<%
' FP_ASP ASP Automatically generated by a Frontpage Component. Do not Edit.
On Error Resume Next
Session("FP_OldCodePage") = Session.CodePage
Session("FP_OldLCID") = Session.LCID
Session.CodePage = 1252
Err.Clear

strErrorUrl = ""

If Request.ServerVariables("REQUEST_METHOD") = "POST" Then
If Request.Form("VTI-GROUP") = "0" Then
	Err.Clear

	Set fp_conn =  Server.CreateObject("ADODB.Connection")
	FP_DumpError strErrorUrl, "Cannot create connection"

	Set fp_rs = Server.CreateObject("ADODB.Recordset")
	FP_DumpError strErrorUrl, "Cannot create record set"

	fp_conn.Open Application("mainconnection_ConnectionString")
	FP_DumpError strErrorUrl, "Cannot open database"

	fp_rs.Open "Mainins", fp_conn, 1, 3, 2 ' adOpenKeySet, adLockOptimistic, adCmdTable
	FP_DumpError strErrorUrl, "Cannot open record set"

	fp_rs.AddNew
	FP_DumpError strErrorUrl, "Cannot add new record set to the database"
	Dim arFormFields0(97)
	Dim arFormDBFields0(97)
	Dim arFormValues0(97)

	arFormFields0(0) = "quotenum"
	arFormDBFields0(0) = "quotenum"
	arFormValues0(0) = Request("quotenum")
	arFormFields0(1) = "legalname"
	arFormDBFields0(1) = "legalname"
	arFormValues0(1) = Request("legalname")
	arFormFields0(2) = "tradename"
	arFormDBFields0(2) = "tradename"
	arFormValues0(2) = Request("tradename")
	arFormFields0(3) = "contactname"
	arFormDBFields0(3) = "contactname"
	arFormValues0(3) = Request("contactname")
	arFormFields0(4) = "contact_title"
	arFormDBFields0(4) = "contact_title"
	arFormValues0(4) = Request("contact_title")
	arFormFields0(5) = "streetaddress"
	arFormDBFields0(5) = "streetaddress"
	arFormValues0(5) = Request("streetaddress")
	arFormFields0(6) = "streetaddress2"
	arFormDBFields0(6) = "streetaddress2"
	arFormValues0(6) = Request("streetaddress2")
	arFormFields0(7) = "city"
	arFormDBFields0(7) = "city"
	arFormValues0(7) = Request("city")
	arFormFields0(8) = "state"
	arFormDBFields0(8) = "state"
	arFormValues0(8) = Request("state")
	arFormFields0(9) = "zip"
	arFormDBFields0(9) = "zip"
	arFormValues0(9) = Request("zip")
	arFormFields0(10) = "mailaddress"
	arFormDBFields0(10) = "mailaddress"
	arFormValues0(10) = Request("mailaddress")
	arFormFields0(11) = "mailaddress2"
	arFormDBFields0(11) = "mailaddress2"
	arFormValues0(11) = Request("mailaddress2")
	arFormFields0(12) = "mailcity"
	arFormDBFields0(12) = "mailcity"
	arFormValues0(12) = Request("mailcity")
	arFormFields0(13) = "mailstate"
	arFormDBFields0(13) = "mailstate"
	arFormValues0(13) = Request("mailstate")
	arFormFields0(14) = "mailzip"
	arFormDBFields0(14) = "mailzip"
	arFormValues0(14) = Request("mailzip")
	arFormFields0(15) = "telephone"
	arFormDBFields0(15) = "telephone"
	arFormValues0(15) = Request("telephone")
	arFormFields0(16) = "phone2"
	arFormDBFields0(16) = "phone2"
	arFormValues0(16) = Request("phone2")
	arFormFields0(17) = "fax"
	arFormDBFields0(17) = "fax"
	arFormValues0(17) = Request("fax")
	arFormFields0(18) = "email"
	arFormDBFields0(18) = "email"
	arFormValues0(18) = Request("email")
	arFormFields0(19) = "contactpref"
	arFormDBFields0(19) = "contactpref"
	arFormValues0(19) = Request("contactpref")
	arFormFields0(20) = "hsinternet"
	arFormDBFields0(20) = "hsinternet"
	arFormValues0(20) = Request("hsinternet")
	arFormFields0(21) = "keytitle"
	arFormDBFields0(21) = "keytitle"
	arFormValues0(21) = Request("keytitle")
	arFormFields0(22) = "eeowners"
	arFormDBFields0(22) = "eeowners"
	arFormValues0(22) = Request("eeowners")
	arFormFields0(23) = "eecovered"
	arFormDBFields0(23) = "eecovered"
	arFormValues0(23) = Request("eecovered")
	arFormFields0(24) = "eetotal"
	arFormDBFields0(24) = "eetotal"
	arFormValues0(24) = Request("eetotal")
	arFormFields0(25) = "ee1099"
	arFormDBFields0(25) = "ee1099"
	arFormValues0(25) = Request("ee1099")
	arFormFields0(26) = "eeoutofstate"
	arFormDBFields0(26) = "eeoutofstate"
	arFormValues0(26) = Request("eeoutofstate")
	arFormFields0(27) = "states"
	arFormDBFields0(27) = "states"
	arFormValues0(27) = Request("states")
	arFormFields0(28) = "Industry"
	arFormDBFields0(28) = "Industry"
	arFormValues0(28) = Request("Industry")
	arFormFields0(29) = "services"
	arFormDBFields0(29) = "services"
	arFormValues0(29) = Request("services")
	arFormFields0(30) = "sic"
	arFormDBFields0(30) = "sic"
	arFormValues0(30) = Request("sic")
	arFormFields0(31) = "yearstarted"
	arFormDBFields0(31) = "yearstarted"
	arFormValues0(31) = Request("yearstarted")
	arFormFields0(32) = "localexec"
	arFormDBFields0(32) = "localexec"
	arFormValues0(32) = Request("localexec")
	arFormFields0(33) = "business_Ind"
	arFormDBFields0(33) = "business_Ind"
	arFormValues0(33) = Request("business_Ind")
	arFormFields0(34) = "curplan"
	arFormDBFields0(34) = "curplan"
	arFormValues0(34) = Request("curplan")
	arFormFields0(35) = "curcarrier"
	arFormDBFields0(35) = "curcarrier"
	arFormValues0(35) = Request("curcarrier")
	arFormFields0(36) = "curcontribution"
	arFormDBFields0(36) = "curcontribution"
	arFormValues0(36) = Request("curcontribution")
	arFormFields0(37) = "curemployee"
	arFormDBFields0(37) = "curemployee"
	arFormValues0(37) = Request("curemployee")
	arFormFields0(38) = "curspouse"
	arFormDBFields0(38) = "curspouse"
	arFormValues0(38) = Request("curspouse")
	arFormFields0(39) = "curchild"
	arFormDBFields0(39) = "curchild"
	arFormValues0(39) = Request("curchild")
	arFormFields0(40) = "curfamily"
	arFormDBFields0(40) = "curfamily"
	arFormValues0(40) = Request("curfamily")
	arFormFields0(41) = "newplanppo"
	arFormDBFields0(41) = "newplanppo"
	arFormValues0(41) = Request("newplanppo")
	arFormFields0(42) = "newplanhsa"
	arFormDBFields0(42) = "newplanhsa"
	arFormValues0(42) = Request("newplanhsa")
	arFormFields0(43) = "newplanhmo"
	arFormDBFields0(43) = "newplanhmo"
	arFormValues0(43) = Request("newplanhmo")
	arFormFields0(44) = "newplanpos"
	arFormDBFields0(44) = "newplanpos"
	arFormValues0(44) = Request("newplanpos")
	arFormFields0(45) = "newplanpeo"
	arFormDBFields0(45) = "newplanpeo"
	arFormValues0(45) = Request("newplanpeo")
	arFormFields0(46) = "newplanhdhp"
	arFormDBFields0(46) = "newplanhdhp"
	arFormValues0(46) = Request("newplanhdhp")
	arFormFields0(47) = "newplanhra"
	arFormDBFields0(47) = "newplanhra"
	arFormValues0(47) = Request("newplanhra")
	arFormFields0(48) = "newplanrmba"
	arFormDBFields0(48) = "newplanrmba"
	arFormValues0(48) = Request("newplanrmba")
	arFormFields0(49) = "newplanother"
	arFormDBFields0(49) = "newplanother"
	arFormValues0(49) = Request("newplanother")
	arFormFields0(50) = "newplandental"
	arFormDBFields0(50) = "newplandental"
	arFormValues0(50) = Request("newplandental")
	arFormFields0(51) = "newplanvision"
	arFormDBFields0(51) = "newplanvision"
	arFormValues0(51) = Request("newplanvision")
	arFormFields0(52) = "newplanded"
	arFormDBFields0(52) = "newplanded"
	arFormValues0(52) = Request("newplanded")
	arFormFields0(53) = "newplanpfp"
	arFormDBFields0(53) = "newplanpfp"
	arFormValues0(53) = Request("newplanpfp")
	arFormFields0(54) = "newplancopay"
	arFormDBFields0(54) = "newplancopay"
	arFormValues0(54) = Request("newplancopay")
	arFormFields0(55) = "newplanr"
	arFormDBFields0(55) = "newplanr"
	arFormValues0(55) = Request("newplanr")
	arFormFields0(56) = "requirements"
	arFormDBFields0(56) = "requirements"
	arFormValues0(56) = Request("requirements")
	arFormFields0(57) = "needeewill"
	arFormDBFields0(57) = "needeewill"
	arFormValues0(57) = Request("needeewill")
	arFormFields0(58) = "needelife"
	arFormDBFields0(58) = "needelife"
	arFormValues0(58) = Request("needelife")
	arFormFields0(59) = "neededi"
	arFormDBFields0(59) = "neededi"
	arFormValues0(59) = Request("neededi")
	arFormFields0(60) = "needeeast"
	arFormDBFields0(60) = "needeeast"
	arFormValues0(60) = Request("needeeast")
	arFormFields0(61) = "neederetire"
	arFormDBFields0(61) = "neederetire"
	arFormValues0(61) = Request("neederetire")
	arFormFields0(62) = "needeed"
	arFormDBFields0(62) = "needeed"
	arFormValues0(62) = Request("needeed")
	arFormFields0(63) = "needecu"
	arFormDBFields0(63) = "needecu"
	arFormValues0(63) = Request("needecu")
	arFormFields0(64) = "neede529"
	arFormDBFields0(64) = "neede529"
	arFormValues0(64) = Request("neede529")
	arFormFields0(65) = "neededsp"
	arFormDBFields0(65) = "neededsp"
	arFormValues0(65) = Request("neededsp")
	arFormFields0(66) = "needemsa"
	arFormDBFields0(66) = "needemsa"
	arFormValues0(66) = Request("needemsa")
	arFormFields0(67) = "needefsa"
	arFormDBFields0(67) = "needefsa"
	arFormValues0(67) = Request("needefsa")
	arFormFields0(68) = "needesi"
	arFormDBFields0(68) = "needesi"
	arFormValues0(68) = Request("needesi")
	arFormFields0(69) = "needeitm"
	arFormDBFields0(69) = "needeitm"
	arFormValues0(69) = Request("needeitm")
	arFormFields0(70) = "needohsi"
	arFormDBFields0(70) = "needohsi"
	arFormValues0(70) = Request("needohsi")
	arFormFields0(71) = "needo125"
	arFormDBFields0(71) = "needo125"
	arFormValues0(71) = Request("needo125")
	arFormFields0(72) = "needobs"
	arFormDBFields0(72) = "needobs"
	arFormValues0(72) = Request("needobs")
	arFormFields0(73) = "needocp"
	arFormDBFields0(73) = "needocp"
	arFormValues0(73) = Request("needocp")
	arFormFields0(74) = "needodc"
	arFormDBFields0(74) = "needodc"
	arFormValues0(74) = Request("needodc")
	arFormFields0(75) = "needokeyd"
	arFormDBFields0(75) = "needokeyd"
	arFormValues0(75) = Request("needokeyd")
	arFormFields0(76) = "needokeyl"
	arFormDBFields0(76) = "needokeyl"
	arFormValues0(76) = Request("needokeyl")
	arFormFields0(77) = "needoeo"
	arFormDBFields0(77) = "needoeo"
	arFormValues0(77) = Request("needoeo")
	arFormFields0(78) = "needopnc"
	arFormDBFields0(78) = "needopnc"
	arFormValues0(78) = Request("needopnc")
	arFormFields0(79) = "needoepli"
	arFormDBFields0(79) = "needoepli"
	arFormValues0(79) = Request("needoepli")
	arFormFields0(80) = "needodir"
	arFormDBFields0(80) = "needodir"
	arFormValues0(80) = Request("needodir")
	arFormFields0(81) = "needolia"
	arFormDBFields0(81) = "needolia"
	arFormValues0(81) = Request("needolia")
	arFormFields0(82) = "needoauto"
	arFormDBFields0(82) = "needoauto"
	arFormValues0(82) = Request("needoauto")
	arFormFields0(83) = "needowc"
	arFormDBFields0(83) = "needowc"
	arFormValues0(83) = Request("needowc")
	arFormFields0(84) = "needoitaxo"
	arFormDBFields0(84) = "needoitaxo"
	arFormValues0(84) = Request("needoitaxo")
	arFormFields0(85) = "needopay"
	arFormDBFields0(85) = "needopay"
	arFormValues0(85) = Request("needopay")
	arFormFields0(86) = "needoacct"
	arFormDBFields0(86) = "needoacct"
	arFormValues0(86) = Request("needoacct")
	arFormFields0(87) = "Needoee"
	arFormDBFields0(87) = "Needoee"
	arFormValues0(87) = Request("Needoee")
	arFormFields0(88) = "Needohire"
	arFormDBFields0(88) = "Needohire"
	arFormValues0(88) = Request("Needohire")
	arFormFields0(89) = "Needoteach"
	arFormDBFields0(89) = "Needoteach"
	arFormValues0(89) = Request("Needoteach")
	arFormFields0(90) = "Needoperf"
	arFormDBFields0(90) = "Needoperf"
	arFormValues0(90) = Request("Needoperf")
	arFormFields0(91) = "needotaxa"
	arFormDBFields0(91) = "needotaxa"
	arFormValues0(91) = Request("needotaxa")
	arFormFields0(92) = "needocomp"
	arFormDBFields0(92) = "needocomp"
	arFormValues0(92) = Request("needocomp")
	arFormFields0(93) = "needocopy"
	arFormDBFields0(93) = "needocopy"
	arFormValues0(93) = Request("needocopy")
	arFormFields0(94) = "spareone"
	arFormDBFields0(94) = "spareone"
	arFormValues0(94) = Request("spareone")
	arFormFields0(95) = "sparetwo"
	arFormDBFields0(95) = "sparetwo"
	arFormValues0(95) = Request("sparetwo")
	arFormFields0(96) = "quotedate"
	arFormDBFields0(96) = "quotedate"
	arFormValues0(96) = Request("quotedate")

	FP_SaveFormFields fp_rs, arFormFields0, arFormDBFields0


	fp_rs.Update
	FP_DumpError strErrorUrl, "Cannot update the database"

	fp_rs.Close
	fp_conn.Close

	FP_FormConfirmationFromArrays "text/html; charset=windows-1252",_
						"Form Confirmation",_
						"Thank you for submitting the following information:",_
						"submission_form.asp",_
						"Return to the form.",_
						arFormDBFields0,_
						arFormValues0

End If
End If

Session.CodePage = Session("FP_OldCodePage")
Session.LCID = Session("FP_OldLCID")

%>
<%
    If Session(SiteID) <> true Then
        Response.Redirect("Login.asp?requester=submission_form.asp")
    End If
%> <% Response.Buffer = True %> <html><head><meta http-equiv="Content-Type" content="text/html; charset=windows-1252"><title>Mainins -- New</title><!--mstheme--><link rel="stylesheet" type="text/css" href="../../../_themes/deepblue/deep1011.css"><meta name="Microsoft Theme" content="deepblue 1011, default">
</head><body><table width="100%" align=left><tr><td width="50%"><b><font size=+3 color="#000080">Submission Form </font></b></td><td width="50%" align=right><table><tr><td><a href="../results_page.asp" target="_top">Results Page</a> | Submission Form | <a href="database_editor.asp" target="_top">Database Editor</a> </td></tr></table></td></tr></table><p><br clear="all"><hr><p><!--webbot BOT="GeneratedScript" PREVIEW=" " startspan --><script Language="JavaScript" Type="text/javascript"><!--
function FrontPage_Form1_Validator(theForm)
{

  if (theForm.quotenum.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"quotenum\" field.");
    theForm.quotenum.focus();
    return (false);
  }

  var checkOK = "0123456789-";
  var checkStr = theForm.quotenum.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"quotenum\" field.");
    theForm.quotenum.focus();
    return (false);
  }

  if (theForm.legalname.value == "")
  {
    alert("Please enter a value for the \"legalname\" field.");
    theForm.legalname.focus();
    return (false);
  }

  if (theForm.legalname.value.length > 35)
  {
    alert("Please enter at most 35 characters in the \"legalname\" field.");
    theForm.legalname.focus();
    return (false);
  }

  if (theForm.tradename.value.length > 35)
  {
    alert("Please enter at most 35 characters in the \"tradename\" field.");
    theForm.tradename.focus();
    return (false);
  }

  if (theForm.contactname.value == "")
  {
    alert("Please enter a value for the \"contactname\" field.");
    theForm.contactname.focus();
    return (false);
  }

  if (theForm.contactname.value.length > 35)
  {
    alert("Please enter at most 35 characters in the \"contactname\" field.");
    theForm.contactname.focus();
    return (false);
  }

  if (theForm.contact_title.value == "")
  {
    alert("Please enter a value for the \"contact_title\" field.");
    theForm.contact_title.focus();
    return (false);
  }

  if (theForm.contact_title.value.length > 20)
  {
    alert("Please enter at most 20 characters in the \"contact_title\" field.");
    theForm.contact_title.focus();
    return (false);
  }

  if (theForm.streetaddress.value == "")
  {
    alert("Please enter a value for the \"streetaddress\" field.");
    theForm.streetaddress.focus();
    return (false);
  }

  if (theForm.streetaddress.value.length > 35)
  {
    alert("Please enter at most 35 characters in the \"streetaddress\" field.");
    theForm.streetaddress.focus();
    return (false);
  }

  if (theForm.streetaddress2.value.length > 35)
  {
    alert("Please enter at most 35 characters in the \"streetaddress2\" field.");
    theForm.streetaddress2.focus();
    return (false);
  }

  if (theForm.city.value == "")
  {
    alert("Please enter a value for the \"city\" field.");
    theForm.city.focus();
    return (false);
  }

  if (theForm.city.value.length > 35)
  {
    alert("Please enter at most 35 characters in the \"city\" field.");
    theForm.city.focus();
    return (false);
  }

  if (theForm.state.value == "")
  {
    alert("Please enter a value for the \"state\" field.");
    theForm.state.focus();
    return (false);
  }

  if (theForm.state.value.length > 2)
  {
    alert("Please enter at most 2 characters in the \"state\" field.");
    theForm.state.focus();
    return (false);
  }

  if (theForm.zip.value == "")
  {
    alert("Please enter a value for the \"zip\" field.");
    theForm.zip.focus();
    return (false);
  }

  if (theForm.zip.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"zip\" field.");
    theForm.zip.focus();
    return (false);
  }

  if (theForm.mailaddress.value.length > 35)
  {
    alert("Please enter at most 35 characters in the \"mailaddress\" field.");
    theForm.mailaddress.focus();
    return (false);
  }

  if (theForm.mailaddress2.value.length > 35)
  {
    alert("Please enter at most 35 characters in the \"mailaddress2\" field.");
    theForm.mailaddress2.focus();
    return (false);
  }

  if (theForm.mailcity.value.length > 35)
  {
    alert("Please enter at most 35 characters in the \"mailcity\" field.");
    theForm.mailcity.focus();
    return (false);
  }

  if (theForm.mailstate.value.length > 2)
  {
    alert("Please enter at most 2 characters in the \"mailstate\" field.");
    theForm.mailstate.focus();
    return (false);
  }

  if (theForm.mailzip.value.length > 10)
  {
    alert("Please enter at most 10 characters in the \"mailzip\" field.");
    theForm.mailzip.focus();
    return (false);
  }

  if (theForm.telephone.value == "")
  {
    alert("Please enter a value for the \"telephone\" field.");
    theForm.telephone.focus();
    return (false);
  }

  if (theForm.telephone.value.length > 12)
  {
    alert("Please enter at most 12 characters in the \"telephone\" field.");
    theForm.telephone.focus();
    return (false);
  }

  if (theForm.phone2.value == "")
  {
    alert("Please enter a value for the \"phone2\" field.");
    theForm.phone2.focus();
    return (false);
  }

  if (theForm.phone2.value.length > 12)
  {
    alert("Please enter at most 12 characters in the \"phone2\" field.");
    theForm.phone2.focus();
    return (false);
  }

  if (theForm.fax.value == "")
  {
    alert("Please enter a value for the \"fax\" field.");
    theForm.fax.focus();
    return (false);
  }

  if (theForm.fax.value.length > 12)
  {
    alert("Please enter at most 12 characters in the \"fax\" field.");
    theForm.fax.focus();
    return (false);
  }

  if (theForm.email.value == "")
  {
    alert("Please enter a value for the \"email\" field.");
    theForm.email.focus();
    return (false);
  }

  if (theForm.email.value.length > 40)
  {
    alert("Please enter at most 40 characters in the \"email\" field.");
    theForm.email.focus();
    return (false);
  }

  if (theForm.contactpref.value == "")
  {
    alert("Please enter a value for the \"contactpref\" field.");
    theForm.contactpref.focus();
    return (false);
  }

  if (theForm.contactpref.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"contactpref\" field.");
    theForm.contactpref.focus();
    return (false);
  }

  if (theForm.hsinternet.value == "")
  {
    alert("Please enter a value for the \"hsinternet\" field.");
    theForm.hsinternet.focus();
    return (false);
  }

  if (theForm.hsinternet.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"hsinternet\" field.");
    theForm.hsinternet.focus();
    return (false);
  }

  if (theForm.keytitle.value == "")
  {
    alert("Please enter a value for the \"keytitle\" field.");
    theForm.keytitle.focus();
    return (false);
  }

  if (theForm.keytitle.value.length > 20)
  {
    alert("Please enter at most 20 characters in the \"keytitle\" field.");
    theForm.keytitle.focus();
    return (false);
  }

  if (theForm.eeowners.value.length > 5)
  {
    alert("Please enter at most 5 characters in the \"eeowners\" field.");
    theForm.eeowners.focus();
    return (false);
  }

  var checkOK = "0123456789-";
  var checkStr = theForm.eeowners.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"eeowners\" field.");
    theForm.eeowners.focus();
    return (false);
  }

  if (theForm.eecovered.value == "")
  {
    alert("Please enter a value for the \"eecovered\" field.");
    theForm.eecovered.focus();
    return (false);
  }

  if (theForm.eecovered.value.length > 5)
  {
    alert("Please enter at most 5 characters in the \"eecovered\" field.");
    theForm.eecovered.focus();
    return (false);
  }

  var checkOK = "0123456789-";
  var checkStr = theForm.eecovered.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"eecovered\" field.");
    theForm.eecovered.focus();
    return (false);
  }

  if (theForm.eetotal.value == "")
  {
    alert("Please enter a value for the \"eetotal\" field.");
    theForm.eetotal.focus();
    return (false);
  }

  if (theForm.eetotal.value.length > 5)
  {
    alert("Please enter at most 5 characters in the \"eetotal\" field.");
    theForm.eetotal.focus();
    return (false);
  }

  var checkOK = "0123456789-";
  var checkStr = theForm.eetotal.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"eetotal\" field.");
    theForm.eetotal.focus();
    return (false);
  }

  if (theForm.ee1099.value.length > 5)
  {
    alert("Please enter at most 5 characters in the \"ee1099\" field.");
    theForm.ee1099.focus();
    return (false);
  }

  var checkOK = "0123456789-";
  var checkStr = theForm.ee1099.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"ee1099\" field.");
    theForm.ee1099.focus();
    return (false);
  }

  if (theForm.eeoutofstate.value == "")
  {
    alert("Please enter a value for the \"eeoutofstate\" field.");
    theForm.eeoutofstate.focus();
    return (false);
  }

  if (theForm.eeoutofstate.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"eeoutofstate\" field.");
    theForm.eeoutofstate.focus();
    return (false);
  }

  if (theForm.states.value.length > 12)
  {
    alert("Please enter at most 12 characters in the \"states\" field.");
    theForm.states.focus();
    return (false);
  }

  if (theForm.Industry.value == "")
  {
    alert("Please enter a value for the \"Industry\" field.");
    theForm.Industry.focus();
    return (false);
  }

  if (theForm.Industry.value.length > 20)
  {
    alert("Please enter at most 20 characters in the \"Industry\" field.");
    theForm.Industry.focus();
    return (false);
  }

  if (theForm.services.value == "")
  {
    alert("Please enter a value for the \"services\" field.");
    theForm.services.focus();
    return (false);
  }

  if (theForm.services.value.length > 20)
  {
    alert("Please enter at most 20 characters in the \"services\" field.");
    theForm.services.focus();
    return (false);
  }

  if (theForm.sic.value == "")
  {
    alert("Please enter a value for the \"sic\" field.");
    theForm.sic.focus();
    return (false);
  }

  if (theForm.sic.value.length > 4)
  {
    alert("Please enter at most 4 characters in the \"sic\" field.");
    theForm.sic.focus();
    return (false);
  }

  if (theForm.yearstarted.value == "")
  {
    alert("Please enter a value for the \"yearstarted\" field.");
    theForm.yearstarted.focus();
    return (false);
  }

  if (theForm.yearstarted.value.length > 4)
  {
    alert("Please enter at most 4 characters in the \"yearstarted\" field.");
    theForm.yearstarted.focus();
    return (false);
  }

  var checkOK = "0123456789-";
  var checkStr = theForm.yearstarted.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"yearstarted\" field.");
    theForm.yearstarted.focus();
    return (false);
  }

  if (theForm.localexec.value == "")
  {
    alert("Please enter a value for the \"localexec\" field.");
    theForm.localexec.focus();
    return (false);
  }

  if (theForm.localexec.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"localexec\" field.");
    theForm.localexec.focus();
    return (false);
  }

  if (theForm.business_Ind.value == "")
  {
    alert("Please enter a value for the \"business_Ind\" field.");
    theForm.business_Ind.focus();
    return (false);
  }

  if (theForm.business_Ind.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"business_Ind\" field.");
    theForm.business_Ind.focus();
    return (false);
  }

  if (theForm.curplan.value == "")
  {
    alert("Please enter a value for the \"curplan\" field.");
    theForm.curplan.focus();
    return (false);
  }

  if (theForm.curplan.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"curplan\" field.");
    theForm.curplan.focus();
    return (false);
  }

  if (theForm.curcarrier.value.length > 20)
  {
    alert("Please enter at most 20 characters in the \"curcarrier\" field.");
    theForm.curcarrier.focus();
    return (false);
  }

  if (theForm.curcontribution.value.length > 7)
  {
    alert("Please enter at most 7 characters in the \"curcontribution\" field.");
    theForm.curcontribution.focus();
    return (false);
  }

  var checkOK = "0123456789-.";
  var checkStr = theForm.curcontribution.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"curcontribution\" field.");
    theForm.curcontribution.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"curcontribution\" field.");
    theForm.curcontribution.focus();
    return (false);
  }

  if (theForm.curemployee.value.length > 7)
  {
    alert("Please enter at most 7 characters in the \"curemployee\" field.");
    theForm.curemployee.focus();
    return (false);
  }

  var checkOK = "0123456789-.";
  var checkStr = theForm.curemployee.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"curemployee\" field.");
    theForm.curemployee.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"curemployee\" field.");
    theForm.curemployee.focus();
    return (false);
  }

  if (theForm.curspouse.value.length > 7)
  {
    alert("Please enter at most 7 characters in the \"curspouse\" field.");
    theForm.curspouse.focus();
    return (false);
  }

  var checkOK = "0123456789-.";
  var checkStr = theForm.curspouse.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"curspouse\" field.");
    theForm.curspouse.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"curspouse\" field.");
    theForm.curspouse.focus();
    return (false);
  }

  if (theForm.curchild.value.length > 7)
  {
    alert("Please enter at most 7 characters in the \"curchild\" field.");
    theForm.curchild.focus();
    return (false);
  }

  var checkOK = "0123456789-.";
  var checkStr = theForm.curchild.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"curchild\" field.");
    theForm.curchild.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"curchild\" field.");
    theForm.curchild.focus();
    return (false);
  }

  if (theForm.curfamily.value.length > 7)
  {
    alert("Please enter at most 7 characters in the \"curfamily\" field.");
    theForm.curfamily.focus();
    return (false);
  }

  var checkOK = "0123456789-.";
  var checkStr = theForm.curfamily.value;
  var allValid = true;
  var validGroups = true;
  var decPoints = 0;
  var allNum = "";
  for (i = 0;  i < checkStr.length;  i++)
  {
    ch = checkStr.charAt(i);
    for (j = 0;  j < checkOK.length;  j++)
      if (ch == checkOK.charAt(j))
        break;
    if (j == checkOK.length)
    {
      allValid = false;
      break;
    }
    if (ch == ".")
    {
      allNum += ".";
      decPoints++;
    }
    else
      allNum += ch;
  }
  if (!allValid)
  {
    alert("Please enter only digit characters in the \"curfamily\" field.");
    theForm.curfamily.focus();
    return (false);
  }

  if (decPoints > 1 || !validGroups)
  {
    alert("Please enter a valid number in the \"curfamily\" field.");
    theForm.curfamily.focus();
    return (false);
  }

  if (theForm.newplanppo.value == "")
  {
    alert("Please enter a value for the \"newplanppo\" field.");
    theForm.newplanppo.focus();
    return (false);
  }

  if (theForm.newplanppo.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"newplanppo\" field.");
    theForm.newplanppo.focus();
    return (false);
  }

  if (theForm.newplanhsa.value == "")
  {
    alert("Please enter a value for the \"newplanhsa\" field.");
    theForm.newplanhsa.focus();
    return (false);
  }

  if (theForm.newplanhsa.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"newplanhsa\" field.");
    theForm.newplanhsa.focus();
    return (false);
  }

  if (theForm.newplanhmo.value == "")
  {
    alert("Please enter a value for the \"newplanhmo\" field.");
    theForm.newplanhmo.focus();
    return (false);
  }

  if (theForm.newplanhmo.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"newplanhmo\" field.");
    theForm.newplanhmo.focus();
    return (false);
  }

  if (theForm.newplanpos.value == "")
  {
    alert("Please enter a value for the \"newplanpos\" field.");
    theForm.newplanpos.focus();
    return (false);
  }

  if (theForm.newplanpos.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"newplanpos\" field.");
    theForm.newplanpos.focus();
    return (false);
  }

  if (theForm.newplanpeo.value == "")
  {
    alert("Please enter a value for the \"newplanpeo\" field.");
    theForm.newplanpeo.focus();
    return (false);
  }

  if (theForm.newplanpeo.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"newplanpeo\" field.");
    theForm.newplanpeo.focus();
    return (false);
  }

  if (theForm.newplanhdhp.value == "")
  {
    alert("Please enter a value for the \"newplanhdhp\" field.");
    theForm.newplanhdhp.focus();
    return (false);
  }

  if (theForm.newplanhdhp.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"newplanhdhp\" field.");
    theForm.newplanhdhp.focus();
    return (false);
  }

  if (theForm.newplanhra.value == "")
  {
    alert("Please enter a value for the \"newplanhra\" field.");
    theForm.newplanhra.focus();
    return (false);
  }

  if (theForm.newplanhra.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"newplanhra\" field.");
    theForm.newplanhra.focus();
    return (false);
  }

  if (theForm.newplanrmba.value == "")
  {
    alert("Please enter a value for the \"newplanrmba\" field.");
    theForm.newplanrmba.focus();
    return (false);
  }

  if (theForm.newplanrmba.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"newplanrmba\" field.");
    theForm.newplanrmba.focus();
    return (false);
  }

  if (theForm.newplanother.value == "")
  {
    alert("Please enter a value for the \"newplanother\" field.");
    theForm.newplanother.focus();
    return (false);
  }

  if (theForm.newplanother.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"newplanother\" field.");
    theForm.newplanother.focus();
    return (false);
  }

  if (theForm.newplandental.value == "")
  {
    alert("Please enter a value for the \"newplandental\" field.");
    theForm.newplandental.focus();
    return (false);
  }

  if (theForm.newplandental.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"newplandental\" field.");
    theForm.newplandental.focus();
    return (false);
  }

  if (theForm.newplanvision.value == "")
  {
    alert("Please enter a value for the \"newplanvision\" field.");
    theForm.newplanvision.focus();
    return (false);
  }

  if (theForm.newplanvision.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"newplanvision\" field.");
    theForm.newplanvision.focus();
    return (false);
  }

  if (theForm.newplanded.value == "")
  {
    alert("Please enter a value for the \"newplanded\" field.");
    theForm.newplanded.focus();
    return (false);
  }

  if (theForm.newplanded.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"newplanded\" field.");
    theForm.newplanded.focus();
    return (false);
  }

  if (theForm.newplanpfp.value == "")
  {
    alert("Please enter a value for the \"newplanpfp\" field.");
    theForm.newplanpfp.focus();
    return (false);
  }

  if (theForm.newplanpfp.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"newplanpfp\" field.");
    theForm.newplanpfp.focus();
    return (false);
  }

  if (theForm.newplancopay.value == "")
  {
    alert("Please enter a value for the \"newplancopay\" field.");
    theForm.newplancopay.focus();
    return (false);
  }

  if (theForm.newplancopay.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"newplancopay\" field.");
    theForm.newplancopay.focus();
    return (false);
  }

  if (theForm.newplanr.value == "")
  {
    alert("Please enter a value for the \"newplanr\" field.");
    theForm.newplanr.focus();
    return (false);
  }

  if (theForm.newplanr.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"newplanr\" field.");
    theForm.newplanr.focus();
    return (false);
  }

  if (theForm.requirements.value == "")
  {
    alert("Please enter a value for the \"requirements\" field.");
    theForm.requirements.focus();
    return (false);
  }

  if (theForm.requirements.value.length > 30)
  {
    alert("Please enter at most 30 characters in the \"requirements\" field.");
    theForm.requirements.focus();
    return (false);
  }

  if (theForm.needeewill.value == "")
  {
    alert("Please enter a value for the \"needeewill\" field.");
    theForm.needeewill.focus();
    return (false);
  }

  if (theForm.needeewill.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"needeewill\" field.");
    theForm.needeewill.focus();
    return (false);
  }

  if (theForm.needelife.value == "")
  {
    alert("Please enter a value for the \"needelife\" field.");
    theForm.needelife.focus();
    return (false);
  }

  if (theForm.needelife.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"needelife\" field.");
    theForm.needelife.focus();
    return (false);
  }

  if (theForm.neededi.value == "")
  {
    alert("Please enter a value for the \"neededi\" field.");
    theForm.neededi.focus();
    return (false);
  }

  if (theForm.neededi.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"neededi\" field.");
    theForm.neededi.focus();
    return (false);
  }

  if (theForm.needeeast.value == "")
  {
    alert("Please enter a value for the \"needeeast\" field.");
    theForm.needeeast.focus();
    return (false);
  }

  if (theForm.needeeast.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"needeeast\" field.");
    theForm.needeeast.focus();
    return (false);
  }

  if (theForm.neederetire.value == "")
  {
    alert("Please enter a value for the \"neederetire\" field.");
    theForm.neederetire.focus();
    return (false);
  }

  if (theForm.neederetire.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"neederetire\" field.");
    theForm.neederetire.focus();
    return (false);
  }

  if (theForm.needeed.value == "")
  {
    alert("Please enter a value for the \"needeed\" field.");
    theForm.needeed.focus();
    return (false);
  }

  if (theForm.needeed.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"needeed\" field.");
    theForm.needeed.focus();
    return (false);
  }

  if (theForm.needecu.value == "")
  {
    alert("Please enter a value for the \"needecu\" field.");
    theForm.needecu.focus();
    return (false);
  }

  if (theForm.needecu.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"needecu\" field.");
    theForm.needecu.focus();
    return (false);
  }

  if (theForm.neede529.value == "")
  {
    alert("Please enter a value for the \"neede529\" field.");
    theForm.neede529.focus();
    return (false);
  }

  if (theForm.neede529.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"neede529\" field.");
    theForm.neede529.focus();
    return (false);
  }

  if (theForm.neededsp.value == "")
  {
    alert("Please enter a value for the \"neededsp\" field.");
    theForm.neededsp.focus();
    return (false);
  }

  if (theForm.neededsp.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"neededsp\" field.");
    theForm.neededsp.focus();
    return (false);
  }

  if (theForm.needemsa.value == "")
  {
    alert("Please enter a value for the \"needemsa\" field.");
    theForm.needemsa.focus();
    return (false);
  }

  if (theForm.needemsa.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"needemsa\" field.");
    theForm.needemsa.focus();
    return (false);
  }

  if (theForm.needefsa.value == "")
  {
    alert("Please enter a value for the \"needefsa\" field.");
    theForm.needefsa.focus();
    return (false);
  }

  if (theForm.needefsa.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"needefsa\" field.");
    theForm.needefsa.focus();
    return (false);
  }

  if (theForm.needesi.value == "")
  {
    alert("Please enter a value for the \"needesi\" field.");
    theForm.needesi.focus();
    return (false);
  }

  if (theForm.needesi.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"needesi\" field.");
    theForm.needesi.focus();
    return (false);
  }

  if (theForm.needeitm.value == "")
  {
    alert("Please enter a value for the \"needeitm\" field.");
    theForm.needeitm.focus();
    return (false);
  }

  if (theForm.needeitm.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"needeitm\" field.");
    theForm.needeitm.focus();
    return (false);
  }

  if (theForm.needohsi.value == "")
  {
    alert("Please enter a value for the \"needohsi\" field.");
    theForm.needohsi.focus();
    return (false);
  }

  if (theForm.needohsi.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"needohsi\" field.");
    theForm.needohsi.focus();
    return (false);
  }

  if (theForm.needo125.value == "")
  {
    alert("Please enter a value for the \"needo125\" field.");
    theForm.needo125.focus();
    return (false);
  }

  if (theForm.needo125.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"needo125\" field.");
    theForm.needo125.focus();
    return (false);
  }

  if (theForm.needobs.value == "")
  {
    alert("Please enter a value for the \"needobs\" field.");
    theForm.needobs.focus();
    return (false);
  }

  if (theForm.needobs.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"needobs\" field.");
    theForm.needobs.focus();
    return (false);
  }

  if (theForm.needocp.value == "")
  {
    alert("Please enter a value for the \"needocp\" field.");
    theForm.needocp.focus();
    return (false);
  }

  if (theForm.needocp.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"needocp\" field.");
    theForm.needocp.focus();
    return (false);
  }

  if (theForm.needodc.value == "")
  {
    alert("Please enter a value for the \"needodc\" field.");
    theForm.needodc.focus();
    return (false);
  }

  if (theForm.needodc.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"needodc\" field.");
    theForm.needodc.focus();
    return (false);
  }

  if (theForm.needokeyd.value == "")
  {
    alert("Please enter a value for the \"needokeyd\" field.");
    theForm.needokeyd.focus();
    return (false);
  }

  if (theForm.needokeyd.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"needokeyd\" field.");
    theForm.needokeyd.focus();
    return (false);
  }

  if (theForm.needokeyl.value == "")
  {
    alert("Please enter a value for the \"needokeyl\" field.");
    theForm.needokeyl.focus();
    return (false);
  }

  if (theForm.needokeyl.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"needokeyl\" field.");
    theForm.needokeyl.focus();
    return (false);
  }

  if (theForm.needoeo.value == "")
  {
    alert("Please enter a value for the \"needoeo\" field.");
    theForm.needoeo.focus();
    return (false);
  }

  if (theForm.needoeo.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"needoeo\" field.");
    theForm.needoeo.focus();
    return (false);
  }

  if (theForm.needopnc.value == "")
  {
    alert("Please enter a value for the \"needopnc\" field.");
    theForm.needopnc.focus();
    return (false);
  }

  if (theForm.needopnc.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"needopnc\" field.");
    theForm.needopnc.focus();
    return (false);
  }

  if (theForm.needoepli.value == "")
  {
    alert("Please enter a value for the \"needoepli\" field.");
    theForm.needoepli.focus();
    return (false);
  }

  if (theForm.needoepli.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"needoepli\" field.");
    theForm.needoepli.focus();
    return (false);
  }

  if (theForm.needodir.value == "")
  {
    alert("Please enter a value for the \"needodir\" field.");
    theForm.needodir.focus();
    return (false);
  }

  if (theForm.needodir.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"needodir\" field.");
    theForm.needodir.focus();
    return (false);
  }

  if (theForm.needolia.value == "")
  {
    alert("Please enter a value for the \"needolia\" field.");
    theForm.needolia.focus();
    return (false);
  }

  if (theForm.needolia.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"needolia\" field.");
    theForm.needolia.focus();
    return (false);
  }

  if (theForm.needoauto.value == "")
  {
    alert("Please enter a value for the \"needoauto\" field.");
    theForm.needoauto.focus();
    return (false);
  }

  if (theForm.needoauto.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"needoauto\" field.");
    theForm.needoauto.focus();
    return (false);
  }

  if (theForm.needowc.value == "")
  {
    alert("Please enter a value for the \"needowc\" field.");
    theForm.needowc.focus();
    return (false);
  }

  if (theForm.needowc.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"needowc\" field.");
    theForm.needowc.focus();
    return (false);
  }

  if (theForm.needoitaxo.value == "")
  {
    alert("Please enter a value for the \"needoitaxo\" field.");
    theForm.needoitaxo.focus();
    return (false);
  }

  if (theForm.needoitaxo.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"needoitaxo\" field.");
    theForm.needoitaxo.focus();
    return (false);
  }

  if (theForm.needopay.value == "")
  {
    alert("Please enter a value for the \"needopay\" field.");
    theForm.needopay.focus();
    return (false);
  }

  if (theForm.needopay.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"needopay\" field.");
    theForm.needopay.focus();
    return (false);
  }

  if (theForm.needoacct.value == "")
  {
    alert("Please enter a value for the \"needoacct\" field.");
    theForm.needoacct.focus();
    return (false);
  }

  if (theForm.needoacct.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"needoacct\" field.");
    theForm.needoacct.focus();
    return (false);
  }

  if (theForm.Needoee.value == "")
  {
    alert("Please enter a value for the \"Needoee\" field.");
    theForm.Needoee.focus();
    return (false);
  }

  if (theForm.Needoee.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"Needoee\" field.");
    theForm.Needoee.focus();
    return (false);
  }

  if (theForm.Needohire.value == "")
  {
    alert("Please enter a value for the \"Needohire\" field.");
    theForm.Needohire.focus();
    return (false);
  }

  if (theForm.Needohire.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"Needohire\" field.");
    theForm.Needohire.focus();
    return (false);
  }

  if (theForm.Needoteach.value == "")
  {
    alert("Please enter a value for the \"Needoteach\" field.");
    theForm.Needoteach.focus();
    return (false);
  }

  if (theForm.Needoteach.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"Needoteach\" field.");
    theForm.Needoteach.focus();
    return (false);
  }

  if (theForm.Needoperf.value == "")
  {
    alert("Please enter a value for the \"Needoperf\" field.");
    theForm.Needoperf.focus();
    return (false);
  }

  if (theForm.Needoperf.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"Needoperf\" field.");
    theForm.Needoperf.focus();
    return (false);
  }

  if (theForm.needotaxa.value == "")
  {
    alert("Please enter a value for the \"needotaxa\" field.");
    theForm.needotaxa.focus();
    return (false);
  }

  if (theForm.needotaxa.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"needotaxa\" field.");
    theForm.needotaxa.focus();
    return (false);
  }

  if (theForm.needocomp.value == "")
  {
    alert("Please enter a value for the \"needocomp\" field.");
    theForm.needocomp.focus();
    return (false);
  }

  if (theForm.needocomp.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"needocomp\" field.");
    theForm.needocomp.focus();
    return (false);
  }

  if (theForm.needocopy.value == "")
  {
    alert("Please enter a value for the \"needocopy\" field.");
    theForm.needocopy.focus();
    return (false);
  }

  if (theForm.needocopy.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"needocopy\" field.");
    theForm.needocopy.focus();
    return (false);
  }

  if (theForm.spareone.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"spareone\" field.");
    theForm.spareone.focus();
    return (false);
  }

  if (theForm.sparetwo.value.length > 1)
  {
    alert("Please enter at most 1 characters in the \"sparetwo\" field.");
    theForm.sparetwo.focus();
    return (false);
  }

  if (theForm.quotedate.value == "")
  {
    alert("Please enter a value for the \"quotedate\" field.");
    theForm.quotedate.focus();
    return (false);
  }
  return (true);
}
//--></script><!--webbot BOT="GeneratedScript" endspan --><form METHOD="POST" action="submission_form.asp" name="FrontPage_Form1" webbot-action="--WEBBOT-SELF--" onsubmit="return FrontPage_Form1_Validator(this)" language="JavaScript"><!--webbot bot="SaveDatabase" SuggestedExt="asp" S-DataConnection="mainconnection" S-RecordSource="Mainins"  S-Form-Fields="quotenum legalname tradename contactname contact_title streetaddress streetaddress2 city state zip mailaddress mailaddress2 mailcity mailstate mailzip telephone phone2 fax email contactpref hsinternet keytitle eeowners eecovered eetotal ee1099 eeoutofstate states Industry services sic yearstarted localexec business_Ind curplan curcarrier curcontribution curemployee curspouse curchild curfamily newplanppo newplanhsa newplanhmo newplanpos newplanpeo newplanhdhp newplanhra newplanrmba newplanother newplandental newplanvision newplanded newplanpfp newplancopay newplanr requirements needeewill needelife neededi needeeast neederetire needeed needecu neede529 neededsp needemsa needefsa needesi needeitm needohsi needo125 needobs needocp needodc needokeyd needokeyl needoeo needopnc needoepli needodir needolia needoauto needowc needoitaxo needopay needoacct Needoee Needohire Needoteach Needoperf needotaxa needocomp needocopy spareone sparetwo quotedate" S-Form-DBFields="quotenum legalname tradename contactname contact_title streetaddress streetaddress2 city state zip mailaddress mailaddress2 mailcity mailstate mailzip telephone phone2 fax email contactpref hsinternet keytitle eeowners eecovered eetotal ee1099 eeoutofstate states Industry services sic yearstarted localexec business_Ind curplan curcarrier curcontribution curemployee curspouse curchild curfamily newplanppo newplanhsa newplanhmo newplanpos newplanpeo newplanhdhp newplanhra newplanrmba newplanother newplandental newplanvision newplanded newplanpfp newplancopay newplanr requirements needeewill needelife neededi needeeast neederetire needeed needecu neede529 neededsp needemsa needefsa needesi needeitm needohsi needo125 needobs needocp needodc needokeyd needokeyl needoeo needopnc needoepli needodir needolia needoauto needowc needoitaxo needopay needoacct Needoee Needohire Needoteach Needoperf needotaxa needocomp needocopy spareone sparetwo quotedate " B-UseDBFieldsForConfirmation="True" U-ASP-Include-Url="../../../_fpclass/fpdbform.inc" startspan --><input TYPE="hidden" NAME="VTI-GROUP" VALUE="0"><!--#include file="../../../_fpclass/fpdbform.inc"--><!--webbot bot="SaveDatabase" i-checksum="52631" endspan --><p><b>quotenum</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="quotenum" s-data-type="Integer" b-value-required="False" i-maximum-length="10" --><input type="TEXT" name="quotenum" size="10" value="0" maxlength="10"><br></p><p><b>legalname</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="legalname" s-data-type="String" b-value-required="True" i-maximum-length="35" --><input type="TEXT" name="legalname" size="35" value="" maxlength="35"><br></p><p><b>tradename</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="tradename" s-data-type="String" b-value-required="False" i-maximum-length="35" --><input type="TEXT" name="tradename" size="35" value="" maxlength="35"><br></p><p><b>contactname</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="contactname" s-data-type="String" b-value-required="True" i-maximum-length="35" --><input type="TEXT" name="contactname" size="35" value="" maxlength="35"><br></p><p><b>contact_title</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="contact_title" s-data-type="String" b-value-required="True" i-maximum-length="20" --><input type="TEXT" name="contact_title" size="20" value="" maxlength="20"><br></p><p><b>streetaddress</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="streetaddress" s-data-type="String" b-value-required="True" i-maximum-length="35" --><input type="TEXT" name="streetaddress" size="35" value="" maxlength="35"><br></p><p><b>streetaddress2</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="streetaddress2" s-data-type="String" b-value-required="False" i-maximum-length="35" --><input type="TEXT" name="streetaddress2" size="35" value="" maxlength="35"><br></p><p><b>city</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="city" s-data-type="String" b-value-required="True" i-maximum-length="35" --><input type="TEXT" name="city" size="35" value="" maxlength="35"><br></p><p><b>state</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="state" s-data-type="String" b-value-required="True" i-maximum-length="2" --><input type="TEXT" name="state" size="2" value="" maxlength="2"><br></p><p><b>zip</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="zip" s-data-type="String" b-value-required="True" i-maximum-length="10" --><input type="TEXT" name="zip" size="10" value="" maxlength="10"><br></p><p><b>mailaddress</b><br>&nbsp;<!--webbot bot="Validation" 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b-value-required="False" i-maximum-length="10" --><input type="TEXT" name="mailzip" size="10" value="" maxlength="10"><br></p><p><b>telephone</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="telephone" s-data-type="String" b-value-required="True" i-maximum-length="12" --><input type="TEXT" name="telephone" size="12" value="" maxlength="12"><br></p><p><b>phone2</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="phone2" s-data-type="String" b-value-required="True" i-maximum-length="12" --><input type="TEXT" name="phone2" size="12" value="" maxlength="12"><br></p><p><b>fax</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="fax" s-data-type="String" b-value-required="True" i-maximum-length="12" --><input type="TEXT" name="fax" size="12" value="" maxlength="12"><br></p><p><b>email</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="email" s-data-type="String" b-value-required="True" i-maximum-length="40" --><input type="TEXT" name="email" size="40" value="" maxlength="40"><br></p><p><b>contactpref</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="contactpref" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="contactpref" size="1" value="" maxlength="1"><br></p><p><b>hsinternet</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="hsinternet" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="hsinternet" size="1" value="" maxlength="1"><br></p><p><b>keytitle</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="keytitle" s-data-type="String" b-value-required="True" i-maximum-length="20" --><input type="TEXT" name="keytitle" size="20" value="" maxlength="20"><br></p><p><b>eeowners</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="eeowners" s-data-type="Integer" b-value-required="False" i-maximum-length="5" --><input type="TEXT" name="eeowners" size="5" value="0" maxlength="5"><br></p><p><b>eecovered</b><br>&nbsp;<!--webbot 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i-maximum-length="12" --><input type="TEXT" name="states" size="12" value="" maxlength="12"><br></p><p><b>Industry</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="Industry" s-data-type="String" b-value-required="True" i-maximum-length="20" --><input type="TEXT" name="Industry" size="20" value="" maxlength="20"><br></p><p><b>services</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="services" s-data-type="String" b-value-required="True" i-maximum-length="20" --><input type="TEXT" name="services" size="20" value="" maxlength="20"><br></p><p><b>sic</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="sic" s-data-type="String" b-value-required="True" i-maximum-length="4" --><input type="TEXT" name="sic" size="4" value="" maxlength="4"><br></p><p><b>yearstarted</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="yearstarted" s-data-type="Integer" b-value-required="True" i-maximum-length="4" --><input type="TEXT" name="yearstarted" size="4" value="0" maxlength="4"><br></p><p><b>localexec</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="localexec" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="localexec" size="1" value="" maxlength="1"><br></p><p><b>business_Ind</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="business_Ind" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="business_Ind" size="1" value="" maxlength="1"><br></p><p><b>curplan</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="curplan" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="curplan" size="1" value="" maxlength="1"><br></p><p><b>curcarrier</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="curcarrier" s-data-type="String" b-value-required="False" i-maximum-length="20" --><input type="TEXT" name="curcarrier" size="20" value="" maxlength="20"><br></p><p><b>curcontribution</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="curcontribution" s-data-type="Number" s-number-separators="x." b-value-required="False" i-maximum-length="7" --><input type="TEXT" name="curcontribution" size="7" value="0.0" maxlength="7"><br></p><p><b>curemployee</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="curemployee" s-data-type="Number" s-number-separators="x." b-value-required="False" i-maximum-length="7" --><input type="TEXT" name="curemployee" size="7" value="0.0" maxlength="7"><br></p><p><b>curspouse</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="curspouse" s-data-type="Number" s-number-separators="x." b-value-required="False" i-maximum-length="7" --><input type="TEXT" name="curspouse" size="7" value="0.0" maxlength="7"><br></p><p><b>curchild</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="curchild" s-data-type="Number" s-number-separators="x." b-value-required="False" i-maximum-length="7" --><input type="TEXT" name="curchild" size="7" value="0.0" maxlength="7"><br></p><p><b>curfamily</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="curfamily" s-data-type="Number" s-number-separators="x." b-value-required="False" i-maximum-length="7" --><input type="TEXT" name="curfamily" size="7" value="0.0" maxlength="7"><br></p><p><b>newplanppo</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="newplanppo" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="newplanppo" size="1" value="" maxlength="1"><br></p><p><b>newplanhsa</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="newplanhsa" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="newplanhsa" size="1" value="" maxlength="1"><br></p><p><b>newplanhmo</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="newplanhmo" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="newplanhmo" size="1" value="" maxlength="1"><br></p><p><b>newplanpos</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="newplanpos" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="newplanpos" size="1" value="" maxlength="1"><br></p><p><b>newplanpeo</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="newplanpeo" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="newplanpeo" size="1" value="" maxlength="1"><br></p><p><b>newplanhdhp</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="newplanhdhp" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="newplanhdhp" size="1" value="" maxlength="1"><br></p><p><b>newplanhra</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="newplanhra" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="newplanhra" size="1" value="" maxlength="1"><br></p><p><b>newplanrmba</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="newplanrmba" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="newplanrmba" size="1" value="" maxlength="1"><br></p><p><b>newplanother</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="newplanother" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="newplanother" size="1" value="" maxlength="1"><br></p><p><b>newplandental</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="newplandental" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="newplandental" size="1" value="" maxlength="1"><br></p><p><b>newplanvision</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="newplanvision" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="newplanvision" size="1" value="" maxlength="1"><br></p><p><b>newplanded</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="newplanded" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="newplanded" size="1" value="" maxlength="1"><br></p><p><b>newplanpfp</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="newplanpfp" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="newplanpfp" size="1" value="" maxlength="1"><br></p><p><b>newplancopay</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="newplancopay" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="newplancopay" size="1" value="" maxlength="1"><br></p><p><b>newplanr</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="newplanr" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="newplanr" size="1" value="" maxlength="1"><br></p><p><b>requirements</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="requirements" s-data-type="String" b-value-required="True" i-maximum-length="30" --><input type="TEXT" name="requirements" size="30" value="" maxlength="30"><br></p><p><b>needeewill</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="needeewill" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="needeewill" size="1" value="" maxlength="1"><br></p><p><b>needelife</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="needelife" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="needelife" size="1" value="" maxlength="1"><br></p><p><b>neededi</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="neededi" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="neededi" size="1" value="" maxlength="1"><br></p><p><b>needeeast</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="needeeast" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="needeeast" size="1" value="" maxlength="1"><br></p><p><b>neederetire</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="neederetire" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="neederetire" size="1" value="" maxlength="1"><br></p><p><b>needeed</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="needeed" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="needeed" size="1" value="" maxlength="1"><br></p><p><b>needecu</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="needecu" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="needecu" size="1" value="" maxlength="1"><br></p><p><b>neede529</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="neede529" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="neede529" size="1" value="" maxlength="1"><br></p><p><b>neededsp</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="neededsp" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="neededsp" size="1" value="" maxlength="1"><br></p><p><b>needemsa</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="needemsa" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="needemsa" size="1" value="" maxlength="1"><br></p><p><b>needefsa</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="needefsa" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="needefsa" size="1" value="" maxlength="1"><br></p><p><b>needesi</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="needesi" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="needesi" size="1" value="" maxlength="1"><br></p><p><b>needeitm</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="needeitm" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="needeitm" size="1" value="" maxlength="1"><br></p><p><b>needohsi</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="needohsi" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="needohsi" size="1" value="" maxlength="1"><br></p><p><b>needo125</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="needo125" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="needo125" size="1" value="" maxlength="1"><br></p><p><b>needobs</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="needobs" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="needobs" size="1" value="" maxlength="1"><br></p><p><b>needocp</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="needocp" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="needocp" size="1" value="" maxlength="1"><br></p><p><b>needodc</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="needodc" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="needodc" size="1" value="" maxlength="1"><br></p><p><b>needokeyd</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="needokeyd" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="needokeyd" size="1" value="" maxlength="1"><br></p><p><b>needokeyl</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="needokeyl" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="needokeyl" size="1" value="" maxlength="1"><br></p><p><b>needoeo</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="needoeo" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="needoeo" size="1" value="" maxlength="1"><br></p><p><b>needopnc</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="needopnc" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="needopnc" size="1" value="" maxlength="1"><br></p><p><b>needoepli</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="needoepli" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="needoepli" size="1" value="" maxlength="1"><br></p><p><b>needodir</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="needodir" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="needodir" size="1" value="" maxlength="1"><br></p><p><b>needolia</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="needolia" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="needolia" size="1" value="" maxlength="1"><br></p><p><b>needoauto</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="needoauto" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="needoauto" size="1" value="" maxlength="1"><br></p><p><b>needowc</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="needowc" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="needowc" size="1" value="" maxlength="1"><br></p><p><b>needoitaxo</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="needoitaxo" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="needoitaxo" size="1" value="" maxlength="1"><br></p><p><b>needopay</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="needopay" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="needopay" size="1" value="" maxlength="1"><br></p><p><b>needoacct</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="needoacct" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="needoacct" size="1" value="" maxlength="1"><br></p><p><b>Needoee</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="Needoee" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="Needoee" size="1" value="" maxlength="1"><br></p><p><b>Needohire</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="Needohire" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="Needohire" size="1" value="" maxlength="1"><br></p><p><b>Needoteach</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="Needoteach" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="Needoteach" size="1" value="" maxlength="1"><br></p><p><b>Needoperf</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="Needoperf" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="Needoperf" size="1" value="" maxlength="1"><br></p><p><b>needotaxa</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="needotaxa" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="needotaxa" size="1" value="" maxlength="1"><br></p><p><b>needocomp</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="needocomp" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="needocomp" size="1" value="" maxlength="1"><br></p><p><b>needocopy</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="needocopy" s-data-type="String" b-value-required="True" i-maximum-length="1" --><input type="TEXT" name="needocopy" size="1" value="" maxlength="1"><br></p><p><b>spareone</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="spareone" s-data-type="String" b-value-required="False" i-maximum-length="1" --><input type="TEXT" name="spareone" size="1" value="" maxlength="1"><br></p><p><b>sparetwo</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="sparetwo" s-data-type="String" b-value-required="False" i-maximum-length="1" --><input type="TEXT" name="sparetwo" size="1" value="" maxlength="1"><br></p><p><b>quotedate</b><br>&nbsp;<!--webbot bot="Validation" s-display-name="quotedate" s-data-type="String" b-value-required="True" i-maximum-length="0" --><input type="TEXT" name="quotedate" size="19" value="<%=Date%>"><br></p><p><input type="submit" value="    OK    "><input type="reset" value=" Reset "></p></form></body></html>