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bioguide: L000563
contact_form:
method: post
action: /contact-form/
steps:
- visit: "https://lipinskiforms.house.gov/contact-form"
- fill_in:
- name: zipcode
selector: "#zipcode"
value: $ADDRESS_ZIP5
required: true
- name: zipfour
selector: "#zipfour"
value: $ADDRESS_ZIP4
required: true
- click_on:
- value: Go to Form
selector: input.button
- fill_in:
- name: firstname
selector: "#req_firstname"
value: $NAME_FIRST
required: true
- name: lastname
selector: "#req_lastname"
value: $NAME_LAST
required: true
- name: street
selector: "#req_street"
value: $ADDRESS_STREET
required: true
- name: street2
selector: "#custom_form6 input[name='street2']"
value: $ADDRESS_STREET_2
required: false
- name: city
selector: "#req_city"
value: $ADDRESS_CITY
required: true
- name: zip
selector: "#req_zip"
value: $ADDRESS_ZIP5
required: true
- name: zipfour
selector: "#zip2"
value: $ADDRESS_ZIP4
required: true
- name: emailaddress
selector: "#req_email"
value: $EMAIL
required: true
- name: phone
selector: "#custom_form6 input[name='phone']"
value: $PHONE
required: true
- name: message
selector: "#req_message"
value: $MESSAGE
required: true
- select:
- name: prefix
selector: "#req_prefix"
value: $NAME_PREFIX
required: true
options:
"--Select One--": " "
Mr.: "Mr. "
Mrs.: Mrs.
Ms.: Ms.
Miss: Miss
Dr.: Dr.
Hon.: Hon.
Rev.: Rev.
Rabbi: Rabbi
- name: subject
selector: "#req_subject"
value: $TOPIC
required: true
options:
Animals: ANIMALS
Constituent Services: CASE
Grant Requests: GRANT
Agriculture: AGRICULTURE
Budget: BUDGET
Defense: DEFENSE
Economy: ECON
Education: EDUCATION
Energy: ENERGY
Environment: ENVIRONMENT
International: IR
Government Reform: GR
Health Care: HEALTH
Homeland Security: HOMELAND_SEC
Immigration: IMMIGRATION
Jobs: ECON
Judiciary: JUDICIAL
Labor: LABOR
Social Issues: WELFARE
Social Security: SS
Telecommunications: TELECOM
Taxes and Trade: TAXES
Transportation: TRANSPORTATION
Veterans: VETERANS
Other: OTHER
- name: response
selector: "#req_response"
value: I would like a response.
required: true
options:
I do not need a response.: "N"
I would like a response.: "Y"
- javascript:
- value: document.querySelector("#req_message").value = document.querySelector("#req_message").value.replace(/"/g, '');
- click_on:
- value: Submit
selector: "#submitButton"
success:
headers:
status: 200
body:
contains: Thank you for contacting Congressman Dan Lipinski.