Class: PdfFill::Forms::Va288832

Inherits:

FormBase

• Object
• FormBase
• PdfFill::Forms::Va288832

Includes:

FormHelper

Defined in:

lib/pdf_fill/forms/va288832.rb

Constant Summary

ITERATOR =

PdfFill::HashConverter::ITERATOR

KEY =

{
  'claimantInformation' => {
    'fullName' => {
      'first' => {
        key: 'F[0].Page_1[0].ClaimantsFirstName[0]',
        limit: 12,
        question_num: 1,
        question_suffix: 'A',
        question_text: 'NAME OF CLAIMANT'
      },
      'middleInitial' => {
        key: 'F[0].Page_1[0].ClaimantsMiddleInitial[0]',
        limit: 1,
        question_num: 1,
        question_suffix: 'B',
        question_text: 'NAME OF CLAIMANT'
      },
      'last' => {
        key: 'F[0].Page_1[0].ClaimantsLastName[0]',
        limit: 18,
        question_num: 1,
        question_suffix: 'C',
        question_text: 'NAME OF CLAIMANT'
      }
    }, # end full_name
    'ssn' => {
      'first' => {
        key: 'F[0].Page_1[0].SocialSecurityNumber_FirstThreeNumbers[0]',
        limit: 3,
        question_num: 1,
        question_suffix: 'A',
        question_text: 'SOCIAL SECURITY NUMBER OF APPLICANT'
      },
      'second' => {
        key: 'F[0].Page_1[0].SocialSecurityNumber_SecondTwoNumbers[0]',
        limit: 2,
        question_num: 1,
        question_suffix: 'B',
        question_text: 'SOCIAL SECURITY NUMBER OF APPLICANT'
      },
      'third' => {
        key: 'F[0].Page_1[0].SocialSecurityNumber_LastFourNumbers[0]',
        limit: 4,
        question_num: 1,
        question_suffix: 'C',
        question_text: 'SOCIAL SECURITY NUMBER OF APPLICANT'
      }
    }, # end ssn
    'dateOfBirth' => {
      'month' => {
        key: 'F[0].Page_1[0].DOBmonth[0]',
        limit: 2,
        question_num: 1,
        question_suffix: 'A',
        question_text: 'DATE OF BIRTH'
      },
      'day' => {
        key: 'F[0].Page_1[0].DOBday[0]',
        limit: 2,
        question_num: 1,
        question_suffix: 'B',
        question_text: 'DATE OF BIRTH'
      },
      'year' => {
        key: 'F[0].Page_1[0].DOByear[0]',
        limit: 4,
        question_num: 1,
        question_suffix: 'C',
        question_text: 'DATE OF BIRTH'
      }
    },
    'vaFileNumber' => {
      key: 'F[0].Page_1[0].VAFileNumber[0]',
      limit: 8,
      question_num: 1,
      question_suffix: 'A',
      question_text: 'VA FILE NUMBER'
    },
    'emailAddress' => {
      key: 'F[0].Page_1[0].Email_Address[0]',
      limit: 30,
      question_num: 2,
      question_suffix: 'A',
      question_text: 'APPLICANT\'S E-MAIL ADDRESS'
    },
    'phoneNumber' => {
      'phone_area_code' => {
        key: 'F[0].Page_1[0].TelephoneNumber_AreaCode[0]',
        limit: 3,
        question_num: 3,
        question_suffix: 'A',
        question_text: 'TELEPHONE NUMBER'
      },
      'phone_first_three_numbers' => {
        key: 'F[0].Page_1[0].TelephoneNumber_FirstThreeNumbers[0]',
        limit: 3,
        question_num: 3,
        question_suffix: 'B',
        question_text: 'TELEPHONE NUMBER'
      },
      'phone_last_four_numbers' => {
        key: 'F[0].Page_1[0].TelephoneNumber_LastFourNumbers[0]',
        limit: 4,
        question_num: 3,
        question_suffix: 'C',
        question_text: 'TELEPHONE NUMBER'
      }
    }
  }, # end claimantInformation
  'claimantAddress' => {
    'street' => {
      key: 'F[0].Page_1[0].CurrentMailingAddress_NumberAndStreet[0]',
      limit: 30,
      question_num: 3,
      question_suffix: 'A',
      question_text: 'MAILING ADDRESS'
    },
    'city' => {
      key: 'F[0].Page_1[0].CurrentMailingAddress_City[0]',
      limit: 18,
      question_num: 3,
      question_suffix: 'C',
      question_text: 'MAILING ADDRESS'
    },
    'state' => {
      key: 'F[0].Page_1[0].CurrentMailingAddress_StateOrProvince[0]',
      limit: 2,
      question_num: 3,
      question_suffix: 'D',
      question_text: 'MAILING ADDRESS'
    },
    'country' => {
      key: 'F[0].Page_1[0].CurrentMailingAddress_Country[0]',
      limit: 2,
      question_num: 3,
      question_suffix: 'E',
      question_text: 'MAILING ADDRESS'
    },
    'postalCode' => {
      'firstFive' => {
        key: 'F[0].Page_1[0].CurrentMailingAddress_ZIPOrPostalCode_FirstFiveNumbers[0]',
        limit: 5,
        question_num: 3,
        question_suffix: 'F',
        question_text: 'MAILING ADDRESS'
      },
      'lastFour' => {
        key: 'F[0].Page_1[0].CurrentMailingAddress_ZIPOrPostalCode_LastFourNumbers[0]',
        limit: 4,
        question_num: 3,
        question_suffix: 'G',
        question_text: 'MAILING ADDRESS'
      }
    } # end zip_code
  }, # end dependent_address
  'relationship' => {
    key: 'F[0].Page_1[0].RadioButtonList[1]'
  }, # end relationship
  'veteranFullName' => {
    'first' => {
      key: 'F[0].Page_1[0].ClaimantsFirstName[1]',
      limit: 12,
      question_num: 6,
      question_suffix: 'A',
      question_text: 'NAME OF VETERAN OR INDIVIDUAL ON ACTIVE DUTY ON WHOSE ACCOUNT BENEFITS ARE CLAIMED'
    },
    'middleInitial' => {
      key: 'F[0].Page_1[0].ClaimantsMiddleInitial[1]',
      limit: 1,
      question_num: 6,
      question_suffix: 'B',
      question_text: 'NAME OF VETERAN OR INDIVIDUAL ON ACTIVE DUTY ON WHOSE ACCOUNT BENEFITS ARE CLAIMED'
    },
    'last' => {
      key: 'F[0].Page_1[0].ClaimantsLastName[1]',
      limit: 18,
      question_num: 6,
      question_suffix: 'C',
      question_text: 'NAME OF VETERAN OR INDIVIDUAL ON ACTIVE DUTY ON WHOSE ACCOUNT BENEFITS ARE CLAIMED'
    }
    # suffix
  }, # end full_name
  'ssn' => {
    'first' => {
      key: 'F[0].Page_1[0].VeteransSocialSecurityNumber_FirstThreeNumbers[0]',
      limit: 3,
      question_num: 6,
      question_suffix: 'A',
      question_text: 'SOCIAL SECURITY NUMBER'
    },
    'second' => {
      key: 'F[0].Page_1[0].VeteransSocialSecurityNumber_SecondTwoNumbers[0]',
      limit: 2,
      question_num: 6,
      question_suffix: 'B',
      question_text: 'SOCIAL SECURITY NUMBER'
    },
    'third' => {
      key: 'F[0].Page_1[0].VeteransSocialSecurityNumber_LastFourNumbers[0]',
      limit: 4,
      question_num: 6,
      question_suffix: 'C',
      question_text: 'SOCIAL SECURITY NUMBER'
    }
  },
  'dob' => {
    'month' => {
      key: 'F[0].Page_1[0].DOBmonth[1]',
      limit: 2,
      question_num: 7,
      question_suffix: 'A',
      question_text: 'DATE OF BIRTH'
    },
    'day' => {
      key: 'F[0].Page_1[0].DOBday[1]',
      limit: 2,
      question_num: 7,
      question_suffix: 'B',
      question_text: 'DATE OF BIRTH'
    },
    'year' => {
      key: 'F[0].Page_1[0].DOByear[1]',
      limit: 4,
      question_num: 7,
      question_suffix: 'C',
      question_text: 'DATE OF BIRTH'
    }
  },
  'vaFileNumber' => {
    key: 'F[0].Page_1[0].VETERANS_VAFileNumber[0]',
    limit: 8,
    question_num: 6,
    question_suffix: 'A',
    question_text: 'VA FILE NUMBER'
  },
  'serviceNumber' => {
    key: 'F[0].Page_1[0].VAFileNumber[2]',
    limit: 8,
    question_num: 9,
    question_suffix: 'A',
    question_text: 'SERVICE NUMBER'
  },
  'veteranSsn' => {
    'first' => { key: 'F[0].Page_2[0].VeteransSocialSecurityNumber_FirstThreeNumbers[0]' },
    'second' => { key: 'F[0].Page_2[0].VeteransSocialSecurityNumber_SecondTwoNumbers[0]' },
    'third' => { key: 'F[0].Page_2[0].VeteransSocialSecurityNumber_LastFourNumbers[0]' }
  },
  'signature' => {
    key: 'signature'
  },
  'signatureDate' => {
    'month' => {
      key: 'F[0].Page_2[0].DOBmonth[0]'
    },
    'day' => {
      key: 'F[0].Page_2[0].DOBday[0]'
    },
    'year' => {
      key: 'F[0].Page_2[0].DOByear[0]'
    }
  }, # end date_signed
  'claimantName' => { key: 'claimantName' },
  'claimantSsn' => { key: 'claimantSsn' },
  'claimantDob' => { key: 'claimantDob' },
  'claimantVaFileNumber' => { key: 'claimantVaFileNumber' },
  'claimantEmail' => { key: 'claimantEmail' },
  'claimantRelationship' => { key: 'claimantRelationship' },
  'claimantTelephone' => { key: 'claimantTelephone' },
  'claimantMailingAddress' => { key: 'claimantMailingAddress' },
  'veteranName' => { key: 'veteranName' },
  'veteranSocialSecurityNumber' => { key: 'veteranSocialSecurityNumber' },
  'veteranVaFileNumber' => { key: 'veteranVaFileNumber' }
}.freeze

Instance Method Summary

• #expand_phone_number ⇒ Object
• #expand_relationship ⇒ Object
• #expand_veteran_ssn ⇒ Object
• #merge_addendum_helpers ⇒ Object
• #merge_claimant_helpers ⇒ Object
• #merge_fields(_options = {}) ⇒ Object
• #merge_veteran_helpers ⇒ Object

Methods included from FormHelper

#address_block, #combine_date_ranges, #expand_checkbox_as_hash, #extract_country, #extract_middle_i, #format_boolean, #select_checkbox, #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 ⇒ Object

# File 'lib/pdf_fill/forms/va288832.rb', line 348

def expand_phone_number
  phone_number = @form_data['claimantInformation']['phoneNumber']
  if phone_number.present?
    phone_number = phone_number.delete('^0-9')
    @form_data['claimantInformation']['phoneNumber'] = {
      'phone_area_code' => phone_number[0..2],
      'phone_first_three_numbers' => phone_number[3..5],
      'phone_last_four_numbers' => phone_number[6..9]
    }
  end
end

#expand_relationship ⇒ Object

# File 'lib/pdf_fill/forms/va288832.rb', line 335

def expand_relationship
  relationship = @form_data['status']
  @form_data['relationship'] =
    case relationship
    when 'isChild'
      '5'
    when 'isSpouse'
      '2'
    else
      '1'
    end
end

#expand_veteran_ssn ⇒ Object

# File 'lib/pdf_fill/forms/va288832.rb', line 360

def expand_veteran_ssn
  # veteran ssn is at the top of page 2
  # Not sure what the purpose of this is
  ssn = @form_data['veteranSocialSecurityNumber']
  return @form_data['veteranSsn'] = split_ssn(ssn.delete('-')) if ssn.present?

  @form_data['veteranSsn'] = @form_data.dig('claimantInformation', 'ssn')
end

#merge_addendum_helpers ⇒ Object

# File 'lib/pdf_fill/forms/va288832.rb', line 369

def merge_addendum_helpers
  @form_data['claimantName'] = combine_full_name(@form_data.dig('claimantInformation', 'fullName'))
  @form_data['claimantSsn'] = @form_data.dig('claimantInformation', 'ssn')
  @form_data['claimantDob'] = @form_data.dig('claimantInformation', 'dateOfBirth')
  @form_data['claimantVaFileNumber'] = @form_data.dig('claimantInformation', 'vaFileNumber')
  # possible values for relationship: ['isActiveDuty', 'isVeteran', 'isSpouse', 'isChild']
  # on the PDF we want to remove the 'is' from the beginning of each of those values
  @form_data['claimantRelationship'] = @form_data['status'][2..]
  @form_data['claimantEmail'] = @form_data.dig('claimantInformation', 'emailAddress')
  @form_data['claimantTelephone'] = @form_data.dig('claimantInformation', 'phoneNumber')
  @form_data['claimantMailingAddress'] = combine_full_address(@form_data['claimantAddress'])
  @form_data['veteranName'] = combine_full_name(@form_data['veteranFullName'])
  @form_data['veteranVaFileNumber'] = @form_data['vaFileNumber']
end

#merge_claimant_helpers ⇒ Object

# File 'lib/pdf_fill/forms/va288832.rb', line 297

def merge_claimant_helpers
  claimant_information = @form_data['claimantInformation']

  # extract middle initial
  claimant_information['fullName'] = extract_middle_i(claimant_information, 'fullName')

  # extract ssn
  ssn = claimant_information['ssn']
  claimant_information['ssn'] = split_ssn(ssn.delete('-')) if ssn.present?

  # extract birth date
  claimant_information['dateOfBirth'] = split_date(claimant_information['dateOfBirth'])

  # extract relationship
  expand_relationship

  # extract phone_number
  expand_phone_number

  # extract postal code and country
  claimant_addr = @form_data['claimantAddress']
  claimant_addr['postalCode'] = split_postal_code(claimant_addr)
  claimant_addr['country'] = extract_country(claimant_addr)

  claimant_addr['street'] = "#{claimant_addr['street']} #{claimant_addr['street2']} #{claimant_addr['street3']}"
end

#merge_fields(_options = {}) ⇒ Object

# File 'lib/pdf_fill/forms/va288832.rb', line 284

def merge_fields(_options = {})
  merge_addendum_helpers
  merge_claimant_helpers
  merge_veteran_helpers

  expand_veteran_ssn

  expand_signature(@form_data['claimantInformation']['fullName'])
  @form_data['signatureDate'] = split_date(@form_data['signatureDate'])

  @form_data
end

#merge_veteran_helpers ⇒ Object

# File 'lib/pdf_fill/forms/va288832.rb', line 324

def merge_veteran_helpers
  return if @form_data['veteranFullName'].blank?

  # extract middle initial
  @form_data['veteranFullName'] = extract_middle_i(@form_data, 'veteranFullName')

  # extract ssn
  ssn = @form_data['veteranSocialSecurityNumber']
  @form_data['ssn'] = split_ssn(ssn.delete('-')) if ssn.present?
end