Class: PdfFill::Forms::Va21674

Inherits:
FormBase
  • Object
show all
Includes:
FormHelper
Defined in:
lib/pdf_fill/forms/va21674.rb

Constant Summary collapse

ITERATOR = 
PdfFill::HashConverter::ITERATOR
KEY = 
{
  'veteran_information' => {
    'full_name' => {
      'first' => {
        key: 'form1[0].#subform[0].FirstNameofVeteran[0]',
        limit: 12,
        question_num: 1,
        question_suffix: 'A',
        question_text: 'VETERAN/CLAIMANT\'S IDENTIFICATION INFORMATION > VETERAN\'S NAME'
      },
      'middleInitial' => {
        key: 'form1[0].#subform[0].MiddleInitialofVeteran[0]',
        limit: 1,
        question_num: 1,
        question_suffix: 'B',
        question_text: 'VETERAN/CLAIMANT\'S IDENTIFICATION INFORMATION > VETERAN\'S NAME'
      },
      'last' => {
        key: 'form1[0].#subform[0].LastNameofVeteran[0]',
        limit: 18,
        question_num: 1,
        question_suffix: 'C',
        question_text: 'VETERAN/CLAIMANT\'S IDENTIFICATION INFORMATION > VETERAN\'S NAME'
      }
    },
    'va_file_number' => {
      key: 'form1[0].#subform[0].VAFileNumber[0]',
      limit: 9,
      question_num: 2,
      question_text: 'VA FILE NUMBER'
    }
  }, # end veteran_information
  'dependents_application' => {
    'veteran_contact_information' => {
      'phone_number' => {
        'phone_area_code' => {
          key: 'form1[0].#subform[0].TelephoneNumber_AreaCode[0]',
          limit: 3,
          question_num: 16,
          question_suffix: 'D',
          question_text: 'VETERAN/CLAIMANT\'S IDENTIFICATION INFORMATION > TELEPHONE NUMBER'
        },
        'phone_first_three_numbers' => {
          key: 'form1[0].#subform[0].TelephoneNumber_FirstThreeNumbers[0]',
          limit: 3,
          question_num: 16,
          question_suffix: 'D',
          question_text: 'VETERAN/CLAIMANT\'S IDENTIFICATION INFORMATION > TELEPHONE NUMBER'
        },
        'phone_last_four_numbers' => {
          key: 'form1[0].#subform[0].TelephoneNumber_LastFourNumbers[0]',
          limit: 4,
          question_num: 16,
          question_suffix: 'D',
          question_text: 'VETERAN/CLAIMANT\'S IDENTIFICATION INFORMATION > TELEPHONE NUMBER'
        }
      },
      'international_phone_number' => {
        key: 'form1[0].#subform[0].TelephoneNumber_International[0]',
        limit: 12,
        question_num: 16,
        question_suffix: 'D',
        question_text: 'Enter international phone number (if applicable)'
      },
      'email_address' => {
        key: 'form1[0].#subform[0].email[0]',
        limit: 25,
        question_num: 3,
        question_text: 'E-MAIL ADDRESS OF VETERAN'
      },
      'email_address_two' => {
        key: 'form1[0].#subform[0].email[1]',
        limit: 25,
        question_num: 3,
        question_text: 'E-MAIL ADDRESS OF VETERAN'
      }
    }, # end veteran_contact_information
    'student_name_and_ssn' => {
      'full_name' => {
        'first' => {
          key: 'form1[0].#subform[0].FirstNameofStudent[0]',
          limit: 12,
          question_num: 4,
          question_suffix: 'A',
          question_text: 'STUDENT\'S NAME'
        },
        'middleInitial' => {
          key: 'form1[0].#subform[0].MiddleInitialofStudent[0]',
          limit: 1,
          question_num: 4,
          question_suffix: 'B',
          question_text: 'STUDENT\'S NAME'
        },
        'last' => {
          key: 'form1[0].#subform[0].LastNameofStudent[0]',
          limit: 18,
          question_num: 4,
          question_suffix: 'C',
          question_text: 'STUDENT\'S NAME'
        }
      },
      'ssn' => {
        'first' => {
          key: 'form1[0].#subform[0].StudentSsn_FirstThree[0]',
          limit: 3,
          question_num: 5,
          question_suffix: 'A',
          question_text: 'STUDENT\'S IDENTIFICATION INFORMATION > SOCIAL SECURITY NUMBER'
        },
        'second' => {
          key: 'form1[0].#subform[0].StudentSsn_MiddleTwo[0]',
          limit: 2,
          question_num: 5,
          question_suffix: 'B',
          question_text: 'STUDENT\'S IDENTIFICATION INFORMATION > SOCIAL SECURITY NUMBER'
        },
        'third' => {
          key: 'form1[0].#subform[0].StudentSsn_LastFour[0]',
          limit: 4,
          question_num: 5,
          question_suffix: 'C',
          question_text: 'STUDENT\'S IDENTIFICATION INFORMATION > SOCIAL SECURITY NUMBER'
        }
      },
      'birth_date' => {
        'month' => {
          key: 'form1[0].#subform[0].Student_DOB.month[0]',
          limit: 2,
          question_num: 6,
          question_suffix: 'A',
          question_text: 'STUDENT\'S IDENTIFICATION INFORMATION > DATE OF BIRTH (MM-DD-YYYY)'
        },
        'day' => {
          key: 'form1[0].#subform[0].Student_DOB.day[0]',
          limit: 2,
          question_num: 6,
          question_suffix: 'B',
          question_text: 'STUDENT\'S IDENTIFICATION INFORMATION > DATE OF BIRTH (MM-DD-YYYY)'
        },
        'year' => {
          key: 'form1[0].#subform[0].Student_DOB.year[0]',
          limit: 4,
          question_num: 6,
          question_suffix: 'C',
          question_text: 'STUDENT\'S IDENTIFICATION INFORMATION > DATE OF BIRTH (MM-DD-YYYY)'
        }
      }
    }, # end student_name_and_ssn
    'student_address_marriage_tuition' => {
      'was_married' => {
        'was_married_yes' => { key: 'form1[0].#subform[0].YES[0]' },
        'was_married_no' => { key: 'form1[0].#subform[0].NO[0]' }
      },
      'marriage_date' => {
        'month' => {
          key: 'form1[0].#subform[0].Student_Date_of_Marriage.month[0]',
          limit: 2,
          question_num: 7,
          question_suffix: 'B',
          question_text: 'DATE OF MARRIAGE'
        },
        'day' => {
          key: 'form1[0].#subform[0].Student_Date_of_Marriage.day[0]',
          limit: 2,
          question_num: 7,
          question_suffix: 'B',
          question_text: 'DATE OF MARRIAGE'
        },
        'year' => {
          key: 'form1[0].#subform[0].Student_Date_of_Marriage.year[0]',
          limit: 4,
          question_num: 7,
          question_suffix: 'B',
          question_text: 'DATE OF MARRIAGE'
        }
      },
      'address' => {
        'address_line1' => {
          key: 'form1[0].#subform[0].AddressofStudentStreet[0]',
          limit: 30,
          question_num: 8,
          question_suffix: 'A',
          question_text: 'Address of Student > No & Street'
        },
        'address_line2' => {
          key: 'form1[0].#subform[0].AddressofStudentAptNumber[0]',
          limit: 5,
          question_num: 8,
          question_suffix: 'B',
          question_text: 'Address of Student > Apt/Unit Number'
        },
        'city' => {
          key: 'form1[0].#subform[0].AddressofStudentCity[0]',
          limit: 18,
          question_num: 8,
          question_suffix: 'C',
          question_text: 'Address of Student > City'
        },
        'state_code' => {
          key: 'form1[0].#subform[0].AddressofStudentState[0]',
          limit: 2,
          question_num: 8,
          question_suffix: 'D',
          question_text: 'Address of Student > State'
        },
        'country_name' => {
          key: 'form1[0].#subform[0].AddressofStudentCountry[0]',
          limit: 2,
          question_num: 8,
          question_suffix: 'E',
          question_text: 'Address of Student > Country'
        },
        'zip_code' => {
          'firstFive' => {
            key: 'form1[0].#subform[0].AddressofStudentPostCode_FirstFive0]',
            limit: 5,
            question_num: 8,
            question_suffix: 'F',
            question_text: 'Address of Student > Zip Code (First Five Digits)'
          },
          'lastFour' => {
            key: 'form1[0].#subform[0].AddressofStudentPostCode_LastFour0]',
            limit: 4,
            question_num: 8,
            question_suffix: 'G',
            question_text: 'Address of Student > Zip Code (Last Four Digits)'
          }
        }
      },
      'tuition_is_paid_by_gov_agency' => {
        'is_paid_yes' => { key: 'form1[0].#subform[0].YES1[0]' },
        'is_paid_no' => { key: 'form1[0].#subform[0].NO1[0]' }
      },
      'agency_name' => { # temporary addition while new fields have not been added that changes the schema
        key: 'form1[0].#subform[0].FederalAssistanceProgram[0]',
        limit: 200,
        question_num: 9,
        question_suffix: 'A',
        question_text: 'Federally funded school or program'
      },
      'date_payments_began' => { # temporary addition while new fields have not been added that changes the schema
        'month' => {
          key: 'form1[0].#subform[0].DatePaymentsBegan.month[0]',
          limit: 2,
          question_num: 9,
          question_suffix: 'C',
          question_text: 'School Attendance Information > DATE PAYMENTS BEGAN (MM-DD-YYYY)'
        },
        'day' => {
          key: 'form1[0].#subform[0].DatePaymentsBegan.day[0]',
          limit: 2,
          question_num: 9,
          question_suffix: 'C',
          question_text: 'School Attendance Information > DATE PAYMENTS BEGAN (MM-DD-YYYY)'
        },
        'year' => {
          key: 'form1[0].#subform[0].DatePaymentsBegan.year[0]',
          limit: 4,
          question_num: 9,
          question_suffix: 'C',
          question_text: 'School Attendance Information > DATE PAYMENTS BEGAN (MM-DD-YYYY)'
        }
      }
    }, # end student_address_marriage_tuition
    'agency_or_program' => {
      'agency_name' => {
        key: 'form1[0].#subform[0].FederalAssistanceProgram[0]',
        limit: 200,
        question_num: 9,
        question_suffix: 'A',
        question_text: 'Federally funded school or program'
      },
      'type_of_program_or_benefit' => {
        key: 'form1[0].#subform[0].TypeOfProgramOrBenefit[0]',
        limit: 50,
        question_num: 9,
        question_suffix: 'B',
        question_text: 'Type of Program or Benefit'
      },
      'date_payments_began' => {
        'month' => {
          key: 'form1[0].#subform[0].DatePaymentsBegan.month[0]',
          limit: 2,
          question_num: 9,
          question_suffix: 'C',
          question_text: 'School Attendance Information > DATE PAYMENTS BEGAN (MM-DD-YYYY)'
        },
        'day' => {
          key: 'form1[0].#subform[0].DatePaymentsBegan.day[0]',
          limit: 2,
          question_num: 9,
          question_suffix: 'C',
          question_text: 'School Attendance Information > DATE PAYMENTS BEGAN (MM-DD-YYYY)'
        },
        'year' => {
          key: 'form1[0].#subform[0].DatePaymentsBegan.year[0]',
          limit: 4,
          question_num: 9,
          question_suffix: 'C',
          question_text: 'School Attendance Information > DATE PAYMENTS BEGAN (MM-DD-YYYY)'
        }
      }
    }, # end agency_or_program
    'school_information' => {
      'training_program' => {
        key: 'form1[0].#subform[0].FederalAssistanceType[0]',
        limit: 200,
        question_num: 9,
        question_suffix: 'B',
        question_text: 'Type of program or benefit'
      }
    }, # end school_information
    'current_term_dates' => {
      'is_school_accredited' => {
        'is_school_accredited_yes' => { key: 'form1[0].#subform[0].YES4[0]' },
        'is_school_accredited_no' => { key: 'form1[0].#subform[0].NO4[0]' }
      },
      'official_school_start_date' => {
        'month' => {
          key: 'form1[0].#subform[0].OfficialStartDate.month[0]',
          limit: 2,
          question_num: 11,
          question_suffix: 'A',
          question_text: 'OFFICIAL BEGINNING DATE OF REGULAR TERM OR COURSE (MM/DD/YYYY)'
        },
        'day' => {
          key: 'form1[0].#subform[0].OfficialStartDate.day[0]',
          limit: 2,
          question_num: 11,
          question_suffix: 'A',
          question_text: 'OFFICIAL BEGINNING DATE OF REGULAR TERM OR COURSE (MM/DD/YYYY)'
        },
        'year' => {
          key: 'form1[0].#subform[0].OfficialStartDate.year[0]',
          limit: 4,
          question_num: 11,
          question_suffix: 'A',
          question_text: 'OFFICIAL BEGINNING DATE OF REGULAR TERM OR COURSE (MM/DD/YYYY)'
        }
      },
      'expected_student_start_date' => {
        'month' => {
          key: 'form1[0].#subform[0].StudentStartDate.month[0]',
          limit: 2,
          question_num: 11,
          question_suffix: 'B',
          question_text: 'DATE STUDENT STARTED OR EXPECTS TO START COURSE (MM/DD/YYYY)'
        },
        'day' => {
          key: 'form1[0].#subform[0].StudentStartDate.day[0]',
          limit: 2,
          question_num: 11,
          question_suffix: 'B',
          question_text: 'DATE STUDENT STARTED OR EXPECTS TO START COURSE (MM/DD/YYYY)'
        },
        'year' => {
          key: 'form1[0].#subform[0].StudentStartDate.year[0]',
          limit: 4,
          question_num: 11,
          question_suffix: 'B',
          question_text: 'DATE STUDENT STARTED OR EXPECTS TO START COURSE (MM/DD/YYYY)'
        }
      },
      'expected_graduation_date' => {
        'month' => {
          key: 'form1[0].#subform[0].ExpectedGraduation.month[0]',
          limit: 2,
          question_num: 11,
          question_suffix: 'C',
          question_text: 'EXPECTED DATE OF GRADUATION (MM/DD/YYYY)'
        },
        'day' => {
          key: 'form1[0].#subform[0].ExpectedGraduation.day[0]',
          limit: 2,
          question_num: 11,
          question_suffix: 'C',
          question_text: 'EXPECTED DATE OF GRADUATION (MM/DD/YYYY)'
        },
        'year' => {
          key: 'form1[0].#subform[0].ExpectedGraduation.year[0]',
          limit: 4,
          question_num: 11,
          question_suffix: 'C',
          question_text: 'EXPECTED DATE OF GRADUATION (MM/DD/YYYY)'
        }
      }
    }, # end current_term_dates
    'program_information' => {
      'student_is_enrolled_full_time' => {
        'full_time_yes' => { key: 'form1[0].#subform[0].YES2[0]' },
        'full_time_no' => { key: 'form1[0].#subform[0].NO2[0]' }
      },
      'course_of_study' => {
        key: 'form1[0].#subform[0].Subject[0]',
        limit: 40,
        question_num: 10,
        question_suffix: 'B',
        question_text: 'SUBJECT FOR WHICH STUDENT IS ENROLLED'
      },
      'classes_per_week' => {
        key: 'form1[0].#subform[0].NumberofSession[0]',
        limit: 25,
        question_num: 10,
        question_suffix: 'C',
        question_text: 'NUMBER OF SESSIONS PER WEEK'
      },
      'hours_per_week' => {
        key: 'form1[0].#subform[0].HoursPerWeek[0]',
        limit: 25,
        question_num: 10,
        question_suffix: 'D',
        question_text: 'HOURS PER WEEK'
      }
    }, # end program_information
    'child_stopped_attending_school' => {
      'date_child_left_school' => {
        'month' => {
          key: 'form1[0].#subform[0].DateStoppedAttending.month[0]',
          limit: 2,
          question_num: 10,
          question_suffix: 'A',
          question_text: 'School Attendance Information > Date student stopped attending continuously (MM-DD-YYYY)' # rubocop:disable Layout/LineLength
        },
        'day' => {
          key: 'form1[0].#subform[0].DateStoppedAttending.day[0]',
          limit: 2,
          question_num: 10,
          question_suffix: 'A',
          question_text: 'School Attendance Information >Date student stopped attending continuously (MM-DD-YYYY)'
        },
        'year' => {
          key: 'form1[0].#subform[0].DateStoppedAttending.year[0]',
          limit: 4,
          question_num: 10,
          question_suffix: 'A',
          question_text: 'School Attendance Information > Date student stopped attending continuously (MM-DD-YYYY)' # rubocop:disable Layout/LineLength
        }
      }
    },
    'student_did_attend_school_last_term' => {
      'did_attend_yes' => { key: 'form1[0].#subform[0].YES3[0]' },
      'did_attend_no' => { key: 'form1[0].#subform[0].NO3[0]' }
    },
    'last_term_school_information' => {
      'address' => {
        key: 'form1[0].#subform[0].NameSchoolAttend[0]',
        limit: 100,
        question_num: 11,
        question_suffix: 'B',
        question_text: 'NAME AND ADDRESS OF SCHOOL ATTENDED LAST TERM'
      },
      'classes_per_week' => {
        key: 'form1[0].#subform[0].NumberofSessionPerWeek[0]',
        limit: 10,
        question_num: 11,
        question_suffix: 'C',
        question_text: 'NO. OF SESSIONS PER WEEK'
      },
      'hours_per_week' => {
        key: 'form1[0].#subform[0].HoursPerWeek2[0]',
        limit: 10,
        question_num: 11,
        question_suffix: 'D',
        question_text: 'HOURS PER WEEK'
      },
      'term_begin' => {
        'month' => {
          key: 'form1[0].#subform[0].BeginDateofLastTerm.month[0]',
          limit: 2,
          question_num: 12,
          question_suffix: 'B',
          question_text: 'BEGINNING DATE OF LAST TERM (MM-DD-YYYY)'
        },
        'day' => {
          key: 'form1[0].#subform[0].BeginDateofLastTerm.day[0]',
          limit: 2,
          question_num: 12,
          question_suffix: 'B',
          question_text: 'BEGINNING DATE OF LAST TERM (MM-DD-YYYY)'
        },
        'year' => {
          key: 'form1[0].#subform[0].BeginDateofLastTerm.year[0]',
          limit: 4,
          question_num: 12,
          question_suffix: 'B',
          question_text: 'BEGINNING DATE OF LAST TERM (MM-DD-YYYY)'
        }
      },
      'date_term_ended' => {
        'month' => {
          key: 'form1[0].#subform[0].EndDateofLastTerm.month[0]',
          limit: 2,
          question_num: 12,
          question_suffix: 'C',
          question_text: 'ENDING DATE OF LAST TERM (MM-DD-YYYY)'
        },
        'day' => {
          key: 'form1[0].#subform[0].EndDateofLastTerm.day[0]',
          limit: 2,
          question_num: 12,
          question_suffix: 'C',
          question_text: 'ENDING DATE OF LAST TERM (MM-DD-YYYY)'
        },
        'year' => {
          key: 'form1[0].#subform[0].EndDateofLastTerm.year[0]',
          limit: 4,
          question_num: 12,
          question_suffix: 'C',
          question_text: 'ENDING DATE OF LAST TERM (MM-DD-YYYY)'
        }
      }
    }
  }, # end dependents_application
  'signature' => {
    key: 'form1[0].#subform[0].Signature_PrintName[0]',
    limit: 35,
    question_num: 16,
    question_suffix: 'A',
    question_text: 'SIGNATURE'
  },
  'signature_date' => {
    'month' => {
      key: 'form1[0].#subform[0].SignatureDate.month[0]',
      limit: 2,
      question_num: 16,
      question_suffix: 'B',
      question_text: 'DATE SIGNED (MM-DD-YYYY)'
    },
    'day' => {
      key: 'form1[0].#subform[0].SignatureDate.day[0]',
      limit: 2,
      question_num: 16,
      question_suffix: 'B',
      question_text: 'DATE SIGNED (MM-DD-YYYY)'
    },
    'year' => {
      key: 'form1[0].#subform[0].SignatureDate.year[0]',
      limit: 4,
      question_num: 16,
      question_suffix: 'B',
      question_text: 'DATE SIGNED (MM-DD-YYYY)'
    }
  }
}.freeze

Instance Attribute Summary

Attributes inherited from FormBase

#form_data

Instance Method Summary collapse

Methods included from FormHelper

#address_block, #combine_date_ranges, #expand_checkbox_as_hash, #extract_country, #extract_middle_i, #format_boolean, #select_radio_button, #split_date, #split_postal_code, #split_ssn, #validate_date

Methods inherited from FormBase

#combine_both_addr, #combine_full_address, #combine_full_address_extras, #combine_full_name, #combine_hash, #combine_name_addr, #combine_name_addr_extras, #combine_postal_code, #combine_previous_names, date_strftime, #expand_checkbox, #expand_date_range, #expand_signature, #initialize

Constructor Details

This class inherits a constructor from PdfFill::Forms::FormBase

Instance Method Details

#expand_phone_number(phone_number) ⇒ Object

rubocop:enable Metrics/MethodLength



619
620
621
622
623
624
625
626
 
# File 'lib/pdf_fill/forms/va21674.rb', line 619

def expand_phone_number(phone_number)
  phone_number = phone_number.delete('^0-9')
  {
    'phone_area_code' => phone_number[0..2],
    'phone_first_three_numbers' => phone_number[3..5],
    'phone_last_four_numbers' => phone_number[6..9]
  }
end

#format_checkboxes(dependents_application) ⇒ Object

rubocop:disable Metrics/MethodLength



647
648
649
650
651
652
653
654
655
656
657
658
659
660
661
662
663
664
665
666
667
668
669
670
671
672
673
674
675
676
677
 
# File 'lib/pdf_fill/forms/va21674.rb', line 647

def format_checkboxes(dependents_application)
  was_married = dependents_application['student_address_marriage_tuition']['was_married']
  dependents_application['student_address_marriage_tuition']['was_married'] = {
    'was_married_yes' => select_checkbox(was_married),
    'was_married_no' => select_checkbox(!was_married)
  }

  is_paid = dependents_application['student_address_marriage_tuition']['tuition_is_paid_by_gov_agency']
  dependents_application['student_address_marriage_tuition']['tuition_is_paid_by_gov_agency'] = {
    'is_paid_yes' => select_checkbox(is_paid),
    'is_paid_no' => select_checkbox(!is_paid)
  }

  is_full_time = dependents_application['program_information']['student_is_enrolled_full_time']
  dependents_application['program_information']['student_is_enrolled_full_time'] = {
    'full_time_yes' => select_checkbox(is_full_time),
    'full_time_no' => select_checkbox(!is_full_time)
  }

  did_attend = dependents_application['student_did_attend_school_last_term']
  dependents_application['student_did_attend_school_last_term'] = {
    'did_attend_yes' => select_checkbox(did_attend),
    'did_attend_no' => select_checkbox(!did_attend)
  }

  is_school_accredited = dependents_application['current_term_dates']['is_school_accredited']
  dependents_application['current_term_dates']['is_school_accredited'] = {
    'is_school_accredited_yes' => select_radio_button(is_school_accredited),
    'is_school_accredited_no' => select_radio_button(!is_school_accredited)
  }
end

#merge_dates ⇒ Object

rubocop:disable Metrics/MethodLength



571
572
573
574
575
576
577
578
579
580
581
582
583
584
585
586
587
588
589
590
591
592
593
594
595
596
597
598
599
600
601
602
603
604
605
606
607
608
609
610
611
612
613
614
615
616
 
# File 'lib/pdf_fill/forms/va21674.rb', line 571

def merge_dates
  dependents_application = @form_data['dependents_application']
  current_term_dates = dependents_application['current_term_dates']
  child_stopped_attending_school = dependents_application['child_stopped_attending_school']
  last_term_school_information = dependents_application['last_term_school_information']
  student_address_marriage_tuition = dependents_application['student_address_marriage_tuition']
  agency_or_program = dependents_application['agency_or_program']

  dependents_application['student_name_and_ssn']['birth_date'] =
    split_date(dependents_application['student_name_and_ssn']['birth_date'])

  if current_term_dates.present?
    current_term_dates['official_school_start_date'] =
      split_date(current_term_dates['official_school_start_date'])
    current_term_dates['expected_student_start_date'] =
      split_date(current_term_dates['expected_student_start_date'])
    current_term_dates['expected_graduation_date'] = split_date(current_term_dates['expected_graduation_date'])
  end

  if child_stopped_attending_school.present?
    child_stopped_attending_school['birth_date'] = split_date(child_stopped_attending_school['birth_date'])
    child_stopped_attending_school['date_child_left_school'] =
      split_date(child_stopped_attending_school['date_child_left_school'])
  end

  if last_term_school_information.present?
    last_term_school_information['term_begin'] = split_date(last_term_school_information['term_begin'])
    last_term_school_information['date_term_ended'] = split_date(last_term_school_information['date_term_ended'])
  end

  if student_address_marriage_tuition.present?
    student_address_marriage_tuition['marriage_date'] =
      split_date(student_address_marriage_tuition['marriage_date'])

    # handle old format of fields before merging in front end, remove once merged
    if student_address_marriage_tuition['date_payments_began'].present?
      date_payments_began = student_address_marriage_tuition['date_payments_began']
      student_address_marriage_tuition['date_payments_began'] = split_date(date_payments_began)
    end
  end

  if agency_or_program.present?
    agency_or_program['date_payments_began'] =
      split_date(agency_or_program['date_payments_began'])
  end
end

#merge_fields(options = {}) ⇒ Object 



556
557
558
559
560
561
562
563
564
565
566
567
568
 
# File 'lib/pdf_fill/forms/va21674.rb', line 556

def merge_fields(options = {})
  created_at = options[:created_at] if options[:created_at].present?
  expand_signature(@form_data['veteran_information']['full_name'], created_at&.to_date || Time.zone.today)
  @form_data['signature_date'] = split_date(@form_data['signatureDate'])

  veteran_contact_information = @form_data['dependents_application']['veteran_contact_information']

  veteran_contact_information['phone_number'] = expand_phone_number(veteran_contact_information['phone_number'])
  merge_dates
  merge_student_helpers

  @form_data
end

#merge_student_helpers ⇒ Object 



628
629
630
631
632
633
634
635
636
637
638
639
 
# File 'lib/pdf_fill/forms/va21674.rb', line 628

def merge_student_helpers
  dependents_application = @form_data['dependents_application']
  dependents_application['student_name_and_ssn']['ssn'] =
    split_ssn(dependents_application['student_name_and_ssn']['ssn'])

  dependents_application['student_address_marriage_tuition']['address']['zip_code'] =
    split_postal_code(dependents_application['student_address_marriage_tuition']['address'])
  dependents_application['student_address_marriage_tuition']['address']['country_name'] =
    extract_country(dependents_application['student_address_marriage_tuition']['address'])

  format_checkboxes(dependents_application)
end

#select_checkbox(value) ⇒ Object

override from form_helper



642
643
644
 
# File 'lib/pdf_fill/forms/va21674.rb', line 642

def select_checkbox(value)
  value ? 'On' : 'Off'
end