Your claim has been assigned Claim Number\r\n {{ pub.claim.ClaimNumber }}\r\n
A confirmation email with the claim details will be sent to\r\n {{ pub.claim.Claimants[0].Email }}\r\n
If you would like to upload supporting documentation you may do so\r\n now.\r\n \r\n \r\n Upload Supporting Documentation\r\n Close\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n Are you sure you want to delete claim #{{ claim.ClaimNumber }}?\r\n
\r\n \r\n \r\n \r\n Cancel\r\n Delete\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n Are you sure you want to change claim #{{ claim.ClaimNumber }} open\r\n date?\r\n
\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n Cancel\r\n Change Date\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n\r\n\r\n\r\n","import mod from \"-!../../../node_modules/cache-loader/dist/cjs.js??ref--13-0!../../../node_modules/thread-loader/dist/cjs.js!../../../node_modules/babel-loader/lib/index.js!../../../node_modules/babel-loader/lib/index.js??ref--14!../../../node_modules/cache-loader/dist/cjs.js??ref--1-0!../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./Claim.vue?vue&type=script&lang=js\"; export default mod; export * from \"-!../../../node_modules/cache-loader/dist/cjs.js??ref--13-0!../../../node_modules/thread-loader/dist/cjs.js!../../../node_modules/babel-loader/lib/index.js!../../../node_modules/babel-loader/lib/index.js??ref--14!../../../node_modules/cache-loader/dist/cjs.js??ref--1-0!../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./Claim.vue?vue&type=script&lang=js\"","import { render, staticRenderFns } from \"./Claim.vue?vue&type=template&id=d098ba9a\"\nimport script from \"./Claim.vue?vue&type=script&lang=js\"\nexport * from \"./Claim.vue?vue&type=script&lang=js\"\nimport style0 from \"./Claim.vue?vue&type=style&index=0&id=d098ba9a&prod&lang=css\"\n\n\n/* normalize component */\nimport normalizer from \"!../../../node_modules/vue-loader/lib/runtime/componentNormalizer.js\"\nvar component = normalizer(\n script,\n render,\n staticRenderFns,\n false,\n null,\n null,\n null\n \n)\n\nexport default component.exports","export * from \"-!../../../node_modules/mini-css-extract-plugin/dist/loader.js??ref--7-oneOf-1-0!../../../node_modules/css-loader/dist/cjs.js??ref--7-oneOf-1-1!../../../node_modules/vue-loader/lib/loaders/stylePostLoader.js!../../../node_modules/postcss-loader/src/index.js??ref--7-oneOf-1-2!../../../node_modules/cache-loader/dist/cjs.js??ref--1-0!../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./Claim.vue?vue&type=style&index=0&id=d098ba9a&prod&lang=css\"","//download.js v4.2, by dandavis; 2008-2016. [MIT] see http://danml.com/download.html for tests/usage\n// v1 landed a FF+Chrome compat way of downloading strings to local un-named files, upgraded to use a hidden frame and optional mime\n// v2 added named files via a[download], msSaveBlob, IE (10+) support, and window.URL support for larger+faster saves than dataURLs\n// v3 added dataURL and Blob Input, bind-toggle arity, and legacy dataURL fallback was improved with force-download mime and base64 support. 3.1 improved safari handling.\n// v4 adds AMD/UMD, commonJS, and plain browser support\n// v4.1 adds url download capability via solo URL argument (same domain/CORS only)\n// v4.2 adds semantic variable names, long (over 2MB) dataURL support, and hidden by default temp anchors\n// https://github.com/rndme/download\n\n(function (root, factory) {\n\tif (typeof define === 'function' && define.amd) {\n\t\t// AMD. Register as an anonymous module.\n\t\tdefine([], factory);\n\t} else if (typeof exports === 'object') {\n\t\t// Node. Does not work with strict CommonJS, but\n\t\t// only CommonJS-like environments that support module.exports,\n\t\t// like Node.\n\t\tmodule.exports = factory();\n\t} else {\n\t\t// Browser globals (root is window)\n\t\troot.download = factory();\n }\n}(this, function () {\n\n\treturn function download(data, strFileName, strMimeType) {\n\n\t\tvar self = window, // this script is only for browsers anyway...\n\t\t\tdefaultMime = \"application/octet-stream\", // this default mime also triggers iframe downloads\n\t\t\tmimeType = strMimeType || defaultMime,\n\t\t\tpayload = data,\n\t\t\turl = !strFileName && !strMimeType && payload,\n\t\t\tanchor = document.createElement(\"a\"),\n\t\t\ttoString = function(a){return String(a);},\n\t\t\tmyBlob = (self.Blob || self.MozBlob || self.WebKitBlob || toString),\n\t\t\tfileName = strFileName || \"download\",\n\t\t\tblob,\n\t\t\treader;\n\t\t\tmyBlob= myBlob.call ? myBlob.bind(self) : Blob ;\n\t \n\t\tif(String(this)===\"true\"){ //reverse arguments, allowing download.bind(true, \"text/xml\", \"export.xml\") to act as a callback\n\t\t\tpayload=[payload, mimeType];\n\t\t\tmimeType=payload[0];\n\t\t\tpayload=payload[1];\n\t\t}\n\n\n\t\tif(url && url.length< 2048){ // if no filename and no mime, assume a url was passed as the only argument\n\t\t\tfileName = url.split(\"/\").pop().split(\"?\")[0];\n\t\t\tanchor.href = url; // assign href prop to temp anchor\n\t\t \tif(anchor.href.indexOf(url) !== -1){ // if the browser determines that it's a potentially valid url path:\n \t\tvar ajax=new XMLHttpRequest();\n \t\tajax.open( \"GET\", url, true);\n \t\tajax.responseType = 'blob';\n \t\tajax.onload= function(e){ \n\t\t\t\t download(e.target.response, fileName, defaultMime);\n\t\t\t\t};\n \t\tsetTimeout(function(){ ajax.send();}, 0); // allows setting custom ajax headers using the return:\n\t\t\t return ajax;\n\t\t\t} // end if valid url?\n\t\t} // end if url?\n\n\n\t\t//go ahead and download dataURLs right away\n\t\tif(/^data:([\\w+-]+\\/[\\w+.-]+)?[,;]/.test(payload)){\n\t\t\n\t\t\tif(payload.length > (1024*1024*1.999) && myBlob !== toString ){\n\t\t\t\tpayload=dataUrlToBlob(payload);\n\t\t\t\tmimeType=payload.type || defaultMime;\n\t\t\t}else{\t\t\t\n\t\t\t\treturn navigator.msSaveBlob ? // IE10 can't do a[download], only Blobs:\n\t\t\t\t\tnavigator.msSaveBlob(dataUrlToBlob(payload), fileName) :\n\t\t\t\t\tsaver(payload) ; // everyone else can save dataURLs un-processed\n\t\t\t}\n\t\t\t\n\t\t}else{//not data url, is it a string with special needs?\n\t\t\tif(/([\\x80-\\xff])/.test(payload)){\t\t\t \n\t\t\t\tvar i=0, tempUiArr= new Uint8Array(payload.length), mx=tempUiArr.length;\n\t\t\t\tfor(i;i !!value || 'Required',\r\n dateIsValid: (value) => moment(value).isValid() || 'A valid date is required',\r\n firstNameRequired: (value) => !!value || 'First name is required.',\r\n firstNamePattern: (value) => {\r\n const pattern = /[A-Za-z]/\r\n return pattern.test(value) || 'Invalid name.'\r\n },\r\n lastNameRequired: (value) => !!value || 'Last name is required.',\r\n lastNamePattern: (value) => {\r\n const pattern = /[A-Za-z]/\r\n return pattern.test(value) || 'Invalid last name.'\r\n },\r\n ssnRequired: (value) => !!value || 'A valid ssn is required.',\r\n ssnPattern: (value) => {\r\n const pattern = /^\\d{3}-\\d{2}-\\d{4}$/\r\n return pattern.test(value) || 'Invalid social security format.'\r\n },\r\n agePattern: (value) => {\r\n const pattern = /[0-9]/\r\n return pattern.test(value) || 'Invalid age.'\r\n },\r\n phoneRequired: (value) => !!value || 'A valid phone number is required.',\r\n phonePattern: (value) => {\r\n const pattern = /^\\d{3}-\\d{3}-\\d{4}$/\r\n return pattern.test(value) || 'Invalid phone number'\r\n },\r\n emailRequired: (value) => !!value || 'Email is required.',\r\n emailPattern: (value) => {\r\n const pattern =\r\n /((?:[a-z0-9!#$%&'*+/=?^_`{|}~-]+(?:\\.[a-z0-9!#$%&'*+/=?^_`{|}~-]+)*|\"(?:[\\x01-\\x08\\x0b\\x0c\\x0e-\\x1f\\x21\\x23-\\x5b\\x5d-\\x7f]|\\\\[\\x01-\\x09\\x0b\\x0c\\x0e-\\x7f])*\")@(?:(?:[a-z0-9](?:[a-z0-9-]*[a-z0-9])?\\.)+[a-z0-9](?:[a-z0-9-]*[a-z0-9])?|\\[(?:(?:(2(5[0-5]|[0-4][0-9])|1[0-9][0-9]|[1-9]?[0-9]))\\.){3}(?:(2(5[0-5]|[0-4][0-9])|1[0-9][0-9]|[1-9]?[0-9])|[a-z0-9-]*[a-z0-9]:(?:[\\x01-\\x08\\x0b\\x0c\\x0e-\\x1f\\x21-\\x5a\\x53-\\x7f]|\\\\[\\x01-\\x09\\x0b\\x0c\\x0e-\\x7f])+)\\])|none|n\\/a)/\r\n return !value || pattern.test(value) || 'Invalid e-mail format'\r\n },\r\n addressRequired: (value) => !!value || 'Address is required.',\r\n cityRequired: (value) => !!value || 'City is required.',\r\n zipRequired: (value) => !!value || 'Zip code is required.',\r\n zipPattern: (value) => {\r\n const pattern = /^\\d{5}$/\r\n return pattern.test(value) || 'Invalid zip number format.'\r\n },\r\n contactRequired: (value) => !!value || 'A valid contact is required.',\r\n WorkDescriptionRequired: (value) =>\r\n !!value || 'Work description is required.',\r\n againstNameRequired: (value) => !!value || 'Business name is required.',\r\n againstTypeOfBusinessRequired: (value) =>\r\n !!value || 'Type of business is required.',\r\n againstOwnerNameRequired: (value) => !!value || \"Owner's name is required.\",\r\n phyAddressRequired: (value) => !!value || 'Physical address is required.',\r\n phyCityRequired: (value) => !!value || 'Physical city is required.',\r\n phyZipRequired: (value) => !!value || 'Physical zip is required.',\r\n mailingAddressRequired: (value) => !!value || 'Mailing address is required.',\r\n mailingCityRequired: (value) => !!value || 'Mailing city is required.',\r\n mailingStateRequired: (value) => !!value || 'Mailing state is required.',\r\n mailingZipRequired: (value) => !!value || 'Mailing zip is required.',\r\n personInChargeRequired: (value) => !!value || 'Person in charge is required.',\r\n personInChargePattern: (value) => {\r\n const pattern = /[A-Za-z]/\r\n return pattern.test(value) || 'Invalid name.'\r\n },\r\n hiredByRequired: (value) => !!value || 'Hired by is required.',\r\n hiredByPattern: (value) => {\r\n const pattern = /[A-Za-z]/\r\n return pattern.test(value) || 'Invalid name.'\r\n },\r\n hiredDateRequired: (value) => !!value || 'Hired date is required.',\r\n // ????? CHECKS FOR FUTURE DATE\r\n hiredDateIsPast: (value) => {\r\n const selectedDate = new Date(value)\r\n const now = new Date()\r\n if (selectedDate > now) {\r\n return 'hired date cannot be in future.'\r\n } else {\r\n return true\r\n }\r\n },\r\n leaveDateRequired: (value) => !!value || 'Leave date cannot be in future.',\r\n // ????? CHECKS FOR FUTURE DATE\r\n leaveDateIsPast: (value) => {\r\n const selectedDate = new Date(value)\r\n const now = new Date()\r\n if (selectedDate > now) {\r\n return 'leave date cannot be in the future.'\r\n } else {\r\n return true\r\n }\r\n },\r\n employmentStatusRequired: (value) =>\r\n !!value || 'Employment Status is Required.',\r\n employmentStatusEmployed: (value) => {\r\n return !(value === 5) || 'Must not be still employed.'\r\n },\r\n\r\n requestToRequired: (value) => !!value || 'Must enter request made to.',\r\n payRateRequired: (value) => !!value || 'Pay rate is required.',\r\n payRatePattern: (value) => {\r\n const pattern = /[0-9]/\r\n return pattern.test(value) || 'Invalid amount.'\r\n },\r\n\r\n payTypeRequired: (value) => !!value || 'You must enter how you were paid.',\r\n regularPaydaysRequired: (value) =>\r\n !!value || 'Regularly scheduled paydays are required.',\r\n claimedWageStartDateRequired: (value) => !!value || 'Start date is required.',\r\n claimedWageEndDateRequired: (value) => !!value || 'End date is required.',\r\n claimedWageStartRateRequired: (value) => !!value || 'Pay rate is required.',\r\n claimedWageStartRatePattern: (value) => {\r\n const pattern = /[0-9]/\r\n return pattern.test(value) || 'Invalid amount.'\r\n },\r\n claimedWageGrossRequired: (value) => !!value || 'Gross amount is required.',\r\n claimedWageGrossPattern: (value) => {\r\n const pattern = /[0-9]/\r\n return pattern.test(value) || 'Invalid amount.'\r\n },\r\n claimedWageDeductionsRequired: (value) =>\r\n !!value || value === 0 || 'Deductions are required. If none enter 0.',\r\n claimedWageDeductionsPattern: (value) => {\r\n const pattern = /[0-9]/\r\n return pattern.test(value) || 'Invalid amount.'\r\n },\r\n claimedWageNetRequired: (value) => !!value || 'Net amount is required.',\r\n claimedWageNetPattern: (value) => {\r\n const pattern = /[0-9]/\r\n return pattern.test(value) || 'Invalid amount.'\r\n },\r\n statementsDescriptionRequired: (value) =>\r\n !!value || 'Statement of facts is required.',\r\n wageAgreementRequired: (value) => !!value || 'Must select wage agreement.',\r\n cardClaimNumberRequired: (value) => !!value || 'Claim number is required.',\r\n cardClaimNumberPattern: (value) => {\r\n const pattern = /\\d{2}-\\d+/\r\n return pattern.test(value) || 'Invalid number.'\r\n },\r\n cardBusinessNameRequired: (value) => !!value || 'Business name is required.',\r\n cardPhysCityRequired: (value) => !!value || 'Physical city is required.',\r\n cardPhysStateRequired: (value) => !!value || 'Physical city is required.',\r\n cardClaimtsfirstNameRequired: (value) =>\r\n !!value || 'Claimant first name is required.',\r\n cardClaimtsfirstNamePattern: (value) => {\r\n const pattern = /[A-Za-z]/\r\n return pattern.test(value) || 'Invalid name.'\r\n },\r\n cardClaimtslastNameRequired: (value) =>\r\n !!value || 'Claimant last name is required.',\r\n cardClaimtslastNamePattern: (value) => {\r\n const pattern = /[A-Za-z]/\r\n return pattern.test(value) || 'Invalid name.'\r\n },\r\n closureDateIsPast: (value) => {\r\n const selectedDate = new Date(value)\r\n const now = new Date()\r\n if (selectedDate > now) {\r\n return 'closure date cannot be in the future.'\r\n } else {\r\n return true\r\n }\r\n },\r\n\r\n notPastTwoYears: (value) => {\r\n const selectedDate = new Date(value)\r\n const now = new Date()\r\n if (selectedDate > now) {\r\n return 'closure date cannot be in the future.'\r\n } else {\r\n return true\r\n }\r\n },\r\n}\r\nexport default Rules\r\n","export * from \"-!../../../node_modules/mini-css-extract-plugin/dist/loader.js??ref--7-oneOf-1-0!../../../node_modules/css-loader/dist/cjs.js??ref--7-oneOf-1-1!../../../node_modules/vue-loader/lib/loaders/stylePostLoader.js!../../../node_modules/postcss-loader/src/index.js??ref--7-oneOf-1-2!../../../node_modules/cache-loader/dist/cjs.js??ref--1-0!../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./Notes.vue?vue&type=style&index=0&id=352e12e9&prod&lang=css\"","export * from \"-!../../../node_modules/mini-css-extract-plugin/dist/loader.js??ref--7-oneOf-1-0!../../../node_modules/css-loader/dist/cjs.js??ref--7-oneOf-1-1!../../../node_modules/vue-loader/lib/loaders/stylePostLoader.js!../../../node_modules/postcss-loader/src/index.js??ref--7-oneOf-1-2!../../../node_modules/cache-loader/dist/cjs.js??ref--1-0!../../../node_modules/vue-loader/lib/index.js??vue-loader-options!./Againsts.vue?vue&type=style&index=0&id=7d30def4&prod&lang=css\"","export default class Assignment {\r\n constructor(obj = {}) {\r\n Object.assign(\r\n this,\r\n {\r\n AssignmentId: 0,\r\n ClaimId: 0,\r\n UserId: 0,\r\n AssignmentDate: new Date().toISOString().split('T')[0],\r\n },\r\n obj\r\n )\r\n }\r\n}\r\n","var render = function render(){var _vm=this,_c=_vm._self._c;return _c('v-menu',{ref:\"menu1\",attrs:{\"close-on-content-click\":false,\"nudge-right\":40,\"lazy\":\"\",\"transition\":\"scale-transition\",\"offset-y\":\"\",\"full-width\":\"\",\"max-width\":\"290px\",\"min-width\":\"290px\",\"disabled\":_vm.disabled},scopedSlots:_vm._u([{key:\"activator\",fn:function({ on }){return [_c('v-layout',{attrs:{\"row\":\"\",\"wrap\":\"\"}},[_c('v-flex',{attrs:{\"xs12\":\"\"}},[_c('v-text-field',{attrs:{\"return-masked-value\":\"\",\"mask\":\"date\",\"value\":_vm.dateFormatted,\"label\":_vm.label,\"rules\":_vm.validationRules,\"disabled\":_vm.disabled},on:{\"change\":function($event){_vm.dateFormatted = $event}},scopedSlots:_vm._u([{key:\"prepend-inner\",fn:function(){return [_c('v-icon',_vm._g({},on),[_vm._v(\"event\")])]},proxy:true}],null,true)})],1)],1)]}}]),model:{value:(_vm.menu1),callback:function ($$v) {_vm.menu1=$$v},expression:\"menu1\"}},[_c('v-date-picker',{attrs:{\"no-title\":\"\",\"max\":_vm.max},on:{\"input\":function($event){_vm.menu1 = false}},model:{value:(_vm.dateIso),callback:function ($$v) {_vm.dateIso=$$v},expression:\"dateIso\"}})],1)\n}\nvar staticRenderFns = []\n\nexport { render, staticRenderFns }","\r\n \r\n \r\n \r\n \r\n \r\n \r\n event\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n\r\n\r\n\r\n\r\n\r\n","import mod from \"-!../../node_modules/cache-loader/dist/cjs.js??ref--13-0!../../node_modules/thread-loader/dist/cjs.js!../../node_modules/babel-loader/lib/index.js!../../node_modules/babel-loader/lib/index.js??ref--14!../../node_modules/cache-loader/dist/cjs.js??ref--1-0!../../node_modules/vue-loader/lib/index.js??vue-loader-options!./datePickerWithText.vue?vue&type=script&lang=js\"; export default mod; export * from \"-!../../node_modules/cache-loader/dist/cjs.js??ref--13-0!../../node_modules/thread-loader/dist/cjs.js!../../node_modules/babel-loader/lib/index.js!../../node_modules/babel-loader/lib/index.js??ref--14!../../node_modules/cache-loader/dist/cjs.js??ref--1-0!../../node_modules/vue-loader/lib/index.js??vue-loader-options!./datePickerWithText.vue?vue&type=script&lang=js\"","import { render, staticRenderFns } from \"./datePickerWithText.vue?vue&type=template&id=6fae17ac\"\nimport script from \"./datePickerWithText.vue?vue&type=script&lang=js\"\nexport * from \"./datePickerWithText.vue?vue&type=script&lang=js\"\n\n\n/* normalize component */\nimport normalizer from \"!../../node_modules/vue-loader/lib/runtime/componentNormalizer.js\"\nvar component = normalizer(\n script,\n render,\n staticRenderFns,\n false,\n null,\n null,\n null\n \n)\n\nexport default component.exports"],"sourceRoot":""}