<commit_before><commit_msg>Adding the Submit a request page<commit_after>{% set initiative = get_document("initiative", "submit-a-request") %}
{% set path = "/initiatives/" + initiative.slug %}

{% extends "layout-side-nav.html" %}
{% import "_vars-initiatives.html" as vars with context %}
{% set active_nav_id = initiative.slug %}

{% block title -%}
    {{ initiative.title | safe if initiative.title }}
{%- endblock %}

{% block content_main_modifiers -%}
    {{ super() }} content__flush-bottom
{%- endblock %}

{% block content_main %}

    {% if initiative.title %}
        <h1>{{ initiative.title | safe }}</h1>
    {% endif %}

    {% if initiative.content %}
    <section class="initiative_description block block__flush-top">
        {{ initiative.content | safe }}
    </section>
    {% endif %}

    <!-- Start Custom Module. -->
    <section class="block">
        <p class="h4">Enter your information to auto-generate a FOIA request letter</p>
        <form>
            <div class="form-l">

                <label class="form-label-header form-l_col form-l_col-1-3" for="foia-request_first-name">
                    First Name
                </label>
                <div class="form-l_col form-l_col-2-3">
                    <input type="text"
                           class="form-group_item input__long"
                           placeholder="Requestor's First Name"
                           id="foia-request_first-name">
                    </input>
                </div>



                <label class="form-label-header form-l_col form-l_col-1-3" for="foia-request_last-name">
                    Last Name
                </label>
                <div class="form-l_col form-l_col-2-3">
                    <input type="text"
                           class="input__long"
                           placeholder="Requestor's Last Name"
                           id="foia-request_last-name">
                    </input>
                </div>

                <label class="form-label-header form-l_col form-l_col-1-3" for="foia-request_request-desc">
                    Request description
                    <div class="short-description">
                        Identify documents information as specifically as possible
                    </div>
                </label>
                <div class="form-l_col form-l_col-2-3">
                    <textarea
                           class="input__long"
                           id="foia-request_request-desc">
                    </textarea>
                </div>

                <label class="form-label-header form-l_col form-l_col-1-3" for="foia-request_request-fee">
                    Request Fee
                </label>
                <div class="form-l_col form-l_col-2-3">
                    <select class="custom-select custom-select_select"
                            data-placeholder="Select the FOIA request category"
                            id="foia-request_request-fee">
                        <option value="Commercial">Commercial</option>
                        <option value="Media">Media</option>
                        <option value="Others">Others</option>
                    </select>
                </div>

                <label class="form-label-header
                              form-l_col
                              form-l_col-1-3"
                       for="foia-request_request-fee-waiver">
                    Request fee waiver
                </label>
                <div class="form-l_col form-l_col-2-3">
                    <fieldset class="u-b0">
                        <label class="form-l_col-1-2">
                            <input type="radio">
                            No
                        </label>
                        <label class="form-l_col-1-2">
                            <input type="radio">
                            Yes
                        </label>
                    </fieldset>
                </div>

                <label class="form-label-header
                              form-l_col
                              form-l_col-1-3"
                       for="foia-request_expedite">
                    Expedite treatment
                </label>
                <div class="form-l_col form-l_col-2-3">
                    <fieldset class="u-b0">
                        <label class="form-l_col-1-2">
                            <input type="radio">
                            No
                        </label>
                        <label class="form-l_col-1-2">
                            <input type="radio">
                            Yes
                        </label>
                    </fieldset>
                </div>

                <label class="form-label-header
                              form-l_col
                              form-l_col-1-3"
                       for="foia-request_response-method">
                    Response method
                </label>
                <div class="form-l_col form-l_col-2-3">
                    <fieldset class="u-b0">
                        <label class="form-l_col-1-3">
                            <input type="radio">
                            Email
                        </label>
                        <label class="form-l_col-1-3">
                            <input type="radio">
                            Mail
                        </label>
                        <label class="form-l_col-1-3">
                            <input type="radio">
                            Fax
                        </label>
                    </fieldset>
                </div>



                <div class="form-actions form-actions__right-on-med ">
                    <input class="btn form-actions_item" type="submit" value="Generate FOIA PDF"></input>
                    <a href="#" class="pdf form-actions_item">Sample Letter</a>
                </div>

            </div>
        </form>
        <div class="block">
            <p>You may send your request by email or mail at the following address:</p>
            <p>More information about how to submit a request, consult with FOIA and Privacy Act request guidebook</p>
        </div>
    </section>
    <!-- End Custom Module. -->

{% endblock %}
{'fraction_non_alphanumeric': 0.11273652408968039, 'fraction_numerical': 0.00763237398632533, 'mean_word_length': 1.0535422788116227, 'pattern_counts': {'":': 0, '<': 100, '<?xml version=': 0, '>': 100, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
{'dir': 'git-commits-cleaned', 'id': '5511986', 'n_tokens_mistral': 1657, 'n_tokens_neox': 1525, 'n_words': 312}