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index.html
executable file
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index.html
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{% extends "transit_subsidy/base.html" %}
{% block "title" %}Transit Subsidy Request{% endblock %}
{% block "page_css" %}
<link type="text/css" href="{{STATIC_URL}}css/smoothness/jquery-ui-1.8.16.custom.css" rel="stylesheet" />
<link type="text/css" href="{{STATIC_URL}}css/colorbox.css" rel="stylesheet" />
<link type="text/css" href="{{STATIC_URL}}css/transit_subsidy.css" rel="stylesheet" />
{% endblock %}
{% block "page_js" %}
<script type="text/javascript" src="{{STATIC_URL}}js/jquery-1.6.2.min.js"></script>
<script type="text/javascript" src="{{STATIC_URL}}js/jquery-ui-1.8.16.custom.min.js"></script>
<script type="text/javascript" src="{{STATIC_URL}}js/jquery.validate.js"></script>
<script type="text/javascript" src="{{STATIC_URL}}js/additional-methods.min.js"></script>
<script type="text/javascript" src="{{STATIC_URL}}js/jquery.colorbox-min.js"></script>
<script type="text/javascript" src="{{STATIC_URL}}js/jquery.infieldlabel.min.js"></script>
<script type="text/javascript" src="{{STATIC_URL}}js/transit_subsidy.js"></script>
{% if returning_user %}
<script>
$(document).ready(function(){
$('#btn_enroll_smartrip').val('Update');
{% if transit.date_withdrawn != None %}
$('#btn_enroll_smartrip').val('Re-enroll');
{% endif %}
var location_id = $('#id_destination option:selected').val();
var city_abbrev = location_id.substr(0,2);
$('#transit_tools').html( '<span style="color: #0c821a;">|</span> Trip planner for: ' + transit_tool_links[city_abbrev] );
//Remove first one: segment-type_1, which is empty. Afterwards, create new
//ones based on previously entered data.
$('#row_1').remove();
_idx = 1;
//Generate dynamic JS from django
{% for mode in modes %}
//Since we deleted #1 start with #2
_idx++;
mode_id = {{mode.mode.id}};
_cost = {{mode.cost}};
add_commuting_segments();
$("#segment-type_" + _idx + " option[value='" + mode_id + "']").attr('selected', 'selected');
//{{mode.mode.id}},{{mode.mode.short_name}}—{{mode.mode.locality}}
$("#segment-amount_" + _idx ).val( parseFloat( '{{mode.cost}}' ) );
$("#segment-amount_" + _idx ).trigger('focus');
{% endfor %}
$("#id_number_of_workdays").val( function(index,value) {
var rad = $("input[name=work_sked]:radio");
//console.log( rad[3].checked = true ) ;
//console.log(value)
switch ( value ) { //input[name=work_sked]:radio
case "21": rad[0].checked = true;
break;
case "19": rad[1].checked = true;
break;
case "17": rad[2].checked = true;
break;
default: rad[3].checked = true;
break;
}
return value;
});
});
</script>
{% endif %}
{% endblock %}
{% block "header" %}
<h1 align="center" style="position:relative;top:-24px;color:green">Transit Subsidy Request</h1>
{% endblock %}
{% block "content" %}
<div id="wrapper" align="center">
{% if form.errors %}
{# In case JavaScript validation fails #}
<div class="error_msg">
<h2>Oops! Please correct these form errors.</h4>
<ol>
{% for field,errors in form.errors.items %}
<strong> <em>{{ field|escape }}</em></strong>
<span style="color:#333"> {{ errors|escape }} </span>
{% endfor %}
</ol>
</div>
{% endif %}
<div id="container" align="center" style="width:960px;border: 0px dotted #eeeeee;">
<div id="success_status" style="border:;text-align:center">
{% if returning_user %}
<span style="color:#333;">Welcome back, {{ user.first_name }}!</span><br/>
<br/>
{% if transit.date_withdrawn != None %}
<p style="color:#666;font-weight:bold;font-size:.85em;text-align:center">
Looks like you withdrew on {{transit.date_withdrawn}} <br />
Need to re-enroll? Just complete the form
below ...
</p>
{% else %}
<p style="color:#888;font-weight: normal;font-size: small;text-align:center">Last updated or enrolled on {{ timestamp }}</p>
<p style="color:#888;font-weight: normal;font-size: small;text-align:center">Need to cancel your enrollment? No problem!
<a href="#" id="id_cancel_enrollment">Cancel my enrollment.</a> You can re-enroll at any time.
</p>
<form style="font-size:.75em;color:#333333;font-weight:normal" name="frm_cancel" id="id_frm_cancel" method="POST" action="/transit/cancel">{% csrf_token %}</form>
{% endif %}
{% endif %}
</div>
<form id="frm_smartrip" name="frm_smartrip" action="/transit/" enctype="www-form-encoded" method="POST">
<table border="1" width="100%">
<tr><td colspan="4" height="1" align="center"><hr size="1" color="#eaeaea" width="100%"/></td></tr>
<tr>
<td align="right" valign="top" width="40%">
<h1 id="about_you_label">About you</h2>
</td>
<td width="10px"> </td>
<td align="left" valign="top">
{% if user.first_name == '' and user.email == '' %}
<div id="sparky" style="padding:2em">
<h2 style="font-size:1.25em;color:darkred">Oops!
You'll need to first create a profile in the <br />
<a href="/register">Staff Directory</a> . <br />
Please do that and then come back, OK?
</h2>
</div>
<div id="help_wrapper" style="visibility: hidden; display: none">
{% else %}
<span style="color:#4d9146;font-weight: bolder;font-size:1.25em">{{ user.first_name }} {{ user.last_name }} </span>
<p>
<span style="color:#222;font-weight: normal;font-size:1em">{{ user.email }}</span>
</p>
{% endif %}
</td>
<td> </td>
</tr>
<tr><td colspan="4" height="1" align="center"><hr size="1" color="#eaeaea" width="100%"/></td></tr>
<tr>
<td align="right" valign="top">
<h1 id="from_destination_label"> Commuting from </h1>
<h1 id="to_destination_label"> To </h1>
<!--[if gte IE 7]>
<style>
/*#to_destination_label {
position:relative;
top: 60px;
}*/
</style>
<![endif]-->
</td>
<td> </td>
<td valign="top" align="left">
<em style="color: #363636;"></em><span id="id_orig_errors"></span><br/>
<span class="form_elem" style="position:relative;top:2">
<label for="id_origin_street" class="infield"> Street </label>
{{ form.origin_street }}
</span><br/>
<span class="form_elem" style="position:relative;top:4;">
<label for="id_origin_city" class="infield"> City </label>
{{ form.origin_city }}
</span>
<span class="form_elem" style="position:relative;top:4">
<label for="id_origin_state" class="infield"> State </label>
{{ form.origin_state }}
</span>
<span class="form_elem" style="postion:relative;top:4">
<label for="id_origin_zip" class="infield"> Zip </label>
{{ form.origin_zip }}
</span>
<br/>
<em style="color: #363636;"> </em><span id="id_destination_error"></span>
<span class="form_elem">
<label for="id_destination" class="infield"></label>
{{ form.destination }}
</span>
<div id="toolz" style="float: left; position: relative; left:0; top:10;">
<a id="ln_estimate_trip" href="#">Try your route with Google Maps</a>
<span id="transit_tools" style="float: none"></span>
</div>
<p> </p>
</td>
<td> </td>
</tr>
<tr><td colspan="4" height="1" align="center"><hr size="1" color="#eee" width="100%"/></td></tr>
<tr>
<td align="right" valign="top">
<h1 id="commuting_segments_label">Commuting segments</h1>
</td>
<td> </td>
<td align="left">
<em style="color: #bbb;"> Select a mode and specify a single <u style="font-weight:bold">ONE-WAY</u> cost.</em>
<span id="id_modes_error"></span>
<table id="commuting_segments" style="">
<tbody></tbody>
<tfoot>
<tr>
<td colspan="2" align="right"> <label>Daily <strong>one-way</strong> total:</label></td>
<td class="totals">
$ <input id="totals" name="totals" value="0" readonly="false" size='4' style="background-color:#eaeaea" />
</td>
<td class="totals-error"></td>
</tr>
</tfoot>
</table>
</td>
<td></td>
</tr>
<tr><td colspan="4" height="1" align="center"><hr size="1" color="#eaeaea" width="100%"/></td></tr>
<tr>
<td align="right"><label for="id_daily_roundtrip_cost">Daily roundtrip cost:</label>
</td>
<td width="1px">$</td>
<td align="left">
{{ form.daily_roundtrip_cost }}
</td>
<td></td>
</tr>
<tr>
<td align="right">Your typical work schedule:</td>
<td> </td>
<td>
<span id="id_work_sked_error"></span><br/>
<label><input type="radio" value="10" name="work_sked" id="id_work_sked"> 10 days per pay period</label><br />
<label><input type="radio" value="9" name="work_sked" id="id_work_sked"> 9 days per pay period</label><br />
<label><input type="radio" value="8" name="work_sked" id="id_work_sked"> 8 days per pay period</label><br />
<label><input type="radio" value="other" name="work_sked" id="id_work_sked"> Other</label>
</td>
<!-- <fieldset><legend></legend></fieldset>
--> </tr>
<tr>
<td align="right"><label for="id_number_of_workdays">Days each month you commute to work:</label></td>
<td> </td>
<td align="left">
<span class="form_elem">
<label for="id_number_of_workdays" class="infield"><!--1 - 31--></label>
{{ form.number_of_workdays }}
</label>
</span>
</td>
<td></td>
</tr>
<tr>
<td align="right"><label for="id_total_commute_cost">Total monthly cost of commute:</label></td>
<td width="1px">$</td>
<td align="left">
{{ form.total_commute_cost }}
</td>
<td></td>
</tr>
<!--
<tr>
<td align="right">Daily parking cost:</td>
<td width="1px"> $ </td>
<td align="left">
<span class="form_elem">
<label for="id_daily_parking_cost"> $ </label>
{{ form.daily_parking_cost }}
</span>
</td>
<td></td>
</tr>
-->
<tr>
<td align="right"><label for="id_amount">Allowable monthly amount you will receive (<a href="{{STATIC_URL}}Transit_Subsidy_Policy.pdf" target="_blank">$125 max</a>):</label></td>
<td width="1px">$</td>
<td align="left">
{{ form.amount }}
</td>
<td></td>
</tr>
<tr>
<td align="right">Smartrip© card number (<a title="Help with Smartrip card numbers" style="font-weight:bold" id="id_help_smartrip" href="#">?</a>):</td>
<td> </td>
<td align="left">
<span class="form_elem" style="position:relative;top:2">
<span class="form_elem">
<label for="id_dc_wmta_smartrip_id" class="infield">DC Metro riders only</label>
{{ form.dc_wmta_smartrip_id }}
</span>
</td>
<td></td>
</tr>
<tr>
<td colspan="3" align="center"><br>
This form will be reviewed for approval prior to being processed as specified in the
<a href="{{STATIC_URL}}Transit_Subsidy_Policy.pdf" target="_blank">Transit Subsidy Policy</a>.
</td>
<td> </td>
</tr>
<tr><td colspan="4" height="1" align="center"><hr size="1" color="#eaeaea" width="100%"/></td></tr>
<tr>
<td align="right"></td>
<td> </td>
<td align="left" style="text-align: left;">
<input class="button" type="button" id="btn_enroll_smartrip" value="Enroll" />
<a style="font-size: smaller;" href="javascript:location.href='/transit'">Reset Form</a>
</td>
<td></td>
</tr>
</table>
{% csrf_token %}
</form>
</div>
</div>
<!-- HTML for Transit Policy -->
<div style="height: 1px; overflow: hidden;">
<div id="tos_wrapper" style="display: none;">
<style>
p,div {
text-align: justify;
}
ul.b , p.tos {padding-left:3em; padding:2em;}
li{list-style-type:disc; padding-left:0em;}
</style>
<div id="tos" align="justify" style="text-align:justify;padding-right:2em">
<h1 align="center">Transit Subsidy Program Applicant Agreement Statement</h1>
<h4 style="color: #A60000;text-align:center;font-weight:bold">Scroll to the bottom to sign the form.</h4>
<p> </p>
<h3>I HEREBY CERTIFY THAT</h3>
<ul class="b">
<li>I WORK FOR THE ORGANIZATION AND
AM NOT LISTED AS A MEMBER OF A FEDERAL COMMUTER VANPOOL
OR CARPOOL.</li><br/>
<li>I AM NOT THE HOLDER OR BENEFICIARY OF ANY OTHER FORM OF
WORKPLACE MOTOR VEHICLE PARKING PERMIT, AND I AM NOT
RECEIVING TRANSPORTATION BENEFITS FROM ANOTHER FEDERAL
OREGANIZATION.</li><br/>
<li>I AM ELIGIBLE FOR A TRANSPORATION SUBSIDY BENEFIT FOR USE ON
A PARTICPATING PUBLIC TRANSPORTATION SYSTEM, AM OBTAINING
THE SUBSIDY FOR MY PERSONAL COMMUTING USE, AND WILL NOT
TRANSFER THE BENEFIT TO ANYONE ELSE.</li><br/>
<li>I HAVE ACCURATELY LISTED THE COMMUTING COST TO AND FROM
MY HOME TO WORK USING PUBLIC TRANSPORTATION.</li><br/>
<li>I ACKNOWLEDGE THAT IT IS MY RESPONSIBILITY TO RETURN ANY
UNUSED TRANSPORTATION SUBSIDY (E.G., SUBSIDY UNUSED DUE TO
LEAVE TAKEN OR SEPARATION).</li><br/>
<li>I UNDERSTAND THAT IT IS MY RESPONSIBILITY TO REPORT ANY
CHANGE OF ADDRESS OR ABSENCES THAT MAY AFFECT MY TRANSIT
BENEFITS.</li>
</ul>
<p class="tos">
THIS CERTIFICATION CONCERNS A MATTER WITHIN THE JURISDICTION OF
AN AGENCY OF THE UNITED STATES AND MAKING A FALSE, FICTITIOUS, OR
FRAUDULENT CERTIFICATION MAY RENDER THE MAKER SUBJECT TO CRIMINAL
PROSECUTION UNDER TITLE 18, UNITED STATES CODE, SECTION 1001, CIVIL
PENALTY ACTION PROVIDING FOR ADMINISTRARTIVE RECOVERIES OF UP TO
$5000 PER VIOLATION, AND/OR DISCPILINARY ACTION UP TO AND INCLUDING
TERMINATION OF EMPLOYMENT
</p>
<p class="tos">
<u>Privacy Act Notice:</u> The Orgaonization is soliciting this information in connection with its employee
transit benefit program. This information is solicited under authority of 5 U.S.C., Sections 301
and 7905. Furnishing the information on this form is voluntary, but failure to do so may result in
disapproval of your request for a public transit subsidy benefit. The purpose of this information
is to facilitate timely processing of your request, to ensure your eligibility, and to prevent misuse
of the funds involved. This information will be matched with lists at other Federal agencies to
ensure that you are not listed as a carpool or vanpool participant or a holder of any other form of
vehicle work site parking permit. </p>
<p> </p>
<div align="center" style="padding-left:20px">
<fieldset style="border:1px ridge #eaeaea;padding: 2em;width:85%;text-align:left">
<legend style="font-weight:bold;padding:4px;"> Complete enrollment by signing this form: </legend>
<p style="margin-bottom: 0.5em;">
<label for="id_last_four_ssn">Last 4 digits of your SSN:</label>
<!-- Don't use django here because we don't want it to auto-populate -->
<input id="id_last_four_ssn" type="text" name="last_four_ssn" maxlength="4" />
</p>
<p style="margin-bottom: 0.5em;">
<label for="id_person_name">Enter your name:</label>
<!-- Don't use django here because we don't want it to auto-populate -->
<input id="id_signature" type="text" name="signature" maxlength="56" />
</p>
<p>
<input class="_button" type="submit" id="btn_agree" value="I agree" />
<input type="button" id="btn_no_agree" name="btn_no_agree" value="I do not agree" onClick="$.colorbox.close()" />
</p>
</fieldset>
</div>
<p> </p>
</div>
</div>
<!--~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Template String. {0} is replaced when built. Select options are also inserted at runtime
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~-->
<textarea style="display:none" id="template">
<tr id="row_{0}" class="segment_row">
<td> </td>
<td class='type' valign="top" style="padding-top:9px">
<label for="segment-type_{0}"><label>
<select name="segment-type_{0}" id="segment-type_{0}" class="seg">
<option value="">Select Mode of Transportation...</option>
</select>
<input type="text" name="segment-other_{0}" id="segment-other_{0}" class="hide other" title="Type the name of the transportation." style="width:284px">
</td>
<td valign="top">
<label for="segment-amount_{0}"> $ <label>
<input size='4' class="segment_amount" id="segment-amount_{0}" name="segment-amount_{0}"/>
</td>
<td> <a href="#" class="add" id="add_{0}">add</a> | <a href="#" id="rm_{0}" class="rm">remove</a> </td>
</tr>
<tr id="subrow_{0}">
<td colspan="4">
<span id="segment-amount_{0}_error"></span>
</td>
</tr>
</textarea>
<!--~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
End Template
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~-->
<!--~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Text for modal dialogs. Could also be external HTML, but needs to be on same domain.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~-->
<!-- HTML for Transit Tools -->
<div id="id_transit_tool_wrapper" style="visibility: hidden;display: none">
<h1>Transit Tools</h1>
<p>
You can use Google to help plan your commute! Enter your home address,
select your work location, and then click here: <a id="ln_estimate_trip" href="#">Route With Google Transit</a>
<br><br>
If you want to estimate the cost of your commute, select your work location above and click here:
<div id="transit_tools"></div>
</p>
</div>
<!-- HTML For Help-->
<div id="example_wrapper" style="visibility: hidden; display: none">
<div id="id_examples">
<h1 align="center">Route Examples</h1>
<p style="font-size:1.25em;">》 Alexandria Dash Bus to Braddock Metro to Farragut West</p>
<p style="font-size:1.25em">》 Eerie Bus from Ellicot City to 18th St and M St NW</p>
<p> </p><br>
</div>
</div>
<!-- HTML For Help-->
<div id="help_wrapper" style="visibility: hidden; display: none">
<div id=id_help>
<h1 align="center">Instructions</h1>
<p>
Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et
dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex
ea <b> consequat</b>. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu
fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia
deserunt mollit anim id est laborum.<br>
</p>
<p> </p><br>
<div align="center" style="text-align:bottom"><a href="#">Ask a question</a></div>
</div>
</div>
<!-- HTML For Help-->
<div id="help_for_smartrip_card" style="visibility: hidden; display: none">
<div id=id_help>
<h1 align="center">Smartrip© Serial Number Types</h1>
<p align="center" > <hr size="1" width="100%" /></p>
<div>
<p align="center">
<h3>Card type #1</h3><br/>
<img valign-"absmiddle" src="{{STATIC_URL}}/images/card_type1_cut.jpg">
</p>
<p align="center" > <hr size="1" width="100%" /></p>
<p>
<h3>Card type #2</h3><br/>
<img valign-"absmiddle" src="{{STATIC_URL}}/images/card_type2_cut.jpg">
</p>
<p align="center" > <hr size="1" width="100%" /></p>
<p>
<h3>Card type #3</h3><br/>
<img valign-"absmiddle" src="{{STATIC_URL}}/images/card_type3_cut.jpg">
</p>
</div>
<p> </p>
</div>
</div>
<!-- HTML For Withdrawl-->
<div id="id_withdrawl_dialog" style="visibility: hidden; display: none">
<div id=id_withdrawl_dialog>
<h1 align="center">Withdrawing from Transit Subsidy</h1>
<p align="center" > <hr size="1" width="100%" /></p>
<div>
<p>You are about to withdraw from the Tranisit Subsidy program.
As of the next cycle, you will no longer receive transit benefits.
</p>
<p>
If you wish to re-enroll, simply return to this form and complete the
information
</p>
<p align="center">
<input type="button" id="btn_withdraw_agree" value="I agree" onClick="$('#id_frm_cancel').submit()" />
<input type="button" id="btn_withdraw_no_agree" value="I do not agree" onClick="$.colorbox.close()" />
</div>
</div>
<p> </p>
</div>
</div>
</div>
{% endblock %}