Class: PdfFill::Forms::Va5655

Inherits:
FormBase
  • Object
show all
Defined in:
lib/pdf_fill/forms/va5655.rb

Constant Summary collapse

ITERATOR = 
PdfFill::HashConverter::ITERATOR
KEY = 
{
  'personalIdentification' => {
    'ssn' => {
      key: 'vaco5655[0].#subform[0].Field1[0]',
      limit: 9,
      question_num: 1
    },
    'fileNumber' => {
      key: 'vaco5655[0].#subform[0].Field2[0]',
      question_num: 2
    },
    'fsrReason' => {
      key: 'vaco5655[0].#subform[0].Field3[0]',
      question_num: 3
    }
  },
  'personalData' => {
    'veteranFullName' => {
      key: 'vaco5655[0].#subform[0].Field4[0]',
      question_num: 4
    },
    'address' => {
      key: 'vaco5655[0].#subform[0].Field5[0]',
      question_num: 5
    },
    'telephoneNumber' => {
      key: 'vaco5655[0].#subform[0].Field6[0]',
      question_num: 6
    },
    'dateOfBirth' => {
      key: 'vaco5655[0].#subform[0].Field7[0]',
      question_num: 7
    },
    'married' => {
      key: 'vaco5655[0].#subform[0].RadioButtonList[0]',
      question_num: 8
    },
    'spouseFullName' => {
      key: 'vaco5655[0].#subform[0].Field10[0]',
      question_num: 9
    },
    'agesOfOtherDependents' => {
      key: 'vaco5655[0].#subform[0].Field11[0]',
      question_num: 10
    },
    'veteranCurrentEmployment' => {
      'kindOfJob' => {
        key: 'vaco5655[0].#subform[0].Field12[0]'
      },
      'fromDate' => {
        key: 'vaco5655[0].#subform[0].Field13[0]'
      },
      'employerName' => {
        key: 'vaco5655[0].#subform[0].Field14[0]'
      }
    },
    'veteranPastEmployment' => {
      'kindOfJob' => {
        key: 'vaco5655[0].#subform[0].Field15[0]'
      },
      'fromDate' => {
        key: 'vaco5655[0].#subform[0].Field16[0]'
      },
      'toDate' => {
        key: 'vaco5655[0].#subform[0].Field17[0]'
      },
      'employerName' => {
        key: 'vaco5655[0].#subform[0].Field18[0]'
      }
    },
    'spouseCurrentEmployment' => {
      'kindOfJob' => {
        key: 'vaco5655[0].#subform[0].Field19[0]'
      },
      'fromDate' => {
        key: 'vaco5655[0].#subform[0].Field20[0]'
      },
      'employerName' => {
        key: 'vaco5655[0].#subform[0].Field21[0]'
      }
    },
    'spousePastEmployment' => {
      'kindOfJob' => {
        key: 'vaco5655[0].#subform[0].Field22[0]'
      },
      'fromDate' => {
        key: 'vaco5655[0].#subform[0].Field23[0]'
      },
      'toDate' => {
        key: 'vaco5655[0].#subform[0].Field24[0]'
      },
      'employerName' => {
        key: 'vaco5655[0].#subform[0].Field25[0]'
      }
    }
  },
  'veteranIncome' => {
    'monthlyGrossSalary' => {
      key: 'vaco5655[0].#subform[0].Field26[0]',
      question_num: 13
    },
    'deductions' => {
      'taxes' => {
        key: 'vaco5655[0].#subform[0].Field28[0]',
        question_num: 14,
        question_suffix: 'A'
      },
      'retirement' => {
        key: 'vaco5655[0].#subform[0].Field30[0]',
        question_num: 14,
        question_suffix: 'B'
      },
      'socialSecurity' => {
        key: 'vaco5655[0].#subform[0].Field32[0]',
        question_num: 14,
        question_suffix: 'C'
      },
      'otherDeductions' => {
        'name' => {
          key: 'vaco5655[0].#subform[0].Field34[0]'
        },
        'amount' => {
          key: 'vaco5655[0].#subform[0].Field35[0]',
          question_num: 14,
          question_suffix: 'D'
        }
      }
    },
    'totalDeductions' => {
      key: 'vaco5655[0].#subform[0].Field37[0]',
      question_num: 14,
      question_suffix: 'E'
    },
    'netTakeHomePay' => {
      key: 'vaco5655[0].#subform[0].Field39[0]',
      question_num: 15
    },
    'otherIncome' => {
      'name' => {
        key: 'vaco5655[0].#subform[0].Field41[0]'
      },
      'amount' => {
        key: 'vaco5655[0].#subform[0].Field42[0]',
        question_num: 16
      }
    },
    'totalMonthlyNetIncome' => {
      key: 'vaco5655[0].#subform[0].Field44[0]',
      question_num: 17
    }
  },
  'spouseIncome' => {
    'monthlyGrossSalary' => {
      key: 'vaco5655[0].#subform[0].Field27[0]',
      question_num: 13
    },
    'deductions' => {
      'taxes' => {
        key: 'vaco5655[0].#subform[0].Field29[0]',
        question_num: 14,
        question_suffix: 'A'
      },
      'retirement' => {
        key: 'vaco5655[0].#subform[0].Field31[0]',
        question_num: 14,
        question_suffix: 'B'
      },
      'socialSecurity' => {
        key: 'vaco5655[0].#subform[0].Field33[0]',
        question_num: 14,
        question_suffix: 'C'
      },
      'otherDeductions' => {
        'amount' => {
          key: 'vaco5655[0].#subform[0].Field36[0]',
          question_num: 14,
          question_suffix: 'D'
        }
      }
    },
    'totalDeductions' => {
      key: 'vaco5655[0].#subform[0].Field38[0]',
      question_num: 14,
      question_suffix: 'E'
    },
    'netTakeHomePay' => {
      key: 'vaco5655[0].#subform[0].Field40[0]',
      question_num: 15
    },
    'otherIncome' => {
      'amount' => {
        key: 'vaco5655[0].#subform[0].Field43[0]',
        question_num: 16
      }
    },
    'totalMonthlyNetIncome' => {
      key: 'vaco5655[0].#subform[0].Field45[0]',
      question_num: 17
    }
  },
  'expenses' => {
    'rentOrMortgage' => {
      key: 'vaco5655[0].#subform[0].Field46[0]',
      question_num: 18
    },
    'food' => {
      key: 'vaco5655[0].#subform[0].Field47[0]',
      question_num: 19
    },
    'utilities' => {
      key: 'vaco5655[0].#subform[0].Field48[0]',
      question_num: 20
    },
    'otherLivingExpenses' => {
      'name' => {
        key: 'vaco5655[0].#subform[0].Field35[1]'
      },
      'amount' => {
        key: 'vaco5655[0].#subform[0].Field49[0]',
        question_num: 21
      }
    },
    'expensesInstallmentContractsAndOtherDebts' => {
      key: 'vaco5655[0].#subform[0].Field50[0]',
      question_num: 22
    },
    'totalMonthlyExpenses' => {
      key: 'vaco5655[0].#subform[0].Field51[0]',
      question_num: 23
    }
  },
  'discretionaryIncome' => {
    'netMonthlyIncomeLessExpenses' => {
      key: 'vaco5655[0].#subform[0].Field52[0]',
      question_num: 24,
      question_suffix: 'A'
    },
    'amountCanBePaidTowardDebt' => {
      key: 'vaco5655[0].#subform[0].Field53[0]',
      question_num: 24,
      question_suffix: 'B'
    }
  },
  'assets' => {
    'cashInBank' => {
      key: 'vaco5655[0].#subform[1].Field54[0]',
      question_num: 25
    },
    'cashOnHand' => {
      key: 'vaco5655[0].#subform[1].Field55[0]',
      question_num: 26
    },
    'automobiles' => {
      limit: 3,
      question_num: 27,
      'make' => {
        key: "automobiles.make[#{ITERATOR}]",
        question_num: 27,
        question_text: 'Car make'
      },
      'year' => {
        key: "automobiles.year[#{ITERATOR}]",
        question_num: 27,
        question_text: 'Car year'
      },
      'model' => {
        key: "automobiles.model[#{ITERATOR}]",
        question_num: 27,
        question_text: 'Car model'
      },
      'resaleValue' => {
        key: "automobiles.value[#{ITERATOR}]",
        question_num: 27,
        question_text: 'Car value'
      }
    },
    'trailersBoatsCampers' => {
      key: 'vaco5655[0].#subform[1].Field68[0]',
      question_num: 28
    },
    'usSavingsBonds' => {
      key: 'vaco5655[0].#subform[1].Field69[0]',
      question_num: 29
    },
    'stocksAndOtherBonds' => {
      key: 'vaco5655[0].#subform[1].Field70[0]',
      question_num: 30
    },
    'realEstateOwned' => {
      key: 'vaco5655[0].#subform[1].Field71[0]',
      question_num: 31
    },
    'otherAssets' => {
      limit: 3,
      question_num: 32,
      'name' => {
        key: "otherAssets.name[#{ITERATOR}]"
      },
      'amount' => {
        key: "otherAssets.value[#{ITERATOR}]"
      }
    },
    'totalAssets' => {
      key: 'vaco5655[0].#subform[1].Field78[0]'
    }
  },
  'installmentContractsAndOtherDebts' => {
    limit: 8,
    'nameAndAddress' => {
      key: "debts.name[#{ITERATOR}]",
      question_suffix: 'A'
    },
    'dateAndPurpose' => {
      key: "debts.date[#{ITERATOR}]",
      question_suffix: 'B'
    },
    'originalAmount' => {
      key: "debts.originalAmount[#{ITERATOR}]",
      question_suffix: 'C'
    },
    'unpaidBalance' => {
      key: "debts.unpaidBalance[#{ITERATOR}]",
      question_suffix: 'D'
    },
    'amountDueMonthly' => {
      key: "debts.monthlyDue[#{ITERATOR}]",
      question_suffix: 'E'
    },
    'amountPastDue' => {
      key: "debts.pastDue[#{ITERATOR}]",
      question_suffix: 'F'
    }
  },
  'totalOfInstallmentContractsAndOtherDebts' => {
    'originalAmount' => {
      key: 'vaco5655[0].#subform[1].Field127[0]'
    },
    'unpaidBalance' => {
      key: 'vaco5655[0].#subform[1].Field128[0]'
    },
    'amountDueMonthly' => {
      key: 'vaco5655[0].#subform[1].Field129[0]'
    },
    'amountPastDue' => {
      key: 'vaco5655[0].#subform[1].Field130[0]'
    }
  },
  'additionalData' => {
    'bankruptcy' => {
      'hasBeenAdjudicatedBankrupt' => {
        key: 'vaco5655[0].#subform[1].RadioButtonList[1]',
        question_num: 35,
        question_suffix: 'A'
      },
      'dateDischarged' => {
        key: 'vaco5655[0].#subform[1].Field133[0]',
        question_num: 35,
        question_suffix: 'B'
      },
      'courtLocation' => {
        key: 'vaco5655[0].#subform[1].Field134[0]',
        question_num: 35,
        question_suffix: 'C'
      },
      'docketNumber' => {
        key: 'vaco5655[0].#subform[1].Field135[0]',
        question_num: 35,
        question_suffix: 'D'
      }
    },
    'additionalComments' => {
      key: 'vaco5655[0].#subform[1].Field136[0]',
      question_num: 36,
      question_text: 'Additional Comments',
      limit: 450
    }
  },
  'applicantCertifications' => {
    'veteranSignature' => {
      key: 'Text1',
      question_num: 37,
      question_suffix: 'A'
    },
    'veteranDateSigned' => {
      key: 'Text3',
      question_num: 37,
      question_suffix: 'B'
    }
  }
}.freeze

Instance Method Summary collapse

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

#merge_fields(_options = {}) ⇒ Object 



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# File 'lib/pdf_fill/forms/va5655.rb', line 404

def merge_fields(_options = {})
  merge_full_name
  merge_veteran_address
  merge_booleans
  merge_ages_of_other_dependents
  merge_employment_history
  merge_income
  merge_debts
  @form_data
end