ULS-OnlineIntake-Eng-2010-11-4.xml
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<?xml version="1.0" ?><!DOCTYPE Access2Justice_1><TEMPLATE><TITLE>Utah Legal Services Online Intake</TITLE><AUTHOR>Rachel Medina, Dina Niketaides & Craige Harrison (Started with LAWO template)</AUTHOR><SENDFEEDBACK>false</SENDFEEDBACK><DESCRIPTION>Online application</DESCRIPTION><JURISDICTION>Utah</JURISDICTION><LANGUAGE>en</LANGUAGE><AVATAR>tan</AVATAR><VERSION>11/4/2010</VERSION><A2JVERSION>2010-12-26</A2JVERSION><HISTORY>Uploaded to CALI server;</HISTORY><QUESTIONCOUNTER>309</QUESTIONCOUNTER><FIRSTQUESTION>1</FIRSTQUESTION><EXITQUESTION>283</EXITQUESTION><ENDGRAPHIC>H:\JWC\A2J_Author\TIG 2010-09478-UTAH-Intake\ULSOnlineIntakeInterview\uls1.png</ENDGRAPHIC><VARIABLES><VARIABLE SCOPE="Interview" NAME="User Gender" TYPE="Text"><COMMENT>User's gender will be used to display appopriate avatar.</COMMENT></VARIABLE><VARIABLE SCOPE="Interview" NAME="HOME_ADDRESS1" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="HOME_ADDRESS2" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="HOME_CITY" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="HOME_COUNTY" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="User First Name TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="SSN NU" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Email TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Deadline TF" TYPE="MC" /><VARIABLE SCOPE="Interview" NAME="OP HOME_ADDRESS1" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="OP HOME_ADDRESS2" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="OP HOME_CITY" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="OP HOME_COUNTY" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="OP HOME_STATE" TYPE="MC" /><VARIABLE SCOPE="Interview" NAME="User Zip Code NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Income child support TF" TYPE="TF" /><VARIABLE SCOPE="Interview" NAME="Income disability TF" TYPE="TF" /><VARIABLE SCOPE="Interview" NAME="Income employment TF" TYPE="TF" /><VARIABLE SCOPE="Interview" NAME="Income pension TF" TYPE="TF" /><VARIABLE SCOPE="Interview" NAME="Income SSI TF" TYPE="TF" /><VARIABLE SCOPE="Interview" NAME="Income unemployment TF" TYPE="TF" /><VARIABLE SCOPE="Interview" NAME="Income other 2 TF" TYPE="TF" /><VARIABLE SCOPE="Interview" NAME="Marital Status MC" TYPE="MC" /><VARIABLE SCOPE="Interview" NAME="User Age NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Adults Served NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Children Served NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="User State MC" TYPE="MC" /><VARIABLE SCOPE="Interview" NAME="Previous client MC" TYPE="MC" /><VARIABLE SCOPE="Interview" NAME="User Middle Name TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="User Last Name TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Handicapped TF" TYPE="TF" /><VARIABLE SCOPE="Interview" NAME="Other Party Zip NU" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="DISABILITY INCOME NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Employment Income NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Child Support NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Veterans benefits NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Self Employment Income NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Pension Income NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Alimony Income NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="SSI Income NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Social Security Income NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Unemployment Income NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Workers Comp Income NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Other Income NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Checking Asset NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Savings Asset NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Real Property Asset NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Second Vehicle NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Cash Asset NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Pension NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Income Workers Comp TF" TYPE="TF" /><VARIABLE SCOPE="Interview" NAME="Checking TF" TYPE="TF" /><VARIABLE SCOPE="Interview" NAME="Savings TF" TYPE="TF" /><VARIABLE SCOPE="Interview" NAME="Cash TF" TYPE="TF" /><VARIABLE SCOPE="Interview" NAME="Additional motor vehicles TF" TYPE="TF" /><VARIABLE SCOPE="Interview" NAME="Personal property TF" TYPE="TF" /><VARIABLE SCOPE="Interview" NAME="Personal Property NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="No Assets TF" TYPE="TF" /><VARIABLE SCOPE="Interview" NAME="Income alimony TF" TYPE="TF" /><VARIABLE SCOPE="Interview" NAME="Child DOB" TYPE="Date" REPEATING="true" /><VARIABLE SCOPE="Interview" NAME="Income veterans benefits TF" TYPE="TF" /><VARIABLE SCOPE="Interview" NAME="Papers Received DA" TYPE="Date" /><VARIABLE SCOPE="Interview" NAME="Case Number TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Court TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Hearing DA" TYPE="Date" /><VARIABLE SCOPE="Interview" NAME="Hearing Time TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Income self-employment TF" TYPE="TF" /><VARIABLE SCOPE="Interview" NAME="Abuse TF" TYPE="TF" /><VARIABLE SCOPE="Interview" NAME="Investment Income NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Income social security TF" TYPE="TF" /><VARIABLE SCOPE="Interview" NAME="Primary Language MC" TYPE="MC" /><VARIABLE SCOPE="Interview" NAME="Income investment TF" TYPE="TF" /><VARIABLE SCOPE="Interview" NAME="Court Papers TF" TYPE="TF" /><VARIABLE SCOPE="Interview" NAME="Court Papers DA" TYPE="Date" /><VARIABLE SCOPE="Interview" NAME="OPCount" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="NOTA211" TYPE="TF" /><VARIABLE SCOPE="Interview" NAME="Problem Type MC" TYPE="MC" /><VARIABLE SCOPE="Interview" NAME="Citizenship TF" TYPE="MC" /><VARIABLE SCOPE="Interview" NAME="User Name Suffix TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="OP_LAST_NAME TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="OP_FIRST_NAME TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="OP_MIDDLE_NAME TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="OP_Name_Suffix TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="User Avatar" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Citizenship MC" TYPE="MC" /><VARIABLE SCOPE="Interview" NAME="Income GA TF" TYPE="TF" /><VARIABLE SCOPE="Interview" NAME="Utah TF" TYPE="TF" /><VARIABLE SCOPE="Interview" NAME="Reside MC" TYPE="MC" /><VARIABLE SCOPE="Interview" NAME="User Ethnicity MC" TYPE="MC" /><VARIABLE SCOPE="Interview" NAME="Alien no TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Domestic violence trigger TF" TYPE="TF" /><VARIABLE SCOPE="Interview" NAME="Total Served NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="User Birth date DA" TYPE="Date" /><VARIABLE SCOPE="Interview" NAME="One month ago DA" TYPE="Date" /><VARIABLE SCOPE="Interview" NAME="Deadline date DA" TYPE="Date" /><VARIABLE SCOPE="Interview" NAME="Perp MC" TYPE="MC" /><VARIABLE SCOPE="Interview" NAME="Secondary Pcode MC" TYPE="MC" /><VARIABLE SCOPE="Interview" NAME="Problem MC" TYPE="MC" /><VARIABLE SCOPE="Interview" NAME="GA Income NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="No Income TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Total Income NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Total Assets NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Opposing Party MC" TYPE="MC" /><VARIABLE SCOPE="Interview" NAME="Non homestead property TF" TYPE="TF" /><VARIABLE SCOPE="Interview" NAME="Pension other TF" TYPE="TF" /><VARIABLE SCOPE="Interview" NAME="Case Type TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Dopen DA" TYPE="Date" /><VARIABLE SCOPE="Interview" NAME="No Income TF" TYPE="TF" /><VARIABLE SCOPE="Interview" NAME="Vehicles NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Number of licensed adults NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Vehicle TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Income1N TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Income self-employment TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Income employment TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Income disability TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Income veterans benefits TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Income SSI TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Income GA TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Income unemployment TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Income Workers Comp TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Income2N TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Income alimony TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Income child support TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Income3N TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Income social security TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Income pension TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Income investment TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Income4N TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Income5N TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Income1A NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Income2A NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Income4A NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Checking TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Savings TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Cash TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Non homestead property TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Additional motor vehicles TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Personal property TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Pension other TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Asset1N TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Asset2N TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Asset3N TE" TYPE="Text"><COMMENT>includes vehicles</COMMENT></VARIABLE><VARIABLE SCOPE="Interview" NAME="Asset4N TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Asset1A NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Asset2A NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Asset3A NU" TYPE="Number"><COMMENT>includes vehicles</COMMENT></VARIABLE><VARIABLE SCOPE="Interview" NAME="Asset4A NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Citizencheck NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="RReject TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Know TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Officenum NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Domviolence NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Senior NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Caddress TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Tintake TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Domviol NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Cstatus MC" TYPE="MC" /><VARIABLE SCOPE="Interview" NAME="Handicapped NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="User Alternate Phone NU" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Cacode TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Cphone TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Fundsnum NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Other assets TF" TYPE="TF" /><VARIABLE SCOPE="Interview" NAME="Other assets NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Other assets TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Asset5A NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Asset5N TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Citizen NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="LSCElig NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="A2J Interview Incomplete TF" TYPE="TF" /><VARIABLE SCOPE="Interview" NAME="Housing Type MC" TYPE="MC" /><VARIABLE SCOPE="Interview" NAME="Income3A NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Income5A NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Notes TE" TYPE="Unknown" /><VARIABLE SCOPE="Interview" NAME="Income TF" TYPE="TF" /><VARIABLE SCOPE="Interview" NAME="Court Info TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Deadline date TE" TYPE="Date" /><VARIABLE SCOPE="Interview" NAME="Income Help DV TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="DV Income Help Disability TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="DV Income Help Employment TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="DV Income Help GenAssist TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="DV Income Help Alimony TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="DV Income Help ChildSupport TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="DV Income Help VetBenefits TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="DV Income Help Pension TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="DV Income Help SelfEmp TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="DV Income Help Unemployment TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="DV Income Help WorkersComp TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="DV Income Help SS TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="DV Income Help SSI TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="DV Income Help Investment TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="DV Income Help Other TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="DV Income Help NoIncome TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="DV Asset Help TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="ULS Phone TE" TYPE="Unknown" /><VARIABLE SCOPE="Interview" NAME="User Sex" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="More OPs TF" TYPE="TF" /><VARIABLE SCOPE="Interview" NAME="Case not SL" TYPE="Unknown" /><VARIABLE SCOPE="Interview" NAME="DV Income TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="Variable name TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="HOME_COUNTY TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="OP Relationship TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="OP DOB DA" TYPE="Date" /><VARIABLE SCOPE="Interview" NAME="OP HOME_COUNTY TE" TYPE="Text" /><VARIABLE SCOPE="Interview" NAME="DV Household TE" TYPE="Unknown" /><VARIABLE SCOPE="Interview" NAME="Summary TE" TYPE="Unknown" /><VARIABLE SCOPE="Interview" NAME="Notes1 TE" TYPE="Unknown" /><VARIABLE SCOPE="Interview" NAME="Notes2 TE" TYPE="Unknown" /><VARIABLE SCOPE="Interview" NAME="Notes3 TE" TYPE="Unknown" /><VARIABLE SCOPE="Interview" NAME="Previous" TYPE="Unknown" /><VARIABLE SCOPE="Interview" NAME="Recreational Vehicles TF" TYPE="TF" /><VARIABLE SCOPE="Interview" NAME="Work tools TF" TYPE="TF" /><VARIABLE SCOPE="Interview" NAME="Business TF" TYPE="TF" /><VARIABLE SCOPE="Interview" NAME="Recreational Vehicles NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Work Tools NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Business NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="Recreational Vehicles TE" TYPE="Unknown" /><VARIABLE SCOPE="Interview" NAME="Work Tools TE" TYPE="Unknown" /><VARIABLE SCOPE="Interview" NAME="Business TE" TYPE="Unknown" /><VARIABLE SCOPE="Interview" NAME="Veteran TF" TYPE="Unknown" /><VARIABLE SCOPE="Interview" NAME="Veteran NU" TYPE="Unknown" /><VARIABLE SCOPE="Interview" NAME="sec" TYPE="Unknown" /><VARIABLE SCOPE="Interview" NAME="secondary" TYPE="Unknown" /><VARIABLE SCOPE="Interview" NAME="Income tribal TF" TYPE="TF" /><VARIABLE SCOPE="Interview" NAME="Income tribal TE" TYPE="Unknown" /><VARIABLE SCOPE="Interview" NAME="Tribal Income NU" TYPE="Number" /><VARIABLE SCOPE="Interview" NAME="DV Income Help Tribal TE" TYPE="Unknown" /></VARIABLES><STEPS><STEP NUMBER="0"><TEXT>ULS Online Eligibility Screening</TEXT></STEP><STEP NUMBER="1"><TEXT>BEGIN THE INTERVIEW</TEXT></STEP><STEP NUMBER="2"><TEXT>LEGAL PROBLEM</TEXT></STEP><STEP NUMBER="3"><TEXT>HOUSEHOLD INFORMATION</TEXT></STEP><STEP NUMBER="4"><TEXT>INCOME & ASSETS</TEXT></STEP><STEP NUMBER="5"><TEXT>YOUR INFORMATION</TEXT></STEP><STEP NUMBER="6"><TEXT>OTHER PARTY</TEXT></STEP><STEP NUMBER="7"><TEXT>FINISHED!</TEXT></STEP></STEPS><QUESTIONS><QUESTION ID="1" STEP="0" MAPX="175" MAPY="146" NAME="1a - Welcome"><TEXT><P><FONT>Welcome! My name is Ayla and I will guide you through applying for help from Utah Legal Services.</FONT></P><P><FONT /></P><P><FONT>Click <B>Begin</B> to start.</FONT></P><P><FONT /></P></TEXT><BUTTONS><BUTTON NEXT="158"><LABEL>Begin</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>AFTER</EVENT><CONDITION>1=1</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Case Type TE="S"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Dopen DA=%%DATE(TODAY)%%</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Know TE="W"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Tintake TE="W"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET LSCElig NU="0"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Fundsnum NU="21"</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="2" STEP="0" MAPX="259" MAPY="2073" NAME="1b1 - Name and Gender"><TEXT><P><FONT>Let's begin. </FONT></P><P><FONT /></P><P><FONT>Please tell me your <A HREF="popup://21" TARGET=""><U>full legal name</U></A> and answer the other questions below (questions in red are required).</FONT></P><P><FONT /></P><P><FONT>If you are helping someone else apply for assistance, make sure you provide the information requested for the person with the legal problem.</FONT></P><P><FONT /></P></TEXT><HELP><P><FONT>Although you are welcome to fill out the interview for someone else if you have all the required information, keep in mind that ULS cannot talk to you if you are not the person who is actually experiencing the problem. </FONT></P><P><FONT /></P><P><FONT>We will need to speak directly to your family member, friend, neighbor or client to evaluate their situation and see whether there is anything we can do to help.</FONT></P><P><FONT /></P></HELP><LEARN>What if I am assisting another person to complete this interview?</LEARN><FIELDS><FIELD MAXCHARS="25" TYPE="text"><LABEL>First Name:</LABEL><NAME>User First Name TE</NAME><INVALIDPROMPT>I need more information. You must type a response in the highlighted field before you can continue.</INVALIDPROMPT></FIELD><FIELD MAXCHARS="1" TYPE="text" OPTIONAL="true"><LABEL>Middle Initial:</LABEL><NAME>User Middle Name TE</NAME><INVALIDPROMPT>I need more information. You must type a response in the highlighted field before you can continue.</INVALIDPROMPT></FIELD><FIELD MAXCHARS="25" TYPE="text"><LABEL>Last Name:</LABEL><NAME>User Last Name TE</NAME><INVALIDPROMPT>I need more information. You must type a response in the highlighted field before you can continue.</INVALIDPROMPT></FIELD><FIELD MAXCHARS="5" TYPE="text" OPTIONAL="true"><LABEL>Jr./Sr./etc.:</LABEL><NAME>User Name Suffix TE</NAME><INVALIDPROMPT>I need more information. You must type a response in the highlighted field before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="gender"><LABEL>Gender</LABEL><NAME>User Gender</NAME><INVALIDPROMPT>You must choose either male or female from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="166"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>AFTER</EVENT><CONDITION>[User Gender]="Female"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET User Sex="F"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[User Gender]="Male"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET User Sex="M"</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="4" STEP="0" MAPX="300" MAPY="3148" NAME="1b3 - Case in utah?"><TEXT><P><FONT>%%[User First Name TE]%%, is your legal problem in Utah?</FONT></P><P><FONT /></P></TEXT><NOTE>**zip code can just be collected with the address ** refer to lawhelp if not in Utah</NOTE><BUTTONS><BUTTON NAME="Utah TF" URL="http://www.lawhelp.org/" NEXT="70"><LABEL>Yes</LABEL><VALUE>True</VALUE></BUTTON><BUTTON NAME="Utah TF" URL="http://www.lawhelp.org/" NEXT="28"><LABEL>No</LABEL><VALUE>False</VALUE></BUTTON></BUTTONS></QUESTION><QUESTION ID="8" STEP="5" MAPX="5462" MAPY="198" NAME="1b Address"><TEXT><P><FONT>What is your mailing address? </FONT></P><P><FONT /></P><P><FONT>If you are unsure which county to select, visit the <A HREF="http://www.naco.org/research/data/Pages/CitySearch.aspx" TARGET=""><U>National Association of Counties website</U></A>. Find your county by entering the city in which you live or are having your legal problem. <A HREF="popup://25" TARGET=""><U>Click here if you have experienced domestic violence or abuse.</U></A> </FONT></P><P><FONT /></P></TEXT><HELP><P><FONT>If you have experienced domestic violence or abuse, make sure you give us a safe address. A safe address is an address where we can send you mail and the person who is abusing or threatening you will not see it. You may list the address of a trusted friend or relative, but make sure they are able and willing to quickly get you the mail.</FONT></P></HELP><LEARN>Which address should I use? Read this if you have experienced domestic violence.</LEARN><FIELDS><FIELD MAXCHARS="50" TYPE="text"><LABEL>Address:</LABEL><NAME>HOME_ADDRESS1</NAME><INVALIDPROMPT>I need more information. You must type a response in the highlighted field before you can continue.</INVALIDPROMPT></FIELD><FIELD MAXCHARS="25" TYPE="text"><LABEL>City:</LABEL><NAME>HOME_CITY</NAME><INVALIDPROMPT>You must type a response in the highlighted space before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="textpick"><LABEL>County:</LABEL><NAME>HOME_COUNTY</NAME><INVALIDPROMPT>You must make a selection from the highlighted space before you can continue.</INVALIDPROMPT><SELECT><OPTION VALUE="Beaver">Beaver</OPTION><OPTION VALUE="Box Elder">Box Elder</OPTION><OPTION VALUE="Cache">Cache</OPTION><OPTION VALUE="Carbon">Carbon</OPTION><OPTION VALUE="Daggett">Daggett</OPTION><OPTION VALUE="Davis">Davis</OPTION><OPTION VALUE="Duchesne">Duchesne</OPTION><OPTION VALUE="Emery">Emery</OPTION><OPTION VALUE="Garfield">Garfield</OPTION><OPTION VALUE="Grand">Grand</OPTION><OPTION VALUE="Iron">Iron</OPTION><OPTION VALUE="Juab">Juab</OPTION><OPTION VALUE="Kane">Kane</OPTION><OPTION VALUE="Millard">Millard</OPTION><OPTION VALUE="Morgan">Morgan</OPTION><OPTION VALUE="Piute">Piute</OPTION><OPTION VALUE="Rich">Rich</OPTION><OPTION VALUE="Salt Lake">Salt Lake</OPTION><OPTION VALUE="San Juan">San Juan</OPTION><OPTION VALUE="Sanpete">Sanpete</OPTION><OPTION VALUE="Sevier">Sevier</OPTION><OPTION VALUE="Summit">Summit</OPTION><OPTION VALUE="Tooele">Tooele</OPTION><OPTION VALUE="Uintah">Uintah</OPTION><OPTION VALUE="Utah">Utah</OPTION><OPTION VALUE="Wasatch">Wasatch</OPTION><OPTION VALUE="Washington">Washington</OPTION><OPTION VALUE="Wayne">Wayne</OPTION><OPTION VALUE="Weber">Weber</OPTION><OPTION VALUE="Other">Other</OPTION></SELECT></FIELD><FIELD TYPE="textpick"><LABEL>State:</LABEL><NAME>User State MC</NAME><VALUE>UT</VALUE><INVALIDPROMPT>I need more information. You must make a selection from the highlighted field before you can continue.</INVALIDPROMPT><SELECT><OPTION VALUE="UT">UT</OPTION><OPTION VALUE="AL">AL</OPTION><OPTION VALUE="AK">AK</OPTION><OPTION VALUE="AR">AR</OPTION><OPTION VALUE="AZ">AZ</OPTION><OPTION VALUE="CA">CA</OPTION><OPTION VALUE="CO">CO</OPTION><OPTION VALUE="CT">CT</OPTION><OPTION VALUE="DC">DC</OPTION><OPTION VALUE="DE">DE</OPTION><OPTION VALUE="FL">FL</OPTION><OPTION VALUE="GA">GA</OPTION><OPTION VALUE="HI">HI</OPTION><OPTION VALUE="ID">ID</OPTION><OPTION VALUE="IA">IA</OPTION><OPTION VALUE="IL">IL</OPTION><OPTION VALUE="IN">IN</OPTION><OPTION VALUE="KS">KS</OPTION><OPTION VALUE="KY">KY</OPTION><OPTION VALUE="LA">LA</OPTION><OPTION VALUE="MA">MA</OPTION><OPTION VALUE="MD">MD</OPTION><OPTION VALUE="ME">ME</OPTION><OPTION VALUE="MI">MI</OPTION><OPTION VALUE="MO">MO</OPTION><OPTION VALUE="MN">MN</OPTION><OPTION VALUE="MS">MS</OPTION><OPTION VALUE="MT">MT</OPTION><OPTION VALUE="NE">NE</OPTION><OPTION VALUE="NH">NH</OPTION><OPTION VALUE="NJ">NJ</OPTION><OPTION VALUE="NM">NM</OPTION><OPTION VALUE="NY">NY</OPTION><OPTION VALUE="NV">NV</OPTION><OPTION VALUE="NC">NC</OPTION><OPTION VALUE="ND">ND</OPTION><OPTION VALUE="OH">OH</OPTION><OPTION VALUE="OK">OK</OPTION><OPTION VALUE="OR">OR</OPTION><OPTION VALUE="PA">PA</OPTION><OPTION VALUE="PR">PR</OPTION><OPTION VALUE="RI">RI</OPTION><OPTION VALUE="SC">SC</OPTION><OPTION VALUE="SD">SD</OPTION><OPTION VALUE="TN">TN</OPTION><OPTION VALUE="TX">TX</OPTION><OPTION VALUE="VA">VA</OPTION><OPTION VALUE="VT">VT</OPTION><OPTION VALUE="WA">WA</OPTION><OPTION VALUE="WI">WI</OPTION><OPTION VALUE="WV">WV</OPTION><OPTION VALUE="WY">WY</OPTION></SELECT></FIELD><FIELD MAXCHARS="10" TYPE="numberzip"><LABEL>Zip:</LABEL><NAME>User Zip Code NU</NAME><INVALIDPROMPT>You must type a zip code in the highlighted space before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="12"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>AFTER</EVENT><CONDITION>[HOME_COUNTY]="Salt Lake" or [HOME_COUNTY]="Davis" or [HOME_COUNTY]="Summit" or [HOME_COUNTY]="Tooele" or [HOME_COUNTY]="Other" or [HOME_COUNTY]="Grand" or [HOME_COUNTY]="San Juan"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Officenum NU="1"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[HOME_COUNTY]="Weber" or [HOME_COUNTY]="Cache" or [HOME_COUNTY]="Morgan" [HOME_COUNTY]="Rich" or [HOME_COUNTY]="Box Elder"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Officenum NU="3"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[HOME_COUNTY]="Wayne" or [HOME_COUNTY]="Piute" or [HOME_COUNTY]="Beaver" or [HOME_COUNTY]="Iron" or [HOME_COUNTY]="Garfield" or [HOME_COUNTY]="Washington" or [HOME_COUNTY]="Kane"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Officenum NU="5"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[HOME_COUNTY]="Utah" or [HOME_COUNTY]="Wasatch" or [HOME_COUNTY]="Duchesne" or [HOME_COUNTY]="Daggett" or [HOME_COUNTY]="Uintah" or [HOME_COUNTY]="Carbon" or [HOME_COUNTY]="Sanpete" or [HOME_COUNTY]="Juab" or [HOME_COUNTY]="Millard" or [HOME_COUNTY]="Sevier" or [HOME_COUNTY]="Emery"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Officenum NU="4"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>hasanswered([HOME_ADDRESS2])=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Caddress TE=%%[HOME_ADDRESS1]%% + ", " + %%[HOME_ADDRESS2]%%</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Caddress TE=%%[HOME_ADDRESS1]%%</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[HOME_COUNTY]="Other"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 289</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="11" STEP="1" MAPX="1040" MAPY="201" NAME="1c - Citizenship"><TEXT><P><FONT>%%[User First Name TE]%%, tell us about your U.S. citizenship or residency. </FONT></P></TEXT><HELP><P><FONT>We need to know information about your citizenship or immigration status so we know what help may be available for you.</FONT></P></HELP><LEARN>Why do you need this information?</LEARN><NOTE>Radio options: citizen with a social ; citizen (no s.s. card); p.resident; none of the above ** add question to collect ss# or alien#</NOTE><FIELDS><FIELD TYPE="radio"><LABEL>I am a citizen of the United States</LABEL><NAME>Citizenship MC</NAME><VALUE>citizen</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT><SELECT><OPTION VALUE="US Citizen">US Citizen</OPTION><OPTION VALUE="Lawful Pernament Resident">Lawful Pernament Resident</OPTION><OPTION VALUE="Student Visa">Student Visa</OPTION><OPTION VALUE="No Documents">No Documents</OPTION></SELECT></FIELD><FIELD TYPE="radio"><LABEL>I am a permanent legal resident of the United States</LABEL><NAME>Citizenship MC</NAME><VALUE>pr</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT><SELECT><OPTION VALUE="US Citizen">US Citizen</OPTION><OPTION VALUE="Lawful Pernament Resident">Lawful Pernament Resident</OPTION><OPTION VALUE="Student Visa">Student Visa</OPTION><OPTION VALUE="No Documents">No Documents</OPTION></SELECT></FIELD><FIELD TYPE="radio"><LABEL>None of the above</LABEL><NAME>Citizenship MC</NAME><VALUE>not a resident</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT><SELECT><OPTION VALUE="US Citizen">US Citizen</OPTION><OPTION VALUE="Lawful Pernament Resident">Lawful Pernament Resident</OPTION><OPTION VALUE="Student Visa">Student Visa</OPTION><OPTION VALUE="No Documents">No Documents</OPTION></SELECT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="182"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>AFTER</EVENT><CONDITION>[Citizenship MC]="citizen"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Citizencheck NU=1</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Cstatus MC="A"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Citizenship MC]="pr"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Citizencheck NU=1</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Cstatus MC="B"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Citizenship MC]="not a resident"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Citizencheck NU=1</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Cstatus MC="C"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>1=1</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Citizen NU=%%[Citizencheck NU]%%</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Citizenship MC]="citizen"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 182</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Citizenship MC]="pr"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 104</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Citizenship MC]="not a resident"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 105</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="12" STEP="5" MAPX="5488" MAPY="1039" NAME="1c - Phone number"><TEXT><P><FONT>%%[User First Name TE]%%, what are the phone numbers where we may call you? We must have at least one number. You may list the number of a trusted friend or relative, but make sure they are able and willing to quickly relay messages from our office to you. <B>Click </B><A HREF="popup://7" TARGET=""><B><U>here</U></B></A><B> if you have experienced domestic violence</B> <B>or abuse.</B></FONT></P><P><FONT /></P></TEXT><HELP><P><FONT>If you have experienced domestic violence or abuse, make sure you give us a safe number. A safe number is a number where we can call and the person who is abusing or threatening you will not answer or be able to hear your voice mail messages. You may list the number of a trusted friend or relative, but make sure they are able and willing to quickly give you messages from our office to you.</FONT></P><P><FONT /></P></HELP><LEARN>What number should I use? Read this if there is abuse.</LEARN><FIELDS><FIELD MAXCHARS="3" TYPE="text"><LABEL>Area Code:</LABEL><NAME>Cacode TE</NAME><INVALIDPROMPT>I need more information. You must type a phone number in the highlighted field before you can continue.</INVALIDPROMPT></FIELD><FIELD MAXCHARS="8" TYPE="text"><LABEL>7-Digit Ph#</LABEL><NAME>Cphone TE</NAME><INVALIDPROMPT>I need more information. You must type a phone number in the highlighted field before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="numberphone" OPTIONAL="true"><LABEL>Alternate phone:</LABEL><NAME>User Alternate Phone NU</NAME><INVALIDPROMPT>You must type a phone number in the highlighted spaces before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="32"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Problem MC]="DV" or [Problem MC]="Family"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Fundsnum NU="50"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>([Problem MC]="DV" or [Problem MC]="Family") and [HOME_COUNTY]="Davis"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Fundsnum NU="47"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>([Problem Type MC]="37" OR [Problem Type MC]="42") and [Officenum NU]="1"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Fundsnum NU="53"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>([Problem Type MC]="37" OR [Problem Type MC]="42") and [Officenum NU]="3"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Fundsnum NU="51"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>([Problem Type MC]="37" OR [Problem Type MC]="42") and [Officenum NU]="4"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Fundsnum NU="53"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>([Problem Type MC]="37" OR [Problem Type MC]="42") and [Officenum NU]="5"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Fundsnum NU="53"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>([Problem Type MC]="37" OR [Problem Type MC]="42") and [HOME_COUNTY]="Tooele"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Fundsnum NU="49"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>([Problem Type MC]="37" OR [Problem Type MC]="42") and [HOME_COUNTY]="Davis"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Fundsnum NU="47"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Problem Type MC]="81"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Fundsnum NU="23"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Problem Type MC]="92"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Fundsnum NU="24"</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="15" STEP="5" MAPX="5505" MAPY="2173" NAME="1j - Ethnicity"><TEXT><P><FONT>What is your ethnic background?</FONT></P><P><FONT> </FONT></P><P><FONT><I>Select from the options below</I>.</FONT></P></TEXT><HELP><P><FONT>Your ethnic background is of interest to certain legal services funders to make sure we are treating everyone fairly. We also use this information to help us figure out whether landlords, creditors or others may be illegally targeting certain ethnic groups. If you do not wish to answer this question, you may skip it and continue with the rest of the interview.</FONT></P></HELP><LEARN>Why do you need this information?</LEARN><NOTE>Use Ethnicity TE changed to User Ethnicity MC</NOTE><FIELDS><FIELD TYPE="textpick"><NAME>User Ethnicity MC</NAME><INVALIDPROMPT>I need more information. You must make a selection from the highlighted field before you can continue.</INVALIDPROMPT><LISTSRC>H:\JWC\A2J_Author\TIG 2010-09478-UTAH-Intake\ULSOnlineIntakeInterview\Ethnicity.xml</LISTSRC></FIELD></FIELDS><BUTTONS><BUTTON NEXT="17"><LABEL>Continue</LABEL></BUTTON></BUTTONS></QUESTION><QUESTION ID="17" STEP="5" MAPX="5542" MAPY="2436" NAME="1l - Marital status"><TEXT><P><FONT>%%[User First Name TE]%%, please tell us about your marital status. Are you:</FONT></P></TEXT><HELP><P><FONT>Your marital status is of interest to certain legal services funders to make sure we are treating everyone fairly. We also use this information to help us figure out whether landlords, creditors or others may be illegally targeting certain groups. </FONT></P></HELP><LEARN>Why do you need this information?</LEARN><FIELDS><FIELD TYPE="radio"><LABEL>Single</LABEL><NAME>Marital Status MC</NAME><VALUE>S</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Married</LABEL><NAME>Marital Status MC</NAME><VALUE>M</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Divorced</LABEL><NAME>Marital Status MC</NAME><VALUE>D</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Separated</LABEL><NAME>Marital Status MC</NAME><VALUE>P</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Widowed</LABEL><NAME>Marital Status MC</NAME><VALUE>W</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Domestic Partners</LABEL><NAME>Marital Status MC</NAME><VALUE>U</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="76"><LABEL>Continue</LABEL></BUTTON></BUTTONS></QUESTION><QUESTION ID="22" STEP="6" MAPX="6171" MAPY="840" NAME="1b Opposing Party name"><TEXT><P><FONT>What is the legal name of the primary person causing your legal problem?</FONT></P></TEXT><HELP><P><FONT>We can’t complete the application without this information. Please find it, then return to complete the application.</FONT></P></HELP><LEARN>What if I don't know or don't want to provide this information?</LEARN><NOTE>split into three questions based on residence</NOTE><FIELDS><FIELD MAXCHARS="25" TYPE="text" OPTIONAL="true"><LABEL>First Name:</LABEL><NAME>OP_FIRST_NAME TE</NAME><INVALIDPROMPT>I need more information. You must type a response in the highlighted field before you can continue.</INVALIDPROMPT></FIELD><FIELD MAXCHARS="2" TYPE="text" OPTIONAL="true"><LABEL>Middle Initial:</LABEL><NAME>OP_MIDDLE_NAME TE</NAME><INVALIDPROMPT>I need more information. You must type a response in the highlighted field before you can continue.</INVALIDPROMPT></FIELD><FIELD MAXCHARS="21" TYPE="text"><LABEL>Last Name:</LABEL><NAME>OP_LAST_NAME TE</NAME><INVALIDPROMPT>I need more information. You must type a response in the highlighted field before you can continue.</INVALIDPROMPT></FIELD><FIELD MAXCHARS="5" TYPE="text" OPTIONAL="true"><LABEL>Name Suffix ("Jr.," "Sr.", etc.)</LABEL><NAME>OP_Name_Suffix TE</NAME><INVALIDPROMPT>I need more information. You must type a response in the highlighted field before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="23"><LABEL>Continue</LABEL></BUTTON></BUTTONS></QUESTION><QUESTION ID="23" STEP="6" MAPX="6174" MAPY="1628" NAME="1d Opposing party address"><TEXT><P><FONT>Please enter the address for the primary opposing party: </FONT></P></TEXT><FIELDS><FIELD MAXCHARS="50" TYPE="text" OPTIONAL="true"><LABEL>Address 1:</LABEL><NAME>OP HOME_ADDRESS1</NAME><INVALIDPROMPT>I need more information. You must type a response in the highlighted field before you can continue.</INVALIDPROMPT></FIELD><FIELD MAXCHARS="25" TYPE="text"><LABEL>City:</LABEL><NAME>OP HOME_CITY</NAME><INVALIDPROMPT>You must type a response in the highlighted space before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="textpick" OPTIONAL="true" ORDER="ASC"><LABEL>County:</LABEL><NAME>OP HOME_COUNTY</NAME><INVALIDPROMPT>You must make a selection from the highlighted space before you can continue.</INVALIDPROMPT><SELECT><OPTION VALUE="Beaver">Beaver</OPTION><OPTION VALUE="Box Elder">Box Elder</OPTION><OPTION VALUE="Cache">Cache</OPTION><OPTION VALUE="Carbon">Carbon</OPTION><OPTION VALUE="Daggett">Daggett</OPTION><OPTION VALUE="Davis">Davis</OPTION><OPTION VALUE="Duchesne">Duchesne</OPTION><OPTION VALUE="Emery">Emery</OPTION><OPTION VALUE="Garfield">Garfield</OPTION><OPTION VALUE="Grand">Grand</OPTION><OPTION VALUE="Iron">Iron</OPTION><OPTION VALUE="Juab">Juab</OPTION><OPTION VALUE="Kane">Kane</OPTION><OPTION VALUE="Millard">Millard</OPTION><OPTION VALUE="Morgan">Morgan</OPTION><OPTION VALUE="Piute">Piute</OPTION><OPTION VALUE="Rich">Rich</OPTION><OPTION VALUE="Salt Lake">Salt Lake</OPTION><OPTION VALUE="San Juan">San Juan</OPTION><OPTION VALUE="Sanpete">Sanpete</OPTION><OPTION VALUE="Sevier">Sevier</OPTION><OPTION VALUE="Summit">Summit</OPTION><OPTION VALUE="Tooele">Tooele</OPTION><OPTION VALUE="Uintah">Uintah</OPTION><OPTION VALUE="Utah">Utah</OPTION><OPTION VALUE="Wasatch">Wasatch</OPTION><OPTION VALUE="Washington">Washington</OPTION><OPTION VALUE="Wayne">Wayne</OPTION><OPTION VALUE="Weber">Weber</OPTION><OPTION VALUE="Other">Other</OPTION></SELECT></FIELD><FIELD TYPE="textpick"><LABEL>State:</LABEL><NAME>OP HOME_STATE</NAME><VALUE>UT</VALUE><INVALIDPROMPT>You must make a selection from the highlighted space before you can continue.</INVALIDPROMPT><SELECT><OPTION VALUE="UT">UT</OPTION><OPTION VALUE="AL">AL</OPTION><OPTION VALUE="AK">AK</OPTION><OPTION VALUE="AR">AR</OPTION><OPTION VALUE="AZ">AZ</OPTION><OPTION VALUE="CA">CA</OPTION><OPTION VALUE="CO">CO</OPTION><OPTION VALUE="CT">CT</OPTION><OPTION VALUE="DC">DC</OPTION><OPTION VALUE="DE">DE</OPTION><OPTION VALUE="FL">FL</OPTION><OPTION VALUE="GA">GA</OPTION><OPTION VALUE="HI">HI</OPTION><OPTION VALUE="ID">ID</OPTION><OPTION VALUE="IA">IA</OPTION><OPTION VALUE="IL">IL</OPTION><OPTION VALUE="IN">IN</OPTION><OPTION VALUE="KS">KS</OPTION><OPTION VALUE="KY">KY</OPTION><OPTION VALUE="LA">LA</OPTION><OPTION VALUE="MA">MA</OPTION><OPTION VALUE="MD">MD</OPTION><OPTION VALUE="ME">ME</OPTION><OPTION VALUE="MI">MI</OPTION><OPTION VALUE="MO">MO</OPTION><OPTION VALUE="MN">MN</OPTION><OPTION VALUE="MS">MS</OPTION><OPTION VALUE="MT">MT</OPTION><OPTION VALUE="NE">NE</OPTION><OPTION VALUE="NH">NH</OPTION><OPTION VALUE="NJ">NJ</OPTION><OPTION VALUE="NM">NM</OPTION><OPTION VALUE="NY">NY</OPTION><OPTION VALUE="NV">NV</OPTION><OPTION VALUE="NC">NC</OPTION><OPTION VALUE="ND">ND</OPTION><OPTION VALUE="OH">OH</OPTION><OPTION VALUE="OK">OK</OPTION><OPTION VALUE="OR">OR</OPTION><OPTION VALUE="PA">PA</OPTION><OPTION VALUE="PR">PR</OPTION><OPTION VALUE="RI">RI</OPTION><OPTION VALUE="SC">SC</OPTION><OPTION VALUE="SD">SD</OPTION><OPTION VALUE="TN">TN</OPTION><OPTION VALUE="TX">TX</OPTION><OPTION VALUE="VA">VA</OPTION><OPTION VALUE="VT">VT</OPTION><OPTION VALUE="WA">WA</OPTION><OPTION VALUE="WI">WI</OPTION><OPTION VALUE="WV">WV</OPTION><OPTION VALUE="WY">WY</OPTION></SELECT></FIELD><FIELD MAXCHARS="10" TYPE="numberzip" OPTIONAL="true"><LABEL>Zip:</LABEL><NAME>Other Party Zip NU</NAME><INVALIDPROMPT>You must type a zip code in the highlighted space before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="291"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>AFTER</EVENT><CONDITION>[OP HOME_COUNTY]="Other"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 292</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="24" STEP="4" MAPX="3832" MAPY="2215" NAME="1d1 - Disability income"><TEXT><P><FONT>How much is the <A HREF="popup://13" TARGET=""><U>gross</U></A> disability income each month?</FONT></P><P><FONT>Example: 100.00</FONT></P></TEXT><HELP><P><FONT>Add the monthly disability income for all persons in your household and use that total. %%[DV Income Help Disability TE]%%</FONT></P></HELP><LEARN>Whose income do I count?</LEARN><NOTE>Different help for person - case is a result of domestic violence or if they are separated.</NOTE><FIELDS><FIELD CALCULATOR="true" TYPE="numberdollar" MIN="0.01"><LABEL>Amount: $</LABEL><NAME>Disability Income NU</NAME><INVALIDPROMPT>A zero ($0.00) is not allowed here. If you do not have disability income select the "Back" arrow above until you reach the beginning of this section so that you can change your selections for income.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="80"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Income disability TF] = false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Disability income NU=0</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Income disability TF] = false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 80</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Domestic violence trigger TF] ="true" or [Problem MC] ="DV"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET DV Income Help Disability TE="Do not include the disability income of the person causing your problem."</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET DV Income Help Disability TE=""</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="25" STEP="2" MAPX="1317" MAPY="3664" NAME="1f1b - Legal Problem p2"><TEXT><P><FONT>What kind of legal problem do you have?</FONT></P></TEXT><NOTE>**Add in Migrant Worker -- need problem code?? for variable **If None of the above, then refer or call. Get problem codes from Craige. According to Craige, we don't need problem codes for the first level of problem questions. The codes come in under the second level questions - the specific problem.</NOTE><FIELDS><FIELD TYPE="radio"><LABEL>Health Care, including Medicare and Medicaid problems</LABEL><NAME>Problem MC</NAME><VALUE>Healthcare</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT><SELECT><OPTION VALUE="Benefits">Benefits</OPTION><OPTION VALUE="Consumer">Consumer</OPTION><OPTION VALUE="Education">Education</OPTION><OPTION VALUE="Employment">Employment</OPTION><OPTION VALUE="Family">Family</OPTION><OPTION VALUE="Health Care">Health Care</OPTION><OPTION VALUE="Housing">Housing</OPTION><OPTION VALUE="None of these">None of these</OPTION></SELECT></FIELD><FIELD TYPE="radio"><LABEL>Probate or Estate Problems</LABEL><NAME>Problem MC</NAME><VALUE>Probate</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT><SELECT><OPTION VALUE="Benefits">Benefits</OPTION><OPTION VALUE="Consumer">Consumer</OPTION><OPTION VALUE="Education">Education</OPTION><OPTION VALUE="Employment">Employment</OPTION><OPTION VALUE="Family">Family</OPTION><OPTION VALUE="Health Care">Health Care</OPTION><OPTION VALUE="Housing">Housing</OPTION><OPTION VALUE="None of these">None of these</OPTION></SELECT></FIELD><FIELD TYPE="radio"><LABEL>Unemployment Compensation</LABEL><NAME>Problem MC</NAME><VALUE>Employment</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT><SELECT><OPTION VALUE="Benefits">Benefits</OPTION><OPTION VALUE="Consumer">Consumer</OPTION><OPTION VALUE="Education">Education</OPTION><OPTION VALUE="Employment">Employment</OPTION><OPTION VALUE="Family">Family</OPTION><OPTION VALUE="Health Care">Health Care</OPTION><OPTION VALUE="Housing">Housing</OPTION><OPTION VALUE="None of these">None of these</OPTION></SELECT></FIELD><FIELD TYPE="radio"><LABEL>Migrant Worker</LABEL><NAME>Problem MC</NAME><VALUE>Migrant</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT><SELECT><OPTION VALUE="Benefits">Benefits</OPTION><OPTION VALUE="Consumer">Consumer</OPTION><OPTION VALUE="Education">Education</OPTION><OPTION VALUE="Employment">Employment</OPTION><OPTION VALUE="Family">Family</OPTION><OPTION VALUE="Health Care">Health Care</OPTION><OPTION VALUE="Housing">Housing</OPTION><OPTION VALUE="None of these">None of these</OPTION></SELECT></FIELD><FIELD TYPE="radio"><LABEL>Native American Law</LABEL><NAME>Problem MC</NAME><VALUE>Tribal</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT><SELECT><OPTION VALUE="Benefits">Benefits</OPTION><OPTION VALUE="Consumer">Consumer</OPTION><OPTION VALUE="Education">Education</OPTION><OPTION VALUE="Employment">Employment</OPTION><OPTION VALUE="Family">Family</OPTION><OPTION VALUE="Health Care">Health Care</OPTION><OPTION VALUE="Housing">Housing</OPTION><OPTION VALUE="None of these">None of these</OPTION></SELECT></FIELD><FIELD TYPE="radio"><LABEL>None of the above</LABEL><NAME>Problem MC</NAME><VALUE>None</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT><SELECT><OPTION VALUE="Benefits">Benefits</OPTION><OPTION VALUE="Consumer">Consumer</OPTION><OPTION VALUE="Education">Education</OPTION><OPTION VALUE="Employment">Employment</OPTION><OPTION VALUE="Family">Family</OPTION><OPTION VALUE="Health Care">Health Care</OPTION><OPTION VALUE="Housing">Housing</OPTION><OPTION VALUE="None of these">None of these</OPTION></SELECT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="196"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem MC]="Healthcare"</CONDITION><COMMENT>Example: set a flag if income too high</COMMENT><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 57</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem MC]="Employment"</CONDITION><COMMENT>Example: set a flag if income too high</COMMENT><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Problem Type MC="76"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="760"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 68</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem MC]="Probate"</CONDITION><COMMENT>Example: set a flag if income too high</COMMENT><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 154</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem MC]="Migrant"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Problem Type MC="81"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="810"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 194</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem MC]="Tribal"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Problem Type MC="92"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="920"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 68</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem MC]="None"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 67</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="28" STEP="0" MAPX="649" MAPY="3417" NAME="1b3a - No Case in Utah-reside out of state"><TEXT><P><FONT>I'm sorry %%[User First Name TE]%%, you can only use this interview to apply for help if your case is in Utah. </FONT></P><P><FONT /></P><P><FONT>Click <B>Go Back</B> if you made a mistake.</FONT></P><P><FONT /></P><P><FONT>Select <B>Exit</B> to find help in the State where your case is located.</FONT></P></TEXT><BUTTONS><BUTTON URL="http://www.lawhelp.org/" NEXT="4"><LABEL>Go Back</LABEL></BUTTON><BUTTON URL="http://www.lawhelp.org/" NEXT="FAIL"><LABEL>Exit</LABEL></BUTTON></BUTTONS></QUESTION><QUESTION ID="32" STEP="5" MAPX="5508" MAPY="1614" NAME="1h - Email address"><TEXT><P><FONT>Please enter your email address. Example: abc@email.com</FONT></P><P><FONT /></P><P><FONT>Click <A HREF="popup://11" TARGET=""><U>here</U></A> if you have experienced domestic violence or abuse.</FONT></P></TEXT><HELP><P><FONT>No. We cannot give advice by email. </FONT></P></HELP><LEARN>Will you send me advice by email?</LEARN><FIELDS><FIELD MAXCHARS="50" TYPE="text"><LABEL>Email:</LABEL><NAME>Email TE</NAME><INVALIDPROMPT>I need more information. You must type a response in the highlighted field before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="33"><LABEL>Continue</LABEL></BUTTON></BUTTONS></QUESTION><QUESTION ID="33" STEP="5" MAPX="5535" MAPY="1930" NAME="1i - Language"><TEXT><P><FONT>Which language do you use most?</FONT></P><P><FONT /></P><P><FONT><I>Select from the options below.</I></FONT></P></TEXT><HELP><P><FONT>Your language is of interest to certain legal services funders to make sure we are treating everyone fairly. We also use this information to help us figure out whether landlords, creditors or others may be illegally targeting certain language groups. </FONT></P></HELP><LEARN>Why do you need this information?</LEARN><FIELDS><FIELD TYPE="textpick"><NAME>Primary Language MC</NAME><INVALIDPROMPT>You must make a selection from the highlighted space before you can continue.</INVALIDPROMPT><LISTSRC>H:\JWC\A2J_Author\TIG 2010-09478-UTAH-Intake\ULSOnlineIntakeInterview\Languages.xml</LISTSRC></FIELD></FIELDS><BUTTONS><BUTTON NAME="Primary Language MC" NEXT="15"><LABEL>Continue</LABEL><VALUE>1</VALUE></BUTTON></BUTTONS></QUESTION><QUESTION ID="35" STEP="1" MAPX="1186" MAPY="2976" NAME="1h - Disability"><TEXT><P><FONT>Are you disabled? </FONT></P></TEXT><HELP><P><FONT>A disability includes a physical or mental impairment.</FONT></P></HELP><LEARN>What is a disability?</LEARN><BUTTONS><BUTTON NAME="Handicapped TF" NEXT="300"><LABEL>Yes</LABEL><VALUE>True</VALUE></BUTTON><BUTTON NAME="Handicapped TF" NEXT="300"><LABEL>No</LABEL><VALUE>False</VALUE></BUTTON></BUTTONS><MACROS><MACRO><EVENT>AFTER</EVENT><CONDITION>[Handicapped TF]="True"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Handicapped NU="1"</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Handicapped NU="0"</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="39" STEP="2" MAPX="2083" MAPY="113" NAME="1a - Deadline Problem"><TEXT><P><FONT>Do any of these apply in your situation? Check all that apply.</FONT></P></TEXT><HELP><P><FONT>Domestic Violence or abuse can be physical, sexual, emotional, psychological or financial abuse or threats.</FONT></P></HELP><LEARN>What is domestic violence or abuse?</LEARN><FIELDS><FIELD TYPE="checkbox" OPTIONAL="true"><LABEL>I have experienced domestic violence and I am in danger</LABEL><NAME>Abuse TF</NAME><VALUE>false</VALUE><INVALIDPROMPT>I need more information. Please select one or more checkboxes to continue.</INVALIDPROMPT></FIELD><FIELD TYPE="checkbox" OPTIONAL="true"><LABEL>There is a court hearing scheduled or I have received court papers within the last 4 weeks.</LABEL><NAME>Court Papers TF</NAME><VALUE>false</VALUE><INVALIDPROMPT>I need more information. Please select one or more checkboxes to continue.</INVALIDPROMPT></FIELD><FIELD TYPE="checkbox" OPTIONAL="true"><LABEL>I have other deadlines coming up</LABEL><NAME>Deadline TF</NAME><VALUE>false</VALUE><INVALIDPROMPT>I need more information. Please select one or more checkboxes to continue.</INVALIDPROMPT></FIELD><FIELD TYPE="checkboxNOTA" OPTIONAL="true"><LABEL>None of the above</LABEL><NAME>NOTA211</NAME><VALUE>false</VALUE><INVALIDPROMPT>I need more information. Please select one or more checkboxes to continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="66"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>AFTER</EVENT><CONDITION>[NOTA211] = True</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 113</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>1=1</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Deadline date DA=""</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="40" STEP="2" MAPX="2120" MAPY="879" NAME="1c1 - Hearing Contact - Urgent Problem"><TEXT><P><FONT>If you have an emergency or deadline and you need help right away, you CAN complete this online application.</FONT></P><P><FONT /></P><P><FONT>BUT <I>you should also call</I> Utah Legal Services at <B>%%[ULS Phone TE]%%</B>, or contact a private attorney right away. </FONT></P><P><FONT /></P><P><FONT>Otherwise, if you apply online, Utah Legal Services may not be able to look at your situation soon enough to help you with an emergency or deadline. </FONT></P></TEXT><HELP><P><FONT>You can, BUT Utah Legal Services may not be able to look at your situation soon enough to help you. </FONT></P><P><FONT /></P><P><FONT>If you have an emergency situation call Utah Legal Services or a private attorney right away.</FONT></P></HELP><LEARN>Can't I just apply here?</LEARN><NOTE>**BEFORE conditions re county to determine what phone number to bring up. (See earlier questions for those phone numbers)</NOTE><BUTTONS><BUTTON NEXT="107"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[NOTA211] = true</CONDITION><COMMENT>Example: set a flag if income too high</COMMENT><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 113</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Court Papers TF]=false AND [Deadline TF]=false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 113</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="46" STEP="7" MAPX="6824" MAPY="2698" NAME="1b Submit Application for Review"><TEXT><P><FONT>Thank you for completing this interview. Click<B> Send</B> to finish and submit your application for review. <B>Note that by clicking the Send button, you are verifing that all the information submitted is true and accurate.</B></FONT></P><P><FONT /></P><P><FONT>After clicking send, you will then be taken to a webpage explaining how to contact us to finish the next steps in seeing whether we can help you. <B>We will not contact you.</B> You must contact us as described.</FONT></P><P><FONT /></P><P><FONT>Remember: If you are using a public computer or any computer that does not belong to you, be sure to completely close out of the internet browser. <B>If you don’t, you might accidentally share your personal information with someone else. </B></FONT></P></TEXT><NOTE>[Notes TE] is compiled in this Question = [Alien no TE] + [Court Info TE] + [Deadline DA] + [No Income TE] + OP Full name + OP Address + OP DOB + OP Relationship w/PC + [More OPs TE]</NOTE><BUTTONS><BUTTON NEXT="SUCCESS"><LABEL>Send</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[No Assets TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Asset1N TE="No Assets"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>1=1</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Notes TE=""</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Summary TE=""</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Notes1 TE=""</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Notes2 TE=""</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Notes3 TE=""</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>HASANSWERED([Alien no TE])=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Notes TE=[Notes TE] + "Alien #: " + [Alien no TE] +" "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>HASANSWERED([Court Info TE])=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Notes TE=[Notes TE] + [Court Info TE] + " "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>HASANSWERED([Deadline date DA])=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Notes TE=[Notes TE] + "Deadline Date: " + DATE([Deadline date DA]) + " "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>HASANSWERED([OP_First_Name TE])=true or HASANSWERED([OP_Middle_Name TE])=true or HASANSWERED([OP_Name_Suffix TE])=true or HASANSWERED([OP Relationship TE])=true or HASANSWERED([OP DOB DA])=true or HASANSWERED([OP HOME_ADDRESS1])=true or HASANSWERED([OP HOME_ADDRESS2])=true or HASANSWERED([OP HOME_CITY])=true or HASANSWERED([OP HOME_COUNTY])=true or HASANSWERED([OP HOME_STATE])=true or HASANSWERED([Other Party Zip])=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Summary TE=[Summary TE] + "Add. OP Info: "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>HASANSWERED([OP_FIRST_NAME TE])=true or HASANSWERED([OP_Middle_Name TE])=true or HASANSWERED([OP_Name_Suffix TE])</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Summary TE=[Summary TE] + "; " + "Full name: "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>HASANSWERED([OP_FIRST_NAME TE])=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Summary TE=[Summary TE] + "; " + [OP_FIRST_NAME TE] + " "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>HASANSWERED([OP_Middle_Name TE])=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Summary TE=[Summary TE] + "; " + [OP_Middle_Name TE] + " "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>HASANSWERED([OP_Last_Name TE])=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Summary TE=[Summary TE] + "; " + [OP_LAST_NAME TE] + " "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>HASANSWERED([OP_Name_Suffix TE])=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Summary TE=[Summary TE] + "; " + [OP_NAME_Suffix TE] + " "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>HASANSWERED([OP HOME_ADDRESS1])=true or HASANSWERED([OP HOME_CITY])=true or HASANSWERED([OP HOME_COUNTY])=true or HASANSWERED([OP HOME_STATE])=true or or HASANSWERED([Other Party Zip NU])=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Summary TE=[Summary TE] + "Address: "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>HASANSWERED([OP HOME_ADDRESS1])=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Summary TE=[Summary TE] + [OP HOME_ADDRESS1] + " "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>HASANSWERED([OP HOME_CITY])=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Summary TE=[Summary TE] + [OP HOME_CITY] + " "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>HASANSWERED([OP HOME_COUNTY])=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Summary TE=[Summary TE] + [OP HOME_COUNTY] + " "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>HASANSWERED([OP HOME_STATE])=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Summary TE=[Summary TE] + [OP HOME_STATE] + " "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>HASANSWERED([Other Party Zip NU])=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Summary TE=[Summary TE] + [Other Party Zip NU] + " "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>HASANSWERED([OP DOB DA])=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Summary TE=[Summary TE] + "OP DOB: " + DATE([OP DOB DA])</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>HASANSWERED([OP Relationship TE])=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Summary TE=[Summary TE] + "OP Rel. w/ PC is " + [OP Relationship TE]</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[More OPs TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Summary TE=[Summary TE] + "; " + "PC said more OPs"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[No Income TF]=true and HASANSWERED([No Income TE])=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Notes1 TE=[Notes1 TE] + "No Inc. Explain: " + [No Income TE]</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Total Income NU]>0</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Notes1 TE=[Notes1 TE] + "Ind. Inc. Amts: "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Total Income NU]>0 and [Income child support TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Notes1 TE=[Notes1 TE] + [Income Child Support TE]+ " $" + [Child Support NU] + " "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Total Income NU]>0 and [Income SSI TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Notes1 TE=[Notes1 TE] + [Income SSI TE]+ " $" + [SSI Income NU] + " "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Total Income NU]>0 and [Income disability TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Notes1 TE=[Notes1 TE] + [Income Disability TE]+ " $" + [DISABILITY INCOME NU] + " "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Total Income NU]>0 and [Income pension TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Notes1 TE=[Notes1 TE] + [Income Pension TE]+ " $" + [Pension Income NU] + " "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Total Income NU]>0 and [Income Workers Comp TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Notes1 TE=[Notes1 TE] + [Income Workers Comp TE]+ " $" + [Workers Comp Income NU] + " "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Total Income NU]>0 and [Income Veterans benefits TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Notes1 TE=[Notes1 TE] + [Income Veterans benefits TE]+ " $" + [Veterans benefits NU] + " "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Total Income NU]>0 and [Income self-employment TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Notes1 TE=[Notes1 TE] + [Income self-employment TE]+ " $" + [Self Employment Income NU] + " "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Total Income NU]>0 and [Income investment TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Notes1 TE=[Notes1 TE] + [Income investment TE]+ " $" + [Investment Income NU] + " "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Total Income NU]>0 and [Income tribal TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Notes1 TE=[Notes1 TE] + [Income tribal TE]+ " $" + [Tribal Income NU] + " "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Total Income NU]>0 and [Income alimony TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Notes1 TE=[Notes1 TE] + [Income alimony TE]+ " $" + [Alimony Income NU] + " "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Total Income NU]>0 and [Income social security TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Notes1 TE=[Notes1 TE] + [Income social security TE]+ " $" + [Social Security Income NU] + " "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Total Income NU]>0 and [Income employment TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Notes1 TE=[Notes1 TE] + [Income employment TE]+ " $" + [Employment Income NU] + " "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Total Income NU]>0 and [Income GA TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Notes1 TE=[Notes1 TE] + [Income GA TE]+ " $" + [GA Income NU] + " "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Total Income NU]>0 and [Income unemployment TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Notes1 TE=[Notes1 TE] + [Income unemployment TE]+ " $" + [Unemployment Income NU] + " "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Total Income NU]>0 and [Income other 2 TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Notes1 TE=[Notes1 TE] + [Income5N TE]+ " $" + [Other Income NU] + " "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Total assets NU]>0</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Notes2 TE=[Notes2 TE] + "Ind. Asset Amts: "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Total assets NU]>0 and [Non homestead property TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Notes2 TE=[Notes2 TE] + [non homestead property TE]+ " $" + [Real Property Asset NU] + " "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Total assets NU]>0 and [Personal property TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Notes2 TE=[Notes2 TE] + [Personal property TE]+ " $" + [Personal property NU] + " "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Total assets NU]>0 and [Checking TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Notes2 TE=[Notes2 TE] + [Checking TE]+ " $" + [Checking Asset NU] + " "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Total assets NU]>0 and [Savings TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Notes2 TE=[Notes2 TE] + [Savings TE]+ " $" + [Savings Asset NU] + " "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Total assets NU]>0 and [Cash TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Notes2 TE=[Notes2 TE] + [Cash TE]+ " $" + [Cash Asset NU] + " "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Total assets NU]>0 and [Additional motor vehicles TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Notes2 TE=[Notes2 TE] + [Additional motor vehicles TE]+ " $" + [Second Vehicle NU] + " "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Total assets NU]>0 and [Pension Other TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Notes2 TE=[Notes2 TE] + [Pension other TE]+ " $" + [Pension NU] + " "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Total assets NU]>0 and [Other assets TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Notes2 TE=[Notes2 TE] + [Other assets TE]+ " $" + [Other assets NU]+ " "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Total assets NU]>0 and [Recreational Vehicles TF]=True</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Notes2 TE=[Notes2 TE] + [Recreational Vehicles TE]+ " $" + [Recreational Vehicles NU] + " "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Total assets NU]>0 and [Work Tools TF]=True</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Notes2 TE=[Notes2 TE] + [Work Tools TE]+ " $" + [Work Tools NU] + " "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Total assets NU]>0 and [Business TF]=True</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Notes2 TE=[Notes2 TE] + [Business TE]+ " $" + [Business NU]</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="48" STEP="4" MAPX="3803" MAPY="1059" NAME="1b1 - Sources of Household income p1"><TEXT><P><FONT>What sources of income does your <A HREF="popup://27" TARGET=""><U>household</U></A> have? Check all that apply. </FONT></P></TEXT><HELP><P><FONT>This means all the types of income earned or received by <B>ALL</B> adults and children living with you (or from whom you are separated temporarily for economic reasons but intend to live with long term) and who are related by blood or by law as relatives for whom you have a legal responsibility to support. It includes your partner if you are legally or common law married; your minor children living with you for whom you are the parent or guardian and that you support, It does not include any adult children living with you unless you have a legal responsibility to support them or roommates. <B><I>%%[DV Income TE]%%</I></B></FONT></P></HELP><LEARN>What does this mean?</LEARN><NOTE>Income OWF TF changed to Income GA TF (welfare option)</NOTE><FIELDS><FIELD TYPE="checkbox" OPTIONAL="true"><LABEL>Disability benefits</LABEL><NAME>Income disability TF</NAME><VALUE>12</VALUE><INVALIDPROMPT>I need more information. Please select one or more checkboxes to continue.</INVALIDPROMPT></FIELD><FIELD TYPE="checkbox" OPTIONAL="true"><LABEL>Employment</LABEL><NAME>Income employment TF</NAME><VALUE>6</VALUE><INVALIDPROMPT>I need more information. Please select one or more checkboxes to continue.</INVALIDPROMPT></FIELD><FIELD TYPE="checkbox" OPTIONAL="true"><LABEL>General Assistance or other cash asssitance from Department of Workforce Services</LABEL><NAME>Income GA TF</NAME><VALUE>6</VALUE><INVALIDPROMPT>I need more information. Please select one or more checkboxes to continue.</INVALIDPROMPT></FIELD><FIELD TYPE="checkbox" OPTIONAL="true"><LABEL>Alimony or spousal support</LABEL><NAME>Income alimony TF</NAME><VALUE>6</VALUE><INVALIDPROMPT>I need more information. Please select one or more checkboxes to continue.</INVALIDPROMPT></FIELD><FIELD TYPE="checkbox" OPTIONAL="true"><LABEL>Child support</LABEL><NAME>Income child support TF</NAME><VALUE>6</VALUE><INVALIDPROMPT>I need more information. Please select one or more checkboxes to continue.</INVALIDPROMPT></FIELD><FIELD TYPE="checkbox" OPTIONAL="true"><LABEL>Veterans benefits</LABEL><NAME>Income veterans benefits TF</NAME><VALUE>6</VALUE><INVALIDPROMPT>I need more information. Please select one or more checkboxes to continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="60"><LABEL>Continue - More choices</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Domestic violence trigger TF] = true or [Problem MC]="DV"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET DV Income TE="Do not include any income sources of the person causing your problem."</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET DV Income TE=""</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="51" STEP="0" MAPX="88" MAPY="4157" NAME="1e - Criminal matter"><TEXT><P><FONT>Do you need help with criminal charges or traffic tickets? </FONT></P></TEXT><HELP><P><FONT>If you were given a citation from a police officer or are being charged by a prosecutor, you would need help with criminal charges or traffic tickets.</FONT></P></HELP><LEARN>What do you mean?</LEARN><BUTTONS><BUTTON NAME="RReject TE" NEXT="52"><LABEL>Yes</LABEL><VALUE>R</VALUE></BUTTON><BUTTON NEXT="72"><LABEL>No</LABEL></BUTTON></BUTTONS></QUESTION><QUESTION ID="52" STEP="0" MAPX="6" MAPY="4537" NAME="1e1 - Criminal denial"><TEXT><P><FONT>I'm sorry %%[User First Name TE]%%, if you need help with traffic tickets or criminal charges, Utah Legal Services cannot help you.</FONT></P><P><FONT /></P><P><FONT>To find information about your local Public Defender program to apply for help, you may call 211 or go to <A HREF="http://www.211ut.org" TARGET=""><U>http://www.211ut.org</U></A>.</FONT></P><P><FONT /></P><P><FONT>Select<B> Exit</B> to end this program and return to the Utah Legal Services website.</FONT></P></TEXT><HELP><P><FONT>If you think you should not have been denied, you may contact our office at <B>%%[ULS Phone TE]%%</B> between 9:00 am and 2:00 pm and be re-screened by one of our intake workers.</FONT></P></HELP><LEARN>What if I think I should qualify?</LEARN><BUTTONS><BUTTON URL="http://www.utahlegalservices.org" NEXT="FAIL"><LABEL>Exit</LABEL></BUTTON></BUTTONS></QUESTION><QUESTION ID="53" STEP="2" MAPX="2079" MAPY="3631" NAME="1h - Benefits Problems"><TEXT><P><FONT>Which of these is your benefits problem?</FONT></P></TEXT><NOTE>**May need conversion to text variable -- convert to problem code number **Craige to provide codes in online doc</NOTE><FIELDS><FIELD TYPE="radio"><LABEL>General Assistance</LABEL><NAME>Problem Type MC</NAME><VALUE>78</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Food Stamps</LABEL><NAME>Problem Type MC</NAME><VALUE>73</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Social Security</LABEL><NAME>Problem Type MC</NAME><VALUE>72</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>State Disability Assistance</LABEL><NAME>Problem Type MC</NAME><VALUE>State Dis</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>SSI</LABEL><NAME>Problem Type MC</NAME><VALUE>75</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>SSDI</LABEL><NAME>Problem Type MC</NAME><VALUE>74</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Unemployment</LABEL><NAME>Problem Type MC</NAME><VALUE>76</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Other Public Benefit Problem</LABEL><NAME>Problem Type MC</NAME><VALUE>79</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="68"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="78"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="781"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="73"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="731"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="SS"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Problem Type MC="72"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="721"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="State Dis"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Problem Type MC="72"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="729"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="75"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="751"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="74"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="740"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="76"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="760"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="79"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="790"</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="54" STEP="2" MAPX="2456" MAPY="3640" NAME="1i1 - Consumer Problem p1"><TEXT><P><FONT>Which of these is your consumer problem?</FONT></P></TEXT><FIELDS><FIELD TYPE="radio"><LABEL>Bankruptcy</LABEL><NAME>Problem Type MC</NAME><VALUE>1</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Respossesion of car or other personal property</LABEL><NAME>Problem Type MC</NAME><VALUE>2</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Collections on car, credit card or other consumer debt</LABEL><NAME>Problem Type MC</NAME><VALUE>2</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Wage or bank account garnishment or harassment from debt collectors</LABEL><NAME>Problem Type MC</NAME><VALUE>2</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Warranties or contracts</LABEL><NAME>Problem Type MC</NAME><VALUE>3</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Payday lending, credit cards, or other consumer loans (not collections)</LABEL><NAME>Problem Type MC</NAME><VALUE>6</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>None of these - show me more choices</LABEL><NAME>Problem Type MC</NAME><VALUE>00</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="68"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC] = 00</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 114</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC] = "1"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="10"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC] = "2"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="20"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC] = "3"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="30"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC] = "6"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="60"</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="57" STEP="2" MAPX="1027" MAPY="5385" NAME="1l1 - Health Problem p1"><TEXT><P><FONT>Which of these is your health law problem?</FONT></P></TEXT><FIELDS><FIELD TYPE="radio"><LABEL>Medicaid</LABEL><NAME>Problem Type MC</NAME><VALUE>51</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Medicare</LABEL><NAME>Problem Type MC</NAME><VALUE>52</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Denial of medical care</LABEL><NAME>Problem Type MC</NAME><VALUE>59</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Healthcare Power of Attorney/Living Will/Financial Power of Attorney</LABEL><NAME>Problem Type MC</NAME><VALUE>96</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>None of these - show me more choices</LABEL><NAME>Problem Type MC</NAME><VALUE>00</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="68"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]=00</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 115</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="51"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="510"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="52"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="520"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="59"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="590"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="96"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="960"</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="58" STEP="2" MAPX="1390" MAPY="5422" NAME="1j - Employment Problem"><TEXT><P><FONT>Which of these is your employment problem?</FONT></P></TEXT><FIELDS><FIELD TYPE="radio"><LABEL>Job discrimination</LABEL><NAME>Problem Type MC</NAME><VALUE>21</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Wage claim and minimum wage violation</LABEL><NAME>Problem Type MC</NAME><VALUE>22</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Unfairly laid off or fired</LABEL><NAME>Problem Type MC</NAME><VALUE>25</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Unemployment benefits</LABEL><NAME>Problem Type MC</NAME><VALUE>76</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Other employment problems</LABEL><NAME>Problem Type MC</NAME><VALUE>29</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="68"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="21"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="210"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="22"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="220"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="25"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="250"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="76"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="760"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="29"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="290"</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="60" STEP="4" MAPX="3841" MAPY="1675" NAME="1b2 - Sources of Household income p2"><TEXT><P><FONT>Sources of <A HREF="popup://28" TARGET=""><U>household</U></A> income (con't), check all that apply:</FONT></P></TEXT><HELP><P><FONT>This means all the types of income earned or received by ALL adults and children living with you (or from whom you are separated temporarily for economic reasons but intend to live with long term) and who are related by blood or by law as relatives for whom you have a legal responsibility to support. It includes your partner if you are legally or common law married; your minor children living with you for whom you are the parent or guardian and that you support, It does not include any adult children living with you unless you have a legal responsibility to support them or roommates. <B><I> %%[DV Income TE]%%</I></B></FONT></P></HELP><FIELDS><FIELD TYPE="checkbox" OPTIONAL="true"><LABEL>Self employment income or farming income</LABEL><NAME>Income self-employment TF</NAME><INVALIDPROMPT>I need more information. Please select one or more checkboxes to continue.</INVALIDPROMPT></FIELD><FIELD TYPE="checkbox" OPTIONAL="true"><LABEL>Unemployment benefits</LABEL><NAME>Income unemployment TF</NAME><INVALIDPROMPT>I need more information. Please select one or more checkboxes to continue.</INVALIDPROMPT></FIELD><FIELD TYPE="checkbox" OPTIONAL="true"><LABEL>Worker's Compensation</LABEL><NAME>Income Workers Comp TF</NAME><INVALIDPROMPT>I need more information. Please select one or more checkboxes to continue.</INVALIDPROMPT></FIELD><FIELD TYPE="checkbox" OPTIONAL="true"><LABEL>SSI / SSDI</LABEL><NAME>Income SSI TF</NAME><INVALIDPROMPT>I need more information. Please select one or more checkboxes to continue.</INVALIDPROMPT></FIELD><FIELD TYPE="checkbox" OPTIONAL="true"><LABEL>Social Security</LABEL><NAME>Income social security TF</NAME><INVALIDPROMPT>I need more information. Please select one or more checkboxes to continue.</INVALIDPROMPT></FIELD><FIELD TYPE="checkbox" OPTIONAL="true"><LABEL>Pension, PERS or 401(k) retirement benefits</LABEL><NAME>Income pension TF</NAME><INVALIDPROMPT>I need more information. Please select one or more checkboxes to continue.</INVALIDPROMPT></FIELD><FIELD TYPE="checkbox" OPTIONAL="true"><LABEL>Investment income such as money from property or real estate, stocks or bonds</LABEL><NAME>Income investment TF</NAME><INVALIDPROMPT>I need more information. Please select one or more checkboxes to continue.</INVALIDPROMPT></FIELD><FIELD TYPE="checkbox" OPTIONAL="true"><LABEL>Tribal Funds</LABEL><NAME>Income tribal TF</NAME><INVALIDPROMPT>I need more information. Please select one or more checkboxes to continue.</INVALIDPROMPT></FIELD><FIELD TYPE="checkbox" OPTIONAL="true"><LABEL>Other</LABEL><NAME>Income other 2 TF</NAME><INVALIDPROMPT>I need more information. Please select one or more checkboxes to continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="24"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>AFTER</EVENT><CONDITION>[Income employment TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Income employment TE="Employed; "</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Income employment TE=""</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Income self-employment TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Income self-employment TE="self-employed"</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Income self-employment TE=""</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Income disability TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Income disability TE="Disabil; "</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Income disability TE=""</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Income veterans benefits TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Income veterans benefits TE="VetBen; "</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Income veterans benefits TE=""</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Income SSI TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Income SSI TE="SSI/SSDI; "</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Income SSI TE=""</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Income GA TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Income GA TE="GA; "</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Income GA TE=""</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Income Workers Comp TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Income Workers Comp TE="WorkerComp"</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Income Workers Comp TE=""</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Income unemployment TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Income unemployment TE="Unempl; "</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Income unemployment TE=""</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Income alimony TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Income alimony TE="Alimony; "</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Income alimony TE=""</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Income child support TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Income child support TE="Child Support"</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Income child support TE=""</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Income social security TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Income social security TE="Social Security; "</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Income social security TE=""</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Income pension TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Income pension TE="Pension; "</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Income pension TE=""</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Income investment TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Income investment TE="Investment"</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Income investment TE=""</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Income tribal TF]=true</CONDITION><COMMENT>Need to deduct first $3500 annually, which turns into $291.67 monthly</COMMENT><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Income tribal TE="Tribal"</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Income tribal TE=""</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>1=1</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Income1N TE=[Income employment TE] + [Income self-employment TE]</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Income2N TE=[Income disability TE] + [Income veterans benefits TE] + [Income SSI TE] + [Income GA TE] + [Income unemployment TE] + [Income Workers Comp TE]</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Income3N TE=[Income alimony TE] + [Income child support TE]</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Income4N TE=[Income social security TE] + [Income pension TE] + [Income investment TE] + [Income tribal TE]</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="63" STEP="2" MAPX="3185" MAPY="3640" NAME="1m - Housing Problem-Landlord/Tenant"><TEXT><P><FONT>Which of these is your housing problem?</FONT></P></TEXT><FIELDS><FIELD TYPE="radio"><LABEL>Eviction</LABEL><NAME>Problem Type MC</NAME><VALUE>Eviction</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Unsafe housing/repair issues</LABEL><NAME>Problem Type MC</NAME><VALUE>Unsafe</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Utility shutoff</LABEL><NAME>Problem Type MC</NAME><VALUE>Utility</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Lockout</LABEL><NAME>Problem Type MC</NAME><VALUE>Lockout</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Housing Discrimination</LABEL><NAME>Problem Type MC</NAME><VALUE>Discrimination</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Public housing termination/eligibility issues</LABEL><NAME>Problem Type MC</NAME><VALUE>Public</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>None of the above</LABEL><NAME>Problem Type MC</NAME><VALUE>None</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="68"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="Discrimination"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Problem Type MC="66"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="660"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="Public"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Problem Type MC="64"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="647"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="Eviction" or [Problem Type MC]="Unsafe" or [Problem Type MC]="Utility" or [Problem Type MC]="Lockout"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 278</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="None"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 67</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="65" STEP="1" MAPX="1121" MAPY="2059" NAME="1g1 - User age"><TEXT><P><FONT>%%[User First Name TE]%%, what is your date of birth?</FONT></P></TEXT><NOTE>**add logic to determine under 18; ask question "are you an emancipated minor? Learn More text here??; follow up exit question if they're a minor. Continue if emancipated.</NOTE><FIELDS><FIELD CALENDAR="true" TYPE="datemdy" MAX="TODAY" MIN="1/1/1900" ORDER="DESC"><NAME>User Birth date DA</NAME><INVALIDPROMPT>I need more information. You must enter a date in the highlighted field before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="232"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>AFTER</EVENT><CONDITION>1=1</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET User Age NU=age([User Birth date DA])</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[User Age NU]>="60"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Senior NU="1"</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Senior NU="0"</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="66" STEP="2" MAPX="2106" MAPY="529" NAME="1b - Victim of Abuse"><TEXT><P><FONT>If you are in danger, call 911 for help from the police. You also can call the Utah Domestic Violence Council at 1-800-897-LINK (5465), or the National Domestic Violence Hotline at 1-800-799-SAFE (1-800-799-7233). <A HREF="http://www.udvc.org/linkline_shelters.pdf" TARGET=""><U>Click here</U></A> for information about the nearest domestic violence shelter. </FONT></P></TEXT><NOTE>**</NOTE><BUTTONS><BUTTON NEXT="40"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Abuse TF]=false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 40</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="67" STEP="2" MAPX="3004" MAPY="5630" NAME="1g - No Legal Problem"><TEXT><P><FONT>I’m sorry, %%[User First Name TE]%%, if your problem is not listed here it is likely Utah Legal Services will not be able to assist you.</FONT></P><P><FONT /></P><P><FONT>If you do not know what type of problem you have, please call us at <B>%%[ULS Phone TE]%%</B>.</FONT></P><P><FONT /></P><P><FONT>Select <B>Exit</B> to end this program and return to the Utah Legal Services website.</FONT></P></TEXT><HELP><P><FONT>For further information about your problem you may wish to view the following websites:</FONT></P><P><FONT /></P><P><FONT><A HREF="http://www.utcourts.gov/ocap" TARGET=""><U>Utah Court's Online Court Assistance Program</U></A></FONT></P><P><FONT /></P><P><FONT><A HREF="http://www.utcourts.gov/resources/forms" TARGET=""><U>Utah Court's Forms Directory</U></A></FONT></P><P><FONT /></P><P><FONT><A HREF="http://www.utahlegalservices.org" TARGET=""><U>Utah Legal Services Website</U></A></FONT></P><P><FONT /></P><P><FONT><A HREF="http://211utah.org" TARGET=""><U>Utah's Information and Referral Service (211)</U></A></FONT></P></HELP><LEARN>Where else can I get assistance?</LEARN><BUTTONS><BUTTON URL="http://www.utahlegalservices.org" NEXT="FAIL"><LABEL>Exit</LABEL></BUTTON><BUTTON NEXT="113"><LABEL>Go Back</LABEL></BUTTON></BUTTONS></QUESTION><QUESTION ID="68" STEP="3" MAPX="3739" MAPY="187" NAME="1a - Number of people served"><TEXT><P><FONT>Please tell me the number of adults and children living with you (or from whom you are separated temporarily for economic reasons but intend to live with long term) and who are <A HREF="popup://18" TARGET=""><U>related by blood or by law</U></A> as relatives for whom you have a legal responsibility to support. <B>Count yourself as one of the adults.</B> </FONT></P><P><FONT /></P><P><FONT><I>An adult is someone who is a member of your household age 18 or older.</I></FONT></P></TEXT><HELP><P><FONT><B>DO</B> include your partner if you are legally or common law married.</FONT></P><P><FONT /></P><P><FONT><B>DO</B> include minor children for which you are the parent or guardian and/or that you support. </FONT></P><P><FONT /></P><P><FONT><B>DO NOT</B> include any adult children living with you unless you have a legal responsibility to support them. </FONT></P><P><FONT /></P><P><FONT><B>DO NOT</B> include roommates.</FONT></P><P><FONT /></P><P><FONT><B><I>%%[DV Household TE]%%</I></B></FONT></P></HELP><LEARN>Who should be included?</LEARN><NOTE>determine if limit of 12 is appropriate and to modify the prompts if #'s exceed limit. **Insert a second question that tests the total of Adults and Children. If 12 or less, they can proceed to next question. If total exceeds 12, then provide them option to go back or exit. (Craige to come up with wording)</NOTE><FIELDS><FIELD MAXCHARS="2" TYPE="number" MAX="50" MIN="1"><LABEL>Adults</LABEL><NAME>Adults Served NU</NAME><INVALIDPROMPT>You must type a number in the highlighted space before you can continue.</INVALIDPROMPT></FIELD><FIELD MAXCHARS="2" TYPE="number" MAX="50" MIN="0"><LABEL>Children</LABEL><NAME>Children Served NU</NAME><INVALIDPROMPT>You must type a number in the highlighted space before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="147"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Domestic violence trigger TF] = true or [Problem MC]="DV"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET DV Household TE="Do not include the person causing your problem."</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET DV Household TE=""</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>1=1</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Total Served NU=[Adults Served NU] + [Children Served NU]</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="70" STEP="0" MAPX="165" MAPY="3458" NAME="1c - Current Client"><TEXT><P><FONT>Thanks %%[User First Name TE]%%. Please also tell me if you:</FONT></P></TEXT><FIELDS><FIELD TYPE="radio"><LABEL>Have applied for help with this problem in the past 30 days</LABEL><NAME>Previous client MC</NAME><VALUE>104</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Are already a client of Utah Legal Services (ULS) for this problem</LABEL><NAME>Previous client MC</NAME><VALUE>103</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Have been a client of Utah Legal Services (ULS) for another problem</LABEL><NAME>Previous client MC</NAME><VALUE>102</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Have never applied for help from Utah Legal Services</LABEL><NAME>Previous client MC</NAME><VALUE>101</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="51"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>AFTER</EVENT><CONDITION>[Previous client MC]=104 or [Previous client MC]=103</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 71</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Previous client MC]=102 or [Previous client MC]=101</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 51</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="71" STEP="0" MAPX="637" MAPY="4157" NAME="1d - Call office"><TEXT><P><FONT>%%[User First Name TE]%%, you cannot use this interview if you already applied for help with this problem in the past 30 days, or if you are a current client for this problem. Please contact Utah Legal Services at <B>%%[ULS Phone TE]%%</B> if you have questions about a current case you recently called us about.</FONT></P><P><FONT /></P><P><FONT>You may use this interview if you would like to apply for help with a different legal problem. Click <B>Go Back</B> to start over. </FONT></P></TEXT><BUTTONS><BUTTON URL="http://www.utahlegalservices.org" NEXT="FAIL"><LABEL>Exit</LABEL></BUTTON><BUTTON URL="http://www.iowalegalaid.org/IA/StateDirectory.cfm/County/%20/City/%20/demoMode/%3D%201/Language/1/State/IA/TextOnly/N/ZipCode/%20/LoggedIn/0" NEXT="70"><LABEL>Go Back</LABEL></BUTTON></BUTTONS></QUESTION><QUESTION ID="72" STEP="0" MAPX="377" MAPY="4698" NAME="1f - Incarcerated"><TEXT><P><FONT>Are you in jail or prison?</FONT></P></TEXT><BUTTONS><BUTTON NEXT="73"><LABEL>Yes</LABEL></BUTTON><BUTTON NEXT="302"><LABEL>No</LABEL></BUTTON></BUTTONS></QUESTION><QUESTION ID="73" STEP="0" MAPX="384" MAPY="5105" NAME="1f1 - Denial Incarcerated"><TEXT><P><FONT>I'm sorry, %%[User First Name TE]%%, because of funding restrictions, we cannot help you if you are in jail or prison. </FONT></P><P><FONT /></P><P><FONT>For further information about your problem you may wish to view the following websites:</FONT></P><P><FONT /></P><P><FONT><A HREF="http://www.utahlegalservices.org" TARGET=""><B><U>Utah Legal Services' Website</U></B></A></FONT></P><P><FONT /></P><P><FONT><A HREF="http://www.utcourts.gov/ocap" TARGET=""><B><U>Utah Court's Online Court Assistance Program</U></B></A></FONT></P><P><FONT /></P><P><FONT><A HREF="http://www.utcourts.gov/resources/forms/" TARGET=""><B><U>Utah Court's Forms Directory</U></B></A></FONT></P><P><FONT /></P><P><FONT><A HREF="http://www.211ut.org" TARGET=""><B><U>Utah's Information and Referral Service (211)</U></B></A></FONT></P><P><FONT /></P><P><FONT>Select <B>Exit</B> to end this program and return to the Utah Legal Services website.</FONT></P></TEXT><HELP><P><FONT>If you think you should not have been denied, you may contact our office at <B>%%[ULS Phone TE]%%</B> between 9:00 am and 2:00 pm and be re-screened by one of our intake workers.</FONT></P></HELP><LEARN>What if I think I should qualify?</LEARN><BUTTONS><BUTTON URL="http://www.utahlegalservices.org" NEXT="FAIL"><LABEL>Exit</LABEL></BUTTON></BUTTONS></QUESTION><QUESTION ID="74" STEP="0" MAPX="204" MAPY="1064" NAME="1a4 - Application only"><TEXT><P><FONT>By completing this interview, you are only applying to see if you qualify financially for help.</FONT></P><P><FONT /></P><P><FONT>Completing this interview does not mean that Utah Legal Services can accept your case. Utah Legal Services cannot assist everyone who applies for help. </FONT></P><P><FONT /></P><P><FONT>You should not assume we will be able to help you. </FONT></P><P><FONT /></P><P><FONT>Click <B>Yes</B> if you understand this and want to apply for help. </FONT></P><P><FONT /></P><P><FONT>Click <B>Exit</B> if you do not wish to continue with your application.</FONT></P></TEXT><BUTTONS><BUTTON NEXT="162"><LABEL>Yes</LABEL></BUTTON><BUTTON URL="http://www.utahlegalservices.org" NEXT="FAIL"><LABEL>Exit</LABEL></BUTTON></BUTTONS></QUESTION><QUESTION ID="76" STEP="6" MAPX="6157" MAPY="226" NAME="1a Ask OPs"><TEXT><P><FONT>We will now ask you about the person, organization, government agency or business that is causing your problem.</FONT></P><P><FONT /></P><P><FONT>Be sure to tell us about <B>the PRIMARY </B>person, organization, government agency or business causing your problem. </FONT></P></TEXT><HELP><P><FONT>For example, if you are having a problem with custody, be sure to list the child’s other parent and any other person or agency causing your problem. If you are having a problem with your housing, be sure to list your landlord and/or your housing authority and/or your management company. </FONT></P><P><FONT /></P></HELP><LEARN>Who should I include?</LEARN><BUTTONS><BUTTON REPEATVAR="OPCount" REPEATVARSET="=1" NEXT="252"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Problem Type MC]="95" or [Problem Type MC]="96"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 46</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="77" STEP="4" MAPX="4784" MAPY="129" NAME="2 a - Assets"><TEXT><P><FONT>Do you or anyone living with you have the following (please check all that apply):</FONT></P></TEXT><HELP><P><FONT>Check all items on this list owned by any person living in your household. %%[DV Asset Help TE]%%</FONT></P></HELP><LEARN>What do I count?</LEARN><FIELDS><FIELD TYPE="checkbox" OPTIONAL="true"><LABEL>Personal items (i.e., tv’s, computers, clothing, beds, etc.)</LABEL><NAME>Personal property TF</NAME><INVALIDPROMPT>I need more information. Please select one or more checkboxes to continue.</INVALIDPROMPT></FIELD><FIELD TYPE="checkbox" OPTIONAL="true"><LABEL>Money in a checking account?</LABEL><NAME>Checking TF</NAME><INVALIDPROMPT>I need more information. Please select one or more checkboxes to continue.</INVALIDPROMPT></FIELD><FIELD TYPE="checkbox" OPTIONAL="true"><LABEL>Money in a savings account?</LABEL><NAME>Savings TF</NAME><INVALIDPROMPT>I need more information. Please select one or more checkboxes to continue.</INVALIDPROMPT></FIELD><FIELD TYPE="checkbox" OPTIONAL="true"><LABEL>Cash?</LABEL><NAME>Cash TF</NAME><INVALIDPROMPT>I need more information. Please select one or more checkboxes to continue.</INVALIDPROMPT></FIELD><FIELD TYPE="checkbox" OPTIONAL="true"><LABEL>A second home or other real estate?</LABEL><NAME>Non homestead property TF</NAME><INVALIDPROMPT>I need more information. Please select one or more checkboxes to continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="293"><LABEL>Continue - more options</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>1=1</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Income1A NU=[Employment Income NU] + [Self Employment Income NU]</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Income2A NU=[Disability Income NU] + [Veterans Benefits NU] + [SSI Income NU] + [GA Income NU] + [Unemployment Income NU] + [Workers Comp Income NU]</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Income3A NU=[Alimony Income NU] + [Child Support NU]</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Income4A NU=[Social Security Income NU] + [Pension Income NU] + [Investment Income NU] + [Tribal Income NU]</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Income5A NU=[Other Income NU]</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>1=1</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Personal property TF=True</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Domestic violence trigger TF] ="true" or [Problem MC] ="DV"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET DV Asset Help TE="DO NOT include any items owned by the person causing your legal problem."</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET DV Asset Help TE=""</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Personal property TF]="false"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Personal property TF=True</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="78" STEP="4" MAPX="4840" MAPY="1507" NAME="2 a 5 Real Property value"><TEXT><P><FONT>What is the <A HREF="popup://30" TARGET=""><U>equity</U></A> value of all real estate and land? Do not count your home. Example: 100.00</FONT></P></TEXT><HELP><P><FONT>Put the <A HREF="popup://31" TARGET=""><U>equity</U></A> value of any second home or land that is not part of the home where you live. Do not count the home where you live. %%[DV Asset Help TE]%%</FONT></P></HELP><LEARN>What do I include here?</LEARN><FIELDS><FIELD CALCULATOR="true" TYPE="numberdollar" MIN="0.01"><LABEL>Value: $</LABEL><NAME>Real Property Asset NU</NAME><INVALIDPROMPT>I need more information. You must type a dollar amount in the highlighted field before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="297"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Non homestead property TF]=false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Real Property Asset NU=0</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Non homestead property TF]=false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 297</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="79" STEP="4" MAPX="4219" MAPY="1130" NAME="1d917 Confirm no income"><TEXT><P><FONT>You checked "no income." This means that no person in your household receives any income. If any person in your household does receive income, then click <B>Go Back</B>. Select there <I>is</I> income. Check all of the types of income any other people living in your household receive. </FONT></P><P><FONT /></P><P><FONT>If no one living in your house has income, click <B>Continue</B>. </FONT></P><P><FONT /></P><P><FONT>%%[DV Income Help NoIncome TE]%%</FONT></P></TEXT><HELP><P><FONT /></P></HELP><NOTE>**Add question: If they select Continue, then provide them opportunity to Describe how they pay their expenses - open ended for now; Craige will think up a list as well.</NOTE><BUTTONS><BUTTON NAME="Income1N TE" NEXT="164"><LABEL>Continue</LABEL><VALUE>None</VALUE></BUTTON><BUTTON NEXT="147"><LABEL>Go Back</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Domestic violence trigger TF] ="true" or [Problem MC] ="DV"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET DV Income Help NoIncome TE="REMEMBER: If the person causing your legal problem lives with you, do not count that person's income."</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET DV Income Help NoIncome TE=""</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="80" STEP="4" MAPX="3848" MAPY="2545" NAME="1d2 - Employment income"><TEXT><P><FONT>How much is the <A HREF="popup://14" TARGET=""><U>gross</U></A> employment income each month? Example: 100.00</FONT></P></TEXT><HELP><P><FONT>Add the monthly employment income for all persons in your household and use that total. %%[DV Income Help Employment TE]%%</FONT></P></HELP><LEARN>Whose income do I count?</LEARN><FIELDS><FIELD CALCULATOR="true" TYPE="numberdollar" MIN="0.01"><LABEL>Amount: $</LABEL><NAME>Employment Income NU</NAME><INVALIDPROMPT>A zero ($0.00) is not allowed here. If you do not have employment income select the "Back" arrow above until you reach the beginning of this section so that you can change your selections for income.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="116"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Income employment TF] = false</CONDITION><COMMENT>undefined</COMMENT><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Employment Income NU=0</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Income employment TF] = false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 116</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Domestic violence trigger TF] =true or [Problem MC]="DV"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET DV Income Help Employment TE="Do not include the employment income of the person causing your problem."</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET DV Income Help Employment TE=""</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="84" STEP="4" MAPX="3879" MAPY="3677" NAME="1d6 - Veterans Benefits"><TEXT><P><FONT>How much is your <A HREF="popup://16" TARGET=""><U>gross</U></A> Veterans benefits each month? Example: 100.00</FONT></P></TEXT><HELP><P><FONT>Add the monthly Veterans benefits for all persons in your household and use that total. %%[DV Income Help VetBenefits TE]%%</FONT></P></HELP><LEARN>What amount do I put here?</LEARN><FIELDS><FIELD CALCULATOR="true" TYPE="numberdollar" MIN="0.01"><LABEL>Amount: $</LABEL><NAME>Veterans Benefits NU</NAME><INVALIDPROMPT>A zero ($0.00) is not allowed here. If you do not have Veterans benefits income select the "Back" arrow above until you reach the beginning of this section so that you can change your selections for income.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="86"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Income veterans benefits TF] = false</CONDITION><COMMENT>undefined</COMMENT><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Veterans benefits NU=0</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Income veterans benefits TF] = false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 86</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Domestic violence trigger TF] ="true" or [Problem MC] ="DV"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET DV Income Help VetBenefits TE="Do not include the benefits of the person causing your problem."</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET DV Income Help VetBenefits TE=""</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="85" STEP="4" MAPX="3864" MAPY="4164" NAME="1d8 - Self Employment or Farming Income"><TEXT><P><FONT>What is the total <A HREF="popup://20" TARGET=""><U>gross</U></A> self employment you receive each month? Example: 100.00</FONT></P></TEXT><HELP><P><FONT>Use the amount reported as gross earnings prior to any deductions on the last income tax return and divide this by 12 to get the number you need. %%[DV Income Help SelfEmp TE]%%</FONT></P></HELP><LEARN>What if I don't know?</LEARN><NOTE>**ULS doesn't use tax return. May need to change this.. What they earn - anything that went back into the business. May want to split this into a couple questions to calculate for the end-user.</NOTE><FIELDS><FIELD CALCULATOR="true" TYPE="numberdollar" MIN="0.01"><LABEL>Amount: $</LABEL><NAME>Self Employment Income NU</NAME><INVALIDPROMPT>A zero ($0.00) is not allowed here. If you do not have self employment income select the "Back" arrow above until you reach the beginning of this section so that you can change your selections for income.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="90"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Income self-employment TF] = false</CONDITION><COMMENT>undefined</COMMENT><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Self Employment Income NU=0</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Income self-employment TF] = false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 90</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Domestic violence trigger TF] ="true" or [Problem MC] ="DV"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET DV Income Help SelfEmp TE="Do not include the income of the person causing your problem."</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET DV Income Help SelfEmp TE=""</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="86" STEP="4" MAPX="3879" MAPY="3913" NAME="1d7 - Pension or retirement income"><TEXT><P><FONT>What is the amount of pension, PERS, 401(k) or other retirement benefits being received each month? Example: 100.00</FONT></P></TEXT><HELP><P><FONT>Add the monthly pension for all persons in your household and use that total. %%[DV Income Help Pension TE]%%</FONT></P></HELP><LEARN>What amount do I put here?</LEARN><FIELDS><FIELD CALCULATOR="true" TYPE="numberdollar" MIN="0.01"><LABEL>Amount: $</LABEL><NAME>Pension Income NU</NAME><INVALIDPROMPT>A zero ($0.00) is not allowed here. If you do not have pension, PERS, 401(k) or other retirement income select the "Back" arrow above until you reach the beginning of this section so that you can change your selections for income.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="85"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Income pension TF] = false</CONDITION><COMMENT>undefined</COMMENT><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Pension Income NU=0</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Income pension TF] = false</CONDITION><COMMENT>Example: set a flag if income too high</COMMENT><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 85</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Domestic violence trigger TF] ="true" or [Problem MC] ="DV"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET DV Income Help Pension TE="Do not include the pension of the person causing your problem."</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET DV Income Help Pension TE=""</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="87" STEP="4" MAPX="3848" MAPY="3174" NAME="1d4 - Alimony or spousal support Income"><TEXT><P><FONT>How much is the alimony or spousal support each month? Example: 100.00</FONT></P></TEXT><HELP><P><FONT>Add the monthly alimony or support for all persons in your household and use that total. %%[DV Income Help Alimony TE]%%</FONT></P></HELP><LEARN>What amount do I put here?</LEARN><FIELDS><FIELD CALCULATOR="true" TYPE="numberdollar" MIN="0.01"><LABEL>Amount: $</LABEL><NAME>Alimony Income NU</NAME><INVALIDPROMPT>A zero ($0.00) is not allowed here. If you do not have alimony or spousal support income select the "Back" arrow above until you reach the beginning of this section so that you can change your selections for income.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="117"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Income alimony TF] = false</CONDITION><COMMENT>undefined</COMMENT><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Alimony Income NU=0</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Income alimony TF] = false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 117</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Domestic violence trigger TF] ="true" or [Problem MC] ="DV"</CONDITION><COMMENT>undefined</COMMENT><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET DV Income Help Alimony TE="Do not include the support received by the person causing your problem."</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET DV Income Help Alimony TE=""</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="88" STEP="4" MAPX="3879" MAPY="4934" NAME="1d911 SSI Income"><TEXT><P><FONT>What is the <A HREF="popup://17" TARGET=""><U>gross</U></A> SSI or SSDI income received each month? Example: 100.00</FONT></P></TEXT><HELP><P><FONT>Add the monthly SSI income for all persons in your household and use that total. %%[DV Income Help SSI TE]%%</FONT></P></HELP><LEARN>What amount do I put here?</LEARN><FIELDS><FIELD CALCULATOR="true" TYPE="numberdollar" MIN="0.01"><LABEL>Amount: $</LABEL><NAME>SSI Income NU</NAME><INVALIDPROMPT>A zero ($0.00) is not allowed here. If you do not have SSI or SSDI income select the "Back" arrow above until you reach the beginning of this section so that you can change your selections for income.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="119"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Income SSI TF] = false</CONDITION><COMMENT>undefined</COMMENT><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET SSI Income NU=0</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Income SSI TF] = false</CONDITION><COMMENT>Example: set a flag if income too high</COMMENT><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 119</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Domestic violence trigger TF] ="true" or [Problem MC] ="DV"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET DV Income Help SSI TE="Do not include the income of the person causing your problem."</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET DV Income Help SSI TE=""</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="90" STEP="4" MAPX="3879" MAPY="4400" NAME="1d9 Unemployment Income"><TEXT><P><FONT>How much in unemployment benefits do you receive each month? Example: 100.00</FONT></P></TEXT><HELP><P><FONT>Add the unemployment benefits received by everyone in the house and put the total in the box. %%[DV Income Help Unemployment TE]%%</FONT></P></HELP><LEARN>What do I count?</LEARN><NOTE>**Craige will verify whether any deductions here.</NOTE><FIELDS><FIELD CALCULATOR="true" TYPE="numberdollar" MIN="0.01"><LABEL>Amount: $</LABEL><NAME>Unemployment Income NU</NAME><INVALIDPROMPT>A zero ($0.00) is not allowed here. If you do not have unemployment benefits income select the "Back" arrow above until you reach the beginning of this section so that you can change your selections for income.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="91"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Income unemployment TF] = false</CONDITION><COMMENT>undefined</COMMENT><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Unemployment Income NU=0</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Income unemployment TF] = false</CONDITION><COMMENT>Example: set a flag if income too high</COMMENT><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 91</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Domestic violence trigger TF] ="true" or [Problem MC] ="DV"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET DV Income Help Unemployment TE="Do not include the unemployment benefits of the person causing your problem."</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET DV Income Help Unemployment TE=""</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="91" STEP="4" MAPX="3879" MAPY="4636" NAME="1d910 Workers Compensation"><TEXT><P><FONT>How much is the worker's compensation each month? Example: 100.00</FONT></P></TEXT><HELP><P><FONT>Add the monthly worker's compensation for all persons in your household and use that total. %%[DV Income Help WorkersComp TE]%%</FONT></P></HELP><LEARN>What amount do I put here?</LEARN><FIELDS><FIELD CALCULATOR="true" TYPE="numberdollar" MIN="0.01"><LABEL>Amount: $</LABEL><NAME>Workers Comp Income NU</NAME><INVALIDPROMPT>A zero ($0.00) is not allowed here. If you do not have worker's compensation income select the "Back" arrow above until you reach the beginning of this section so that you can change your selections for income.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="88"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Income Workers Comp TF] = false</CONDITION><COMMENT>undefined</COMMENT><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Workers Comp Income NU=0</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Income Workers Comp TF] = false</CONDITION><COMMENT>Example: set a flag if income too high</COMMENT><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 88</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Domestic violence trigger TF] ="true" or [Problem MC] ="DV"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET DV Income Help WorkersComp TE="Do not include the worker's compensation received by the person causing your problem."</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET DV Income Help WorkersComp TE=""</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="92" STEP="4" MAPX="3845" MAPY="5972" NAME="1d916 Other Income"><TEXT><P><FONT>How much other income do you receive each month? Example: 100.00</FONT></P></TEXT><HELP><P><FONT>Add all the income not included in the other questions. %%[DV Income Help Other TE]%%</FONT></P><P><FONT /></P><P><FONT>Other income includes help from a family member or friend, monthly income from foster or adopted child, or rental income.</FONT></P></HELP><LEARN>What do I count?</LEARN><FIELDS><FIELD CALCULATOR="true" TYPE="numberdollar" MIN="0.01"><LABEL>Amount: $</LABEL><NAME>Other Income NU</NAME><INVALIDPROMPT>A zero ($0.00) is not allowed here. If you do not have other income select the "Back" arrow above until you reach the beginning of this section so that you can change your selections for income.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="77"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Income other 2 TF] = false</CONDITION><COMMENT>undefined</COMMENT><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Other Income NU=0</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Income other 2 TF] = false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 77</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Domestic violence trigger TF] ="true" or [Problem MC] ="DV"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET DV Income Help Other TE="Do not count the income of the person causing your problem."</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET DV Income Help Other TE=""</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="93" STEP="4" MAPX="4811" MAPY="804" NAME="2 a 2 Checking Account"><TEXT><P><FONT>How much is in all checking accounts? Example: 100.00</FONT></P></TEXT><HELP><P><FONT>Add the amount in checking for all persons in your household and use that total. %%[DV Asset Help TE]%%</FONT></P></HELP><LEARN>Whose money do I count?</LEARN><NOTE>This step assigns a "word" value to the T/F assests selected so they can be listed in the CMS.</NOTE><FIELDS><FIELD CALCULATOR="true" TYPE="numberdollar" MIN="0.01"><LABEL>Value: $</LABEL><NAME>Checking Asset NU</NAME><INVALIDPROMPT>I need more information. You must type a dollar amount in the highlighted field before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="94"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Checking TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Checking TE="Check Acct; "</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Checking TE=""</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Savings TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Savings TE="Savings Acct; "</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Savings TE=""</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Cash TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Cash TE="Cash"</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Cash TE=""</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Non homestead property TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Non homestead property TE="Real Prop."</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Non homestead property TE=""</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Additional motor vehicles TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Additional motor vehicles TE="Add. vehicles; "</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Additional motor vehicles TE=""</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Personal property TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Personal property TE="Pers. Prop."</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Personal property TE=""</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Pension other TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Pension other TE="Stocks, bonds, CD"</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Pension other TE=" "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Recreational Vehicles TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Recreational Vehicles TE="Rec. Vehicles"</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Recreational Vehicles TE=" "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Work Tools TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Work Tools TE="Work Tools"</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Work Tools TE=" "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Business TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Business TE="Bus. Int."</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Business TE=" "</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>1=1</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Asset1N TE=[Checking TE] + [Savings TE] + [Cash TE]</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Asset2N TE=[Non homestead property TE] + [Personal property TE]</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Asset3N TE=[Additional motor vehicles TE] + [Recreational Vehicles TE]</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Asset4N TE=[Pension other TE] + [Business TE] + [Work Tools TE]</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Checking TF]=false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Checking Asset NU=0</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Checking TF]=false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 94</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="94" STEP="4" MAPX="4826" MAPY="1053" NAME="2 a 3 Savings Account"><TEXT><P><FONT>How much is in all savings accounts? Example: 100.00</FONT></P></TEXT><HELP><P><FONT>Add the savings for all persons in your household and use that total. %%[DV Asset Help TE]%%</FONT></P></HELP><LEARN>Whose money do I count?</LEARN><FIELDS><FIELD CALCULATOR="true" TYPE="numberdollar" MIN="0.01"><LABEL>Value: $</LABEL><NAME>Savings Asset NU</NAME><INVALIDPROMPT>I need more information. You must type a dollar amount in the highlighted field before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="96"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Savings TF]=false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Savings Asset NU=0</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Savings TF] = false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 96</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="95" STEP="4" MAPX="4840" MAPY="1756" NAME="2 a 7a Second Vehicle"><TEXT><P><FONT>How many vehicles belong to your household? (Include cars, trucks or motorcycles)</FONT></P></TEXT><HELP><P><FONT>Include all cars, trucks, motorcycles or any other vehicle you or anyone else in your household owns. %%[DV Asset Help TE]%%</FONT></P></HELP><LEARN>What do I include?</LEARN><FIELDS><FIELD TYPE="numberpick" MAX="20" MIN="1"><NAME>Vehicles NU</NAME><INVALIDPROMPT>I need more information. You must type a dollar amount in the highlighted field before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="266"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Additional motor vehicles TF]=false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Second Vehicle NU=0</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Additional motor vehicles TF] = false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 98</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="96" STEP="4" MAPX="4826" MAPY="1317" NAME="2 a 4 Cash "><TEXT><P><FONT>Total Cash. Example: 100.00</FONT></P></TEXT><HELP><P><FONT>Add the cash for all persons in your household and use that total. Do not include the money of the person causing your problem. %%[DV Asset Help TE]%%</FONT></P></HELP><LEARN>Whose money do I count?</LEARN><FIELDS><FIELD CALCULATOR="true" TYPE="numberdollar" MIN="0.01"><LABEL>Value: $</LABEL><NAME>Cash Asset NU</NAME><INVALIDPROMPT>I need more information. You must type a dollar amount in the highlighted field before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="78"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Cash TF]=false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Cash Asset NU=0</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Cash TF]=false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 78</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="97" STEP="4" MAPX="4825" MAPY="3198" NAME="2 a 1 Personal Property"><TEXT><P><FONT>What is the value of ALL personal property owned by your household such as tv’s, computers, clothing, beds, etc.)? Example: 100.00</FONT></P></TEXT><HELP><P><FONT>Put the amount you would receive if you sold all this property. %%[DV Asset Help TE]%%</FONT></P></HELP><LEARN>What amount do I use?</LEARN><FIELDS><FIELD CALCULATOR="true" TYPE="numberdollar" MIN="0.01"><LABEL>Value: $</LABEL><NAME>Personal Property NU</NAME><INVALIDPROMPT>I need more information. You must type a dollar amount in the highlighted field before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="93"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Personal property TF]=false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Personal Property NU=0</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Personal property TF] = false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 93</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="98" STEP="4" MAPX="4809" MAPY="3468" NAME="2 a 8 Work Related Tools"><TEXT><P><FONT>What is the total <A HREF="popup://33" TARGET=""><U>equity</U></A> value of your work-related tools and/or equipment? Example: 100.00</FONT></P></TEXT><HELP><P><FONT>Add the current <A HREF="popup://34" TARGET=""><U>equity</U></A> value of work-related tools and/or equipment for all persons in your household. Use that total. %%[DV Asset Help TE]%%</FONT></P></HELP><LEARN>What do I count here?</LEARN><FIELDS><FIELD CALCULATOR="true" TYPE="numberdollar" MIN="0.01"><LABEL>Value: $</LABEL><NAME>Work Tools NU</NAME><INVALIDPROMPT>I need more information. You must type a dollar amount in the highlighted field before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="299"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Work tools TF]=false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Work Tools NU=0</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Work tools TF]=false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 299</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Work tools NU]>3500</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Work Tools NU=[Work Tools NU] - 3500</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Work Tools NU=0</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="103" STEP="2" MAPX="2491" MAPY="5061" NAME="1k1 - Family Problem p1"><TEXT><P><FONT>Is one of these your family problem?</FONT></P></TEXT><FIELDS><FIELD TYPE="radio"><LABEL>Custody or visitation</LABEL><NAME>Problem Type MC</NAME><VALUE>31</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Divorce or separation</LABEL><NAME>Problem Type MC</NAME><VALUE>32</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Protective Order</LABEL><NAME>Problem Type MC</NAME><VALUE>37</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Stalking Injunction</LABEL><NAME>Problem Type MC</NAME><VALUE>39</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Guardianship</LABEL><NAME>Problem Type MC</NAME><VALUE>33</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Paternity</LABEL><NAME>Problem Type MC</NAME><VALUE>36</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Child abuse or neglect</LABEL><NAME>Problem Type MC</NAME><VALUE>42</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>None of these</LABEL><NAME>Problem Type MC</NAME><VALUE>00</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="68"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC] = "31"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="310"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC] = "00"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 67</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC] = "32"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="320"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC] = "37"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="370"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 307</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC] = "39"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="390"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 307</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC] = "33"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="330"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC] = "36"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="360"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC] = "42"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="420"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 307</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="104" STEP="1" MAPX="1555" MAPY="742" NAME="1c1b - Lawful Resident"><TEXT><P><FONT>Please provide your alien number below:</FONT></P></TEXT><HELP><P><FONT>We need to know information about your citizenship or immigration status so we know what help may be available for you.</FONT></P></HELP><LEARN>Why do you need this information?</LEARN><FIELDS><FIELD MAXCHARS="25" TYPE="text"><NAME>Alien no TE</NAME><INVALIDPROMPT>You must type a response in the highlighted space before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="105"><LABEL>Continue</LABEL></BUTTON></BUTTONS></QUESTION><QUESTION ID="105" STEP="1" MAPX="1332" MAPY="1009" NAME="1c2 - Result of DV?"><TEXT><P><FONT>Did your problem happen because of domestic violence or Human Trafficking?</FONT></P></TEXT><BUTTONS><BUTTON NAME="Domestic violence trigger TF" NEXT="234"><LABEL>Yes</LABEL><VALUE>true</VALUE></BUTTON><BUTTON NAME="Domestic violence trigger TF" NEXT="230"><LABEL>No</LABEL><VALUE>false</VALUE></BUTTON></BUTTONS><MACROS><MACRO><EVENT>AFTER</EVENT><CONDITION>[Domestic violence trigger TF]="true"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Domviolence NU="1"</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Domviolence NU="0"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Domestic violence trigger TF]="true"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Domviol NU=%%[Domviolence NU]%%</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Domviol NU=%%[Domviolence NU]%%</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="107" STEP="2" MAPX="2103" MAPY="1360" NAME="1d1 - Hearing or Court Info - Urgent Problem"><TEXT><P><FONT><B>Court Information</B></FONT></P></TEXT><NOTE>This screen sets [Court Info TE] to any of the information answered on this screen. The fields are added to [Court Info TE] one at a time so there are no extraneous semicolons. Then [Court Info TE] is added to [Notes TE] in Question "71b Submit Application" to go into the database.</NOTE><FIELDS><FIELD TYPE="text" OPTIONAL="true"><LABEL>Case #</LABEL><NAME>Case Number TE</NAME><INVALIDPROMPT>I need more information. You must type a response in the highlighted field before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="text" OPTIONAL="true"><LABEL>Court Name</LABEL><NAME>Court TE</NAME><INVALIDPROMPT>I need more information. You must type a response in the highlighted field before you can continue.</INVALIDPROMPT></FIELD><FIELD CALENDAR="true" TYPE="datemdy" OPTIONAL="true" MAX="12/31/2050" MIN="TODAY" ORDER="ASC"><LABEL>Hearing Date (Month/Day/Year)</LABEL><NAME>Hearing DA</NAME><INVALIDPROMPT>I need more information. You must enter a date in the highlighted field before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="textpick" OPTIONAL="true"><LABEL>Hearing Time</LABEL><NAME>Hearing Time TE</NAME><INVALIDPROMPT>I need more information. You must type a response in the highlighted field before you can continue.</INVALIDPROMPT><SELECT><OPTION VALUE="8:00 A.M.">8:00 A.M.</OPTION><OPTION VALUE="8:15 A.M.">8:15 A.M.</OPTION><OPTION VALUE="8:30 A.M.">8:30 A.M.</OPTION><OPTION VALUE="8:45 A.M.">8:45 A.M.</OPTION><OPTION VALUE="9:00 A.M.">9:00 A.M.</OPTION><OPTION VALUE="9:15 A.M.">9:15 A.M.</OPTION><OPTION VALUE="9:30 A.M.">9:30 A.M.</OPTION><OPTION VALUE="9:45 A.M.">9:45 A.M.</OPTION><OPTION VALUE="10:00 A.M.">10:00 A.M.</OPTION><OPTION VALUE="10:15 A.M.">10:15 A.M.</OPTION><OPTION VALUE="10:30 A.M.">10:30 A.M.</OPTION><OPTION VALUE="10:45 A.M.">10:45 A.M.</OPTION><OPTION VALUE="11:00 A.M.">11:00 A.M.</OPTION><OPTION VALUE="11:15 A.M.">11:15 A.M.</OPTION><OPTION VALUE="11:30 A.M.">11:30 A.M.</OPTION><OPTION VALUE="11:45 A.M.">11:45 A.M.</OPTION><OPTION VALUE="12:00 P.M.">12:00 P.M.</OPTION><OPTION VALUE="12:15 P.M.">12:15 P.M.</OPTION><OPTION VALUE="12:30 P.M.">12:30 P.M.</OPTION><OPTION VALUE="12:45 P.M.">12:45 P.M.</OPTION><OPTION VALUE="1:00 P.M.">1:00 P.M.</OPTION><OPTION VALUE="1:15 P.M.">1:15 P.M.</OPTION><OPTION VALUE="1:30 P.M.">1:30 P.M.</OPTION><OPTION VALUE="1:45 P.M.">1:45 P.M.</OPTION><OPTION VALUE="2:00 P.M.">2:00 P.M.</OPTION><OPTION VALUE="2:15 P.M.">2:15 P.M.</OPTION><OPTION VALUE="2:30 P.M.">2:30 P.M.</OPTION><OPTION VALUE="2:45 P.M.">2:45 P.M.</OPTION><OPTION VALUE="3:00 P.M.">3:00 P.M.</OPTION><OPTION VALUE="3:15 P.M.">3:15 P.M.</OPTION><OPTION VALUE="3:30 P.M.">3:30 P.M.</OPTION><OPTION VALUE="3:45 P.M.">3:45 P.M.</OPTION><OPTION VALUE="4:00 P.M.">4:00 P.M.</OPTION><OPTION VALUE="4:15 P.M.">4:15 P.M.</OPTION><OPTION VALUE="4:30 P.M.">4:30 P.M.</OPTION><OPTION VALUE="4:45 P.M.">4:45 P.M.</OPTION><OPTION VALUE="5:00 P.M.">5:00 P.M.</OPTION><OPTION VALUE="5:15 P.M.">5:15 P.M.</OPTION><OPTION VALUE="5:30 P.M.">5:30 P.M.</OPTION><OPTION VALUE="5:45 P.M.">5:45 P.M.</OPTION></SELECT></FIELD><FIELD CALENDAR="true" TYPE="datemdy" OPTIONAL="true" MAX="TODAY" MIN="1/1/2005" ORDER="ASC"><LABEL>Papers Received (Month/Day/Year)</LABEL><NAME>Papers Received DA</NAME><INVALIDPROMPT>I need more information. You must enter a date in the highlighted field before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="111"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>1=1</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET One month ago DA=%%DATE(TODAY-30)%%</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>1=1</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Court Info TE=""</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Court Papers TF]=false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 111</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>HASANSWERED([Case Number TE])=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Case Number TE=""</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Court Info TE=[Court Info TE] + "Case Number: " + [Case Number TE]</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>HASANSWERED([Court TE])=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Court TE=""</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Court Info TE=[Court Info TE] + "; " + "Court Name: " + [Court TE]</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>HASANSWERED([Hearing DA])=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Hearing DA=""</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Court Info TE=[Court Info TE] + "; " + "Hearing Date: " + DATE([Hearing DA])</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>HASANSWERED([Hearing Time TE])=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Hearing Time TE=""</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Court Info TE=[Court Info TE] + "; " + "Hearing Time: " + [Hearing Time TE]</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>HASANSWERED([Papers Received DA])=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Papers Received DA=""</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Court Info TE=[Court Info TE] + "; " + "Date Papers Received: " + DATE([Papers Received DA])</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="111" STEP="2" MAPX="2120" MAPY="1755" NAME="1d2 - Deadline Info - Urgent Problem"><TEXT><P><FONT>You said you had other deadlines coming up. Please tell us what deadline date you have for resolving your problem. </FONT></P></TEXT><NOTE>[Deadline date DA] is set to "" in Q asking if there is a deadline, this way if they say Yes and put on in and then later go back and say No, the date will be erased. [Deadline date DA] is added to [Notes TE] in Question "71b Submit Application".</NOTE><FIELDS><FIELD CALENDAR="true" TYPE="datemdy" OPTIONAL="true" MAX="1/1/2050" MIN="TODAY"><NAME>Deadline date DA</NAME><INVALIDPROMPT>I need more information. You must type a response in the highlighted field before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="113"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Deadline TF]=false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 113</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="113" STEP="2" MAPX="2175" MAPY="2113" NAME="1f1a - Legal Problem p1"><TEXT><P><FONT>What kind of legal problem do you have?</FONT></P></TEXT><HELP><P><FONT>Pick the choice that best describes your problem. If none of the choices fit your problem, click ‘None of these’ to see more choices. </FONT></P><P><FONT /></P><P><FONT>If you have more than one problem, you will have to fill out this interview separately for each problem. We apologize for the inconvenience.</FONT></P></HELP><LEARN>What if I am not sure or I have more than one legal problem?</LEARN><FIELDS><FIELD TYPE="radio"><LABEL>Landlord and tenant</LABEL><NAME>Problem MC</NAME><VALUE>Landlord</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Mortgage Foreclosure</LABEL><NAME>Problem MC</NAME><VALUE>Foreclosure</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Domestic Violence, including Family Law</LABEL><NAME>Problem MC</NAME><VALUE>DV</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Family law with no Domestic Violence</LABEL><NAME>Problem MC</NAME><VALUE>Family</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Consumer problems including bankruptcy; disputes or debt collection</LABEL><NAME>Problem MC</NAME><VALUE>Consumer</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Government Benefits</LABEL><NAME>Problem MC</NAME><VALUE>Government</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>None of these - show me more choices</LABEL><NAME>Problem MC</NAME><VALUE>None</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="67"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem MC] = "None"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 25</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem MC] = "DV"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Domviolence NU="1"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 196</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem MC] = "Government"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 53</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem MC] = "Consumer"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 54</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem MC] = "Foreclosure"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 262</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem MC] = "Landlord"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 63</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem MC] = "Family"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 285</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="114" STEP="2" MAPX="2521" MAPY="4229" NAME="1i2 - Consumer Problem p2"><TEXT><P><FONT>Please select a consumer problem.</FONT></P></TEXT><FIELDS><FIELD TYPE="radio"><LABEL>Bad Credit</LABEL><NAME>Problem Type MC</NAME><VALUE>9</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Public Utilities</LABEL><NAME>Problem Type MC</NAME><VALUE>7</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Unfair sales practices</LABEL><NAME>Problem Type MC</NAME><VALUE>8</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>None of these</LABEL><NAME>Problem Type MC</NAME><VALUE>00</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="54"><LABEL>Go Back</LABEL></BUTTON><BUTTON NEXT="68"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="6"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="60"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="7"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="70"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="8"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="80"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="9"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="90"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="00"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 67</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="115" STEP="2" MAPX="1340" MAPY="5872" NAME="1l2 - Health Problem p2"><TEXT><P><FONT>Which of these is your health law problem?</FONT></P></TEXT><FIELDS><FIELD TYPE="radio"><LABEL>Wills or estate planning</LABEL><NAME>Problem Type MC</NAME><VALUE>95</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Disability rights</LABEL><NAME>Problem Type MC</NAME><VALUE>84</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Home health care problems</LABEL><NAME>Problem Type MC</NAME><VALUE>54</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Nursing homes or other long term care facilities</LABEL><NAME>Problem Type MC</NAME><VALUE>56</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Other health problem</LABEL><NAME>Problem Type MC</NAME><VALUE>59</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="68"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="95"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="950"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="84"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="840"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="54"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="540"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="56"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="560"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="59"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="590"</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="116" STEP="4" MAPX="3848" MAPY="2843" NAME="1d3 - GA Income"><TEXT><P><FONT>What is your <A HREF="popup://15" TARGET=""><U>gross</U></A> monthly income from General Assistance or other cash benefits from the Department of Workforce Services? Example: 100.00</FONT></P></TEXT><HELP><P><FONT>Add the monthly income from General Assistance or other cash benefits from the Department of Workforce Services for all persons in your household and use that total. %%[DV Income Help GenAssist TE]%%</FONT></P></HELP><LEARN>What amount do I put here?</LEARN><FIELDS><FIELD CALCULATOR="true" TYPE="numberdollar" MIN="0.01"><LABEL>Amount: $</LABEL><NAME>GA Income NU</NAME><INVALIDPROMPT>A zero ($0.00) is not allowed here. If you do not have General Assistance income select the "Back" arrow above until you reach the beginning of this section so that you can change your selections for income.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="87"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Income GA TF] = false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET GA Income NU=0</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Income GA TF] = false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 87</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Domestic violence trigger TF] ="true" or [Problem MC] ="DV"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET DV Income Help GenAssist TE="Do not include the income of the person causing your problem."</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET DV Income Help GenAssist TE=""</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="117" STEP="4" MAPX="3848" MAPY="3410" NAME="1d5 - Child Support Income"><TEXT><P><FONT>How much child support do you receive each month? Example: 100.00</FONT></P><P><FONT /></P></TEXT><HELP><P><FONT>Add the monthly child support for all persons in your household and use that total. %%[DV Income Help ChildSupport TE]%%</FONT></P></HELP><LEARN>What amount do I put here?</LEARN><FIELDS><FIELD CALCULATOR="true" TYPE="numberdollar" MIN="0.01"><LABEL>Amount: $</LABEL><NAME>Child Support NU</NAME><INVALIDPROMPT>A zero ($0.00) is not allowed here. If you do not have child support income select the "Back" arrow above until you reach the beginning of this section so that you can change your selections for income.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="84"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Income child support TF] = false</CONDITION><COMMENT>Example: set a flag if income too high</COMMENT><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Child Support NU=0</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Income child support TF] = false</CONDITION><COMMENT>Example: set a flag if income too high</COMMENT><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 84</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Domestic violence trigger TF] ="true" or [Problem MC] ="DV"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET DV Income Help ChildSupport TE="Do not include the support received by the person causing your problem."</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET DV Income Help ChildSupport TE=""</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="118" STEP="4" MAPX="3832" MAPY="5486" NAME="1d913 Investment income"><TEXT><P><FONT>What is your monthly investment income such as money from property or real estate, stocks or bonds? Example: 100.00</FONT></P></TEXT><HELP><P><FONT>Use the total amount you have received over the last 12 months and divide this by 12 to get the number you need. %%[DV Income Help Investment TE]%%</FONT></P></HELP><LEARN>What if it changes each month?</LEARN><FIELDS><FIELD CALCULATOR="true" TYPE="numberdollar" MIN="0.01"><LABEL>Amount: $</LABEL><NAME>Investment Income NU</NAME><INVALIDPROMPT>A zero ($0.00) is not allowed here. If you do not have investment income select the "Back" arrow above until you reach the beginning of this section so that you can change your selections for income.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="309"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Income investment TF] = false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Investment Income NU=0</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Income investment TF] = false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 309</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Domestic violence trigger TF] ="true" or [Problem MC] ="DV"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET DV Income Help Investment TE="Do not count the investment income of the person causing your problem."</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET DV Income Help Investment TE=""</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="119" STEP="4" MAPX="3856" MAPY="5204" NAME="1d912 Social Security Income-1"><TEXT><P><FONT>How much Social Security income do you receive each month? Example: 100.00</FONT></P></TEXT><HELP><P><FONT>Add the monthly Social Security income for all persons in your household and use that total. %%[DV Income Help SS TE]%%</FONT></P></HELP><LEARN>What amount do I put here?</LEARN><FIELDS><FIELD CALCULATOR="true" TYPE="numberdollar" MIN="0.01"><LABEL>Amount: $</LABEL><NAME>Social Security Income NU</NAME><INVALIDPROMPT>A zero ($0.00) is not allowed here. If you do not have Social Security income select the "Back" arrow above until you reach the beginning of this section so that you can change your selections for income.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="118"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Income social security TF] = false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Social Security Income NU=0</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Income social security TF] = false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 118</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Domestic violence trigger TF] ="true" or [Problem MC] ="DV"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET DV Income Help SS TE="Do not include the income of the person causing your problem."</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET DV Income Help SS TE=""</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="120" STEP="4" MAPX="3832" MAPY="5785" NAME="1d915 Other income - describe"><TEXT><P><FONT>What is the source of your other income?</FONT></P></TEXT><FIELDS><FIELD MAXCHARS="50" TYPE="text"><NAME>Income5N TE</NAME><INVALIDPROMPT>I need more information. You must type a response in the highlighted field before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="92"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Income other 2 TF] = false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 92</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="125" STEP="0" MAPX="189" MAPY="424" NAME="1a2a - Welcome 1"><TEXT><P><FONT>Let's begin with some introductory information to help you with this program. If you make mistakes at any time you can press the<B> Back</B> button in the upper left corner of your screen.</FONT></P></TEXT><BUTTONS><BUTTON NEXT="126"><LABEL>Continue</LABEL></BUTTON></BUTTONS></QUESTION><QUESTION ID="126" STEP="0" MAPX="189" MAPY="681" NAME="1a2b - Welcome 2"><TEXT><P><FONT>If you need to go back several questions, use the<B> My Progress</B> pull-down menu at the top of your screen. </FONT></P></TEXT><BUTTONS><BUTTON NEXT="127"><LABEL>Continue</LABEL></BUTTON></BUTTONS></QUESTION><QUESTION ID="127" STEP="0" MAPX="189" MAPY="869" NAME="1a3 - Welcome 3"><TEXT><P><FONT>If you see a <B>Learn More</B> button on your screen, you can click on it for more information.</FONT></P></TEXT><HELP><P><FONT>Clicking the <B>Learn More</B> button will give you more information that may help you better answer the question.</FONT></P></HELP><LEARN>What if I need help answering a question?</LEARN><BUTTONS><BUTTON NEXT="74"><LABEL>Continue</LABEL></BUTTON></BUTTONS></QUESTION><QUESTION ID="129" STEP="1" MAPX="1647" MAPY="2135" NAME="1g1b - User age < 18"><TEXT><P><FONT>I'm sorry, %%[User first name TE]%%. If you are under 18 and you are not emancipated, you cannot use this online application. </FONT></P><P><FONT /></P><P><FONT>For further information about your problem you may wish to view the following websites:</FONT></P><P><FONT /></P><P><FONT><A HREF="http://www.utahlegalservices.org" TARGET=""><B><U>Utah Legal Services' website</U></B></A></FONT></P><P><FONT /></P><P><FONT><A HREF="http://www.utcourts.gov/ocap" TARGET=""><B><U>Utah Court's Online Court Assistance Program</U></B></A></FONT></P><P><FONT /></P><P><FONT><A HREF="http://www.utcourts.gov/resources/forms" TARGET=""><B><U>Utah Court's Forms Directory</U></B></A></FONT></P><P><FONT /></P><P><FONT><A HREF="http://211utah.org" TARGET=""><B><U>Utah's Information and Referral Service (211)</U></B></A></FONT></P><P><FONT /></P><P><FONT>Select <B>Exit</B> to end this program and return to the Utah Legal Services website.</FONT></P></TEXT><HELP><P><FONT>Click the <B>Go Back</B> button to re-enter your birth date.</FONT></P></HELP><LEARN>What if I entered the wrong birth date?</LEARN><BUTTONS><BUTTON NEXT="65"><LABEL>Go Back</LABEL></BUTTON><BUTTON URL="http://www.utahlegalservices.org" NEXT="FAIL"><LABEL>Exit</LABEL></BUTTON></BUTTONS></QUESTION><QUESTION ID="145" STEP="6" MAPX="6174" MAPY="2679" NAME="1e1 Another Opposing party"><TEXT><P><FONT>Are there other persons, organizations, government agencies or businesses that are causing your problem?</FONT></P></TEXT><BUTTONS><BUTTON NAME="More OPs TF" NEXT="46"><LABEL>Yes</LABEL><VALUE>true</VALUE></BUTTON><BUTTON NAME="More OPs TF" NEXT="46"><LABEL>No</LABEL><VALUE>false</VALUE></BUTTON></BUTTONS></QUESTION><QUESTION ID="147" STEP="4" MAPX="3829" MAPY="623" NAME="1b0 - Household income"><TEXT><P><FONT>We need to ask you about the income in your household. </FONT></P></TEXT><HELP><P><FONT>Your household is the number of adults and children living with you and who are related to you by blood or by law as relatives for whom you have a legal responsibility to support, including yourself. </FONT></P><P><FONT /></P><P><FONT><B>DO</B> include your partner if you are legally or common law married or if you have a child in common.</FONT></P><P><FONT /></P><P><FONT><B>DO</B> include minor children for which you are the parent or guardian and/or that you support. </FONT></P><P><FONT /></P><P><FONT><B>DO NOT</B> include any adult children living with you unless you have a legal responsibility to support them. </FONT></P><P><FONT /></P><P><FONT><B>DO NOT</B> include roommates.</FONT></P><P><FONT /></P><P><FONT><B><I>%%[DV Household TE]%%</I></B></FONT></P></HELP><LEARN>Remind me who is in my household . . .</LEARN><FIELDS><FIELD TYPE="radio" ORDER="ASC"><LABEL>There is income in my household</LABEL><NAME>Income TF</NAME><VALUE>true</VALUE><INVALIDPROMPT>You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio" ORDER="ASC"><LABEL>There is no income in my household</LABEL><NAME>Income TF</NAME><VALUE>false</VALUE><INVALIDPROMPT>You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="48"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Domestic violence trigger TF] = true or [Problem MC]="DV"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET DV Income TE="Do not include the income sources of the person causing your problem."</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET DV Income TE=""</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Income TF] = true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET No Income TF=false</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET No Income TF=true</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Income TF] = false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET DISABILITY INCOME NU=0</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET DISABILITY INCOME NU=0</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Employment Income NU=0</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET GA Income NU=0</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Alimony Income NU=0</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Child Support NU=0</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Veterans benefits NU=0</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Pension Income NU=0</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Self Employment Income NU=0</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Unemployment Income NU=0</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Workers Comp Income NU=0</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET SSI Income NU=0</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Social Security Income NU=0</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Investment Income NU=0</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Tribal Income NU=0</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Other Income NU=0</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Income TF] = false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 79</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Income TF] = true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 48</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="154" STEP="2" MAPX="1599" MAPY="5416" NAME="3q - Probate or Estate Problems"><TEXT><P><FONT>Which of these is your probate or estate problem?</FONT></P></TEXT><FIELDS><FIELD TYPE="radio"><LABEL>Wills</LABEL><NAME>Problem Type MC</NAME><VALUE>95</VALUE><INVALIDPROMPT>You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Living Will</LABEL><NAME>Problem Type MC</NAME><VALUE>Living</VALUE><INVALIDPROMPT>You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Power of Attorney</LABEL><NAME>Problem Type MC</NAME><VALUE>Power</VALUE><INVALIDPROMPT>You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Guardianship (Adult)</LABEL><NAME>Problem Type MC</NAME><VALUE>33</VALUE><INVALIDPROMPT>You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Guardianship (Child)</LABEL><NAME>Problem Type MC</NAME><VALUE>44</VALUE><INVALIDPROMPT>You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Other Probate or Estate Problem</LABEL><NAME>Problem Type MC</NAME><VALUE>95</VALUE><INVALIDPROMPT>You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="194"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="95"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="950"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="Living"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Problem Type MC="96"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="961"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="Power"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Problem Type MC="96"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="963"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="33"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="330"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="44"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="440"</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="158" STEP="0" MAPX="602" MAPY="162" NAME="1a1a - Secure Site"><TEXT><P><FONT>This is a secure site. Any information transmitted over this site is secure and confidential.</FONT></P><P><FONT /></P><P><FONT>However, if you are using a public computer or any computer that does not belong to you, remember to completely close out of the internet browser when you are finished. <B>If you don’t, you might accidentally share your personal information with someone else. </B></FONT></P></TEXT><BUTTONS><BUTTON NEXT="176"><LABEL>Continue</LABEL></BUTTON></BUTTONS></QUESTION><QUESTION ID="162" STEP="0" MAPX="219" MAPY="1605" NAME="1a4A - Application only"><TEXT><P><FONT>You should also know that completing this interview does not make you a client of Utah Legal Services and <B><I>does not</I></B> create an attorney-client relationship.</FONT></P><P><FONT /></P><P><FONT>Click<B> Yes</B> if you understand this and want to apply for help. </FONT></P><P><FONT /></P><P><FONT>Click<B> Exit</B> if you do not wish to continue with your application.</FONT></P></TEXT><BUTTONS><BUTTON NEXT="228"><LABEL>Yes</LABEL></BUTTON><BUTTON URL="http://www.utahlegalservices.org/" NEXT="FAIL"><LABEL>Exit</LABEL></BUTTON></BUTTONS></QUESTION><QUESTION ID="164" STEP="4" MAPX="4269" MAPY="1679" NAME="1d918 Confirm no income"><TEXT><P><FONT>You selected you have no income. Could you please describe how you care for your expenses (100 character limit)?</FONT></P></TEXT><NOTE>[No income TE] is added to [Notes TE] in Question "71b Submit Application" to go into database.</NOTE><FIELDS><FIELD MAXCHARS="100" TYPE="textlong"><NAME>No Income TE</NAME><INVALIDPROMPT>You must type a response in the highlighted space before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="77"><LABEL>Continue</LABEL></BUTTON></BUTTONS></QUESTION><QUESTION ID="166" STEP="0" MAPX="300" MAPY="2705" NAME="1b2 - Resident?"><TEXT><P><FONT>In order to provide you the best information during this interview, we need to know where you live right now.</FONT></P><P><FONT /></P><P><FONT>Please make a selection:</FONT></P></TEXT><HELP><P><FONT><A HREF="http://www.naco.org/research/data/Pages/CitySearch.aspx" TARGET=""><U>You can look up your County by selecting this link</U></A> and then selecting "Find a County."</FONT></P></HELP><LEARN>What if I do not know what County I live in?</LEARN><FIELDS><FIELD TYPE="radio"><LABEL>I currently do NOT live in Utah.</LABEL><NAME>Reside MC</NAME><VALUE>Out of state</VALUE><INVALIDPROMPT>You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>I currently live in Salt Lake County, Utah.</LABEL><NAME>Reside MC</NAME><VALUE>Salt Lake</VALUE><INVALIDPROMPT>You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>I currently live in Utah, but NOT in Salt Lake County.</LABEL><NAME>Reside MC</NAME><VALUE>Utah</VALUE><INVALIDPROMPT>You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="4"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>AFTER</EVENT><CONDITION>[Reside MC]="Out of state"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET ULS Phone TE="1-800-945-9885"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Reside MC]="Salt Lake"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET ULS Phone TE="1-801-328-8891"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Reside MC]="Utah"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET ULS Phone TE="1-800-662-4245"</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="176" STEP="0" MAPX="610" MAPY="609" NAME="1a1b - Secure Site"><TEXT><P><FONT><B>Domestic Violence</B> <B>Victims:</B></FONT></P><P><FONT /></P><P><FONT>Remember - your computer use can be <A HREF="popup://26" TARGET=""><U>monitored</U></A>.</FONT></P><P><FONT /></P><P><FONT>If you are not on a "safe" computer, please select <B>Exit</B> to end this program. You may return later from a <A HREF="popup://22" TARGET=""><U>safer computer</U></A>. </FONT></P><P><FONT /></P><P><FONT>Call 911 if you are in danger. You may also call:</FONT></P><P><FONT /></P><P><FONT>*Utah Domestic Violence Link Line: 1-800-897-LINK (5465)</FONT></P><P><FONT /></P><P><FONT>*National Domestic Violence Hotline: 1-800-799-SAFE (7233).</FONT></P></TEXT><HELP><P><FONT>The Utah Domestic Violence Council has more information about computer safety at the following location: <A HREF="http://www.udvc.org/computersafety.htm" TARGET=""><U>http://www.udvc.org/computersafety.htm</U></A>.</FONT></P></HELP><LEARN>Where can I learn more about computer safety?</LEARN><BUTTONS><BUTTON NEXT="125"><LABEL>Continue</LABEL></BUTTON><BUTTON URL="http://www.msn.com" NEXT="FAIL"><LABEL>Exit</LABEL></BUTTON></BUTTONS></QUESTION><QUESTION ID="182" STEP="1" MAPX="1108" MAPY="699" NAME="1c1a - Citizenship-ss"><TEXT><P><FONT>Please provide your social security number:</FONT></P></TEXT><HELP><P><FONT>Your social security number is one way for us to find out if we are able to help you. Remember that this site is secure and your information will not be shared. However, if you do not want to give us your full social security number, you may choose to put only the last 4 digits of your social security number. If you give us only the last 4 digits, you will need to put 0's for the rest.</FONT></P></HELP><LEARN>Why do you need my social security number?</LEARN><FIELDS><FIELD TYPE="numberssn"><NAME>SSN NU</NAME><INVALIDPROMPT>Please fill in your social security number. If you wish, you can fill in the first 5 digits with 0's. Then enter the last 4 digits with the last 4 digits of your social security number.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="105"><LABEL>Continue</LABEL></BUTTON></BUTTONS></QUESTION><QUESTION ID="194" STEP="2" MAPX="2090" MAPY="5497" NAME="4q - Reason for problem"><TEXT><P><FONT>Did your problem happen because of domestic violence or human trafficking?</FONT></P></TEXT><NOTE>Don't need to use this "obvious" question if their problem was actually domestic violence -- just skip</NOTE><BUTTONS><BUTTON NAME="Domestic violence trigger TF" NEXT="68"><LABEL>No</LABEL><VALUE>false</VALUE></BUTTON><BUTTON NAME="Domestic violence trigger TF" NEXT="68"><LABEL>Yes</LABEL><VALUE>true</VALUE></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>Hasanswered([Domestic violence trigger TF])=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 68</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Problem Type MC]="37" or [Problem Type MC]="39"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 68</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Domestic violence trigger TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Domviolence NU="1"</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Domviolence NU="0"</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="196" STEP="2" MAPX="1702" MAPY="3640" NAME="1f1c - DV or Family to Salt Lake"><TEXT><P><FONT>Because you reside in Salt Lake County, Utah Legal Services cannot help with this problem <I>unless</I> you already have a case filed in Utah outside of Salt Lake County </FONT></P><P><FONT /></P><P><FONT><B>OR</B> </FONT></P><P><FONT /></P><P><FONT>Legal Aid Society of Salt Lake County has informed you that they have a conflict.</FONT></P></TEXT><HELP><P><FONT><A HREF="http://www.naco.org/research/data/Pages/CitySearch.aspx" TARGET=""><U>You can look up your County by selecting this link</U></A> and then selecting "Find a County."</FONT></P></HELP><LEARN>What if I do not know what County I live in?</LEARN><BUTTONS><BUTTON URL="http://legalaidsocietyofsaltlake.org" NEXT="305"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Reside MC]<>"Salt Lake"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 103</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="228" STEP="0" MAPX="623" MAPY="1624" NAME="1b - Items Needed to Complete Interview"><TEXT><P><FONT>To complete this interview, you will need to know information about the <A HREF="popup://23" TARGET=""><B><U>gross monthly income</U></B></A> and the <A HREF="popup://24" TARGET=""><B><U>assets</U></B></A> of every member of your household.</FONT></P><P><FONT /></P><P><FONT>If you have this information, click <B>Continue</B>.</FONT></P><P><FONT /></P><P><FONT>Otherwise, please <B>Exit</B> and return when you have this information.</FONT></P></TEXT><BUTTONS><BUTTON NEXT="2"><LABEL>Continue</LABEL></BUTTON><BUTTON URL="http://www.utahlegalservices.org" NEXT="FAIL"><LABEL>Exit</LABEL></BUTTON></BUTTONS></QUESTION><QUESTION ID="230" STEP="1" MAPX="1529" MAPY="1275" NAME="1c2b - Exit for non citizens/residents"><TEXT><P><FONT>I'm sorry %%[User first name TE]%%, </FONT></P><P><FONT>we cannot help you because</FONT></P><P><FONT>*you are not a citizen or legal permanent resident AND</FONT></P><P><FONT>*you do not have a domestic violence - related problem.</FONT></P><P><FONT /></P><P><FONT>For further information about your problem you may wish to view the following websites:</FONT></P><P><FONT /></P><P><FONT><A HREF="http://www.utcourts.gov/ocap" TARGET=""><B><U>Utah Court's Online Court Assistance Program</U></B></A></FONT></P><P><FONT /></P><P><FONT><A HREF="http://www.utcourts.gov/resources/forms/" TARGET=""><B><U>Utah Court's Forms Directory</U></B></A></FONT></P><P><FONT /></P><P><FONT><A HREF="http://www.utahlegalservices.org" TARGET=""><B><U>Utah Legal Services' Website</U></B></A></FONT></P><P><FONT /></P><P><FONT><A HREF="http://www.211ut.org" TARGET=""><B><U>Utah's Information and Referral Service (211)</U></B></A></FONT></P><P><FONT /></P><P><FONT>Select <B>Exit</B> to end this program and return to the Utah Legal Services website.</FONT></P></TEXT><HELP><P><FONT>If you think you should not have been denied, you may contact our office at <B>%%[ULS Phone TE]%%</B> between 9:00 am and 2:00 pm and be re-screened by one of our intake workers.</FONT></P></HELP><LEARN>What if I think I should qualify?</LEARN><BUTTONS><BUTTON URL="http://www.utahlegalservices.org" NEXT="FAIL"><LABEL>Exit</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Citizenship MC]="citizen" OR [Citizenship MC]="pr"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 65</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>1=1</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET RReject TE="Q"</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="232" STEP="1" MAPX="1129" MAPY="2305" NAME="1g1a - Emancipated?"><TEXT><P><FONT>I'm sorry %%[User first name TE]%%, we can only accept applications from adults or emancipated minors.</FONT></P><P><FONT /></P><P><FONT>Are you an emancipated minor?</FONT></P></TEXT><HELP><P><FONT>You are considered emancipated under the following conditions:</FONT></P><P><FONT>1) You are married;</FONT></P><P><FONT>2) You are serving in the Armed Forces; or </FONT></P><P><FONT>3) You have a court order from the juvenile court saying you are emancipated.</FONT></P></HELP><LEARN>How do I know if I am emancipated?</LEARN><BUTTONS><BUTTON NEXT="35"><LABEL>Yes</LABEL></BUTTON><BUTTON NEXT="129"><LABEL>No</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[User Age NU]>17</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 35</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[User Age NU]<16</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 129</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="234" STEP="1" MAPX="1100" MAPY="1223" NAME="1c2a - DV follow up"><TEXT><P><FONT>What is your relationship with the person who committed domestic violence against you?</FONT></P></TEXT><FIELDS><FIELD TYPE="radio" ORDER="DESC"><LABEL>Current or former spouse or intimate partner</LABEL><NAME>Perp MC</NAME><VALUE>A</VALUE><INVALIDPROMPT>You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio" ORDER="DESC"><LABEL>Other family or household member (sibling, grandparent, etc.)</LABEL><NAME>Perp MC</NAME><VALUE>B</VALUE><INVALIDPROMPT>You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio" ORDER="DESC"><LABEL>Dating relationship</LABEL><NAME>Perp MC</NAME><VALUE>C</VALUE><INVALIDPROMPT>You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio" ORDER="DESC"><LABEL>Acquaintance (friend, neighbor, co-worker, schoolmate, etc.)</LABEL><NAME>Perp MC</NAME><VALUE>D</VALUE><INVALIDPROMPT>You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio" ORDER="DESC"><LABEL>Stranger</LABEL><NAME>Perp MC</NAME><VALUE>E</VALUE><INVALIDPROMPT>You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="65"><LABEL>Continue</LABEL></BUTTON></BUTTONS></QUESTION><QUESTION ID="242" STEP="4" MAPX="4907" MAPY="4768" NAME="3 a Eligibility Calculations-Qualify(DV / Senior)"><TEXT><P><FONT>Total income entered: $%%[Total Income NU]%%</FONT></P><P><FONT /></P><P><FONT>Total assets entered: $%%[Total Assets NU]%%</FONT></P><P><FONT /></P><P><FONT>Based on what you entered for your income and assets, you may be eligible for legal assistance from Utah Legal Services. </FONT></P><P><FONT /></P><P><FONT>Please select <B>Continue</B> to complete your application for assistance.</FONT></P></TEXT><NOTE>If total served is greater than 12, and income or assets are greater than the amount allowed for 12, do we just refer them to call ULS?</NOTE><BUTTONS><BUTTON NEXT="8"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Senior NU] = "1" and [Problem Type MC] <> "37"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Fundsnum NU="62"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>1=1</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Asset1A NU=[Checking Asset NU] + [Savings Asset NU] + [Cash Asset NU]</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Asset2A NU=[Real Property Asset NU] + [Personal Property NU]</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Asset3A NU=[Second Vehicle NU] + [Recreational Vehicles NU]</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Asset4A NU=[Pension NU] + [Work Tools NU] + [Business NU]</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Asset5A NU=[Other Assets NU]</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>1=1</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Total Income NU=[Disability Income NU] + [Employment Income NU] + [GA Income NU] + [Alimony Income NU] + [Child Support NU] + [Veterans Benefits NU] + [Self Employment Income NU] + [Unemployment Income NU] + [Workers Comp Income NU] + [SSI Income NU] + [Social Security Income NU] + [Pension Income NU] + [Investment Income NU] + [Other Income NU]</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[No Income TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Total Income NU="0.00"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>1=1</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Total Assets NU=[Checking Asset NU] + [Savings Asset NU] + [Cash Asset NU] + [Real Property Asset NU] + [Second Vehicle NU] + [Personal Property NU] + [Pension NU] + [Other Assets NU] + [Recreational Vehicles NU] + [Work Tools NU] + [Business NU]</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Total Served NU]=1 AND [Total Income NU]>=1163.58 OR [Total Served NU]=1 AND [Total Assets NU]>=11635.80 OR [Total Served NU]=2 AND [Total Income NU]>=1576.08 OR [Total Served NU]=2 AND [Total Assets NU]>=15760.80 OR [Total Served NU]=3 AND [Total Income NU]>=1988.58 OR [Total Served NU]=3 AND [Total Assets NU]>=19885.80 OR [Total Served NU]=4 AND [Total Income NU]>=2401.08 OR [Total Served NU]=4 AND [Total Assets NU]>=24010.80 OR [Total Served NU]=5 AND [Total Income NU]>=2813.58 OR [Total Served NU]=5 AND [Total Assets NU]>=24010.80 OR [Total Served NU]=6 AND [Total Income NU]>=3226.08 OR [Total Served NU]=6 AND [Total Assets NU]>=24010.80 OR [Total Served NU]=7 AND [Total Income NU]>=3638.58 OR [Total Served NU]=7 AND [Total Assets NU]>=24010.80 OR [Total Served NU]=8 AND [Total Income NU]>=4051.08 OR [Total Served NU]=8 AND [Total Assets NU]>=24010.80 OR [Total Served NU]=9 AND [Total Income NU]>=4463.58 OR [Total Served NU]=9 AND [Total Assets NU]>=24010.80 OR [Total Served NU]=10 AND [Total Income NU]>=4876.08 OR [Total Served NU]=10 AND [Total Assets NU]>=24010.80 OR [Total Served NU]=11 AND [Total Income NU]>=5288.58 OR [Total Served NU]=11 AND [Total Assets NU]>=24010.80 OR [Total Served NU]>=12 AND [Total Income NU]>5701.08 OR [Total Served NU]>=12 AND [Total Assets NU]>=24010.80</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET LSCElig NU="0"</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET LSCElig NU="1"</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="244" STEP="4" MAPX="5682" MAPY="4731" NAME="4 a Eligibility Calculations-Not Qualify"><TEXT><P><FONT>Total income entered: $%%[Total Income NU]%%</FONT></P><P><FONT /></P><P><FONT>Total assets entered: $%%[Total Assets NU]%%</FONT></P><P><FONT /></P><P><FONT>Based on the information entered above, Utah Legal Services cannot help you because you are not eligible for services. </FONT></P><P><FONT /></P><P><FONT>For further information about your problem, you may wish to view the following websites:</FONT></P><P><FONT /></P><P><FONT><A HREF="http://www.utahlegalservices.org" TARGET=""><B><U>Utah Legal Services' Website</U></B></A></FONT></P><P><FONT /></P><P><FONT><A HREF="http://www.utcourts.gov/ocap" TARGET=""><B><U>Utah Court's Online Court Assistance Program</U></B></A></FONT></P><P><FONT /></P><P><FONT><A HREF="http://www.utcourts.gov/resources/forms/" TARGET=""><B><U>Utah Court's Forms Directory</U></B></A></FONT></P><P><FONT /></P><P><FONT><A HREF="http://www.informationandreferral.org/" TARGET=""><B><U>Utah's Information and Referral Service (211)</U></B></A></FONT></P></TEXT><HELP><P><FONT>If you think you should not have been denied, you may contact our office at <B>%%[ULS Phone TE]%%</B> between 9:00 am and 2:00 pm to be re-screened by one of our intake workers.</FONT></P></HELP><LEARN>What if I think I should qualify?</LEARN><BUTTONS><BUTTON URL="http://www.utahlegalservices.org" NEXT="FAIL"><LABEL>Exit</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>1=1</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET RReject TE="O"</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="252" STEP="6" MAPX="6181" MAPY="624" NAME="1a1 - Person or business?"><TEXT><P><FONT>The primary opposing party is:</FONT></P></TEXT><FIELDS><FIELD TYPE="radio"><LABEL>Person</LABEL><NAME>Opposing party MC</NAME><VALUE>person</VALUE><INVALIDPROMPT>You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Business</LABEL><NAME>Opposing party MC</NAME><VALUE>business</VALUE><INVALIDPROMPT>You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="22"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>AFTER</EVENT><CONDITION>[Opposing Party MC]="business"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 256</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="256" STEP="6" MAPX="6433" MAPY="1296" NAME="1c Opposing Party name"><TEXT><P><FONT>What is the legal name of the primary business causing your legal problem?</FONT></P></TEXT><HELP><P><FONT>We can’t complete the application without this information. Please find it, then return to complete the application.</FONT></P></HELP><LEARN>What if I don't know or don't want to provide this information?</LEARN><NOTE>split into three questions based on residence</NOTE><FIELDS><FIELD MAXCHARS="21" TYPE="text"><LABEL>Name of Business:</LABEL><NAME>OP_LAST_NAME TE</NAME><INVALIDPROMPT>I need more information. You must type a response in the highlighted field before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="23"><LABEL>Continue</LABEL></BUTTON></BUTTONS></QUESTION><QUESTION ID="262" STEP="2" MAPX="2849" MAPY="3648" NAME="1n Housing Problem-Foreclosure"><TEXT><P><FONT>Which of these is your foreclosure problem?</FONT></P></TEXT><FIELDS><FIELD TYPE="radio"><LABEL>Mortgage foreclosure (not involving unfair or predatory loans)</LABEL><NAME>Problem Type MC</NAME><VALUE>67</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Mortgage foreclosure (involving unfair or predatory loans)</LABEL><NAME>Problem Type MC</NAME><VALUE>68</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="68"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="67"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="670"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="68"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="680"</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="264" STEP="4" MAPX="4825" MAPY="2756" NAME="2 a 7b Second Vehicle"><TEXT><P><FONT>You only need to count %%[Vehicles NU]-[Number of licensed adults NU]%% %%[Vehicle TE]%% towards your assets.</FONT></P><P><FONT /></P><P><FONT>What is the equity value of %%[Vehicles NU]-[Number of licensed adults NU]%% %%[Vehicle TE]%%? </FONT></P><P><FONT /></P><P><FONT>Example: 100.00</FONT></P></TEXT><HELP><P><FONT>Put the amount you would receive if you sold the vehicles, then subtract what you owe on the vehicles.</FONT></P><P><FONT /></P><P><FONT>Example:</FONT></P><P><FONT>Amount you would receive if you sold the vehicles: $8000</FONT></P><P><FONT>Amount you owe on the vehicle: $7000</FONT></P><P><FONT>Equity Value ($8000-$7000)= $1000</FONT></P></HELP><LEARN>What amount should I put?</LEARN><FIELDS><FIELD CALCULATOR="true" TYPE="numberdollar" MIN="0.01"><LABEL>Value: $</LABEL><NAME>Second Vehicle NU</NAME><INVALIDPROMPT>You must type a dollar amount in the highlighted space before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="98"><LABEL>Continue</LABEL></BUTTON></BUTTONS></QUESTION><QUESTION ID="266" STEP="4" MAPX="4842" MAPY="1986" NAME="2 a 7a1 Second Vehicle"><TEXT><P><FONT>How many people in the household have a license to drive a vehicle?</FONT></P></TEXT><NOTE>If no licensed adults, 1 car is still exempted, so [Vehicles NU] is reduced by 1 if 0 is chosen for licensed adults.</NOTE><FIELDS><FIELD TYPE="numberpick" OPTIONAL="true" MAX="20" MIN="0"><NAME>Number of licensed adults NU</NAME><INVALIDPROMPT>You must select a number from the highlighted space before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="276"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>AFTER</EVENT><CONDITION>[Number of licensed adults NU]=0</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Vehicles NU=[Vehicles NU]-1</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="268" STEP="4" MAPX="4817" MAPY="2499" NAME="2 a 7a2 Second Vehicle"><TEXT><P><FONT>There is no need to include vehicles as an asset.</FONT></P><P><FONT /></P><P><FONT>Select <B>Continue</B> to move on to the next question.</FONT></P></TEXT><BUTTONS><BUTTON NEXT="98"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Vehicles NU]-[Number of licensed adults NU]>1</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Vehicle TE="vehicles"</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Vehicle TE="vehicle"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Vehicles NU]-[Number of licensed adults NU]>=1</CONDITION><STATEMENTS><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Second Vehicle NU=0</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 264</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="270" STEP="4" MAPX="4817" MAPY="3731" NAME="2 a 11 Other assets"><TEXT><P><FONT>Please describe what other assets you have and provide the total value of the other assets? Example: 100.00</FONT></P></TEXT><HELP><P><FONT>Add the current value of other assets for all persons in your household. Use that total. Do not include the assets of the person causing your problem.</FONT></P><P><FONT /></P><P><FONT>If you have joint stocks and/or retirement accounts with the person who is causing your legal problem, please list only half of the current balance of the account. </FONT></P></HELP><LEARN>What do I count here?</LEARN><FIELDS><FIELD MAXCHARS="50" TYPE="textlong"><LABEL>Description:</LABEL><NAME>Other Assets TE</NAME><INVALIDPROMPT>I need more information. You must type a dollar amount in the highlighted field before you can continue.</INVALIDPROMPT></FIELD><FIELD CALCULATOR="true" TYPE="numberdollar" MIN="0.01"><LABEL>Total Value: $</LABEL><NAME>Other Assets NU</NAME><INVALIDPROMPT>I need more information. You must type a dollar amount in the highlighted field before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="281"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Other assets TF]=false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Other Assets NU=0</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Other assets TF]=false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 281</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>1=1</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Asset5N TE=%%[Other Assets TE]%%</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="272" STEP="2" MAPX="1907" MAPY="4311" NAME="1f1c1 - No DV Family other than Salt Lake"><TEXT><P><FONT>I'm sorry, %%[User First Name TE]%%, if your family law case does not involve domestic violence, Utah Legal Services cannot help you.</FONT></P><P><FONT /></P><P><FONT>For further information about your problem you may wish to view the following websites:</FONT></P><P><FONT /></P><P><FONT><A HREF="http://www.utahlegalservices.org" TARGET=""><B><U>Utah Legal Services' Website</U></B></A></FONT></P><P><FONT /></P><P><FONT><A HREF="http://www.utcourts.gov/ocap" TARGET=""><B><U>Utah Court's Online Court Assistance Program</U></B></A></FONT></P><P><FONT /></P><P><FONT><A HREF="http://www.utcourts.gov/resources/forms/" TARGET=""><B><U>Utah Court's Forms Directory</U></B></A></FONT></P><P><FONT /></P><P><FONT><A HREF="http://211utah.org" TARGET=""><B><U>Utah's Information and Referral Service (211)</U></B></A></FONT></P><P><FONT /></P><P><FONT>Select <B>Exit</B> to end this program and return to the Utah Legal Services website.</FONT></P></TEXT><HELP><P><FONT>If you think you should not have been denied, you may contact our office at <B>%%[ULS Phone TE]%%</B> between 9:00 am and 2:00 pm and be re-screened by one of our intake workers.</FONT></P></HELP><LEARN>What if I think I should qualify?</LEARN><BUTTONS><BUTTON URL="http://www.utahlegalservices.org" NEXT="FAIL"><LABEL>Exit</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Problem MC]="DV" and [Case not SL]="Yes"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 103</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="276" STEP="4" MAPX="4834" MAPY="2256" NAME="2 a 7a1a Second Vehicle(too many)"><TEXT><P><FONT>You have listed more people than live in your household. Please select <B>Go Back</B> and correct your answer. </FONT></P></TEXT><BUTTONS><BUTTON NEXT="266"><LABEL>Go Back</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Number of licensed adults NU]<=[Total Served NU]</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 268</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="278" STEP="2" MAPX="3212" MAPY="4075" NAME="1m1 Housing Problem-Landlord/Tenant(Copy 1)"><TEXT><P><FONT>What type of housing does your issue involve?</FONT></P></TEXT><FIELDS><FIELD TYPE="radio"><LABEL>Section 8</LABEL><NAME>Housing Type MC</NAME><VALUE>Section 8</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Public Housing</LABEL><NAME>Housing Type MC</NAME><VALUE>Public</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Private Landlord</LABEL><NAME>Housing Type MC</NAME><VALUE>Private</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Mobile homes/Mobile Home Park</LABEL><NAME>Housing Type MC</NAME><VALUE>Mobile</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD><FIELD TYPE="radio"><LABEL>Other</LABEL><NAME>Housing Type MC</NAME><VALUE>Other</VALUE><INVALIDPROMPT>I need more information. You must choose a response from the highlighted selection before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="68"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="Eviction" and [Housing Type MC]="Section 8"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Problem Type MC="61"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="611"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="Eviction" and [Housing Type MC]="Public"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Problem Type MC="64"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="643"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="Eviction" and [Housing Type MC]="Private"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Problem Type MC="63"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="633"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="Eviction" and [Housing Type MC]="Mobile"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Problem Type MC="65"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="651"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="Eviction" and [Housing Type MC]="Other"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Problem Type MC="63"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="633"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="Unsafe" and [Housing Type MC]="Section 8"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Problem Type MC="61"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="615"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="Unsafe" and [Housing Type MC]="Public"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Problem Type MC="64"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="644"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="Unsafe" and [Housing Type MC]="Private"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Problem Type MC="63"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="636"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="Unsafe" and [Housing Type MC]="Mobile"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Problem Type MC="63"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="636"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="Unsafe" and [Housing Type MC]="Other"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Problem Type MC="63"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="636"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="Utility" and [Housing Type MC]="Section 8"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Problem Type MC="61"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="616"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="Utility" and [Housing Type MC]="Public"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Problem Type MC="64"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="645"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="Utility" and [Housing Type MC]="Private"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Problem Type MC="63"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="635"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="Utility" and [Housing Type MC]="Mobile"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Problem Type MC="65"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="656"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="Utility" and [Housing Type MC]="Other"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Problem Type MC="63"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="635"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="Lockout" and [Housing Type MC]="Section 8"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Problem Type MC="61"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="617"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="Lockout" and [Housing Type MC]="Public"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Problem Type MC="64"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="646"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="Lockout" and [Housing Type MC]="Private"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Problem Type MC="63"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="631"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="Lockout" and [Housing Type MC]="Mobile"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Problem Type MC="65"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="655"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Problem Type MC]="Lockout" and [Housing Type MC]="Other"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Problem Type MC="63"</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Secondary Pcode MC="631"</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="281" STEP="4" MAPX="4834" MAPY="4116" NAME="3 a Eligibility Calculations-Qualify"><TEXT><P><FONT>Total income entered: $%%[Total Income NU]%%</FONT></P><P><FONT /></P><P><FONT>Total assets entered: $%%[Total Assets NU]%%</FONT></P><P><FONT /></P><P><FONT>Based on what you entered for your income and assets, you may be eligible for legal assistance from Utah Legal Services. </FONT></P><P><FONT /></P><P><FONT>Please select <B>Continue</B> to complete your application for assistance.</FONT></P></TEXT><NOTE>If total served is greater than 12, and income or assets are greater than the amount allowed for 12, do we just refer them to call ULS?</NOTE><BUTTONS><BUTTON NEXT="8"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>([Domestic violence trigger TF] = "true" and [Problem Type MC] = "37" or ([Problem MC] = "DV" and [Problem Type MC] = "37") or [Senior NU] = "1"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 242</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>1=1</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Asset1A NU=[Checking Asset NU] + [Savings Asset NU] + [Cash Asset NU]</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Asset2A NU=[Real Property Asset NU] + [Personal Property NU]</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Asset3A NU=[Second Vehicle NU] + [Recreational Vehicles NU]</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Asset4A NU=[Pension NU] + [Work Tools NU] + [Business NU]</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Asset5A NU=[Other Assets NU]</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>1=1</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Total Income NU=[Disability Income NU] + [Employment Income NU] + [GA Income NU] + [Alimony Income NU] + [Child Support NU] + [Veterans Benefits NU] + [Self Employment Income NU] + [Unemployment Income NU] + [Workers Comp Income NU] + [SSI Income NU] + [Social Security Income NU] + [Pension Income NU] + [Investment Income NU] + [Other Income NU]</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[No Income TF]=true</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Total Income NU="0.00"</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>1=1</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Total Assets NU=[Checking Asset NU] + [Savings Asset NU] + [Cash Asset NU] + [Real Property Asset NU] + [Second Vehicle NU] + [Personal Property NU] + [Pension NU] + [Other Assets NU] + [Recreational Vehicles NU] + [Work Tools NU] + [Business NU]</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Total Served NU]=1 AND [Total Income NU]>=1163.58 OR [Total Served NU]=1 AND [Total Assets NU]>=11635.80 OR [Total Served NU]=2 AND [Total Income NU]>=1576.08 OR [Total Served NU]=2 AND [Total Assets NU]>=15760.80 OR [Total Served NU]=3 AND [Total Income NU]>=1988.58 OR [Total Served NU]=3 AND [Total Assets NU]>=19885.80 OR [Total Served NU]=4 AND [Total Income NU]>=2401.08 OR [Total Served NU]=4 AND [Total Assets NU]>=24010.80 OR [Total Served NU]=5 AND [Total Income NU]>=2813.58 OR [Total Served NU]=5 AND [Total Assets NU]>=24010.80 OR [Total Served NU]=6 AND [Total Income NU]>=3226.08 OR [Total Served NU]=6 AND [Total Assets NU]>=24010.80 OR [Total Served NU]=7 AND [Total Income NU]>=3638.58 OR [Total Served NU]=7 AND [Total Assets NU]>=24010.80 OR [Total Served NU]=8 AND [Total Income NU]>=4051.08 OR [Total Served NU]=8 AND [Total Assets NU]>=24010.80 OR [Total Served NU]=9 AND [Total Income NU]>=4463.58 OR [Total Served NU]=9 AND [Total Assets NU]>=24010.80 OR [Total Served NU]=10 AND [Total Income NU]>=4876.08 OR [Total Served NU]=10 AND [Total Assets NU]>=24010.80 OR [Total Served NU]=11 AND [Total Income NU]>=5288.58 OR [Total Served NU]=11 AND [Total Assets NU]>=24010.80 OR [Total Served NU]>=12 AND [Total Income NU]>5701.08 OR [Total Served NU]>=12 AND [Total Assets NU]>=24010.80</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 244</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>1=1</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET LSCElig NU="1"</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="283" STEP="7" MAPX="6227" MAPY="3549" NAME="3 Exit without Completion"><TEXT><P><FONT>You are leaving the interview and your answers will not be saved. If you have made a mistake select <B>Go Back</B> to continue this program. </FONT></P><P><FONT /></P><P><FONT>If you want to leave select <B>Exit</B> to end this program and return to the Utah Legal Services website.</FONT></P></TEXT><BUTTONS><BUTTON NEXT="BACK"><LABEL>Go Back</LABEL></BUTTON><BUTTON URL="http://www.utahlegalservices.org" NEXT="FAIL"><LABEL>Exit</LABEL></BUTTON></BUTTONS></QUESTION><QUESTION ID="285" STEP="2" MAPX="1907" MAPY="4611" NAME="1f1c2 - No DV Family other than Salt Lake"><TEXT><P><FONT>Utah Legal Services cannot help with this problem. If your case is in Salt Lake County, Legal Aid Society of Salt Lake may be able to help. You may contact them and apply for their services on their <A HREF="http://legalaidsocietyofsaltlake.org" TARGET=""><B><U>website</U></B></A><B>.</B></FONT></P><P><FONT /></P><P><FONT>If your case is not in Salt Lake County, you may wish to view the following websites for more information about your problem:</FONT></P><P><FONT><A HREF="http://www.utahlegalservices.org" TARGET=""><B><U>Utah Legal Services' Website</U></B></A></FONT></P><P><FONT /></P><P><FONT><A HREF="http://www.utcourts.gov/ocap" TARGET=""><B><U>Utah Court's Online Court Assistance Program</U></B></A></FONT></P><P><FONT /></P><P><FONT><A HREF="http://www.utcourts.gov/resources/forms/" TARGET=""><B><U>Utah Court's Forms Directory</U></B></A></FONT></P><P><FONT /></P><P><FONT><A HREF="http://www.211ut.org" TARGET=""><B><U>Utah's Information and Referral Service (211)</U></B></A></FONT></P><P><FONT /></P><P><FONT>Select <B>Exit</B> to end this program and return to ULS' website.</FONT></P></TEXT><HELP><P><FONT>If you think you should not have been denied, you may contact our office at <B>%%[ULS Phone TE]%%</B> between 9:00 am and 2:00 pm and be re-screened by one of our intake workers.</FONT></P></HELP><LEARN>What if I think I should qualify?</LEARN><BUTTONS><BUTTON URL="http://www.utahlegalservices.org" NEXT="FAIL"><LABEL>Exit</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Problem MC]="Family" and [Reside MC]<>"Salt Lake"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 272</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="289" STEP="5" MAPX="5585" MAPY="820" NAME="1b1 Other County"><TEXT><P><FONT>Name of County: </FONT></P></TEXT><FIELDS><FIELD MAXCHARS="25" TYPE="text"><LABEL>County Name:</LABEL><NAME>HOME_COUNTY TE</NAME><INVALIDPROMPT>You must type a response in the highlighted space before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="12"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>AFTER</EVENT><CONDITION>[HOME_COUNTY]=[HOME_COUNTY TE]</CONDITION><STATEMENTS><STATEMENT><CONDITION>false</CONDITION><ACTION>SET HOME_COUNTY=[HOME_COUNTY TE]</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="291" STEP="6" MAPX="6164" MAPY="2270" NAME="1d2 Other Opposing Party Information"><TEXT><P><FONT>Additional questions:</FONT></P></TEXT><HELP><P><FONT>Are you and the opposing party neighbors, friends, roommates, partners, etc.</FONT></P></HELP><LEARN>What do you mean by "Relationship"?</LEARN><FIELDS><FIELD MAXCHARS="25" TYPE="text" OPTIONAL="true"><LABEL>What is your relationship with the Opposing Party?</LABEL><NAME>OP Relationship TE</NAME><INVALIDPROMPT>You must type a response in the highlighted space before you can continue.</INVALIDPROMPT></FIELD><FIELD MAXCHARS="25" CALENDAR="true" TYPE="datemdy" OPTIONAL="true" MAX="TODAY" MIN="1/1/1900" ORDER="DESC"><LABEL>What is the Opposing Party's date of birth?</LABEL><NAME>OP DOB DA</NAME><INVALIDPROMPT>You must enter a month, day and year in the highlighted spaces before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="145"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>1=1</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET OP DOB DA=""</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Opposing Party MC]="business"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 145</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="292" STEP="6" MAPX="6480" MAPY="2054" NAME="1d1 Opposing other County"><TEXT><P><FONT>Name of County: </FONT></P></TEXT><FIELDS><FIELD MAXCHARS="25" TYPE="text"><LABEL>County Name:</LABEL><NAME>OP HOME_COUNTY TE</NAME><INVALIDPROMPT>You must type a response in the highlighted space before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="291"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>AFTER</EVENT><CONDITION>[OP HOME_COUNTY]=[OP HOME_COUNTY TE]</CONDITION><STATEMENTS><STATEMENT><CONDITION>false</CONDITION><ACTION>SET OP HOME_COUNTY=[OP HOME_COUNTY TE]</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="293" STEP="4" MAPX="4805" MAPY="150" NAME="2 a - Assets2"><TEXT><P><FONT>Do you or anyone living with you have:</FONT></P></TEXT><HELP><P><FONT>Check all items on this list owned by any person living in your household. %%[DV Asset Help TE]%%</FONT></P></HELP><LEARN>What do I count?</LEARN><FIELDS><FIELD TYPE="checkbox" OPTIONAL="true"><LABEL>Recreational vehicles (boats, 4-wheelers, snowmobiles, etc.)</LABEL><NAME>Recreational Vehicles TF</NAME><INVALIDPROMPT>I need more information. Please select one or more checkboxes to continue.</INVALIDPROMPT></FIELD><FIELD TYPE="checkbox" OPTIONAL="true"><LABEL>Vehicles, cars, trucks or motorcycles</LABEL><NAME>Additional motor vehicles TF</NAME><INVALIDPROMPT>I need more information. Please select one or more checkboxes to continue.</INVALIDPROMPT></FIELD><FIELD TYPE="checkbox" OPTIONAL="true"><LABEL>Work-related tools or equipment</LABEL><NAME>Work tools TF</NAME><INVALIDPROMPT>I need more information. Please select one or more checkboxes to continue.</INVALIDPROMPT></FIELD><FIELD TYPE="checkbox" OPTIONAL="true"><LABEL>Money in stocks, bonds and/or certificates of deposit?</LABEL><NAME>Pension other TF</NAME><INVALIDPROMPT>I need more information. Please select one or more checkboxes to continue.</INVALIDPROMPT></FIELD><FIELD TYPE="checkbox" OPTIONAL="true"><LABEL>Interest in any business</LABEL><NAME>Business TF</NAME><INVALIDPROMPT>I need more information. Please select one or more checkboxes to continue.</INVALIDPROMPT></FIELD><FIELD TYPE="checkbox" OPTIONAL="true"><LABEL>Other assets?</LABEL><NAME>Other assets TF</NAME><INVALIDPROMPT>I need more information. Please select one or more checkboxes to continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="97"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>1=1</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Income1A NU=[Employment Income NU] + [Self Employment Income NU]</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Income2A NU=[Disability Income NU] + [Veterans Benefits NU] + [SSI Income NU] + [GA Income NU] + [Unemployment Income NU] + [Workers Comp Income NU]</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Income3A NU=[Alimony Income NU] + [Child Support NU]</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Income4A NU=[Social Security Income NU] + [Pension Income NU] + [Investment Income NU] + [Tribal Income NU]</ACTION></STATEMENT><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Income5A NU=[Other Income NU]</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Domestic violence trigger TF] ="true" or [Problem MC] ="DV"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET DV Asset Help TE="DO NOT include any items owned by the person causing your legal problem."</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET DV Asset Help TE=""</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="297" STEP="4" MAPX="4840" MAPY="1807" NAME="2 a 6 Recreational Vehicles value"><TEXT><P><FONT>What is the <A HREF="popup://32" TARGET=""><U>equity</U></A> value of all your recreational vehicles? Example: 100.00</FONT></P></TEXT><HELP><P><FONT>Include any vehicles and other items used primarily for recreational purposes such as boats, ATV's, snowmobiles, etc. %%[DV Asset Help TE]%%</FONT></P></HELP><LEARN>What do I include here?</LEARN><FIELDS><FIELD CALCULATOR="true" TYPE="numberdollar" MIN="0.01"><LABEL>Value: $</LABEL><NAME>Recreational Vehicles NU</NAME><INVALIDPROMPT>You must type a dollar amount in the highlighted space before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="95"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Recreational vehicles TF]=false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Recreational Vehicles NU=0</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Recreational vehicles TF]=false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 95</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="298" STEP="4" MAPX="4830" MAPY="3489" NAME="2 a 10 Interest in a business"><TEXT><P><FONT>What is the fair market value of the interests you have in any business? Example: 100.00</FONT></P></TEXT><HELP><P><FONT>Add the current value of all interests in any business for all persons in your household. Use that total. %%[DV Asset Help TE]%%</FONT></P></HELP><LEARN>What do I count here?</LEARN><FIELDS><FIELD CALCULATOR="true" TYPE="numberdollar" MIN="0.01"><LABEL>Value: $</LABEL><NAME>Business NU</NAME><INVALIDPROMPT>I need more information. You must type a dollar amount in the highlighted field before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="270"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Business TF]=false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Business NU=0</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Business TF]=false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 270</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="299" STEP="4" MAPX="4851" MAPY="3510" NAME="2 a 9 Stocks and Retirement Accounts"><TEXT><P><FONT>What is the total in stock, bonds, CDs or other investments? Example: 100.00</FONT></P></TEXT><HELP><P><FONT>Add the current value of investments for all persons in your household. Use that total. %%[DV Asset Help TE]%%</FONT></P></HELP><LEARN>What do I count here?</LEARN><FIELDS><FIELD CALCULATOR="true" TYPE="numberdollar" MIN="0.01"><LABEL>Value: $</LABEL><NAME>Pension NU</NAME><INVALIDPROMPT>I need more information. You must type a dollar amount in the highlighted field before you can continue.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="298"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Pension other TF]=false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Pension NU=0</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Pension other TF]=false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 298</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="300" STEP="1" MAPX="1207" MAPY="2997" NAME="1i - Veteran"><TEXT><P><FONT>Have you ever served in the military, including the Reserves or National Guard? (Army, Air Force, Navy, Marines, Coast Guard)</FONT></P></TEXT><BUTTONS><BUTTON NAME="Veteran TF" NEXT="39"><LABEL>Yes</LABEL><VALUE>True</VALUE></BUTTON><BUTTON NAME="Veteran TF" NEXT="39"><LABEL>No</LABEL><VALUE>False</VALUE></BUTTON></BUTTONS><MACROS><MACRO><EVENT>AFTER</EVENT><CONDITION>[Veteran TF]="True"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Veteran NU="1"</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET Veteran NU="0"</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION><QUESTION ID="302" STEP="0" MAPX="377" MAPY="4998" NAME="1g - Attorney"><TEXT><P><FONT>Are you currently represented by an attorney for this legal issue?</FONT></P></TEXT><BUTTONS><BUTTON NEXT="303"><LABEL>Yes</LABEL></BUTTON><BUTTON NEXT="11"><LABEL>No</LABEL></BUTTON></BUTTONS></QUESTION><QUESTION ID="303" STEP="0" MAPX="405" MAPY="5126" NAME="1g1 - Denial Attorney"><TEXT><P><FONT>I'm sorry, %%[User First Name TE]%%, because of ethical restrictions, we cannot help you if you are currently represented by an attorney on this issue. </FONT></P><P><FONT /></P><P><FONT>For further information about your problem you may wish to view the following websites:</FONT></P><P><FONT /></P><P><FONT><A HREF="http://www.utahlegalservices.org" TARGET=""><B><U>Utah Legal Services' Website</U></B></A></FONT></P><P><FONT /></P><P><FONT><A HREF="http://www.utcourts.gov/ocap" TARGET=""><B><U>Utah Court's Online Court Assistance Program</U></B></A></FONT></P><P><FONT /></P><P><FONT><A HREF="http://www.utcourts.gov/resources/forms/" TARGET=""><B><U>Utah Court's Forms Directory</U></B></A></FONT></P><P><FONT /></P><P><FONT><A HREF="http://www.211ut.org" TARGET=""><B><U>Utah's Information and Referral Service (211)</U></B></A></FONT></P><P><FONT /></P><P><FONT>Select <B>Exit</B> to end this program and return to the Utah Legal Services website.</FONT></P></TEXT><HELP><P><FONT>If you think you should not have been denied, you may contact our office at <B>%%[ULS Phone TE]%%</B> between 9:00 am and 2:00 pm and be re-screened by one of our intake workers.</FONT></P></HELP><LEARN>What if I think I should qualify?</LEARN><BUTTONS><BUTTON URL="http://www.utahlegalservices.org" NEXT="FAIL"><LABEL>Exit</LABEL></BUTTON></BUTTONS></QUESTION><QUESTION ID="305" STEP="2" MAPX="1723" MAPY="3661" NAME="1f1c(a) - DV or Family to Salt Lake"><TEXT><P><FONT>Is your case in Utah and outside of Salt Lake County? </FONT></P></TEXT><HELP><P><FONT><A HREF="http://www.naco.org/research/data/Pages/CitySearch.aspx" TARGET=""><U>You can look up your County by selecting this link</U></A> and then selecting "Find a County."</FONT></P></HELP><LEARN>What if I do not know what County I live in?</LEARN><BUTTONS><BUTTON NAME="Case not SL" URL="http://legalaidsocietyofsaltlake.org" NEXT="306"><LABEL>No</LABEL><VALUE>No</VALUE></BUTTON><BUTTON NAME="Case not SL" URL="http://legalaidsocietyofsaltlake.org" NEXT="103"><LABEL>Yes</LABEL><VALUE>Yes</VALUE></BUTTON></BUTTONS></QUESTION><QUESTION ID="306" STEP="2" MAPX="1723" MAPY="3661" NAME="1f1c(b) - DV or Family to Salt Lake"><TEXT><P><FONT>Has Legal Aid Society already told you they have a conflict? </FONT></P></TEXT><HELP><P><FONT>If you do not know that Legal Aid is unable to represent you because of conflict, you should go online to their website and apply for their services. Their website is located at <A HREF="http://www.legalaidsocietyofsaltlake.org" TARGET=""><U>www.legalaidsocietyofsaltlake.org</U></A>.</FONT></P></HELP><LEARN>What if I don't know if Legal Aid has a conflict?</LEARN><BUTTONS><BUTTON NAME="Case not SL" URL="http://legalaidsocietyofsaltlake.org" NEXT="285"><LABEL>No</LABEL><VALUE>No</VALUE></BUTTON><BUTTON NAME="Case not SL" URL="http://legalaidsocietyofsaltlake.org" NEXT="103"><LABEL>Yes</LABEL><VALUE>Yes</VALUE></BUTTON></BUTTONS></QUESTION><QUESTION ID="307" STEP="2" MAPX="2512" MAPY="5082" NAME="1k2 - Respondent in PO"><TEXT><P><FONT>Are you the one filing for the Protective Order or Stalking Injunction for yourself or a child?</FONT></P></TEXT><BUTTONS><BUTTON NEXT="68"><LABEL>Yes</LABEL></BUTTON><BUTTON NEXT="308"><LABEL>No</LABEL></BUTTON></BUTTONS></QUESTION><QUESTION ID="308" STEP="2" MAPX="1928" MAPY="4332" NAME="1k3 - I'm Sorry - Respondent"><TEXT><P><FONT>I'm sorry, %%[User First Name TE]%%, if you are not the one filing for the Protective Order or Stalking Injunction, Utah Legal Services cannot help you.</FONT></P><P><FONT /></P><P><FONT>For further information about your problem you may wish to view the following websites:</FONT></P><P><FONT /></P><P><FONT><A HREF="http://www.utahlegalservices.org" TARGET=""><B><U>Utah Legal Services' Website</U></B></A></FONT></P><P><FONT /></P><P><FONT><A HREF="http://www.utcourts.gov/ocap" TARGET=""><B><U>Utah Court's Online Court Assistance Program</U></B></A></FONT></P><P><FONT /></P><P><FONT><A HREF="http://www.utcourts.gov/resources/forms/" TARGET=""><B><U>Utah Court's Forms Directory</U></B></A></FONT></P><P><FONT /></P><P><FONT><A HREF="http://211utah.org" TARGET=""><B><U>Utah's Information and Referral Service (211)</U></B></A></FONT></P><P><FONT /></P><P><FONT>Select <B>Exit</B> to end this program and return to the Utah Legal Services website.</FONT></P></TEXT><HELP><P><FONT>If you think you should not have been denied, you may contact our office at <B>%%[ULS Phone TE]%%</B> between 9:00 am and 2:00 pm and be re-screened by one of our intake workers.</FONT></P></HELP><LEARN>What if I think I should qualify?</LEARN><BUTTONS><BUTTON URL="http://www.utahlegalservices.org" NEXT="FAIL"><LABEL>Exit</LABEL></BUTTON></BUTTONS></QUESTION><QUESTION ID="309" STEP="4" MAPX="3853" MAPY="5507" NAME="1d914 Tribal income"><TEXT><P><FONT>What is your monthly tribal income? Example: 100.00</FONT></P></TEXT><HELP><P><FONT>Use the total amount you have received over the last 12 months and divide this by 12 to get the number you need. %%[DV Income Help Tribal TE]%%</FONT></P></HELP><LEARN>What if it changes each month?</LEARN><FIELDS><FIELD CALCULATOR="true" TYPE="numberdollar" MIN="0.01"><LABEL>Amount: $</LABEL><NAME>Tribal Income NU</NAME><INVALIDPROMPT>A zero ($0.00) is not allowed here. If you do not have investment income select the "Back" arrow above until you reach the beginning of this section so that you can change your selections for income.</INVALIDPROMPT></FIELD></FIELDS><BUTTONS><BUTTON NEXT="120"><LABEL>Continue</LABEL></BUTTON></BUTTONS><MACROS><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Income tribal TF] = false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Tribal Income NU=0</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Income tribal TF] = false</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>GOTO 120</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>BEFORE</EVENT><CONDITION>[Domestic violence trigger TF] ="true" or [Problem MC] ="DV"</CONDITION><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET DV Income Help Tribal TE="Do not count the tribal fund income of the person causing your problem."</ACTION></STATEMENT><STATEMENT><CONDITION>false</CONDITION><ACTION>SET DV Income Help Tribal TE=""</ACTION></STATEMENT></STATEMENTS></MACRO><MACRO><EVENT>AFTER</EVENT><CONDITION>[Tribal Income NU] >291.67</CONDITION><COMMENT>This is for the $3500 exemption from the definition of income.</COMMENT><STATEMENTS><STATEMENT><CONDITION>true</CONDITION><ACTION>SET Tribal Income NU=[Tribal Income NU] - 291.67</ACTION></STATEMENT></STATEMENTS></MACRO></MACROS></QUESTION></QUESTIONS><POPUPS><POPUP ID="34" NAME="34"><TEXT><P><FONT>The equity value is the fair market value after subtracting what you currently owe.</FONT></P></TEXT></POPUP><POPUP ID="33" NAME="33"><TEXT><P><FONT>The equity value is the fair market value after subtracting what you currently owe.</FONT></P></TEXT></POPUP><POPUP ID="32" NAME="32"><TEXT><P><FONT>The equity value is the fair market value after subtracting what you currently owe.</FONT></P></TEXT></POPUP><POPUP ID="31" NAME="31"><TEXT><P><FONT>The equity value is the fair market value after subtracting what you currently owe.</FONT></P></TEXT></POPUP><POPUP ID="30" NAME="30"><TEXT><P><FONT>The equity value is the fair market value after subtracting what you currently owe. </FONT></P></TEXT></POPUP><POPUP ID="29" NAME="29"><TEXT><P><FONT><B>DO</B> include your partner if you are legally or common law married.</FONT></P><P><FONT /></P><P><FONT><B>DO</B> include children for which you are the parent or guardian and/or that you support. </FONT></P><P><FONT><B /></FONT></P><P><FONT><B>DO NOT</B> include any adult children living with you unless you have a legal responsibility to support them. </FONT></P><P><FONT><B /></FONT></P><P><FONT><B>DO NOT</B> include roommates.</FONT></P><P><FONT><B><I /></B></FONT></P><P><FONT><B><I>%%[DV Household TE]%%</I></B></FONT></P></TEXT></POPUP><POPUP ID="28" NAME="28"><TEXT><P><FONT><B>DO</B> include your partner if you are legally or common law married.</FONT></P><P><FONT /></P><P><FONT><B>DO</B> include minor children for which you are the parent or guardian and/or that you support. </FONT></P><P><FONT /></P><P><FONT><B>DO NOT</B> include any adult children living with you unless you have a legal responsibility to support them. </FONT></P><P><FONT /></P><P><FONT><B>DO NOT</B> include roommates.</FONT></P><P><FONT><I /></FONT></P><P><FONT><B><I>%%[DV Household TE]%%</I></B><I /></FONT></P></TEXT></POPUP><POPUP ID="27" NAME="27"><TEXT><P><FONT><B>DO </B>include your partner if you are legally or common law married.</FONT></P><P><FONT /></P><P><FONT><B>DO</B> include minor children for which you are the parent or guardian and/or that you support. </FONT></P><P><FONT /></P><P><FONT><B>DO NOT</B> include any adult children living with you unless you have a legal responsibility to support them. </FONT></P><P><FONT /></P><P><FONT><B>DO NOT</B> include roommates.</FONT></P><P><FONT /></P><P><FONT><B><I>%%[DV Income TE]%%</I></B></FONT></P></TEXT></POPUP><POPUP ID="26" NAME="26"><TEXT><P><FONT>For instance, it is not possible to completely clear your "footprints" showing where you have been.</FONT></P></TEXT></POPUP><POPUP ID="25" NAME="25"><TEXT><P><FONT>If you have experienced domestic violence or abuse, make sure you give us a safe address. <B>A safe address</B> is an address where we can send you mail and the person who is abusing or threatening you will not see it. You may list the address of a <I>trusted friend</I> or <I>relative</I>, but make sure they are able and willing to quickly get you the mail.</FONT></P></TEXT></POPUP><POPUP ID="24" NAME="24"><TEXT><P><FONT>Assets can include:</FONT></P><P><FONT>*the value of ALL you personal items such as TV's, computers, sofas, clothing, beds, etc.</FONT></P><P><FONT>*cash and money in bank or credit union accounts, </FONT></P><P><FONT>*a second home or other real estate,</FONT></P><P><FONT>*vehicles, cars, trucks or motorcyles,</FONT></P><P><FONT>*money in stocks, bonds and certificates of deposit,</FONT></P><P><FONT>*work-related tools, and</FONT></P><P><FONT>*any interest in a business.</FONT></P></TEXT></POPUP><POPUP ID="23" NAME="23"><TEXT><P><FONT>Gross monthly income can include:</FONT></P><P><FONT>*disability benefits, </FONT></P><P><FONT>*income from unemployment, employment or self employment, </FONT></P><P><FONT>*general assistance, </FONT></P><P><FONT>*alimony or child support, </FONT></P><P><FONT>*veterans benefits, </FONT></P><P><FONT>*worker's compensation,</FONT></P><P><FONT>*SSI/SSDI,</FONT></P><P><FONT>*social security, </FONT></P><P><FONT>*pension, and</FONT></P><P><FONT>*investments.</FONT></P></TEXT></POPUP><POPUP ID="22" NAME="22"><TEXT><P><FONT>A safe computer is one that is in a safe location where someone abusive does not have direct or remote access.</FONT></P></TEXT></POPUP><POPUP ID="21" NAME="21"><TEXT><P><FONT>Use the name on your birth certificate unless it has been legally changed when you were married or by court order.</FONT></P></TEXT></POPUP><POPUP ID="20" NAME="20"><TEXT><P><FONT>Gross refers to the entire amount before deductions such as taxes.</FONT></P><P><FONT /></P></TEXT></POPUP><POPUP ID="19" NAME="19"><TEXT><P><FONT>Use the name on your birth certificate unless it has been legally changed when you were married or by court order.</FONT></P></TEXT></POPUP><POPUP ID="18" NAME="18"><TEXT><P><FONT><B>DO</B> include your partner if you are legally or common law married or if you have a child in common.</FONT></P><P><FONT /></P><P><FONT><B>DO</B> include minor children for which you are the parent or guardian and/or that you support. </FONT></P><P><FONT /></P><P><FONT><B>DO NOT </B>include any adult children living with you unless you have a legal responsibility to support them. </FONT></P><P><FONT /></P><P><FONT><B>DO NOT </B>include roommates.</FONT></P><P><FONT /></P><P><FONT><B><I>%%[DV Household TE]%%</I></B></FONT></P></TEXT></POPUP><POPUP ID="17" NAME="17"><TEXT><P><FONT>Gross refers to the entire amount before deductions.</FONT></P></TEXT></POPUP><POPUP ID="16" NAME="16"><TEXT><P><FONT>Gross refers to the entire amount before deductions.</FONT></P></TEXT></POPUP><POPUP ID="15" NAME="15"><TEXT><P><FONT>Gross refers to the entire amount before deductions.</FONT></P></TEXT></POPUP><POPUP ID="14" NAME="14"><TEXT><P><FONT>Gross refers to the entire amount before deductions such as taxes.</FONT></P></TEXT></POPUP><POPUP ID="13" NAME="13"><TEXT><P><FONT>Gross refers to entire amount before any deductions.</FONT></P></TEXT></POPUP><POPUP ID="12" NAME="12"><TEXT><P><FONT>Credit card debt is the amount you or anyone living with you owes on credit cards. Only check this box if the debt is at least three months (90 days) behind in payments. </FONT></P></TEXT></POPUP><POPUP ID="11" NAME="11"><TEXT><P><FONT>If you have experienced domestic violence or abuse, make sure you give us a safe e-mail address. A safe e-mail address is an address where we can send messages and the person who is abusing or threatening you will not be able to read them. </FONT></P></TEXT></POPUP><POPUP ID="10" NAME="10"><TEXT><P><FONT><B>Legal Aid Line of Western Ohio</B></FONT></P><P><FONT><B>520 Madison Ave. Ste 740</B></FONT></P><P><FONT><B>Toledo, Ohio 43604</B></FONT></P></TEXT></POPUP><POPUP ID="9" NAME="9"><TEXT><P><FONT>We need to know information about your citizenship or immigration status so we know what help may be available for you.</FONT></P></TEXT></POPUP><POPUP ID="8" NAME="8"><TEXT><P><FONT>http://www.odvn.org/</FONT></P></TEXT></POPUP><POPUP ID="7" NAME="7"><TEXT><P><FONT>If you have experienced domestic violence or abuse, make sure you give us a safe number. A safe number is a number where we can call and the person who is abusing or threatening you will not answer or be able to hear your voice mail messages. You may list the number of a trusted friend or relative, but make sure they are able and willing to quickly give you messages from our office to you.</FONT></P></TEXT></POPUP><POPUP ID="6" NAME="6"><TEXT><P><FONT>If you are a survivor of abuse or domestic violence, make sure you give us a safe number. A safe number is a number where we can call and the person who is abusing or threatening you will not answer or be able to hear your voice mail messages. You may list the number of a trusted friend or relative, but make sure they are able and willing to quickly relay messages from our office to you.</FONT></P></TEXT></POPUP><POPUP ID="5" NAME="5"><TEXT><P><FONT>If you are a survivor of abuse or domestic violence, make sure you give us a safe number. A safe number is a number where we can call and the person who is abusing or threatening you will not answer or be able to hear your voice mail messages. You may list the number of a trusted friend or relative, but make sure they are able and willing to quickly relay messages from our office to you.</FONT></P><P><FONT>(Insert “Learn More About” bubble – Abuse can include physical, sexual, emotional, psychological or financial abuse or threats.)</FONT></P></TEXT></POPUP><POPUP ID="4" NAME="4"><TEXT><P><FONT>If you are a survivor of abuse or domestic violence, make sure you give us a safe number. A safe number is a number where we can call and the person who is abusing or threatening you will not answer or be able to hear your voice mail messages. You may list the number of a trusted friend or relative, but make sure they are able and willing to quickly relay messages from our office to you.</FONT></P><P><FONT>(Insert “Learn More About” bubble – Abuse can include physical, sexual, emotional, psychological or financial abuse or threats.)</FONT></P></TEXT></POPUP><POPUP ID="3" NAME="3"><TEXT><P><FONT>If you are a survivor of abuse or domestic violence, make sure you give us a safe number. A safe number is a number where we can call and the person who is abusing or threatening you will not answer or be able to hear your voice mail messages. You may list the number of a trusted friend or relative, but make sure they are able and willing to quickly relay messages from our office to you.</FONT></P></TEXT></POPUP><POPUP ID="2" NAME="2"><TEXT><P><FONT>If you are a survivor of abuse or domestic violence, make sure you give us a safe number. A safe number is a number where we can call and the person who is abusing or threatening you will not answer or be able to hear your voice mail messages. You may list the number of a trusted friend or relative, but make sure they are able and willing to quickly relay messages from our office to you.</FONT></P><P><FONT>(Insert “Learn More About” bubble – Abuse can include physical, sexual, emotional, psychological or financial abuse or threats.)</FONT></P></TEXT></POPUP><POPUP ID="1" NAME="1"><TEXT><P><FONT><B>**NEED WEB ADDRESS FOR HYPERLINK***</B></FONT></P></TEXT></POPUP></POPUPS></TEMPLATE>
