed-input-wrapper__prefix">$</span>
@@ -815,7 +815,7 @@ <h5 id="contact_header_{{ forloop.counter }}_{{r.reg_id}}">Contact {{ forloop.co
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class="telephoneinput"
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id="contact_phone_{{forloop.counter}}_{{r.reg_id}}"
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inputmode="tel"
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pattern="^(\+0?1\s)?\(?\d{3}\)?[\s.-]\d{3}[\s.-]\d{4}$"
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pattern="^(\+0?1\s)?\(?\d{3}\)?[\s.\-]\d{3}[\s.\-]\d{4}$"
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value="{{ contact.phone }}"
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/>
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@@ -853,7 +853,7 @@ <h5 id="contact_header_{{ forloop.counter }}_{{r.reg_id}}">Contact {{ forloop.co
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required
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class="emailinput"
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id="contact_email_{{forloop.counter}}_{{r.reg_id}}"
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pattern="^[A-Za-z0-9._%+-]+@[A-Za-z0-9.-]+\.[a-z]{2,4}$"
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pattern="^[A-Za-z0-9._%+\-]+@[A-Za-z0-9.\-]+\.[a-z]{2,4}$"
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value="{{ contact.email }}"
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/>
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</div>
@@ -932,7 +932,7 @@ <h4 id="contact_header_1">Contact Information</h4>
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class="telephoneinput"
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id="contact_phone"
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inputmode="tel"
935-
pattern="^(\+0?1\s)?\(?\d{3}\)?[\s.-]\d{3}[\s.-]\d{4}$"
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pattern="^(\+0?1\s)?\(?\d{3}\)?[\s.\-]\d{3}[\s.\-]\d{4}$"
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/>
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<div id="help-text-contact_phone" class="help-text">
@@ -969,7 +969,7 @@ <h4 id="contact_header_1">Contact Information</h4>
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required
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class="emailinput"
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id="contact_email"
972-
pattern="^[A-Za-z0-9._%+-]+@[A-Za-z0-9.-]+\.[a-z]{2,4}$"
972+
pattern="^[A-Za-z0-9._%+\-]+@[A-Za-z0-9.\-]+\.[a-z]{2,4}$"
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/>
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</div>
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<div class="field-wrapper checkboxinput">

‎apcd-cms/src/apps/registrations/templates/submission_form/registration_form_scripts.html

+5-5
Original file line numberDiff line numberDiff line change
@@ -125,7 +125,7 @@
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<div class="o-grid o-grid--col-auto-count">
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<div class="field-wrapper textinput">
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<div class="field-errors" style="display: none"></div>
128-
<label for="fein_${entities}{% if r %}_{{r.reg_id}}{% endif %}"> FEIN<sup>5</sup> </label>
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<label for="fein_${entities}{% if r %}_{{r.reg_id}}{% endif %}"> FEIN<sup>2</sup> </label>
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<input
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type="text"
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name="fein_${entities}{% if r %}_{{r.reg_id}}{% endif %}"
@@ -162,7 +162,7 @@
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</div>
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<div class="field-wrapper textinput">
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<div class="field-errors" style="display: none"></div>
165-
<label for="naic_company_code_${entities}{% if r %}_{{r.reg_id}}{% endif %}"> NAIC<sup>6</sup> Company Code </label>
165+
<label for="naic_company_code_${entities}{% if r %}_{{r.reg_id}}{% endif %}"> NAIC<sup>3</sup> Company Code </label>
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<input
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type="number"
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name="naic_company_code_${entities}{% if r %}_{{r.reg_id}}{% endif %}"
@@ -329,7 +329,7 @@ <h6>
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<div class="field-wrapper numberinput required s-affixed-input-wrapper s-affixed-input-wrapper--prefix">
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<div class="field-errors" style="display: none"></div>
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<label for="total_claims_value_${entities}{% if r %}_{{r.reg_id}}{% endif %}">
332-
Total Claims Value (USD<sup>7</sup>)<span class="asterisk">*</span>
332+
Total Claims Value (USD<sup>4</sup>)<span class="asterisk">*</span>
333333
</label>
334334
<span class="s-affixed-input-wrapper__prefix">$</span>
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<input
@@ -433,7 +433,7 @@ <h6>
433433
class="telephoneinput"
434434
id="contact_phone_${contacts}{% if r %}_{{r.reg_id}}{% endif %}"
435435
inputmode="tel"
436-
pattern="^(\\+0?1\\s)?\\(?\\d{3}\\)?[\\s.-]\\d{3}[\\s.-]\\d{4}$"
436+
pattern="^(\\+0?1\\s)?\\(?\\d{3}\\)?[\\s.\\-]\\d{3}[\\s.\\-]\\d{4}$"
437437
/>
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<div id="help-text-contact_phone_${contacts}" class="help-text">
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<details>
@@ -464,7 +464,7 @@ <h6>
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autocomplete="email"
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required
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class="emailinput"
467-
pattern="^[A-Za-z0-9._%+-]+@[A-Za-z0-9.-]+\.[a-z]{2,4}$"
467+
pattern="^[A-Za-z0-9._%+\\-]+@[A-Za-z0-9.\\-]+\.[a-z]{2,4}$"
468468
id="contact_email_${contacts}{% if r %}_{{r.reg_id}}{% endif %}"
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/>
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</div>

‎apcd-cms/src/apps/registrations/templates/submission_form/submission_form.html

+4-6
Original file line numberDiff line numberDiff line change
@@ -67,12 +67,10 @@ <h4>Organization</h4>
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<p>
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<small
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>¹ Third Party Administrator / Administrative Services Only (TPA/ASO)<br />
70-
² Secure File Transfer Protocol (SFTP)<br />
71-
³ Hypertext Transfer Protocol Secure (HTTPS)<br />
72-
⁴ Universal Serial Bus (USB)<br />
73-
⁵ Federal Employer Identification Number (FEIN)<br />
74-
⁶ National Association of Insurance Commissioners (NAIC)<br />
75-
⁷ United States Dollar (USD)</small
70+
² Federal Employer Identification Number (FEIN)<br />
71+
³ National Association of Insurance Commissioners (NAIC)<br />
72+
⁴ United States Dollar (USD)<br />
73+
</small
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>
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</p>
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<hr />

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