Loading

Loading...

","contentType":"text/html"}]}],"extras":{"htmlId":"_4"},"h":"12.701mm","name":"Text2","w":"177.8mm","y":"8.731mm"},{"_class":"field","children":[{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Courier New","baselineShift":"0pt","size":"8pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"value","children":[{"_class":"text","_value":"Name:"}]}],"reserve":"9.9162mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1007","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_5","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].TextField1[0]","name":"FS_SOM"},{"_class":"text","_value":"Name:","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].Page1[0].TextField1[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].Page1[0].TextField1[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"42911908","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial"},{"_class":"margin","bottomInset":"1mm","leftInset":"0mm","rightInset":"0mm","topInset":"1mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_5","dataId":"42911908","caption":"Name:","tabIndex":"1007","dataSom":"xfa[0].datasets[0].data[0].form1[0].Page1[0].TextField1[0]"},"h":"9mm","name":"TextField1","w":"88.9mm","y":"32.544mm"},{"_class":"field","children":[{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Courier New","baselineShift":"0pt","size":"8pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"value","children":[{"_class":"text","_value":"Preferred Pronouns:"}]}],"reserve":"33.3375mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1008","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_6","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].TextField16[0]","name":"FS_SOM"},{"_class":"text","_value":"Preferred Pronouns:","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].Page1[0].TextField16[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].Page1[0].TextField16[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"42912060","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial"},{"_class":"margin","bottomInset":"1mm","leftInset":"0mm","rightInset":"0mm","topInset":"1mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_6","dataId":"42912060","caption":"Preferred Pronouns:","tabIndex":"1008","dataSom":"xfa[0].datasets[0].data[0].form1[0].Page1[0].TextField16[0]"},"h":"9mm","name":"TextField16","w":"88.9mm","x":"88.9mm","y":"32.545mm"},{"_class":"field","children":[{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Courier New","baselineShift":"0pt","size":"8pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"value","children":[{"_class":"text","_value":"Address:"}]}],"reserve":"14.6724mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1009","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_7","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].TextField2[0]","name":"FS_SOM"},{"_class":"text","_value":"Address:","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].Page1[0].TextField2[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].Page1[0].TextField2[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"42912212","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial"},{"_class":"margin","bottomInset":"1mm","leftInset":"0mm","rightInset":"0mm","topInset":"1mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_7","dataId":"42912212","caption":"Address:","tabIndex":"1009","dataSom":"xfa[0].datasets[0].data[0].form1[0].Page1[0].TextField2[0]"},"h":"9mm","name":"TextField2","w":"177.8mm","y":"44.45mm"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_8","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].Text21[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Courier New","baselineShift":"0pt","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":" Street Address, Unit/Apt #, City, State, Zip Code"}]}],"extras":{"htmlId":"_8"},"h":"6.35mm","name":"Text21","w":"155.575mm","x":"22.225mm","y":"52.705mm"},{"_class":"field","children":[{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Courier New","baselineShift":"0pt","size":"8pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"value","children":[{"_class":"text","_value":"Home Phone:"}]}],"reserve":"19.8338mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1011","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_9","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].TextField3[0]","name":"FS_SOM"},{"_class":"text","_value":"Home Phone:","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].Page1[0].TextField3[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].Page1[0].TextField3[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"42912364","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial"},{"_class":"margin","bottomInset":"1mm","leftInset":"0mm","rightInset":"0mm","topInset":"1mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_9","dataId":"42912364","caption":"Home Phone:","tabIndex":"1011","dataSom":"xfa[0].datasets[0].data[0].form1[0].Page1[0].TextField3[0]"},"h":"9mm","name":"TextField3","w":"57.944mm","y":"60.325mm"},{"_class":"field","children":[{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Courier New","baselineShift":"0pt","size":"8pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"value","children":[{"_class":"text","_value":"Work Phone:"}]}],"reserve":"19.42mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1012","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_10","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].TextField4[0]","name":"FS_SOM"},{"_class":"text","_value":"Work Phone:","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].Page1[0].TextField4[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].Page1[0].TextField4[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"42912516","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial"},{"_class":"margin","bottomInset":"1mm","leftInset":"0mm","rightInset":"0mm","topInset":"1mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_10","dataId":"42912516","caption":"Work Phone:","tabIndex":"1012","dataSom":"xfa[0].datasets[0].data[0].form1[0].Page1[0].TextField4[0]"},"h":"9mm","name":"TextField4","w":"57.944mm","x":"59.531mm","y":"60.325mm"},{"_class":"field","children":[{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Courier New","baselineShift":"0pt","size":"8pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"value","children":[{"_class":"text","_value":"Cell Phone:"}]}],"reserve":"19.8338mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1013","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_11","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].TextField5[0]","name":"FS_SOM"},{"_class":"text","_value":"Cell Phone:","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].Page1[0].TextField5[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].Page1[0].TextField5[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"42912668","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial"},{"_class":"margin","bottomInset":"1mm","leftInset":"0mm","rightInset":"0mm","topInset":"1mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_11","dataId":"42912668","caption":"Cell Phone:","tabIndex":"1013","dataSom":"xfa[0].datasets[0].data[0].form1[0].Page1[0].TextField5[0]"},"h":"9mm","name":"TextField5","w":"58.738mm","x":"119.062mm","y":"60.325mm"},{"_class":"field","children":[{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Courier New","baselineShift":"0pt","size":"8pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"value","children":[{"_class":"text","_value":"E-mail Address:"}]}],"reserve":"26.8616mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1014","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_12","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].TextField6[0]","name":"FS_SOM"},{"_class":"text","_value":"E-mail Address:","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].Page1[0].TextField6[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].Page1[0].TextField6[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"42912820","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial"},{"_class":"margin","bottomInset":"1mm","leftInset":"0mm","rightInset":"0mm","topInset":"1mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_12","dataId":"42912820","caption":"E-mail Address:","tabIndex":"1014","dataSom":"xfa[0].datasets[0].data[0].form1[0].Page1[0].TextField6[0]"},"h":"9mm","name":"TextField6","w":"177.8mm","y":"72.231mm"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_13","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].Text3[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Courier New","baselineShift":"0pt","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0mm","rightInset":"0mm","topInset":"0.5mm"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"If County employee, state current class title and employing department:"}]}],"extras":{"htmlId":"_13"},"minH":"5.233mm","name":"Text3","w":"177.8mm","y":"84.138mm"},{"_class":"field","children":[{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Myriad Pro","size":"8pt"},{"_class":"margin"},{"_class":"para","vAlign":"middle"},{"_class":"value","children":[{"_class":"text"}]}],"reserve":"0.01in"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1016","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_14","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].TextField7[0]","name":"FS_SOM"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].Page1[0].TextField7[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].Page1[0].TextField7[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"42912972","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial"},{"_class":"margin","bottomInset":"1mm","leftInset":"0mm","rightInset":"0mm","topInset":"1mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_14","dataId":"42912972","tabIndex":"1016","dataSom":"xfa[0].datasets[0].data[0].form1[0].Page1[0].TextField7[0]"},"h":"9mm","name":"TextField7","w":"177.8mm","y":"89.694mm"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_15","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].Line1[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"ui","children":[{"_class":"defaultUi"}]},{"_class":"value","children":[{"_class":"line","children":[{"_class":"edge","children":[{"_class":"color"}],"thickness":"0.635mm"}],"slope":"/"}]}],"extras":{"htmlId":"_15"},"h":"0in","name":"Line1","w":"177.8mm","y":"103.187mm"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_16","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].Text4[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Courier New","baselineShift":"0pt","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0mm","rightInset":"0mm","topInset":"0.5mm"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"Appellant is:"}]}],"extras":{"htmlId":"_16"},"h":"5.2331mm","name":"Text4","w":"34.925mm","y":"107.951mm"},{"_class":"exclGroup","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_17","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].RadioButtonList1[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].Page1[0].RadioButtonList1[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"42913124","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"field","children":[{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Courier New","baselineShift":"0pt","size":"8pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"value","children":[{"_class":"text","_value":"Representing Self"}]}],"placement":"right","reserve":"44.7634mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1018","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_18","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].RadioButtonList1[0].RepresentingSelf[0]","name":"FS_SOM"},{"_class":"text","_value":"Representing Self","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].Page1[0].RadioButtonList1[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].Page1[0].RadioButtonList1[0].RepresentingSelf[0]","name":"FS_TEMPLATE_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Myriad Pro"},{"_class":"items","children":[{"_class":"text","_value":"1"}]},{"_class":"margin","leftInset":"1.0008mm","rightInset":"0mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"checkButton","children":[{"_class":"border","children":[{"_class":"edge"},{"_class":"fill"},{"_class":"margin"}]},{"_class":"margin"}],"shape":"round","size":"4.2333mm"}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_18","caption":"Representing Self","tabIndex":"1018","dataSom":"xfa[0].datasets[0].data[0].form1[0].Page1[0].RadioButtonList1[0]"},"h":"6mm","name":"RepresentingSelf","w":"53.975mm","x":"0mm","y":"0mm"},{"_class":"field","children":[{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Courier New","baselineShift":"0pt","size":"8pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"value","children":[{"_class":"text","_value":"Will be represented by:"}]}],"placement":"right","reserve":"40.968mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1019","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_19","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].RadioButtonList1[0].WillBeRepresented[0]","name":"FS_SOM"},{"_class":"text","_value":"Will be represented by:","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].Page1[0].RadioButtonList1[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].Page1[0].RadioButtonList1[0].WillBeRepresented[0]","name":"FS_TEMPLATE_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Myriad Pro"},{"_class":"items","children":[{"_class":"text","_value":"2"}]},{"_class":"margin","leftInset":"1.0008mm","rightInset":"0mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"checkButton","children":[{"_class":"border","children":[{"_class":"edge"},{"_class":"fill"},{"_class":"margin"}]},{"_class":"margin"}],"shape":"round","size":"4.2333mm"}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_19","caption":"Will be represented by:","tabIndex":"1019","dataSom":"xfa[0].datasets[0].data[0].form1[0].Page1[0].RadioButtonList1[0]"},"h":"6mm","name":"WillBeRepresented","w":"50.007mm","y":"8.731mm"}],"extras":{"htmlId":"_17","dataId":"42913124","tabIndex":"-1","dataSom":"xfa[0].datasets[0].data[0].form1[0].Page1[0].RadioButtonList1[0]"},"name":"RadioButtonList1","x":"37.306mm","y":"107.951mm"},{"_class":"field","children":[{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Times New Roman"},{"_class":"margin"},{"_class":"para","vAlign":"middle"},{"_class":"value","children":[{"_class":"text"}]}],"reserve":"0.01in"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1020","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_20","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].TextField8[0]","name":"FS_SOM"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].Page1[0].TextField8[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].Page1[0].TextField8[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"42913276","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial"},{"_class":"margin","bottomInset":"1mm","leftInset":"0mm","rightInset":"0mm","topInset":"1mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_20","dataId":"42913276","tabIndex":"1020","dataSom":"xfa[0].datasets[0].data[0].form1[0].Page1[0].TextField8[0]"},"h":"9mm","name":"TextField8","w":"89.694mm","x":"88.106mm","y":"115.094mm"},{"_class":"field","children":[{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Courier New","baselineShift":"0pt","size":"8pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"value","children":[{"_class":"text","_value":"Address:"}]}],"reserve":"14.8754mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1021","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_21","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].TextField9[0]","name":"FS_SOM"},{"_class":"text","_value":"Address:","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].Page1[0].TextField9[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].Page1[0].TextField9[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"42913428","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial"},{"_class":"margin","bottomInset":"1mm","leftInset":"0mm","rightInset":"0mm","topInset":"1mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_21","dataId":"42913428","caption":"Address:","tabIndex":"1021","dataSom":"xfa[0].datasets[0].data[0].form1[0].Page1[0].TextField9[0]"},"h":"9mm","name":"TextField9","w":"177.8mm","y":"125.413mm"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_22","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].Text20[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Courier New","baselineShift":"0pt","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":" Street Address, Room/Suite #, City, State, Zip Code"}]}],"extras":{"htmlId":"_22"},"h":"6.35mm","name":"Text20","w":"155.575mm","x":"22.225mm","y":"133.668mm"},{"_class":"field","children":[{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Courier New","baselineShift":"0pt","size":"8pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"value","children":[{"_class":"text","_value":"Telephone Number(s):"}]}],"reserve":"35.537mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1023","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_23","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].TextField10[0]","name":"FS_SOM"},{"_class":"text","_value":"Telephone Number(s):","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].Page1[0].TextField10[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].Page1[0].TextField10[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"42913580","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial"},{"_class":"margin","bottomInset":"1mm","leftInset":"0mm","rightInset":"0mm","topInset":"1mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_23","dataId":"42913580","caption":"Telephone Number(s):","tabIndex":"1023","dataSom":"xfa[0].datasets[0].data[0].form1[0].Page1[0].TextField10[0]"},"h":"9mm","name":"TextField10","w":"177.8mm","y":"141.288mm"},{"_class":"field","children":[{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Courier New","baselineShift":"0pt","size":"8pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"value","children":[{"_class":"text","_value":"E-mail Address:"}]}],"reserve":"26.4478mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1024","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_24","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].TextField11[0]","name":"FS_SOM"},{"_class":"text","_value":"E-mail Address:","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].Page1[0].TextField11[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].Page1[0].TextField11[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"42913732","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial"},{"_class":"margin","bottomInset":"1mm","leftInset":"0mm","rightInset":"0mm","topInset":"1mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_24","dataId":"42913732","caption":"E-mail Address:","tabIndex":"1024","dataSom":"xfa[0].datasets[0].data[0].form1[0].Page1[0].TextField11[0]"},"h":"9mm","name":"TextField11","w":"177.8mm","y":"153.194mm"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_25","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].Line2[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"ui","children":[{"_class":"defaultUi"}]},{"_class":"value","children":[{"_class":"line","children":[{"_class":"edge","children":[{"_class":"color"}],"thickness":"0.635mm"}],"slope":"/"}]}],"extras":{"htmlId":"_25"},"h":"0in","name":"Line2","w":"177.8mm","y":"166.687mm"},{"_class":"field","children":[{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Courier New","baselineShift":"0pt","size":"8pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"value","children":[{"_class":"text","_value":"Title of Examination:"}]}],"reserve":"37.1924mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1025","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_26","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].TextField12[0]","name":"FS_SOM"},{"_class":"text","_value":"Title of Examination:","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].Page1[0].TextField12[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].Page1[0].TextField12[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"42913884","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial"},{"_class":"margin","bottomInset":"1mm","leftInset":"0mm","rightInset":"0mm","topInset":"1mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_26","dataId":"42913884","caption":"Title of Examination:","tabIndex":"1025","dataSom":"xfa[0].datasets[0].data[0].form1[0].Page1[0].TextField12[0]"},"h":"9mm","name":"TextField12","w":"177.8mm","y":"170.656mm"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_27","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].Text5[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Courier New","baselineShift":"0pt","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0mm","rightInset":"0mm","topInset":"0.5mm"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"Examination was:"}]}],"extras":{"htmlId":"_27"},"h":"5.2331mm","name":"Text5","w":"28.575mm","y":"182.562mm"},{"_class":"exclGroup","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_28","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].RadioButtonList2[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].Page1[0].RadioButtonList2[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"42914036","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"field","children":[{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Courier New","baselineShift":"0pt","size":"8pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"value","children":[{"_class":"text","_value":"Promotional"}]}],"placement":"right","reserve":"31.7241mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1027","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_29","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].RadioButtonList2[0].Promotional[0]","name":"FS_SOM"},{"_class":"text","_value":"Promotional","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].Page1[0].RadioButtonList2[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].Page1[0].RadioButtonList2[0].Promotional[0]","name":"FS_TEMPLATE_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Myriad Pro"},{"_class":"items","children":[{"_class":"text","_value":"1"}]},{"_class":"margin","leftInset":"1mm","rightInset":"1mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"checkButton","children":[{"_class":"border","children":[{"_class":"edge"},{"_class":"fill"},{"_class":"margin"}]},{"_class":"margin"}],"shape":"round","size":"4.2333mm"}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_29","caption":"Promotional","tabIndex":"1027","dataSom":"xfa[0].datasets[0].data[0].form1[0].Page1[0].RadioButtonList2[0]"},"h":"6mm","name":"Promotional","w":"41.275mm","y":"0mm"},{"_class":"field","children":[{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Courier New","baselineShift":"0pt","size":"8pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"value","children":[{"_class":"text","_value":"Open"}]}],"placement":"right","reserve":"16.2117mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1028","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_30","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].RadioButtonList2[0].Open[0]","name":"FS_SOM"},{"_class":"text","_value":"Open","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].Page1[0].RadioButtonList2[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].Page1[0].RadioButtonList2[0].Open[0]","name":"FS_TEMPLATE_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Myriad Pro"},{"_class":"items","children":[{"_class":"text","_value":"2"}]},{"_class":"margin","leftInset":"1mm","rightInset":"1mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"checkButton","children":[{"_class":"border","children":[{"_class":"edge"},{"_class":"fill"},{"_class":"margin"}]},{"_class":"margin"}],"shape":"round","size":"4.2333mm"}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_30","caption":"Open","tabIndex":"1028","dataSom":"xfa[0].datasets[0].data[0].form1[0].Page1[0].RadioButtonList2[0]"},"h":"6mm","name":"Open","w":"25.4mm","x":"50.8mm"}],"extras":{"htmlId":"_28","dataId":"42914036","tabIndex":"-1","dataSom":"xfa[0].datasets[0].data[0].form1[0].Page1[0].RadioButtonList2[0]"},"name":"RadioButtonList2","x":"31.75mm","y":"182.562mm"},{"_class":"field","children":[{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Courier New","baselineShift":"0pt","size":"8pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"value","children":[{"_class":"text","_value":"Date of Examination:"}]}],"reserve":"35.3262mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1029","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_31","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].TextField13[0]","name":"FS_SOM"},{"_class":"text","_value":"Date of Examination:","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].Page1[0].TextField13[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].Page1[0].TextField13[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"42914188","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial"},{"_class":"margin","bottomInset":"1mm","leftInset":"0mm","rightInset":"0mm","topInset":"1mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_31","dataId":"42914188","caption":"Date of Examination:","tabIndex":"1029","dataSom":"xfa[0].datasets[0].data[0].form1[0].Page1[0].TextField13[0]"},"h":"9mm","name":"TextField13","w":"111.125mm","y":"190.499mm"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_32","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].Text19[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Courier New","baselineShift":"0pt","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0mm","rightInset":"0mm","topInset":"0.5mm"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"Are you on an Eligible List?"}]}],"extras":{"htmlId":"_32"},"h":"6.35mm","name":"Text19","w":"50.006mm","y":"202.406mm"},{"_class":"exclGroup","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_33","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].RadioButtonList3[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].Page1[0].RadioButtonList3[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"42914340","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"field","children":[{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Courier New","baselineShift":"0pt","size":"8pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"value","children":[{"_class":"text","_value":"Yes"}]}],"placement":"right","reserve":"10.151mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1031","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_34","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].RadioButtonList3[0].Yes[0]","name":"FS_SOM"},{"_class":"text","_value":"Yes","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].Page1[0].RadioButtonList3[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].Page1[0].RadioButtonList3[0].Yes[0]","name":"FS_TEMPLATE_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Myriad Pro"},{"_class":"items","children":[{"_class":"text","_value":"1"}]},{"_class":"margin","leftInset":"1mm","rightInset":"1mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"checkButton","children":[{"_class":"border","children":[{"_class":"edge"},{"_class":"fill"},{"_class":"margin"}]},{"_class":"margin"}],"shape":"round","size":"4.2333mm"}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_34","caption":"Yes","tabIndex":"1031","dataSom":"xfa[0].datasets[0].data[0].form1[0].Page1[0].RadioButtonList3[0]"},"h":"6.35mm","name":"Yes","w":"19.05mm","x":"0mm","y":"0mm"},{"_class":"field","children":[{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Courier New","baselineShift":"0pt","size":"8pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"value","children":[{"_class":"text","_value":"No"}]}],"placement":"right","reserve":"7.129mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1032","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_35","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].RadioButtonList3[0].No[0]","name":"FS_SOM"},{"_class":"text","_value":"No","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].Page1[0].RadioButtonList3[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].Page1[0].RadioButtonList3[0].No[0]","name":"FS_TEMPLATE_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Myriad Pro"},{"_class":"items","children":[{"_class":"text","_value":"2"}]},{"_class":"margin","leftInset":"1mm","rightInset":"1mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"checkButton","children":[{"_class":"border","children":[{"_class":"edge"},{"_class":"fill"},{"_class":"margin"}]},{"_class":"margin"}],"shape":"round","size":"4.2333mm"}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_35","caption":"No","tabIndex":"1032","dataSom":"xfa[0].datasets[0].data[0].form1[0].Page1[0].RadioButtonList3[0]"},"h":"6mm","name":"No","w":"15.875mm","x":"25.4mm"}],"extras":{"htmlId":"_33","dataId":"42914340","tabIndex":"-1","dataSom":"xfa[0].datasets[0].data[0].form1[0].Page1[0].RadioButtonList3[0]"},"name":"RadioButtonList3","x":"53.181mm","y":"202.406mm"},{"_class":"field","children":[{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Courier New","baselineShift":"0pt","size":"8pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"value","children":[{"_class":"text","_value":"If so, which list?"}]}],"reserve":"32.0231mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1033","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_36","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].TextField14[0]","name":"FS_SOM"},{"_class":"text","_value":"If so, which list?","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].Page1[0].TextField14[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].Page1[0].TextField14[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"42914492","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial"},{"_class":"margin","bottomInset":"1mm","leftInset":"0mm","rightInset":"0mm","topInset":"1mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_36","dataId":"42914492","caption":"If so, which list?","tabIndex":"1033","dataSom":"xfa[0].datasets[0].data[0].form1[0].Page1[0].TextField14[0]"},"h":"9mm","name":"TextField14","w":"177.8mm","y":"211.93mm"},{"_class":"field","children":[{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Courier New","baselineShift":"0pt","size":"8pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"value","children":[{"_class":"text","_value":"Date you were informed of decision being appealed:"}]}],"reserve":"86.1524mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1034","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_37","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].TextField15[0]","name":"FS_SOM"},{"_class":"text","_value":"Date you were informed of decision being appealed:","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].Page1[0].TextField15[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].Page1[0].TextField15[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"42914644","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial"},{"_class":"margin","bottomInset":"1mm","leftInset":"0mm","rightInset":"0mm","topInset":"1mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_37","dataId":"42914644","caption":"Date you were informed of decision being appealed:","tabIndex":"1034","dataSom":"xfa[0].datasets[0].data[0].form1[0].Page1[0].TextField15[0]"},"h":"9mm","name":"TextField15","w":"177.8mm","y":"223.837mm"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_38","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].Text16[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Courier New","baselineShift":"0pt","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"Rev. 5/2022"}]}],"extras":{"htmlId":"_38"},"h":"5.2331mm","name":"Text16","w":"29.2864mm","y":"234.949mm"},{"_class":"instanceManager","name":"_hiddenSubform"},{"_class":"subform","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_hdn_1","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].hiddenSubform[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].Page1[0].hiddenSubform[0]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"occur"},{"_class":"field","children":[{"_class":"border","children":[{"_class":"edge","children":[{"_class":"color"}],"stroke":"raised"},{"_class":"fill","children":[{"_class":"color","value":"212,208,200"},{"_class":"solid"}]},{"_class":"margin"}],"hand":"right"},{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Times New Roman","weight":"bold"},{"_class":"margin"},{"_class":"para","hAlign":"center","vAlign":"middle"},{"_class":"value","children":[{"_class":"text","_value":"Save PDF"}]}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1000","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_hdn_2","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].hiddenSubform[0].savePDFBtn[0]","name":"FS_SOM"},{"_class":"text","_value":"Save PDF","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"$","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].Page1[0].hiddenSubform[0].savePDFBtn[0]","name":"FS_TEMPLATE_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","typeface":"Times New Roman"},{"_class":"ui","children":[{"_class":"button","highlight":"inverted"}]},{"_class":"bind","match":"none"},{"_class":"value","children":[{"_class":"text"}]},{"_class":"event","children":[{"_class":"submit","format":"xml","target":"http://ustlgacsd0190:8080/rest/services/CivilServiceCommission/Processes/generateInteractiveForm","textEncoding":"UTF-8"}],"activity":"click","name":"event__click"}],"extras":{"htmlId":"_hdn_2","caption":"Save PDF","tabIndex":"1000","dataSom":"$"},"h":"6mm","name":"savePDFBtn","w":"28.575mm","y":"0mm"},{"_class":"field","children":[{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Myriad Pro"},{"_class":"margin"},{"_class":"para","vAlign":"middle"},{"_class":"value","children":[{"_class":"text","_value":"formType"}]}],"reserve":"16.117mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1002","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_hdn_3","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].hiddenSubform[0].formType[0]","name":"FS_SOM"},{"_class":"text","_value":"formType","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].Page1[0].hiddenSubform[0].formType[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].Page1[0].hiddenSubform[0].formType[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"42914796","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Myriad Pro"},{"_class":"margin","bottomInset":"0mm","leftInset":"0mm","rightInset":"0mm","topInset":"0mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"edge","children":[{"_class":"color"}],"stroke":"lowered"},{"_class":"edge","children":[{"_class":"color"}],"stroke":"lowered"},{"_class":"edge","children":[{"_class":"color"}],"stroke":"lowered"},{"_class":"edge","children":[{"_class":"color"}],"stroke":"lowered"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"8"}]}],"extras":{"htmlId":"_hdn_3","dataId":"42914796","caption":"formType","tabIndex":"1002","dataSom":"xfa[0].datasets[0].data[0].form1[0].Page1[0].hiddenSubform[0].formType[0]"},"h":"6.35mm","name":"formType","w":"23.813mm","x":"32.544mm"},{"_class":"field","children":[{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Myriad Pro"},{"_class":"margin"},{"_class":"para","vAlign":"middle"},{"_class":"value","children":[{"_class":"text","_value":"formTypeName"}]}],"reserve":"23.9646mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1003","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_hdn_4","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].hiddenSubform[0].formTypeName[0]","name":"FS_SOM"},{"_class":"text","_value":"formTypeName","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].Page1[0].hiddenSubform[0].formTypeName[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].Page1[0].hiddenSubform[0].formTypeName[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"42915252","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Myriad Pro"},{"_class":"margin","bottomInset":"0mm","leftInset":"0mm","rightInset":"0mm","topInset":"0mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"edge","children":[{"_class":"color"}],"stroke":"lowered"},{"_class":"edge","children":[{"_class":"color"}],"stroke":"lowered"},{"_class":"edge","children":[{"_class":"color"}],"stroke":"lowered"},{"_class":"edge","children":[{"_class":"color"}],"stroke":"lowered"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"Petition to Appeal Form"}]}],"extras":{"htmlId":"_hdn_4","dataId":"42915252","caption":"formTypeName","tabIndex":"1003","dataSom":"xfa[0].datasets[0].data[0].form1[0].Page1[0].hiddenSubform[0].formTypeName[0]"},"h":"6.35mm","name":"formTypeName","w":"78.581mm","x":"64.294mm"},{"_class":"field","children":[{"_class":"border","children":[{"_class":"edge","children":[{"_class":"color"}],"stroke":"raised"},{"_class":"fill","children":[{"_class":"color","value":"212,208,200"},{"_class":"solid"}]},{"_class":"margin"}],"hand":"right"},{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Times New Roman","weight":"bold"},{"_class":"margin"},{"_class":"para","hAlign":"center","vAlign":"middle"},{"_class":"value","children":[{"_class":"text","_value":"Get Flat PDF"}]}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1001","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_hdn_5","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].hiddenSubform[0].getFlatPDFBtn[0]","name":"FS_SOM"},{"_class":"text","_value":"Get Flat PDF","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"$","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].Page1[0].hiddenSubform[0].getFlatPDFBtn[0]","name":"FS_TEMPLATE_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","typeface":"Times New Roman"},{"_class":"ui","children":[{"_class":"button","highlight":"inverted"}]},{"_class":"bind","match":"none"},{"_class":"value","children":[{"_class":"text"}]},{"_class":"event","children":[{"_class":"submit","format":"xml","target":"http://ustlgacsd0191:8080/rest/services/CivilServiceCommission/Processes/generateFlattenedForm","textEncoding":"UTF-8"}],"activity":"click","name":"event__click"}],"extras":{"htmlId":"_hdn_5","caption":"Get Flat PDF","tabIndex":"1001","dataSom":"$"},"h":"6mm","name":"getFlatPDFBtn","w":"28.575mm"}],"extras":{"htmlId":"_hdn_1","tabIndex":"-1","dataSom":"xfa[0].datasets[0].data[0].form1[0].Page1[0].hiddenSubform[0]"},"presence":"hidden","name":"hiddenSubform","w":"177.8mm"},{"_class":"breakBefore","target":"Page1.ContentArea1","targetType":"contentArea"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_39","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page1[0].Text5[1]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Courier New","baselineShift":"0pt","size":"8pt","weight":"bold"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0mm","topInset":"0.5mm"},{"_class":"para","hAlign":"justify","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"Note: Do not use your browser back button after clicking on either the \"Save Editable PDF\" or \"Save Non-Editable PDF\" buttons at the end of the form. Use of the browser back button may result in loss of data. "}]}],"extras":{"htmlId":"_39"},"h":"7.62mm","name":"Text5","w":"6.987486in","y":"23.019mm"}],"extras":{"htmlId":"_2","tabIndex":"-1","dataSom":"xfa[0].datasets[0].data[0].form1[0].Page1[0]"},"h":"241.3mm","name":"Page1","w":"7in"},{"_class":"instanceManager","name":"_Page2"},{"_class":"subform","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_40","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page2[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].Page2[0]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"occur"},{"_class":"breakBefore"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_41","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page2[0].Text18[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Courier New","baselineShift":"0pt","size":"8pt","weight":"bold"},{"_class":"margin","bottomInset":"0mm","leftInset":"0mm","rightInset":"0mm","topInset":"0mm"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"exData","_value":"

The fields below will expand to accommodate text.  After typing, click off the field to view entire text. 

","contentType":"text/html"}]}],"extras":{"htmlId":"_41"},"h":"9.525mm","name":"Text18","w":"177.8mm"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_42","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page2[0].Text6[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Courier New","baselineShift":"0pt","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0mm","rightInset":"0mm","topInset":"0.5mm"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"Specify Charter Section(s) or Civil Service Rule(s) violated:"}]}],"extras":{"htmlId":"_42"},"h":"5.2331mm","name":"Text6","w":"177.8mm"},{"_class":"field","children":[{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Myriad Pro","size":"12pt"},{"_class":"margin"},{"_class":"para","vAlign":"middle"},{"_class":"value","children":[{"_class":"text"}]}],"reserve":"0.01in"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1038","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_43","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page2[0].TextField16[0]","name":"FS_SOM"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].Page2[0].TextField16[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].Page2[0].TextField16[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"42915708","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial"},{"_class":"margin","bottomInset":"1mm","leftInset":"0mm","rightInset":"0mm","topInset":"1mm"},{"_class":"para"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"margin"}],"presence":"hidden"},{"_class":"margin"}],"multiLine":"1"}]},{"_class":"value","children":[{"_class":"exData","contentType":"text/html"}]}],"extras":{"htmlId":"_43","dataId":"42915708","tabIndex":"1038","dataSom":"xfa[0].datasets[0].data[0].form1[0].Page2[0].TextField16[0]"},"minH":"30.48mm","name":"TextField16","w":"177.8mm"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_44","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page2[0].Text11[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Myriad Pro"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_44"},"h":"5.2331mm","name":"Text11","w":"29.2864mm"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_45","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page2[0].Text7[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Courier New","baselineShift":"0pt","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0mm","rightInset":"0mm","topInset":"0.5mm"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"1. What occurred? Give specific facts, dates, and reasons for this appeal."}]}],"extras":{"htmlId":"_45"},"minH":"5.233mm","name":"Text7","w":"177.8mm"},{"_class":"field","children":[{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Myriad Pro","size":"12pt"},{"_class":"margin"},{"_class":"para","vAlign":"middle"},{"_class":"value","children":[{"_class":"text"}]}],"reserve":"0.01in"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1041","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_46","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page2[0].TextField17[0]","name":"FS_SOM"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].Page2[0].TextField17[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].Page2[0].TextField17[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"42915860","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial"},{"_class":"margin","bottomInset":"1mm","leftInset":"0mm","rightInset":"0mm","topInset":"1mm"},{"_class":"para"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"margin"}],"presence":"hidden"},{"_class":"margin"}],"multiLine":"1"}]},{"_class":"value","children":[{"_class":"exData","contentType":"text/html"}]}],"extras":{"htmlId":"_46","dataId":"42915860","tabIndex":"1041","dataSom":"xfa[0].datasets[0].data[0].form1[0].Page2[0].TextField17[0]"},"minH":"30.48mm","name":"TextField17","w":"177.8mm"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_47","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page2[0].Text12[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Myriad Pro"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_47"},"h":"5.2331mm","name":"Text12","w":"29.2864mm"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_48","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page2[0].Text8[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Courier New","baselineShift":"0pt","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0mm","rightInset":"0mm","topInset":"0.5mm"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"2. In what way has this harmed you?"}]}],"extras":{"htmlId":"_48"},"h":"5.2331mm","name":"Text8","w":"177.8mm"},{"_class":"field","children":[{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Myriad Pro","size":"12pt"},{"_class":"margin"},{"_class":"para","vAlign":"middle"},{"_class":"value","children":[{"_class":"text"}]}],"reserve":"0.01in"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1044","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_49","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page2[0].TextField18[0]","name":"FS_SOM"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].Page2[0].TextField18[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].Page2[0].TextField18[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"42916012","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial"},{"_class":"margin","bottomInset":"1mm","leftInset":"0mm","rightInset":"0mm","topInset":"1mm"},{"_class":"para"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"margin"}],"presence":"hidden"},{"_class":"margin"}],"multiLine":"1"}]},{"_class":"value","children":[{"_class":"exData","contentType":"text/html"}]}],"extras":{"htmlId":"_49","dataId":"42916012","tabIndex":"1044","dataSom":"xfa[0].datasets[0].data[0].form1[0].Page2[0].TextField18[0]"},"minH":"30.48mm","name":"TextField18","w":"177.8mm"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_50","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page2[0].Text13[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Myriad Pro"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_50"},"h":"5.2331mm","name":"Text13","w":"29.2864mm"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_51","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page2[0].Text9[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Courier New","baselineShift":"0pt","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0mm","rightInset":"0mm","topInset":"0.5mm"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text","_value":"3. What remedy, within the authority of the Civil Service Commission, do you seek?"}]}],"extras":{"htmlId":"_51"},"h":"5.232mm","name":"Text9","w":"177.8mm"},{"_class":"field","children":[{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Myriad Pro","size":"12pt"},{"_class":"margin"},{"_class":"para","vAlign":"middle"},{"_class":"value","children":[{"_class":"text"}]}],"reserve":"0.01in"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1047","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_52","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page2[0].TextField19[0]","name":"FS_SOM"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].Page2[0].TextField19[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].Page2[0].TextField19[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"42916164","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial"},{"_class":"margin","bottomInset":"1mm","leftInset":"0mm","rightInset":"0mm","topInset":"1mm"},{"_class":"para"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"margin"}],"presence":"hidden"},{"_class":"margin"}],"multiLine":"1"}]},{"_class":"value","children":[{"_class":"exData","contentType":"text/html"}]}],"extras":{"htmlId":"_52","dataId":"42916164","tabIndex":"1047","dataSom":"xfa[0].datasets[0].data[0].form1[0].Page2[0].TextField19[0]"},"minH":"30.48mm","name":"TextField19","w":"177.8mm"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_53","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page2[0].Text14[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Myriad Pro"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_53"},"h":"5.2331mm","name":"Text14","w":"29.2864mm"},{"_class":"field","children":[{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Courier New","baselineShift":"0pt","size":"8pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"value","children":[{"_class":"text","_value":"Dated:"}]}],"reserve":"11.3615mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1049","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_54","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page2[0].TextField20[0]","name":"FS_SOM"},{"_class":"text","_value":"Dated:","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].Page2[0].TextField20[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].Page2[0].TextField20[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"42916316","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial"},{"_class":"margin","bottomInset":"1mm","leftInset":"0mm","rightInset":"0mm","topInset":"1mm"},{"_class":"para","vAlign":"middle"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"corner"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_54","dataId":"42916316","caption":"Dated:","tabIndex":"1049","dataSom":"xfa[0].datasets[0].data[0].form1[0].Page2[0].TextField20[0]"},"h":"9mm","name":"TextField20","w":"70.644mm"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_55","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page2[0].Text19[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Myriad Pro"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_55"},"h":"2.286mm","name":"Text19","w":"29.2864mm"},{"_class":"instanceManager","name":"_subButtons"},{"_class":"subform","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_56","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page2[0].subButtons[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].form1[0].Page2[0].subButtons[0]","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"occur"},{"_class":"instanceManager","name":"_"},{"_class":"subform","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_57","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page2[0].subButtons[0].#subform[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"$","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"occur"}],"extras":{"htmlId":"_57","tabIndex":"-1","dataSom":"$"},"w":"95.25mm","y":"0.003mm"},{"_class":"instanceManager","name":"_"},{"_class":"subform","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_58","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page2[0].subButtons[0].#subform[1]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"$","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"occur"},{"_class":"field","children":[{"_class":"border","children":[{"_class":"edge","children":[{"_class":"color"}],"stroke":"raised"},{"_class":"fill","children":[{"_class":"color","value":"212,208,200"},{"_class":"solid"}]},{"_class":"margin"}],"hand":"right"},{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Myriad Pro"},{"_class":"margin"},{"_class":"para","hAlign":"center","vAlign":"middle"},{"_class":"value","children":[{"_class":"text","_value":"Save Editable PDF"}]}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1051","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_59","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page2[0].subButtons[0].#subform[1].SaveDraftBtn[0]","name":"FS_SOM"},{"_class":"text","_value":"Save Editable PDF","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"$","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].Page2[0].subButtons[0].#subform[1].SaveDraftBtn[0]","name":"FS_TEMPLATE_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","typeface":"Times New Roman"},{"_class":"ui","children":[{"_class":"button","highlight":"inverted"}]},{"_class":"bind","match":"none"},{"_class":"value","children":[{"_class":"text"}]},{"_class":"event","children":[{"_class":"script","_parentClass":"event","_value":"if (xfa.host.name == \"Acrobat\") \n{\n app.execMenuItem(\"SaveAs\");\n} else {\n form1.Page1.hiddenSubform.savePDFBtn.execEvent(\"click\");\n}\n","contentType":"application/x-javascript"}],"activity":"click","name":"event__click"},{"_class":"event","children":[{"_class":"script","_parentClass":"event","_value":"if (xfa.host.name == \"Acrobat\") \n{\n this.assist.toolTip.value = \"Save PDF\";\n this.caption.value.text.value = \"Save PDF\";\n}\n","contentType":"application/x-javascript"}],"activity":"initialize","name":"event__initialize"}],"extras":{"htmlId":"_59","caption":"Save Editable PDF","tabIndex":"1051","dataSom":"$"},"relevant":"-print","h":"5.999mm","name":"SaveDraftBtn","w":"34.132mm","x":"5.556mm"},{"_class":"field","children":[{"_class":"border","children":[{"_class":"edge","children":[{"_class":"color"}],"stroke":"raised"},{"_class":"fill","children":[{"_class":"color","value":"212,208,200"},{"_class":"solid"}]},{"_class":"margin"}],"hand":"right"},{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Myriad Pro"},{"_class":"margin"},{"_class":"para","hAlign":"center","vAlign":"middle"},{"_class":"value","children":[{"_class":"text","_value":"Save Non-Editable PDF"}]}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1052","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_60","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page2[0].subButtons[0].#subform[1].SavePDFCopyBtn[0]","name":"FS_SOM"},{"_class":"text","_value":"Save Non-Editable PDF","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"$","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].form1[0].Page2[0].subButtons[0].#subform[1].SavePDFCopyBtn[0]","name":"FS_TEMPLATE_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","typeface":"Times New Roman"},{"_class":"ui","children":[{"_class":"button","highlight":"inverted"}]},{"_class":"bind","match":"none"},{"_class":"value","children":[{"_class":"text"}]},{"_class":"event","children":[{"_class":"script","_parentClass":"event","_value":"form1.Page1.hiddenSubform.getFlatPDFBtn.execEvent(\"click\");\n","contentType":"application/x-javascript"}],"activity":"click","name":"event__click"}],"extras":{"htmlId":"_60","caption":"Save Non-Editable PDF","tabIndex":"1052","dataSom":"$"},"relevant":"-print","h":"5.999mm","name":"SavePDFCopyBtn","w":"41.275mm","x":"41.275mm","y":"0.001mm"}],"extras":{"htmlId":"_58","tabIndex":"-1","dataSom":"$"},"w":"82.458mm","x":"95.25mm","y":"0.002mm"}],"extras":{"htmlId":"_56","tabIndex":"-1","dataSom":"xfa[0].datasets[0].data[0].form1[0].Page2[0].subButtons[0]"},"name":"subButtons","w":"177.8mm"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_61","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page2[0].Text17[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Myriad Pro"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0.5mm","rightInset":"0.5mm","topInset":"0.5mm"},{"_class":"para"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"text"}]}],"extras":{"htmlId":"_61"},"h":"2.286mm","name":"Text17","w":"29.2864mm"},{"_class":"draw","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_62","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].form1[0].Page2[0].Text10[0]","name":"FS_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Courier New","baselineShift":"0pt","size":"8pt"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"0mm","rightInset":"0mm","topInset":"0.5mm"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt"},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"margin"}]}]},{"_class":"value","children":[{"_class":"exData","_value":"

Send completed form to:

Civil Service Commission

1600 Pacific Highway, Room 458

San Diego, CA 92101



Interoffice Mail: A-209

E-mail: CivilService.FGG@sdcounty.ca.gov

","contentType":"text/html"}]}],"extras":{"htmlId":"_62"},"h":"30.334mm","name":"Text10","w":"177.8mm"}],"extras":{"htmlId":"_40","tabIndex":"-1","dataSom":"xfa[0].datasets[0].data[0].form1[0].Page2[0]"},"layout":"tb","name":"Page2","w":"177.8mm"},{"_class":"pageSet","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"xfa[0].form[0].form1[0]._pageSet[0]_1","name":"FS_ID"}],"name":"FS_EXTRAS"}]},{"_class":"occur"},{"_class":"pageArea","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"xfa[0].form[0].form1[0]._pageSet[0].Page1[0]_1","name":"FS_ID"}],"name":"FS_EXTRAS"}]},{"_class":"medium","long":"11in","short":"8.5in","stock":"letter"},{"_class":"occur"},{"_class":"contentArea","h":"241.3mm","id":"ContentArea1_ID","name":"ContentArea1","w":"177.8mm","x":"15.875mm","y":"6.35mm"}],"extras":{"htmlId":"xfa[0].form[0].form1[0]._pageSet[0].Page1[0]_1"},"id":"Page1","name":"Page1"},{"_class":"pageArea","children":[{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"xfa[0].form[0].form1[0]._pageSet[0].Page1[1]_1","name":"FS_ID"}],"name":"FS_EXTRAS"}]},{"_class":"medium","long":"11in","short":"8.5in","stock":"letter"},{"_class":"occur"},{"_class":"contentArea","h":"241.3mm","id":"ContentArea1_ID","name":"ContentArea1","w":"177.8mm","x":"15.875mm","y":"6.35mm"}],"extras":{"htmlId":"xfa[0].form[0].form1[0]._pageSet[0].Page1[1]_1"},"id":"Page1","name":"Page1"}],"extras":{"htmlId":"xfa[0].form[0].form1[0]._pageSet[0]_1"}}],"extras":{"htmlId":"_1","tabIndex":"-1","dataSom":"xfa[0].datasets[0].data[0].form1[0]"},"layout":"tb","locale":"en_US","name":"form1","restoreState":"auto"}],"extras":{"htmlId":"xfaFormNode"}}]}, null, {"_class":"localeSet","locales":{"en_US":{"calendarSymbols":{"monthNames":["January","February","March","April","May","June","July","August","September","October","November","December"],"abbrmonthNames":["Jan","Feb","Mar","Apr","May","Jun","Jul","Aug","Sep","Oct","Nov","Dec"],"dayNames":["Sunday","Monday","Tuesday","Wednesday","Thursday","Friday","Saturday"],"abbrdayNames":["Sun","Mon","Tue","Wed","Thu","Fri","Sat"],"meridiemNames":["AM","PM"],"eraNames":["BC","AD"]},"datePatterns":{"full":"EEEE, MMMM D, YYYY","long":"MMMM D, YYYY","med":"MMM D, YYYY","short":"M/D/YY"},"timePatterns":{"full":"h:MM:SS A Z","long":"h:MM:SS A Z","med":"h:MM:SS A","short":"h:MM A"},"dateTimeSymbols":"GyMdkHmsSEDFwWahKzZ","numberPatterns":{"numeric":"z,zz9.zzz","currency":"$z,zz9.99|($z,zz9.99)","percent":"z,zz9%"},"numberSymbols":{"decimal":".","grouping":",","percent":"%","minus":"-","zero":"0"},"currencySymbols":{"symbol":"$","isoname":"USD","decimal":"."},"typefaces":{}}}}, {"template":"Petition_Form_TNR8.xdp","contentRoot":"repository:///Applications/CivilServiceCommission/1.0/Forms","mfAllowAttachments":null}, null);