{"id":519,"date":"2021-10-06T20:57:50","date_gmt":"2021-10-06T20:57:50","guid":{"rendered":"http:\/\/gpswp.com\/federalbenefitsadvice-2\/?page_id=519"},"modified":"2021-10-06T20:57:50","modified_gmt":"2021-10-06T20:57:50","slug":"request-a-federal-benefits-analysis-report","status":"publish","type":"page","link":"https:\/\/gpswp.com\/federalbenefitsadvice-2\/request-a-federal-benefits-analysis-report\/","title":{"rendered":"Request a Federal Benefits Analysis Report"},"content":{"rendered":"\n<p>Fill out the form below to request a Free Federal Benefits Analysis Report<br><form id=\"fedBenReport\" class=\"gpswp-va-form\" method=\"post\">\n\t<input type=\"hidden\" name=\"InquiryType\" value=\"1\">\n\t<div class=\"row\">\n\t\t<div class=\"col-md-6\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<label for=\"FirstName\">First Name (Full) *<\/label>\n\t\t\t\t<input type=\"text\" name=\"FirstName\" class=\"form-control\">\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<label for=\"LastName\">Last Name *<\/label>\n\t\t\t\t<input type=\"text\" name=\"LastName\" class=\"form-control\">\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"row\">\n\t\t<div class=\"col-md-6\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<label for=\"PreferredName\">Preferred Name *<\/label>\n\t\t\t\t<input type=\"text\" name=\"PreferredName\" class=\"form-control\">\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<label for=\"ZipCode\">Zip Code *<\/label>\n\t\t\t\t<input type=\"text\" name=\"ZipCode\" class=\"form-control\">\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"row\">\n\t\t<div class=\"col-md-8\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<label>Email *<\/label>\n\t\t\t\t<div class=\"input-group\">\n\t\t\t\t\t<div class=\"input-group-btn\">\n\t\t\t\t\t\t<button type=\"button\" class=\"btn btn-default dropdown-toggle\" data-toggle=\"dropdown\"><span class=\"select-display\">Personal<\/span> <span class=\"caret\"><\/span><\/button>\n\t\t\t\t\t\t<ul class=\"dropdown-menu\" role=\"menu\">\n\t\t\t\t\t\t\t<li><a href=\"#\" data-value=\"2\">Personal<\/a><\/li>\n\t\t\t\t\t\t\t<li><a href=\"#\" data-value=\"1\">Business<\/a><\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<input type=\"hidden\" class=\"input-group-select-val\" name=\"EmailType\" value=\"2\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type=\"text\" name=\"Email\" class=\"form-control\">\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<label>Phone Number<\/label>\n\t\t\t\t<div class=\"input-group\">\n\t\t\t\t\t<div class=\"input-group-btn\">\n\t\t\t\t\t\t<button type=\"button\" class=\"btn btn-default dropdown-toggle\" data-toggle=\"dropdown\"><span class=\"select-display\">Mobile<\/span> <span class=\"caret\"><\/span><\/button>\n\t\t\t\t\t\t<ul class=\"dropdown-menu\" role=\"menu\">\n\t\t\t\t\t\t\t<li><a href=\"#\" data-value=\"2\">Mobile<\/a><\/li>\n\t\t\t\t\t\t\t<li><a href=\"#\" data-value=\"1\">Home<\/a><\/li>\n\t\t\t\t\t\t\t<li><a href=\"#\" data-value=\"3\">Business<\/a><\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<input type=\"hidden\" class=\"input-group-select-val\" name=\"PhoneNumberType\" value=\"2\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type=\"text\" name=\"PhoneNumber\" class=\"form-control\">\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-4\">\n\t\t\t<div class=\"form-group\">\n\t\t\t\t<div data-site-key=\"6Ldb3CMTAAAAAONkDMXQeeycFT1tKFMB2q4_E0wj\"><\/div>\n\t\t\t\t<input type=\"hidden\" name=\"RecaptchaSiteKey\" value=\"6Ldb3CMTAAAAAONkDMXQeeycFT1tKFMB2q4_E0wj\">\n\t\t\t\t<div class=\"g-recaptcha-message\" style=\"display: none\">\n\t\t\t\t\t<span style=\"color: red; font-size: .875em;\">Please check the box above.<\/span>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\n\t\n\t<div class=\"form-group\">\n\t\t<div class=\"sending-message\" style=\"display: none\">\n\t\t\t<p>&nbsp;<\/p>\n\t\t\t<p>\n\t\t\t\tSending email ... \n\t\t\t\t<svg height=\"18px\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 24 30\" style=\"vertical-align: middle\">\n\t                <rect x=\"0\" y=\"13\" width=\"4\" height=\"5\" fill=\"#333\">\n\t                    <animate attributeName=\"height\" values=\"5;21;5\" begin=\"0s\" dur=\"0.6s\" repeatCount=\"indefinite\"><\/animate>\n\t                    <animate attributeName=\"y\" values=\"13; 5; 13\" begin=\"0s\" dur=\"0.6s\" repeatCount=\"indefinite\"><\/animate>\n\t                <\/rect>\n\t                <rect x=\"10\" y=\"13\" width=\"4\" height=\"5\" fill=\"#333\">\n\t                    <animate attributeName=\"height\" values=\"5;21;5\" begin=\"0.15s\" dur=\"0.6s\" repeatCount=\"indefinite\"><\/animate>\n\t                    <animate attributeName=\"y\" values=\"13; 5; 13\" begin=\"0.15s\" dur=\"0.6s\" repeatCount=\"indefinite\"><\/animate>\n\t                <\/rect>\n\t                <rect x=\"20\" y=\"13\" width=\"4\" height=\"5\" fill=\"#333\">\n\t                    <animate attributeName=\"height\" values=\"5;21;5\" begin=\"0.3s\" dur=\"0.6s\" repeatCount=\"indefinite\"><\/animate>\n\t                    <animate attributeName=\"y\" values=\"13; 5; 13\" begin=\"0.3s\" dur=\"0.6s\" repeatCount=\"indefinite\"><\/animate>\n\t                <\/rect>\n\t            <\/svg>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<input type=\"submit\" name=\"submit\" value=\"Submit\" class=\"btn btn-primary \" \/>\n\t<\/div>\n\n\t<div class=\"error-message alert alert-danger\" style=\"display: none\"><\/div>\n<\/form>\n\n<script>\njQuery(document).ready(function($) {\n\tvar va_form_fields = {\n\t\tform_id: 'fedBenReport',\n\t\tva_id: '260',\n\t\temail_to: 'vmchadnielsen@gmail.com',\n\t\tinquiry_type: '1'\n\t};\n\n\tvar form = $('#' + va_form_fields.form_id);\n\n\tvar sessionDateSelect = form.find('#SessionDate');\n\tvar locationModal = form.find('#LocationModal')\n\tvar locationSelect = form.find('#Location');\n\n\tsessionDateSelect.on('change', function() {\n\t\tvar selectedOption = $(this).find('option[value=\"' + $(this).val() + '\"]');\n\t\tvar possibleVenues = selectedOption.data('venues').split(',');\n\n\t\t\/\/ Empty out old options\n\t\tlocationSelect.empty();\n\n\t\tif (possibleVenues.length) {\n\t\t\t\/\/ Append new\n\t\t\tfor (var i = 0; i < possibleVenues.length; i++) {\n\t\t\t\tlocationSelect.append('<option value=\"' + possibleVenues[i] + '\">' + possibleVenues[i] + '<\/option>');\n\t\t\t}\n\t\t\tlocationModal.removeClass('hidden');\n\t\t}\n\n\t\tif (possibleVenues.length == 1) {\n\t\t\tlocationModal.addClass('hidden');\n\t\t}\n\t});\n\n\tsessionDateSelect.trigger('change');\n\t\n\n\tform.validate({\n\t\terrorElement: \"span\",\n\t\trules: {\n\t\t\tFirstName: {\n\t\t\t\trequired: true,\n\t\t\t\tminlength: 2\n\t\t\t},\n\t\t\tPreferredName: {\n\t\t\t\trequired: true,\n\t\t\t\tminlength: 2\n\t\t\t},\n\t\t\tLastName: {\n\t\t\t\trequired: true,\n\t\t\t\tminlength: 2\n\t\t\t},\n\t\t\tEmail: {\n\t\t\t\trequired: true,\n\t\t\t\temail: true\n\t\t\t},\n\t\t\tPhoneNumber: {\n\t\t\t\trequired: false,\n\t\t\t\tphoneUS: true\n\t\t\t},\n\t\t\tZipCode: {\n\t\t\t\trequired: true,\n\t\t\t\tzipcodeUS: true\n\t\t\t}\n\t\t},\n\t\tmessages: {\n\t\t\tPhoneNumber: {\n\t\t\t\tphoneUS: \"Please enter your 10 digit US phone number.\"\n\t\t\t},\n\t\t\tZipCode: {\n\t\t\t\trequired: \"Please enter your US zip code.\",\n\t\t\t\tzipcodeUS: \"Please enter your US zip code.\"\n\t\t\t}\n\t\t}\n\t});\n\n\tform.leadify({\n\t\tsiteType: 'premium',\n\t\tvaId: va_form_fields.va_id,\n\t\tinquiryType: va_form_fields.inquiry_type,\n\t\temailTo: va_form_fields.email_to,\n\t\tcaptcha: true,\n\t\tonSubmit: function() {\n\t\t\tvar isValid = form.valid();\n\n\t\t\tcaptchaResponse = grecaptcha.getResponse(grecaptchas[va_form_fields.form_id]);\n\n\t\t\tif (isValid && captchaResponse !== '') {\n\t\t\t\tform.find('.sending-message').show();\n\t\t\t\tform.find('input[type=submit]').prop('disabled', true);\n\t\t\t\tform.find('.g-recaptcha-message').hide();\n\t\t\t\tform.find('.error-message').hide();\n\t\t\t\t\/\/ _gaq.push(['_trackEvent', 'Lead', 'Submit']);\n\t\t\t} else {\n\t\t\t\tform.find('.g-recaptcha-message').show();\n\t\t\t\treturn false;\n\t\t\t}\n\t\t},\n\t\tonSuccess: function(response){\n\t\t\tif (va_form_fields.inquiry_type == 32) {\n\t\t\t\twindow.location.replace(response);\n\t\t\t}\n            else {\n\t\t\t\tform.html('<div class=\"alert alert-success\" role=\"alert\"><p>Thank you for your information. We will reach out to you in a timely manner.<\/p><\/div>');\n\t\t\t}\n\t\t},\n\t\tonError: function(){\n\t\t\tform.find('.sending-message').hide();\n\t\t\tform.find('input[type=submit]').prop('disabled', false);\n\t\t\tform.find('.error-message').text('Houston we have a problem.').show();\n\t\t}\n\t});\n});\n<\/script>\n<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Fill out the form below to request a Free Federal Benefits Analysis Report<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.7.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Request a Federal Benefits Analysis Report - Federal Benefits Advisory Group<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Request a Federal Benefits Analysis Report - Federal Benefits Advisory Group\" \/>\n<meta property=\"og:description\" content=\"Fill out the form below to request a Free Federal Benefits Analysis Report\" \/>\n<meta property=\"og:url\" content=\"https:\/\/gpswp.com\/federalbenefitsadvice-2\/request-a-federal-benefits-analysis-report\/\" \/>\n<meta property=\"og:site_name\" content=\"Federal Benefits Advisory Group\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/gpswp.com\/federalbenefitsadvice-2\/request-a-federal-benefits-analysis-report\/\",\"url\":\"https:\/\/gpswp.com\/federalbenefitsadvice-2\/request-a-federal-benefits-analysis-report\/\",\"name\":\"Request a Federal Benefits Analysis Report - Federal Benefits Advisory Group\",\"isPartOf\":{\"@id\":\"https:\/\/gpswp.com\/federalbenefitsadvice-2\/#website\"},\"datePublished\":\"2021-10-06T20:57:50+00:00\",\"dateModified\":\"2021-10-06T20:57:50+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/gpswp.com\/federalbenefitsadvice-2\/request-a-federal-benefits-analysis-report\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/gpswp.com\/federalbenefitsadvice-2\/request-a-federal-benefits-analysis-report\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/gpswp.com\/federalbenefitsadvice-2\/request-a-federal-benefits-analysis-report\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/gpswp.com\/federalbenefitsadvice-2\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Request a Federal Benefits Analysis Report\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/gpswp.com\/federalbenefitsadvice-2\/#website\",\"url\":\"https:\/\/gpswp.com\/federalbenefitsadvice-2\/\",\"name\":\"Federal Benefits Advisory Group\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/gpswp.com\/federalbenefitsadvice-2\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Request a Federal Benefits Analysis Report - Federal Benefits Advisory Group","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"Request a Federal Benefits Analysis Report - Federal Benefits Advisory Group","og_description":"Fill out the form below to request a Free Federal Benefits Analysis Report","og_url":"https:\/\/gpswp.com\/federalbenefitsadvice-2\/request-a-federal-benefits-analysis-report\/","og_site_name":"Federal Benefits Advisory Group","twitter_card":"summary_large_image","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/gpswp.com\/federalbenefitsadvice-2\/request-a-federal-benefits-analysis-report\/","url":"https:\/\/gpswp.com\/federalbenefitsadvice-2\/request-a-federal-benefits-analysis-report\/","name":"Request a Federal Benefits Analysis Report - Federal Benefits Advisory Group","isPartOf":{"@id":"https:\/\/gpswp.com\/federalbenefitsadvice-2\/#website"},"datePublished":"2021-10-06T20:57:50+00:00","dateModified":"2021-10-06T20:57:50+00:00","breadcrumb":{"@id":"https:\/\/gpswp.com\/federalbenefitsadvice-2\/request-a-federal-benefits-analysis-report\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/gpswp.com\/federalbenefitsadvice-2\/request-a-federal-benefits-analysis-report\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/gpswp.com\/federalbenefitsadvice-2\/request-a-federal-benefits-analysis-report\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/gpswp.com\/federalbenefitsadvice-2\/"},{"@type":"ListItem","position":2,"name":"Request a Federal Benefits Analysis Report"}]},{"@type":"WebSite","@id":"https:\/\/gpswp.com\/federalbenefitsadvice-2\/#website","url":"https:\/\/gpswp.com\/federalbenefitsadvice-2\/","name":"Federal Benefits Advisory Group","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/gpswp.com\/federalbenefitsadvice-2\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"}]}},"_links":{"self":[{"href":"https:\/\/gpswp.com\/federalbenefitsadvice-2\/wp-json\/wp\/v2\/pages\/519"}],"collection":[{"href":"https:\/\/gpswp.com\/federalbenefitsadvice-2\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/gpswp.com\/federalbenefitsadvice-2\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/gpswp.com\/federalbenefitsadvice-2\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/gpswp.com\/federalbenefitsadvice-2\/wp-json\/wp\/v2\/comments?post=519"}],"version-history":[{"count":1,"href":"https:\/\/gpswp.com\/federalbenefitsadvice-2\/wp-json\/wp\/v2\/pages\/519\/revisions"}],"predecessor-version":[{"id":520,"href":"https:\/\/gpswp.com\/federalbenefitsadvice-2\/wp-json\/wp\/v2\/pages\/519\/revisions\/520"}],"wp:attachment":[{"href":"https:\/\/gpswp.com\/federalbenefitsadvice-2\/wp-json\/wp\/v2\/media?parent=519"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}