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Notification of a new claim or expected repeat claim complete with dy…
…namic values and change option with pre-selected radios depending on session value
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ricky saunders
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Sep 24, 2023
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58 changes: 58 additions & 0 deletions
58
app/views/v1/1-pre-examination/notification-new-or-expected-claim.html
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{% extends "layout.html" %} | ||
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{% block main %} | ||
{% block beforeContent %} | ||
<div class="govuk-width-container"> | ||
<nav class="govuk-!-display-none-print"> | ||
{{govukBackLink({ | ||
text: "Back", | ||
"href": "javascript: window.history.go(-1)" | ||
})}} | ||
<a href="ukef-tiles.html" class="govuk-link govuk-link--no-visited-state govuk-!-margin-top-3 govuk-!-margin-bottom-3 float-right"> | ||
</a> | ||
</nav> | ||
{% endblock %} | ||
<div class="govuk-grid-row"> | ||
<div class="govuk-grid-column-full"> | ||
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<h1 class="govuk-heading-xl govuk-!-margin-bottom-4" style="margin-left:10px;"> | ||
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Is there an notification of a new claim or is it an expected repeat claim? | ||
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</h1><br /> | ||
</div> | ||
<div class="govuk-grid-column-two-thirds"> | ||
<form method="post"> | ||
<div class="govuk-form-group"> | ||
<fieldset class="govuk-fieldset" aria-describedby="changed-name-hint"> | ||
<legend class="govuk-fieldset__legend govuk-fieldset__legend--l"> | ||
<h1 class="govuk-fieldset__heading"> | ||
</h1> | ||
</legend> | ||
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<div class="govuk-radios" data-module="govuk-radios"> | ||
<div class="govuk-radios__item"> | ||
<input class="govuk-radios__input" id="changed-name" name="claimNotificationorExpectedRepeat" {% if data.claimNotificationorExpectedRepeat=='Notification of a new claim'%} checked='checked' {% endif %} type="radio" value="Notification of a new claim"> | ||
<label class="govuk-label govuk-radios__label" for="changed-name"> | ||
Notification of a new claim | ||
</label> | ||
</div> | ||
<div class="govuk-radios__item"> | ||
<input class="govuk-radios__input" id="changed-name-2" name="claimNotificationorExpectedRepeat" {% if data.claimNotificationorExpectedRepeat=='Expected repeat claim'%} checked='checked' {% endif %} type="radio" value="Expected repeat claim"> | ||
<label class="govuk-label govuk-radios__label" for="changed-name-2"> | ||
An expected repeat claim | ||
</label> | ||
</div> | ||
</div> | ||
</fieldset> | ||
</div> | ||
<button class="govuk-button" data-module="govuk-button"> | ||
Confirm | ||
</button> | ||
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<!-- <input type="hidden" name="cancelClaimCreation" value="false">--> | ||
</form> | ||
</div> | ||
</div> | ||
</div> | ||
{% endblock %} |
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