{
	"_component": "",
	"breakpoints": [
		478,
		991,
		1440
	],
	"clearHidden": "no",
	"dialogs": {
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			"_component": "",
			"clearHidden": "",
			"entityPath": "",
			"exclude": false,
			"excludeRowData": false,
			"htmlLabel": "About dialog",
			"id": "aboutDialog",
			"insightsName": "",
			"jsFiles": [],
			"label": "About dialog",
			"mandatory": false,
			"noData": true,
			"offset": {
				"lg": 0,
				"md": 0,
				"sm": 0,
				"xs": 0
			},
			"overrideParentUsRule": false,
			"path": "",
			"pathContext": "",
			"properties": {
				"ariaHidden": false,
				"ariaLabel": ""
			},
			"repeatingData": false,
			"rows": [
				[
					{
						"_component": "",
						"clearHidden": "",
						"entityPath": "",
						"exclude": false,
						"excludeRowData": false,
						"htmlLabel": "About this form",
						"id": "dialogContentCustom",
						"insightsName": "",
						"jsFiles": [],
						"label": "About this form",
						"mandatory": false,
						"noData": true,
						"offset": {
							"lg": 0,
							"md": 0,
							"sm": 0,
							"xs": 0
						},
						"overrideParentUsRule": false,
						"path": "DialogContentCustom",
						"pathContext": "",
						"properties": {},
						"repeatingData": false,
						"rows": [
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								{
									"_component": "",
									"clearHidden": "",
									"entityPath": "",
									"exLayout": true,
									"exclude": false,
									"excludeRowData": false,
									"htmlLabel": "Abouttext",
									"id": "abouttextPrefill",
									"insightsName": "",
									"jsFiles": [],
									"label": "Abouttext",
									"mandatory": false,
									"offset": {
										"lg": 0,
										"md": 0,
										"sm": 0,
										"xs": 0
									},
									"overrideParentUsRule": false,
									"path": "AbouttextPrefill",
									"pathContext": "",
									"properties": {},
									"repeatingData": false,
									"span": {
										"lg": 12,
										"md": 12,
										"sm": 12,
										"xs": 12
									},
									"type": "data-field"
								}
							],
							[
								{
									"_component": "",
									"clearHidden": "",
									"entityPath": "",
									"exclude": false,
									"excludeRowData": false,
									"htmlLabel": "<span ng-bind-html=\"data.abouttextPrefill\">abouttext</span>",
									"id": "aboutTextDisplay",
									"insightsName": "",
									"jsFiles": [],
									"label": "abouttext",
									"mandatory": false,
									"noData": true,
									"offset": {
										"lg": 0,
										"md": 0,
										"sm": 0,
										"xs": 0
									},
									"overrideParentUsRule": false,
									"path": "",
									"pathContext": "",
									"properties": {
										"floatRight": false
									},
									"repeatingData": false,
									"span": {
										"lg": 12,
										"md": 12,
										"sm": 12,
										"xs": 12
									},
									"type": "text-display-custom"
								}
							]
						],
						"span": {
							"lg": 12,
							"md": 12,
							"sm": 12,
							"xs": 12
						},
						"type": "template-custom-dialog-content"
					}
				]
			],
			"span": {
				"lg": 12,
				"md": 12,
				"sm": 12,
				"xs": 12
			},
			"type": "template-custom-dialog"
		},
		"alertDialog": {
			"_component": "",
			"clearHidden": "",
			"entityPath": "",
			"exclude": false,
			"excludeRowData": false,
			"htmlLabel": "Alert Dialog",
			"id": "alertDialog",
			"insightsName": "",
			"jsFiles": [],
			"label": "Alert Dialog",
			"mandatory": false,
			"noData": true,
			"offset": {
				"lg": 0,
				"md": 0,
				"sm": 0,
				"xs": 0
			},
			"overrideParentUsRule": false,
			"path": "",
			"pathContext": "",
			"properties": {
				"ariaHidden": false,
				"ariaLabel": ""
			},
			"repeatingData": false,
			"rows": [
				[
					{
						"_component": "",
						"clearHidden": "",
						"entityPath": "",
						"exclude": false,
						"excludeRowData": false,
						"htmlLabel": "{{data.alertDialogData.heading}}",
						"id": "alertDialogHeading",
						"insightsName": "",
						"jsFiles": [],
						"label": "",
						"mandatory": false,
						"noData": true,
						"offset": {
							"lg": 0,
							"md": 0,
							"sm": 0,
							"xs": 0
						},
						"overrideParentUsRule": false,
						"path": "",
						"pathContext": "",
						"properties": {},
						"repeatingData": false,
						"rows": [
							[
								{
									"_component": "",
									"clearHidden": "",
									"entityPath": "",
									"exclude": false,
									"excludeRowData": false,
									"htmlLabel": "{{data.alertDialogData.text}}",
									"id": "errorDialogText",
									"insightsName": "",
									"jsFiles": [],
									"label": "",
									"mandatory": false,
									"noData": true,
									"offset": {
										"lg": 0,
										"md": 0,
										"sm": 0,
										"xs": 0
									},
									"overrideParentUsRule": false,
									"path": "",
									"pathContext": "",
									"properties": {
										"floatRight": false
									},
									"repeatingData": false,
									"span": {
										"lg": 12,
										"md": 12,
										"sm": 12,
										"xs": 12
									},
									"type": "text-display-custom"
								}
							],
							[
								{
									"_component": "",
									"clearHidden": "",
									"entityPath": "",
									"exclude": false,
									"excludeRowData": false,
									"htmlLabel": "{{data.alertDialogData.button}}",
									"id": "errorDialogButton",
									"insightsName": "",
									"jsFiles": [],
									"label": "",
									"mandatory": false,
									"noData": true,
									"offset": {
										"lg": 0,
										"md": 0,
										"sm": 0,
										"xs": 0
									},
									"overrideParentUsRule": false,
									"path": "",
									"pathContext": "",
									"properties": {
										"floatRight": false,
										"fontawesome": "fa-face-laugh",
										"icon": "act-button__no-icon",
										"size": "act-button__default",
										"type": "act-button__primary"
									},
									"repeatingData": false,
									"span": {
										"lg": 4,
										"md": 4,
										"sm": 12,
										"xs": 12
									},
									"type": "button-custom"
								}
							]
						],
						"span": {
							"lg": 12,
							"md": 12,
							"sm": 12,
							"xs": 12
						},
						"type": "template-custom-dialog-content"
					}
				],
				[
					{
						"_component": "",
						"clearHidden": "",
						"entityPath": "",
						"exLayout": true,
						"exclude": false,
						"excludeRowData": false,
						"htmlLabel": "Alert Dialog Data",
						"id": "alertDialogData",
						"insightsName": "",
						"jsFiles": [],
						"label": "Alert Dialog Data",
						"mandatory": false,
						"noData": true,
						"offset": {
							"lg": 0,
							"md": 0,
							"sm": 0,
							"xs": 0
						},
						"overrideParentUsRule": false,
						"path": "",
						"pathContext": "",
						"properties": {},
						"repeatingData": false,
						"span": {
							"lg": 12,
							"md": 12,
							"sm": 12,
							"xs": 12
						},
						"type": "data-field"
					}
				]
			],
			"span": {
				"lg": 12,
				"md": 12,
				"sm": 12,
				"xs": 12
			},
			"type": "template-custom-dialog"
		},
		"helpDialog": {
			"_component": "",
			"clearHidden": "",
			"entityPath": "",
			"exclude": false,
			"excludeRowData": false,
			"htmlLabel": "Help dialog",
			"id": "helpDialog",
			"insightsName": "",
			"jsFiles": [],
			"label": "Help dialog",
			"mandatory": false,
			"noData": true,
			"offset": {
				"lg": 0,
				"md": 0,
				"sm": 0,
				"xs": 0
			},
			"overrideParentUsRule": false,
			"path": "",
			"pathContext": "",
			"properties": {
				"ariaHidden": false,
				"ariaLabel": ""
			},
			"repeatingData": false,
			"rows": [
				[
					{
						"_component": "",
						"clearHidden": "",
						"entityPath": "",
						"exclude": false,
						"excludeRowData": false,
						"htmlLabel": "Need help?",
						"id": "helptextContent",
						"insightsName": "",
						"jsFiles": [],
						"label": "Need help?",
						"mandatory": false,
						"noData": true,
						"offset": {
							"lg": 0,
							"md": 0,
							"sm": 0,
							"xs": 0
						},
						"overrideParentUsRule": false,
						"path": "",
						"pathContext": "",
						"properties": {},
						"repeatingData": false,
						"rows": [
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									"_component": "",
									"clearHidden": "",
									"entityPath": "",
									"exLayout": true,
									"exclude": false,
									"excludeRowData": false,
									"htmlLabel": "Helptext",
									"id": "helptextPrefill",
									"insightsName": "",
									"jsFiles": [],
									"label": "Helptext",
									"mandatory": false,
									"offset": {
										"lg": 0,
										"md": 0,
										"sm": 0,
										"xs": 0
									},
									"overrideParentUsRule": false,
									"path": "HelptextPrefill",
									"pathContext": "",
									"properties": {},
									"repeatingData": false,
									"span": {
										"lg": 12,
										"md": 12,
										"sm": 12,
										"xs": 12
									},
									"type": "data-field"
								}
							],
							[
								{
									"_component": "",
									"clearHidden": "",
									"entityPath": "",
									"exclude": false,
									"excludeRowData": false,
									"htmlLabel": "<span ng-bind-html=\"data.helptextPrefill\">helptext</span>",
									"id": "helpTextDisplay",
									"insightsName": "",
									"jsFiles": [],
									"label": "helptext",
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									"noData": true,
									"offset": {
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										"sm": 0,
										"xs": 0
									},
									"overrideParentUsRule": false,
									"path": "",
									"pathContext": "",
									"properties": {
										"floatRight": false
									},
									"repeatingData": false,
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										"sm": 12,
										"xs": 12
									},
									"type": "text-display-custom"
								}
							],
							[]
						],
						"span": {
							"lg": 12,
							"md": 12,
							"sm": 12,
							"xs": 12
						},
						"type": "template-custom-dialog-content"
					}
				]
			],
			"span": {
				"lg": 12,
				"md": 12,
				"sm": 12,
				"xs": 12
			},
			"type": "template-custom-dialog"
		},
		"mobileMenuDialog": {
			"_component": "",
			"clearHidden": "",
			"entityPath": "",
			"exclude": false,
			"excludeRowData": false,
			"htmlLabel": "Mobile menu",
			"id": "mobileMenuDialog",
			"insightsName": "",
			"jsFiles": [],
			"label": "Mobile menu",
			"mandatory": false,
			"noData": true,
			"offset": {
				"lg": 0,
				"md": 0,
				"sm": 0,
				"xs": 0
			},
			"overrideParentUsRule": false,
			"path": "",
			"pathContext": "",
			"properties": {
				"ariaHidden": false,
				"ariaLabel": ""
			},
			"repeatingData": false,
			"rows": [
				[
					{
						"_component": "",
						"clearHidden": "",
						"entityPath": "",
						"exclude": false,
						"excludeRowData": false,
						"htmlLabel": "",
						"id": "mobileMenu",
						"insightsName": "",
						"jsFiles": [],
						"label": "Mobile Menu",
						"mandatory": false,
						"noData": true,
						"offset": {
							"lg": 0,
							"md": 0,
							"sm": 0,
							"xs": 0
						},
						"overrideParentUsRule": false,
						"path": "",
						"pathContext": "",
						"properties": {
							"trackingCodePrefix": "Reference code: "
						},
						"repeatingData": false,
						"span": {
							"lg": 12,
							"md": 12,
							"sm": 12,
							"xs": 12
						},
						"type": "template-mobile-menu"
					}
				]
			],
			"span": {
				"lg": 12,
				"md": 12,
				"sm": 12,
				"xs": 12
			},
			"type": "template-custom-dialog"
		},
		"mobileNavMenu": {
			"_component": "",
			"clearHidden": "",
			"entityPath": "",
			"exclude": false,
			"excludeRowData": false,
			"htmlLabel": "Mobile Nav Menu",
			"id": "mobileNavMenu",
			"insightsName": "",
			"jsFiles": [],
			"label": "Mobile Nav Menu",
			"mandatory": false,
			"noData": true,
			"offset": {
				"lg": 0,
				"md": 0,
				"sm": 0,
				"xs": 0
			},
			"overrideParentUsRule": false,
			"path": "",
			"pathContext": "",
			"properties": {
				"ariaHidden": false,
				"ariaLabel": ""
			},
			"repeatingData": false,
			"rows": [
				[
					{
						"_component": "",
						"clearHidden": "",
						"entityPath": "",
						"exclude": false,
						"excludeRowData": false,
						"htmlLabel": "",
						"id": "mobileNavigatorMenu",
						"insightsName": "",
						"jsFiles": [],
						"label": "Mobile Navigator Menu",
						"mandatory": false,
						"noData": true,
						"offset": {
							"lg": 0,
							"md": 0,
							"sm": 0,
							"xs": 0
						},
						"overrideParentUsRule": false,
						"path": "",
						"pathContext": "",
						"properties": {
							"disableOnNonActive": false,
							"navAriaLabel": "Secondary wizard status",
							"navItemGroupRole": "tablist",
							"navItemRole": "tab",
							"tabFocus": 0,
							"trackingCodePrefix": "Reference code: "
						},
						"repeatingData": false,
						"span": {
							"lg": 12,
							"md": 12,
							"sm": 12,
							"xs": 12
						},
						"type": "template-mobile-navigator-menu"
					}
				]
			],
			"span": {
				"lg": 12,
				"md": 12,
				"sm": 12,
				"xs": 12
			},
			"type": "template-custom-dialog"
		},
		"privacyDialog": {
			"_component": "",
			"clearHidden": "",
			"entityPath": "",
			"exclude": false,
			"excludeRowData": false,
			"htmlLabel": "Privacy",
			"id": "privacyDialog",
			"insightsName": "",
			"jsFiles": [],
			"label": "Privacy",
			"mandatory": false,
			"noData": true,
			"offset": {
				"lg": 0,
				"md": 0,
				"sm": 0,
				"xs": 0
			},
			"overrideParentUsRule": false,
			"path": "",
			"pathContext": "",
			"properties": {
				"ariaHidden": false,
				"ariaLabel": ""
			},
			"repeatingData": false,
			"rows": [
				[
					{
						"_component": "",
						"clearHidden": "",
						"entityPath": "",
						"exclude": false,
						"excludeRowData": false,
						"htmlLabel": "Privacy",
						"id": "privacyContent",
						"insightsName": "",
						"jsFiles": [],
						"label": "Privacy",
						"mandatory": false,
						"noData": true,
						"offset": {
							"lg": 0,
							"md": 0,
							"sm": 0,
							"xs": 0
						},
						"overrideParentUsRule": false,
						"path": "",
						"pathContext": "",
						"properties": {},
						"repeatingData": false,
						"rows": [
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								{
									"_component": "",
									"clearHidden": "",
									"entityPath": "",
									"exLayout": true,
									"exclude": false,
									"excludeRowData": false,
									"htmlLabel": "Privacy",
									"id": "privacyPrefill",
									"insightsName": "",
									"jsFiles": [],
									"label": "Privacy",
									"mandatory": false,
									"offset": {
										"lg": 0,
										"md": 0,
										"sm": 0,
										"xs": 0
									},
									"overrideParentUsRule": false,
									"path": "PrivacyPrefill",
									"pathContext": "",
									"properties": {},
									"repeatingData": false,
									"span": {
										"lg": 12,
										"md": 12,
										"sm": 12,
										"xs": 12
									},
									"type": "data-field"
								}
							],
							[
								{
									"_component": "",
									"clearHidden": "",
									"entityPath": "",
									"exclude": false,
									"excludeRowData": false,
									"htmlLabel": "<span ng-bind-html=\"data.privacyPrefill\">privacy</span>",
									"id": "privacyText",
									"insightsName": "",
									"jsFiles": [],
									"label": "privacy",
									"mandatory": false,
									"noData": true,
									"offset": {
										"lg": 0,
										"md": 0,
										"sm": 0,
										"xs": 0
									},
									"overrideParentUsRule": false,
									"path": "",
									"pathContext": "",
									"properties": {
										"floatRight": false
									},
									"repeatingData": false,
									"span": {
										"lg": 12,
										"md": 12,
										"sm": 12,
										"xs": 12
									},
									"type": "text-display-custom"
								}
							]
						],
						"span": {
							"lg": 12,
							"md": 12,
							"sm": 12,
							"xs": 12
						},
						"type": "template-custom-dialog-content"
					}
				]
			],
			"span": {
				"lg": 12,
				"md": 12,
				"sm": 12,
				"xs": 12
			},
			"type": "template-custom-dialog"
		},
		"savechallenge": {
			"_component": "",
			"clearHidden": "",
			"entityPath": "",
			"exclude": false,
			"excludeRowData": false,
			"htmlLabel": "Save challenge",
			"id": "savechallenge",
			"insightsName": "",
			"jsFiles": [],
			"label": "Save challenge",
			"mandatory": false,
			"noData": true,
			"offset": {
				"lg": 0,
				"md": 0,
				"sm": 0,
				"xs": 0
			},
			"overrideParentUsRule": false,
			"path": "",
			"pathContext": "",
			"properties": {
				"ariaHidden": false,
				"ariaLabel": ""
			},
			"repeatingData": false,
			"rows": [
				[
					{
						"_component": "",
						"clearHidden": "",
						"entityPath": "",
						"exclude": false,
						"excludeRowData": false,
						"htmlLabel": "Save challenge",
						"id": "openYourSavedForm",
						"insightsName": "",
						"jsFiles": [],
						"label": "Save challenge",
						"mandatory": false,
						"noData": true,
						"offset": {
							"lg": 0,
							"md": 0,
							"sm": 0,
							"xs": 0
						},
						"overrideParentUsRule": false,
						"path": "",
						"pathContext": "",
						"properties": {},
						"repeatingData": false,
						"rows": [
							[
								{
									"_component": "openYourSavedForm",
									"clearHidden": "",
									"entityPath": "",
									"exclude": false,
									"excludeRowData": false,
									"htmlLabel": "{{data.isCollab ? \"Click Confirm to continue to the next step\" : \"To resume your form please complete the following details.\"}}",
									"id": "textDisplayCustom_7",
									"insightsName": "",
									"jsFiles": [],
									"label": "",
									"mandatory": false,
									"noData": true,
									"offset": {
										"lg": 0,
										"md": 0,
										"sm": 0,
										"xs": 0
									},
									"overrideParentUsRule": false,
									"path": "",
									"pathContext": "",
									"properties": {
										"floatRight": false
									},
									"repeatingData": false,
									"span": {
										"lg": 12,
										"md": 12,
										"sm": 12,
										"xs": 12
									},
									"type": "text-display-custom"
								}
							],
							[
								{
									"_component": "openYourSavedForm",
									"clearHidden": "",
									"entityPath": "",
									"exclude": false,
									"excludeRowData": false,
									"htmlLabel": "",
									"id": "block_2",
									"insightsName": "",
									"jsFiles": [],
									"label": "Block",
									"mandatory": false,
									"noData": true,
									"offset": {
										"lg": 0,
										"md": 0,
										"sm": 0,
										"xs": 0
									},
									"overrideParentUsRule": false,
									"path": "",
									"pathContext": "",
									"properties": {
										"ariaHidden": false,
										"ariaLabel": ""
									},
									"repeatingData": false,
									"rows": [
										[
											{
												"_component": "openYourSavedForm",
												"clearHidden": "",
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								"md": 12,
								"sm": 12,
								"xs": 12
							},
							"type": "template-masthead-container"
						}
					],
					[
						{
							"_component": "",
							"clearHidden": "",
							"entityPath": "",
							"exclude": false,
							"excludeRowData": false,
							"htmlLabel": "",
							"id": "customNavBar",
							"insightsName": "",
							"jsFiles": [],
							"label": "Custom NavBar",
							"mandatory": false,
							"noData": true,
							"offset": {
								"lg": 0,
								"md": 0,
								"sm": 0,
								"xs": 0
							},
							"overrideParentUsRule": false,
							"path": "",
							"pathContext": "",
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								"altLeft": "ACT Government",
								"altRight": "Access Canberra",
								"heightLargeLeft": 64,
								"heightLargeRight": 0,
								"heightMediumLeft": 48,
								"heightMediumRight": 0,
								"heightSmallLeft": 36,
								"heightSmallRight": 0,
								"linkLeft": "https://www.accesscanberra.act.gov.au",
								"linkRight": "https://www.accesscanberra.act.gov.au",
								"logoLeft": {
									"fileName": "act-govt-black-horizontal.svg",
									"height": "64px",
									"width": ""
								},
								"logoRight": {
									"fileName": "access-canberra-black-horizontal.svg",
									"height": "0px",
									"width": "0px"
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								"titleLeft": "ACT Government",
								"titleRight": "Access Canberra"
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							"repeatingData": false,
							"rows": [
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										"_component": "",
										"clearHidden": "",
										"entityPath": "",
										"exclude": false,
										"excludeRowData": false,
										"htmlLabel": "About",
										"id": "about",
										"insightsName": "",
										"jsFiles": [],
										"label": "About",
										"mandatory": false,
										"noData": true,
										"offset": {
											"lg": 0,
											"md": 0,
											"sm": 0,
											"xs": 0
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										"properties": {
											"floatRight": false,
											"fontawesome": "fa-face-laugh",
											"icon": "act-button__no-icon",
											"size": "act-button__small",
											"type": "act-button__secondary"
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										"repeatingData": false,
										"span": {
											"lg": 12,
											"md": 12,
											"sm": 0,
											"xs": 0
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										"type": "button-custom"
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									{
										"_component": "",
										"clearHidden": "",
										"entityPath": "",
										"exclude": false,
										"excludeRowData": false,
										"htmlLabel": "Need help",
										"id": "needHelp",
										"insightsName": "",
										"jsFiles": [],
										"label": "Need help",
										"mandatory": false,
										"noData": true,
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											"floatRight": false,
											"fontawesome": "fa-face-laugh",
											"icon": "act-button__no-icon",
											"size": "act-button__small",
											"type": "act-button__secondary"
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										"repeatingData": false,
										"span": {
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											"sm": 0,
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										"type": "button-custom"
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										"exclude": false,
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										"htmlLabel": "Save and close",
										"id": "saveAndClose",
										"insightsName": "",
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										"label": "Save and close",
										"mandatory": false,
										"noData": true,
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											"floatRight": false,
											"fontawesome": "fa-face-laugh",
											"icon": "act-button__no-icon",
											"size": "act-button__small",
											"type": "act-button__secondary"
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										"repeatingData": false,
										"span": {
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											"sm": 0,
											"xs": 0
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										"type": "button-custom"
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									{
										"_component": "",
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										"entityPath": "",
										"exclude": false,
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										"htmlLabel": "Open saved form",
										"id": "openSavedForm",
										"insightsName": "",
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										"label": "Open saved form",
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										"noData": true,
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											"fontawesome": "fa-face-laugh",
											"icon": "act-button__no-icon",
											"size": "act-button__small",
											"type": "act-button__secondary"
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											"sm": 0,
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										"type": "button-custom"
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										"clearHidden": "",
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										"htmlLabel": "",
										"id": "trackingCodeCustom",
										"insightsName": "",
										"jsFiles": [],
										"label": "Tracking code (Custom)",
										"mandatory": false,
										"noData": true,
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											"sm": 0,
											"xs": 0
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										"overrideParentUsRule": false,
										"path": "",
										"pathContext": "",
										"properties": {
											"trackingCodePrefix": "Reference code: "
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											"md": 12,
											"sm": 12,
											"xs": 12
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										"type": "tracking-code"
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										"clearHidden": "",
										"entityPath": "",
										"exclude": false,
										"excludeRowData": false,
										"htmlLabel": "",
										"id": "buttonMenu",
										"insightsName": "",
										"jsFiles": [],
										"label": "Button (Menu)",
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											"lg": 0,
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											"sm": 0,
											"xs": 0
										},
										"overrideParentUsRule": false,
										"path": "ButtonMenu",
										"pathContext": "",
										"properties": {},
										"repeatingData": false,
										"span": {
											"lg": 0,
											"md": 0,
											"sm": 12,
											"xs": 12
										},
										"type": "button-menu"
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								]
							],
							"span": {
								"lg": 12,
								"md": 12,
								"sm": 12,
								"xs": 12
							},
							"type": "template-custom-navbar"
						}
					],
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							"_component": "",
							"clearHidden": "",
							"entityPath": "",
							"exclude": false,
							"excludeRowData": false,
							"htmlLabel": "Page title row",
							"id": "pageTitleRow",
							"insightsName": "",
							"jsFiles": [],
							"label": "pageTitleRow",
							"mandatory": false,
							"noData": true,
							"offset": {
								"lg": 0,
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								"sm": 0,
								"xs": 0
							},
							"overrideParentUsRule": false,
							"path": "PageTitleRow",
							"pathContext": "",
							"properties": {
								"formName": "{{T[Form.view.id].label}}",
								"subtitle": ""
							},
							"repeatingData": false,
							"span": {
								"lg": 12,
								"md": 12,
								"sm": 12,
								"xs": 12
							},
							"type": "template-page-title-row"
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							"_component": "",
							"clearHidden": "",
							"entityPath": "",
							"exclude": false,
							"excludeRowData": false,
							"htmlLabel": "",
							"id": "errorBlockCustom",
							"insightsName": "",
							"jsFiles": [],
							"label": "Error Block (Custom)",
							"mandatory": false,
							"noData": true,
							"offset": {
								"lg": 0,
								"md": 0,
								"sm": 0,
								"xs": 0
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							"overrideParentUsRule": false,
							"path": "",
							"pathContext": "",
							"properties": {
								"fontawesome": "fa-circle-exclamation",
								"header": "Please resolve the following issues before proceeding",
								"icon": "act-alert-inpage__icon-left",
								"mobileA11yMessageAfter": "Please select the screen to go to the first error.",
								"mobileA11yMessageBefore": "The following {{Form.validation.errors.length + (Form.validation.errors.length == 1 && ' issue was' || ' issues were')}} found.",
								"mobileHeader": "{{Form.validation.errors.length}} error(s) found",
								"mobileSubHeader": "Please touch here to resolve the first error.",
								"subHeader": "Click on an issue to go directly to the related section of the form."
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							"repeatingData": false,
							"span": {
								"lg": 12,
								"md": 12,
								"sm": 12,
								"xs": 12
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							"type": "template-custom-nav-errors"
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				],
				"span": {
					"lg": 12,
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					"sm": 12,
					"xs": 12
				},
				"type": "block"
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				"_component": "",
				"clearHidden": "",
				"entityPath": "",
				"exclude": false,
				"excludeRowData": false,
				"htmlLabel": "",
				"id": "formContainerCustom",
				"insightsName": "",
				"jsFiles": [],
				"label": "Form Container (Custom)",
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				"noData": true,
				"offset": {
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					"sm": 0,
					"xs": 0
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							"entityPath": "",
							"exclude": false,
							"excludeRowData": false,
							"htmlLabel": "Content",
							"id": "content",
							"insightsName": "",
							"jsFiles": [],
							"label": "Content",
							"mandatory": false,
							"offset": {
								"lg": 0,
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								"sm": 0,
								"xs": 0
							},
							"overrideParentUsRule": false,
							"path": "Content",
							"pathContext": "",
							"properties": {
								"focusMode": "smart",
								"hideMobileProgress": false,
								"restartAtLastSavedPage": false,
								"saveOnPageChange": false,
								"scrollMode": "end",
								"transitionDelay": "0",
								"validationMode": "sequential"
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							"repeatingData": false,
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										"_component": "",
										"clearHidden": "",
										"entityPath": "",
										"exclude": false,
										"excludeRowData": false,
										"htmlLabel": "Submission confirmation",
										"id": "submissionConfirmation",
										"insightsName": "",
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										"label": "SubmissionConfirmation",
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											"xs": 0
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										"overrideParentUsRule": false,
										"path": "",
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										"properties": {
											"additionalText": "",
											"forcePageBreak": false,
											"formName": "{{T[Form.view.id].label}}",
											"helpText": "",
											"hideHeader": false,
											"menuText": "",
											"navAriaLabel": "Secondary wizard status",
											"offMenu": false,
											"sectionHeading": "{{T[Form.view.id].label}} - Submission confirmation"
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													"htmlLabel": "Your submission has been successful. Please keep a copy of this receipt for your records.",
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													"insightsName": "",
													"jsFiles": [],
													"label": "Your submission has been successful. Please keep a copy of this receipt for your records.",
													"mandatory": false,
													"noData": true,
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														"sm": 12,
														"xs": 12
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													"type": "text-display-custom"
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													"_component": "submissionConfirmation",
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													"htmlLabel": "Date and time",
													"id": "dateAndTime",
													"insightsName": "",
													"jsFiles": [],
													"label": "Date and time",
													"mandatory": false,
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														"sm": 0,
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													"overrideParentUsRule": false,
													"path": "SFMData/SystemProfile/SubmitDateString",
													"pathContext": "abs",
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														"alertText": "",
														"floatRight": false,
														"helpText": "",
														"hideLabel": false,
														"inputMode": "text",
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														"xs": 4
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													"type": "text-input-custom"
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												{
													"_component": "submissionConfirmation",
													"clearHidden": "",
													"entityPath": "",
													"exclude": false,
													"excludeRowData": false,
													"htmlLabel": "Reference code",
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													"insightsName": "",
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													"label": "Reference code",
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														"xs": 0
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													"path": "SFMData/SystemProfile/TrackingCode",
													"pathContext": "abs",
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														"alertText": "",
														"floatRight": false,
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														"inputMode": "text",
														"inputType": "text",
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														"underHelpText": ""
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													"span": {
														"lg": 3,
														"md": 3,
														"sm": 3,
														"xs": 3
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													"type": "text-input-custom"
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												{
													"_component": "submissionConfirmation",
													"clearHidden": "",
													"entityPath": "",
													"exclude": false,
													"excludeRowData": false,
													"htmlLabel": "{{data.followupdata}}",
													"id": "textdisplay1",
													"insightsName": "",
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													"label": "",
													"mandatory": false,
													"noData": true,
													"offset": {
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														"md": 12,
														"sm": 12,
														"xs": 12
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													"type": "text-display-custom"
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											],
											[
												{
													"_component": "submissionConfirmation",
													"clearHidden": "",
													"entityPath": "",
													"exclude": false,
													"excludeRowData": false,
													"htmlLabel": "ReceiptFooter",
													"id": "receiptfooter",
													"insightsName": "",
													"jsFiles": [],
													"label": "ReceiptFooter",
													"mandatory": false,
													"noData": true,
													"offset": {
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														"xs": 0
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													"overrideParentUsRule": false,
													"path": "",
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														"ariaLabel": ""
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													"repeatingData": false,
													"rows": [
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															{
																"_component": "submissionConfirmation",
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																"entityPath": "",
																"exclude": false,
																"excludeRowData": false,
																"htmlLabel": "<p style=\"line-height:75%\"><span style=\"font-size:14px\">{{data.agencyName}}</span></p>\n",
																"id": "agency",
																"insightsName": "",
																"jsFiles": [],
																"label": "",
																"mandatory": false,
																"noData": true,
																"offset": {
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																"path": "",
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																"span": {
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																"type": "html-display"
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															{
																"_component": "submissionConfirmation",
																"clearHidden": "",
																"entityPath": "",
																"exclude": false,
																"excludeRowData": false,
																"htmlLabel": "<p style=\"line-height:75%\"><span style=\"font-size:14px\">Locked Bag 5005<br>\nWeston Creek, ACT 2601</span></p>\n",
																"id": "addresssuburbStatePostcode",
																"insightsName": "",
																"jsFiles": [],
																"label": "Locked Bag 5005\nWeston Creek, ACT 2601",
																"mandatory": false,
																"noData": true,
																"offset": {
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																"path": "",
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																"properties": {},
																"repeatingData": false,
																"span": {
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																	"md": 4,
																	"sm": 4,
																	"xs": 4
																},
																"type": "html-display"
															},
															{
																"_component": "submissionConfirmation",
																"clearHidden": "",
																"entityPath": "",
																"exclude": false,
																"excludeRowData": false,
																"htmlLabel": "<p style=\"line-height:75%\"><span style=\"font-size:14px\">Phone: {{data.agencyPhone}}<br>\n{{data.agencyEmail}}&nbsp;</span></p>\n",
																"id": "phoneXxXxxxXxxx",
																"insightsName": "",
																"jsFiles": [],
																"label": "Phone:",
																"mandatory": false,
																"noData": true,
																"offset": {
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																	"md": 0,
																	"sm": 0,
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																"overrideParentUsRule": false,
																"path": "",
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																"properties": {},
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																"type": "html-display"
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													},
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											]
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										"span": {
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											"xs": 12
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										"type": "submissionconfirmation"
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									{
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										"htmlLabel": "About this form",
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										"label": "About this form",
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											"sm": 0,
											"xs": 0
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										"path": "AboutThisForm_1",
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											"formName": "{{T[Form.view.id].label}}",
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											"sectionHeading": "{{T[item.id].label}}"
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													"label": "abouttext",
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														"sm": 12,
														"xs": 12
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													"type": "text-display-custom"
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										"span": {
											"lg": 12,
											"md": 12,
											"sm": 12,
											"xs": 12
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										"type": "about-this-form"
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								[
									{
										"_component": "",
										"clearHidden": "",
										"entityPath": "",
										"exclude": false,
										"excludeRowData": false,
										"htmlLabel": "Immunisation provider",
										"id": "pagePractice",
										"insightsName": "",
										"jsFiles": [],
										"label": "Immunisation provider",
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										"offset": {
											"lg": 0,
											"md": 0,
											"sm": 0,
											"xs": 0
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										"overrideParentUsRule": false,
										"path": "PagePractice",
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											"formName": "{{T[Form.view.id].label}}",
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											"sectionHeading": "{{T[item.id].label}}"
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													"_component": "",
													"clearHidden": "",
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																"key": "POSTCODE",
																"ref": "data.prefillPostcode"
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															{
																"key": "PHARMACY",
																"ref": "data.isPharmacy"
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															{
																"key": "MPOX",
																"ref": "data.lookupMPOX"
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															{
																"key": "PROVIDER",
																"ref": "data.providerReference"
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															{
																"key": "PATTERN",
																"ref": "data.deliveryPattern"
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															{
																"key": "CAT",
																"ref": "data.size"
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														"descriptiveText": "Lookup list. Type characters to open a list of matched options. The list will be empty until at least 1 character has been entered. The field will be cleared if you leave without selecting an option.",
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																"key": "lookupType",
																"ref": "data.lookupType"
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														"xs": 12
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													"type": "data-autocomplete-custom"
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																"path": "PracticeNameNew",
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																"type": "text-input-custom"
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																"path": "PsmaShort30",
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																			"label": "Address search",
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																			"path": "AddressSearch",
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																				"oneResultFoundMsg": "result found. Use up and down arrow keys to navigate, and press enter to select.",
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																						"key": "country",
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																					{
																						"key": "suburbSSB",
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																						"key": "sectionSSB",
																						"ref": "data.sectionSSB_1"
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																						"key": "blockSSB",
																						"ref": "data.blockSSB_1"
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																						"key": "executionStatus",
																						"ref": "data.executionStatus"
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																						"key": "errorMessage",
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																				"secondDynamicDataServiceName": "PSMA address details",
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																						"key": "lookupKey",
																						"ref": "data.$googleAddressLookupKey"
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																						"ref": "data.format"
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																				"secondResponseKey": "Response",
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																			"type": "data-autocomplete-custom"
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																			"rows": [
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																						"htmlLabel": "Format",
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																						"insightsName": "",
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																						"label": "Format",
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																							"md": 12,
																							"sm": 12,
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																						"type": "data-field"
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																				[
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																						"overrideParentUsRule": false,
																						"path": "IsManualInput",
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																							"md": 12,
																							"sm": 12,
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																						},
																						"type": "data-field"
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																				],
																				[
																					{
																						"_component": "psmaShort30",
																						"clearHidden": "",
																						"entityPath": "",
																						"exLayout": true,
																						"exclude": false,
																						"excludeRowData": false,
																						"htmlLabel": "Country Code",
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																						"insightsName": "",
																						"jsFiles": [],
																						"label": "Country Code",
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																						"noData": true,
																						"offset": {
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																							"md": 0,
																							"sm": 0,
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																						"overrideParentUsRule": false,
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																						"properties": {},
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																							"md": 12,
																							"sm": 12,
																							"xs": 12
																						},
																						"type": "data-field"
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																				],
																				[
																					{
																						"_component": "psmaShort30",
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																						"entityPath": "",
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																						"exclude": false,
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																						"htmlLabel": "Set Focus",
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																						"insightsName": "",
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																						"label": "Set Focus",
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																						"noData": true,
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																						"overrideParentUsRule": false,
																						"path": "",
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																							"md": 12,
																							"sm": 12,
																							"xs": 12
																						},
																						"type": "data-field"
																					}
																				]
																			],
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						"htmlLabel": "Expiry Date",
						"label": "Expiry Date",
						"mandatoryMsg": ""
					},
					"familyName": {
						"htmlLabel": "Family name",
						"label": "Family name",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"feecode": {
						"htmlLabel": "FeeCode",
						"label": "FeeCode",
						"mandatoryMsg": ""
					},
					"floorSSB_1": {
						"htmlLabel": "Floor",
						"label": "Floor",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"followupdata": {
						"htmlLabel": "FollowUpData",
						"label": "FollowUpData",
						"mandatoryMsg": ""
					},
					"followupdatasubmitdisplay": {
						"htmlLabel": "<span ng-bind-html=\"data.followupdata\">followupdata</span>",
						"label": "followupdata",
						"mandatoryMsg": ""
					},
					"fontAwesome6Brands": {
						"htmlLabel": "Font Awesome 6 Brands",
						"label": "Font Awesome 6 Brands",
						"mandatoryMsg": ""
					},
					"fontAwesome6Free": {
						"htmlLabel": "Font Awesome 6 Free",
						"label": "Font Awesome 6 Free",
						"mandatoryMsg": ""
					},
					"fontAwesome6Regular": {
						"htmlLabel": "Font Awesome 6 Regular",
						"label": "Font Awesome 6 Regular",
						"mandatoryMsg": ""
					},
					"footerLinks": {
						"htmlLabel": "Footer Links",
						"label": "Footer Links",
						"mandatoryMsg": ""
					},
					"footerLinksParsed": {
						"htmlLabel": "Footer Links Parsed",
						"label": "Footer Links Parsed",
						"mandatoryMsg": ""
					},
					"footersBlock": {
						"htmlLabel": "Footers",
						"label": "Footers",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"formClassSetter": {
						"htmlLabel": "Form Class Setter",
						"label": "Form Class Setter",
						"mandatoryMsg": ""
					},
					"formContainerCustom": {
						"htmlLabel": "",
						"label": "Form Container (Custom)",
						"mandatoryMsg": ""
					},
					"formGlobalAlert": {
						"htmlLabel": "",
						"label": "Global Alert",
						"mandatoryMsg": ""
					},
					"format": {
						"htmlLabel": "Format",
						"label": "Format",
						"mandatoryMsg": ""
					},
					"fullAddress": {
						"htmlLabel": "Full Address",
						"label": "Full Address",
						"mandatoryMsg": ""
					},
					"genericLookup30": {
						"htmlLabel": "Generic Lookup",
						"label": "Generic Lookup",
						"mandatoryMsg": "",
						"properties": {
							"altLookup": "",
							"ariaLabel": "",
							"lookupName": "ssb"
						}
					},
					"genericLookup_1": {
						"htmlLabel": "Generic Lookup",
						"label": "Generic Lookup",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"geocode": {
						"htmlLabel": "Geocode",
						"label": "Geocode",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"geocodeArray": {
						"htmlLabel": "GeocodeArray",
						"label": "GeocodeArray",
						"mandatoryMsg": ""
					},
					"givenName": {
						"htmlLabel": "Given name",
						"label": "Given name",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"gst_1": {
						"htmlLabel": "GST",
						"label": "GST",
						"mandatoryMsg": ""
					},
					"helpDialog": {
						"htmlLabel": "Help dialog",
						"label": "Help dialog",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"helpFeedbackForm": {
						"htmlLabel": "Online feedback form",
						"label": "Online feedback form",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-globe"
						}
					},
					"helpImmunisationProvider": {
						"htmlLabel": "<p>This section must be completed by the immunisation provider.</p>\n",
						"label": "This section must be completed by the immunisation provider.",
						"mandatoryMsg": ""
					},
					"helpPhone": {
						"htmlLabel": "13 22 81",
						"label": "13 22 81",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-phone"
						}
					},
					"helpTextDisplay": {
						"htmlLabel": "<span ng-bind-html=\"data.helptextPrefill\">helptext</span>",
						"label": "helptext",
						"mandatoryMsg": ""
					},
					"helptextContent": {
						"htmlLabel": "Need help?",
						"label": "Need help?",
						"mandatoryMsg": ""
					},
					"helptextPrefill": {
						"htmlLabel": "Helptext",
						"label": "Helptext",
						"mandatoryMsg": ""
					},
					"htmlDisplay": {
						"htmlLabel": "<h4>Next steps</h4>\n<p>You are required to complete these additional forms to finalize your request.</p>",
						"label": "Next steps\nYou are required to complete these additional forms to finalize your request.",
						"mandatoryMsg": ""
					},
					"htmlDisplay_1": {
						"htmlLabel": "<div class=\"act-breaker\">\n<div class=\"act-breaker__content\">\n<p>Your reference code is:</p>\n\n<p class=\"bold large\">{{Form.data.SFMData.SystemProfile.TrackingCode}}</p>\n\n<p>Please quote your reference code when enquiring about your submission.</p>\n</div>\n\n</div>\n",
						"label": "Your reference code is:\n\n\n\nPlease quote your reference code when enquiring about your submission.",
						"mandatoryMsg": ""
					},
					"htmlDisplay_2": {
						"htmlLabel": "<p class=\"large bold\">OR</p>\n\n<p>Send yourself an email with a PDF copy of your form</p>\n",
						"label": "OR\n\nSend yourself an email with a PDF copy of your form",
						"mandatoryMsg": ""
					},
					"htmlDisplay_3": {
						"htmlLabel": "<p class=\"bold large\">OR</p>",
						"label": "OR",
						"mandatoryMsg": ""
					},
					"htmlDisplay_4": {
						"htmlLabel": "<h4>Next steps</h4>\n<p>You are required to complete these additional forms to finalize your request.</p>",
						"label": "Next steps\nYou are required to complete these additional forms to finalize your request.",
						"mandatoryMsg": ""
					},
					"htmlDisplay_5": {
						"htmlLabel": "<div class=\"act-breaker\">\n<div class=\"act-breaker__content\">\n<p>Your reference code is:</p>\n\n<p class=\"bold large\">{{Form.data.SFMData.SystemProfile.TrackingCode}}</p>\n\n<p>Please note that your saved form will expire on {{data.expiryDate}}.</p>\n</div>\n</div>\n",
						"label": "Your reference code is:\n\n\n\nPlease note that your saved form will expire on .",
						"mandatoryMsg": ""
					},
					"htmlDisplay_7": {
						"htmlLabel": "<p class=\"bold large\">OR</p>",
						"label": "OR",
						"mandatoryMsg": ""
					},
					"immunocompromised": {
						"htmlLabel": "Patient is immunocompromised",
						"label": "Patient is immunocompromised",
						"mandatoryMsg": "",
						"properties": {
							"helpText": ""
						}
					},
					"inPageAlert": {
						"htmlLabel": "",
						"label": "In Page Alert",
						"mandatoryMsg": "",
						"properties": {
							"alertText": "To assist customers having difficulty attending an <a class=\"description\" href=\"#\" target=\"_self\" title=\"\">Access Canberra Service centre</a> at this time car and motorcycle learner licences that expired between 31 January and 31 March 2022 have now been extended by six months.",
							"alertTitle": "",
							"fontawesome": "fa-circle-info"
						}
					},
					"isManualInput": {
						"htmlLabel": "Is Manual Input",
						"label": "Is Manual Input",
						"mandatoryMsg": ""
					},
					"isValid": {
						"htmlLabel": "Is Valid",
						"label": "Is Valid",
						"mandatoryMsg": ""
					},
					"jEspectEligbility": {
						"htmlLabel": "JEspect Eligbility",
						"label": "JEspect Eligbility",
						"mandatoryMsg": "At least one reason for requesting JEspect is required",
						"properties": {
							"helpText": ""
						}
					},
					"laboratory": {
						"htmlLabel": "All diagnostic and research laboratory workers who may be exposed to the virus, such as persons working with JEV cultures or mosquitoes with the potential to transmit JEV; as per the Australian Immunisation Handbook.",
						"label": "All diagnostic and research laboratory workers who may be exposed to the virus, such as persons working with JEV cultures or mosquitoes with the potential to transmit JEV; as per the Australian Immunisation Handbook.",
						"mandatoryMsg": "",
						"properties": {
							"helpText": ""
						}
					},
					"latitude": {
						"htmlLabel": "Latitude",
						"label": "Latitude",
						"mandatoryMsg": ""
					},
					"lineitemname": {
						"htmlLabel": "LineItemName",
						"label": "LineItemName",
						"mandatoryMsg": ""
					},
					"locality": {
						"htmlLabel": "Suburb Data",
						"label": "Suburb Data",
						"mandatoryMsg": ""
					},
					"logic": {
						"htmlLabel": "logic",
						"label": "logic",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"longitude": {
						"htmlLabel": "Longitude",
						"label": "Longitude",
						"mandatoryMsg": ""
					},
					"lookupConfig": {
						"htmlLabel": "Country Lookup Config",
						"label": "Country Lookup Config",
						"mandatoryMsg": ""
					},
					"lookupName": {
						"htmlLabel": "Lookup Name",
						"label": "Lookup Name",
						"mandatoryMsg": ""
					},
					"lookupParams": {
						"htmlLabel": "Lookup Params",
						"label": "Lookup Params",
						"mandatoryMsg": ""
					},
					"lookupType": {
						"htmlLabel": "Lookup Type",
						"label": "Lookup Type",
						"mandatoryMsg": ""
					},
					"lookupname_1": {
						"htmlLabel": "Lookupname",
						"label": "Lookupname",
						"mandatoryMsg": ""
					},
					"lookupparams_1": {
						"htmlLabel": "Lookupparams",
						"label": "Lookupparams",
						"mandatoryMsg": ""
					},
					"lookuptype_1": {
						"htmlLabel": "Lookuptype",
						"label": "Lookuptype",
						"mandatoryMsg": ""
					},
					"mainFooter": {
						"htmlLabel": "",
						"label": "Acknowledgement footer",
						"mandatoryMsg": "",
						"properties": {
							"bodyText": "We acknowledge the Ngunnawal people as traditional custodians of the ACT and recognise any other people or families with connection to the lands of the ACT and region. We acknowledge and respect their continuing culture and the contribution they make to the life of this city and this region.",
							"headingText": "Acknowledgement of Country"
						}
					},
					"mainFooter_1": {
						"htmlLabel": "",
						"label": "Main footer",
						"mandatoryMsg": ""
					},
					"mainFooter_2": {
						"htmlLabel": "",
						"label": "Acknowledgement footer",
						"mandatoryMsg": "",
						"properties": {
							"bodyText": "We acknowledge the Ngunnawal people as traditional custodians of the ACT and recognise any other people or families with connection to the lands of the ACT and region. We acknowledge and respect their continuing culture and the contribution they make to the life of this city and this region.",
							"headingText": "Acknowledgement of Country"
						}
					},
					"mainFooter_3": {
						"htmlLabel": "",
						"label": "Main footer",
						"mandatoryMsg": ""
					},
					"mainFooter_4": {
						"htmlLabel": "",
						"label": "Acknowledgement footer",
						"mandatoryMsg": "",
						"properties": {
							"bodyText": "We acknowledge the Ngunnawal people as traditional custodians of the ACT and recognise any other people or families with connection to the lands of the ACT and region. We acknowledge and respect their continuing culture and the contribution they make to the life of this city and this region.",
							"headingText": "Acknowledgement of Country"
						}
					},
					"mainFooter_5": {
						"htmlLabel": "",
						"label": "Main footer",
						"mandatoryMsg": ""
					},
					"mainStyleSheet": {
						"htmlLabel": "Main Style Sheet",
						"label": "Main Style Sheet",
						"mandatoryMsg": ""
					},
					"manualEntry": {
						"htmlLabel": "Manual Entry",
						"label": "Manual Entry",
						"mandatoryMsg": ""
					},
					"masthead": {
						"htmlLabel": "Masthead",
						"label": "Masthead",
						"mandatoryMsg": ""
					},
					"mastheadContainer_1": {
						"htmlLabel": "",
						"label": "Masthead",
						"mandatoryMsg": ""
					},
					"mastheadContainer_2": {
						"htmlLabel": "",
						"label": "Masthead",
						"mandatoryMsg": ""
					},
					"middleName": {
						"htmlLabel": "Middle name",
						"label": "Middle name",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"mobileMenu": {
						"htmlLabel": "",
						"label": "Mobile Menu",
						"mandatoryMsg": "",
						"properties": {
							"trackingCodePrefix": "Reference code: "
						}
					},
					"mobileMenuDialog": {
						"htmlLabel": "Mobile menu",
						"label": "Mobile menu",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"mobileNavMenu": {
						"htmlLabel": "Mobile Nav Menu",
						"label": "Mobile Nav Menu",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"mobileNavigatorMenu": {
						"htmlLabel": "",
						"label": "Mobile Navigator Menu",
						"mandatoryMsg": "",
						"properties": {
							"navAriaLabel": "Secondary wizard status",
							"navItemGroupRole": "tablist",
							"navItemRole": "tab",
							"trackingCodePrefix": "Reference code: "
						}
					},
					"modalContainer": {
						"htmlLabel": "Submission received",
						"label": "Submission received",
						"mandatoryMsg": ""
					},
					"modalContainer_1": {
						"htmlLabel": "Application saved",
						"label": "Application saved",
						"mandatoryMsg": ""
					},
					"montserrat": {
						"htmlLabel": "Montserrat",
						"label": "Montserrat",
						"mandatoryMsg": ""
					},
					"mozzies": {
						"htmlLabel": "Works directly with mosquitoes through their surveillance (field or laboratory based) or control and management, and indirectly through management of vertebrate mosquito-borne disease surveillance systems (e.g., sentinel animals) such as:",
						"label": "Works directly with mosquitoes through their surveillance (field or laboratory based) or control and management, and indirectly through management of vertebrate mosquito-borne disease surveillance systems (e.g., sentinel animals) such as:",
						"mandatoryMsg": "",
						"properties": {
							"helpText": ""
						}
					},
					"name": {
						"htmlLabel": "Name",
						"label": "Name",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"navButtons": {
						"htmlLabel": "nav buttons",
						"label": "nav buttons",
						"mandatoryMsg": ""
					},
					"navigatorCustom": {
						"htmlLabel": "",
						"label": "Navigator (Custom)",
						"mandatoryMsg": "",
						"properties": {
							"navAriaLabel": "Secondary wizard status",
							"navItemGroupRole": "tablist",
							"navItemRole": "tab"
						}
					},
					"needHelp": {
						"htmlLabel": "Need help",
						"label": "Need help",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"next": {
						"htmlLabel": "Next",
						"label": "Next",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"openSavedForm": {
						"htmlLabel": "Open saved form",
						"label": "Open saved form",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"openYourSavedForm": {
						"htmlLabel": "Save challenge",
						"label": "Save challenge",
						"mandatoryMsg": ""
					},
					"other": {
						"htmlLabel": "Other",
						"label": "Other",
						"mandatoryMsg": "",
						"properties": {
							"helpText": ""
						}
					},
					"otherReason": {
						"htmlLabel": "Please specify other reason",
						"label": "Please specify other reason",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"pagePractice": {
						"htmlLabel": "Immunisation provider",
						"label": "Immunisation provider",
						"mandatoryMsg": "",
						"properties": {
							"additionalText": "<em>Fields marked with <span style='color: red; !important'>*</span> are required</em>",
							"formName": "{{T[Form.view.id].label}}",
							"helpText": "",
							"menuText": "Provider",
							"navAriaLabel": "Secondary wizard status",
							"sectionHeading": "{{T[item.id].label}}"
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					},
					"pageTitleRow": {
						"htmlLabel": "Page title row",
						"label": "pageTitleRow",
						"mandatoryMsg": "",
						"properties": {
							"formName": "{{T[Form.view.id].label}}",
							"subtitle": ""
						}
					},
					"pageTitleRow_1": {
						"htmlLabel": "Page title row",
						"label": "pageTitleRow",
						"mandatoryMsg": "",
						"properties": {
							"formName": "{{T[Form.view.id].label}}",
							"subtitle": ""
						}
					},
					"pageTitleRow_2": {
						"htmlLabel": "Page title row",
						"label": "pageTitleRow",
						"mandatoryMsg": "",
						"properties": {
							"formName": "{{T[Form.view.id].label}}",
							"subtitle": ""
						}
					},
					"patient": {
						"htmlLabel": "Patient initials",
						"label": "Patient initials",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"payment": {
						"htmlLabel": "Payment",
						"label": "Payment",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"paymentdetails": {
						"htmlLabel": "PaymentDetails",
						"label": "PaymentDetails",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"paymentitems": {
						"htmlLabel": "Paymentitems",
						"label": "Paymentitems",
						"mandatoryMsg": "",
						"properties": {
							"addItemLabel": "Add {{item.properties.itemLabel}}",
							"itemLabel": "Item"
						}
					},
					"paymentrules": {
						"htmlLabel": "Paymentrules",
						"label": "Paymentrules",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"phone": {
						"htmlLabel": "Phone",
						"label": "Phone",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"phoneXxXxxxXxxx": {
						"htmlLabel": "<p style=\"line-height:75%\"><span style=\"font-size:14px\">Phone: {{data.agencyPhone}}<br>\n{{data.agencyEmail}}&nbsp;</span></p>\n",
						"label": "Phone:",
						"mandatoryMsg": ""
					},
					"pork": {
						"htmlLabel": "Involvement with piggeries/pork industry as per one of the following categories:",
						"label": "Involvement with piggeries/pork industry as per one of the following categories:",
						"mandatoryMsg": "",
						"properties": {
							"helpText": ""
						}
					},
					"postForm": {
						"htmlLabel": "postForm",
						"label": "postForm",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"postalCode_1": {
						"htmlLabel": "Postcode",
						"label": "Postcode",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"postcodeBlk": {
						"htmlLabel": "PostCode",
						"label": "PostCode",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"postcodelist": {
						"htmlLabel": "postcodelist",
						"label": "postcodelist",
						"mandatoryMsg": ""
					},
					"practiceClinic": {
						"htmlLabel": "Practice, clinic or pharmacy",
						"label": "Practice, clinic or pharmacy",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"continueMessage": "Continue typing...",
							"descriptiveText": "Lookup list. Type characters to open a list of matched options. The list will be empty until at least 1 character has been entered. The field will be cleared if you leave without selecting an option.",
							"extraItemMessage": "Click here to manually enter your practice, clinic or pharmacy details.",
							"helpText": "Begin typing your practice, clinic or pharmacy name. Suggestions will begin to appear after you have typed the first 3 characters. Continue typing to refine your results. If your practice, clinic or pharmacy does not appear, you can manually enter your details by clicking the Manual Input option which will appear.",
							"noResultsFoundMsg": "No results found. Please continue typing.",
							"noResultsFoundMsgIfExtra": "Or use up and down arrow keys to manually enter, and press enter to select.",
							"oneResultFoundMsg": "result found. Use up and down arrow keys to navigate, and press enter to select.",
							"placeholder": "",
							"progressMsg": "Please wait...",
							"resultsFoundMsg": "results found. Use up and down arrow keys to navigate, and press enter to select.",
							"underHelpText": ""
						}
					},
					"practiceNameNew": {
						"htmlLabel": "Practice, clinic or pharmacy name",
						"label": "Practice, clinic or pharmacy name",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"preForm": {
						"htmlLabel": "Pre Form",
						"label": "Pre Form",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"prefillAddress": {
						"htmlLabel": "Address",
						"label": "Address",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "If your address is incorrect, please contact the Vaccine Management Unit.",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"prefillPostcode": {
						"htmlLabel": "Postcode",
						"label": "Postcode",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"prefillState": {
						"htmlLabel": "State",
						"label": "State",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"prefillSuburb": {
						"htmlLabel": "Suburb",
						"label": "Suburb",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"pregnant": {
						"htmlLabel": "Patient is pregnant",
						"label": "Patient is pregnant",
						"mandatoryMsg": "",
						"properties": {
							"helpText": ""
						}
					},
					"previous": {
						"htmlLabel": "Previous",
						"label": "Previous",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"privacyContent": {
						"htmlLabel": "Privacy",
						"label": "Privacy",
						"mandatoryMsg": ""
					},
					"privacyDialog": {
						"htmlLabel": "Privacy",
						"label": "Privacy",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"privacyPrefill": {
						"htmlLabel": "Privacy",
						"label": "Privacy",
						"mandatoryMsg": ""
					},
					"privacyText": {
						"htmlLabel": "<span ng-bind-html=\"data.privacyPrefill\">privacy</span>",
						"label": "privacy",
						"mandatoryMsg": ""
					},
					"providerReference": {
						"htmlLabel": "Provider reference",
						"label": "Provider reference",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"psmaShort30": {
						"htmlLabel": "PSMA Short Address 3.0",
						"label": "PSMA Short Address 3.1",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"quantity": {
						"htmlLabel": "Quantity",
						"label": "Quantity",
						"mandatoryMsg": ""
					},
					"receiptcode": {
						"htmlLabel": "ReceiptCode",
						"label": "ReceiptCode",
						"mandatoryMsg": ""
					},
					"receiptfooter": {
						"htmlLabel": "ReceiptFooter",
						"label": "ReceiptFooter",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"referenceCode": {
						"htmlLabel": "Reference code",
						"label": "Reference code",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"resources": {
						"htmlLabel": "resources",
						"label": "resources",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"returnToForm": {
						"htmlLabel": "Click here to return to your form",
						"label": "Click here to return to your form",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"returnToPortal_1": {
						"htmlLabel": "Return to portal",
						"label": "Return to portal",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"returnToPortal_2": {
						"htmlLabel": "Return to portal",
						"label": "Return to portal",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"saveAndClose": {
						"htmlLabel": "Save and close",
						"label": "Save and close",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"saveComponent": {
						"htmlLabel": "Save Component",
						"label": "Save Success Component",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"saveConfirm": {
						"htmlLabel": "Confirm",
						"label": "Confirm",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"saveConfirm_1": {
						"htmlLabel": "Confirm",
						"label": "Confirm",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"saveYourForm": {
						"htmlLabel": "Save confirmation",
						"label": "Save confirmation",
						"mandatoryMsg": ""
					},
					"save_challenge_question_section": {
						"htmlLabel": "Section",
						"label": "Section",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"save_challenge_reference_code": {
						"htmlLabel": "Reference code",
						"label": "Reference code",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"save_success_send_reminder": {
						"htmlLabel": "Send now",
						"label": "Send now",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"savechallenge": {
						"htmlLabel": "Save challenge",
						"label": "Save challenge",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"saveconfirm": {
						"htmlLabel": "Save confirm",
						"label": "Save confirm",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"savesuccess": {
						"htmlLabel": "savesuccess",
						"label": "savesuccess",
						"mandatoryMsg": "",
						"properties": {
							"alertMsg": "",
							"leavePageWarningMessage": "",
							"linkWarningMsg": "opens in a new window",
							"mandatoryMsgSuffix": "is required",
							"progressMsg": "Please wait..."
						}
					},
					"sectionSSB_1": {
						"htmlLabel": "Section",
						"label": "Section",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"sendNow": {
						"htmlLabel": "Send now",
						"label": "Send now",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"sendReminderBlock": {
						"htmlLabel": "sendReminderBlock",
						"label": "sendReminderBlock",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"send_another_reminder_email": {
						"htmlLabel": "Send another reminder email",
						"label": "Send another reminder email",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"send_reminder_email": {
						"htmlLabel": "Your email address",
						"label": "Your email address",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": "",
							"validationMessage": "Enter a valid email address e.g. name@example.com"
						}
					},
					"serviceFee": {
						"htmlLabel": "Service Fee",
						"label": "Service Fee",
						"mandatoryMsg": ""
					},
					"setFocus": {
						"htmlLabel": "Set Focus",
						"label": "Set Focus",
						"mandatoryMsg": ""
					},
					"smartformsLibrary": {
						"htmlLabel": "Smartforms Library",
						"label": "Smartforms Library",
						"mandatoryMsg": ""
					},
					"sourceSansPro": {
						"htmlLabel": "Source Sans Pro",
						"label": "Source Sans Pro",
						"mandatoryMsg": ""
					},
					"ssbBlock": {
						"htmlLabel": "SSB",
						"label": "SSB",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"ssbHelp_1": {
						"htmlLabel": "If you require help with suburb/district, section or block details, visit&nbsp;<a href=\"https://www.actmapi.act.gov.au\" target=\"_blank\">ACTMAPi</a>.",
						"label": "If you require help with suburb/district, section or block details, visitACTMAPi.",
						"mandatoryMsg": ""
					},
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						"htmlLabel": "Start a new form",
						"label": "Start a new form",
						"mandatoryMsg": "",
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							"fontawesome": "fa-face-laugh"
						}
					},
					"startANewForm_2": {
						"htmlLabel": "Start a new form",
						"label": "Start a new form",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"stateBlk": {
						"htmlLabel": "State",
						"label": "State",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"stateDD_1": {
						"htmlLabel": "State",
						"label": "State",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"options": [
								{
									"label": "ACT",
									"value": "ACT"
								},
								{
									"label": "NSW",
									"value": "NSW"
								},
								{
									"label": "NT",
									"value": "NT"
								},
								{
									"label": "QLD",
									"value": "QLD"
								},
								{
									"label": "SA",
									"value": "SA"
								},
								{
									"label": "TAS",
									"value": "TAS"
								},
								{
									"label": "VIC",
									"value": "VIC"
								},
								{
									"label": "WA",
									"value": "WA"
								}
							],
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"stateField_1": {
						"htmlLabel": "State",
						"label": "State",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"state_1": {
						"htmlLabel": "State",
						"label": "State",
						"mandatoryMsg": ""
					},
					"subTotal": {
						"htmlLabel": "Sub Total",
						"label": "Sub Total",
						"mandatoryMsg": ""
					},
					"submissionConfirmation": {
						"htmlLabel": "Submission confirmation",
						"label": "SubmissionConfirmation",
						"mandatoryMsg": "",
						"properties": {
							"additionalText": "",
							"formName": "{{T[Form.view.id].label}}",
							"helpText": "",
							"menuText": "",
							"navAriaLabel": "Secondary wizard status",
							"sectionHeading": "{{T[Form.view.id].label}} - Submission confirmation"
						}
					},
					"submit": {
						"htmlLabel": "Submit",
						"label": "Submit",
						"mandatoryMsg": "",
						"properties": {
							"fontawesome": "fa-face-laugh"
						}
					},
					"submitComponent": {
						"htmlLabel": "Submit Component",
						"label": "Submit Success Component",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"submitsuccess": {
						"htmlLabel": "",
						"label": "submitsuccess",
						"mandatoryMsg": "",
						"properties": {
							"alertMsg": "",
							"leavePageWarningMessage": "",
							"linkWarningMsg": "opens in a new window",
							"mandatoryMsgSuffix": "is required",
							"progressMsg": "Please wait..."
						}
					},
					"suburbBlk": {
						"htmlLabel": "Suburb",
						"label": "Suburb",
						"mandatoryMsg": "",
						"properties": {
							"ariaLabel": ""
						}
					},
					"suburbDD_1": {
						"htmlLabel": "Suburb",
						"label": "Suburb",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"suburbIn_1": {
						"htmlLabel": "Suburb",
						"label": "Suburb",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"suburbSSB_1": {
						"htmlLabel": "Suburb",
						"label": "Suburb",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"suburbconvert_2": {
						"htmlLabel": "Suburbconvert",
						"label": "Suburbconvert",
						"mandatoryMsg": ""
					},
					"suburblist": {
						"htmlLabel": "suburblist",
						"label": "suburblist",
						"mandatoryMsg": ""
					},
					"textClinicianName": {
						"htmlLabel": "<strong>Clinician name</strong>",
						"label": "Clinician name",
						"mandatoryMsg": ""
					},
					"textDisplay": {
						"htmlLabel": "<h5>Security Question</h5>\n\n<p>Please review your security question and answer. This question must be correctly answered to re-open the form.</p>\n",
						"label": "Security Question\n\nPlease review your security question and answer. This question must be correctly answered to re-open the form.",
						"mandatoryMsg": ""
					},
					"textDisplayCustom_1": {
						"htmlLabel": "Thank you, your submission has been received.",
						"label": "Thank you, your submission has been received.",
						"mandatoryMsg": ""
					},
					"textDisplayCustom_3": {
						"htmlLabel": "Your form has been saved and may be re-opened later.",
						"label": "Your form has been saved and may be re-opened later.",
						"mandatoryMsg": ""
					},
					"textDisplayCustom_6": {
						"htmlLabel": "This will end your current session but your form will be saved and may be re-opened later.",
						"label": "This will end your current session but your form will be saved and may be re-opened later.",
						"mandatoryMsg": ""
					},
					"textDisplayCustom_7": {
						"htmlLabel": "{{data.isCollab ? \"Click Confirm to continue to the next step\" : \"To resume your form please complete the following details.\"}}",
						"label": "",
						"mandatoryMsg": ""
					},
					"textDisplayJEspect": {
						"htmlLabel": "<strong>Please provide a reason for requesting JEspect</strong> <span style=\"color:red\">*</span>",
						"label": "Please provide a reason for requesting JEspect *",
						"mandatoryMsg": ""
					},
					"textDisplay_1": {
						"htmlLabel": "<h5>Security question</h5>\n\n<p>Your answer to this question must match the information you previously provided.</p>\n",
						"label": "Security question\n\nYour answer to this question must match the information you previously provided.",
						"mandatoryMsg": ""
					},
					"textDisplay_2": {
						"htmlLabel": "<h4>For your records</h4>",
						"label": "For your records",
						"mandatoryMsg": ""
					},
					"textDisplay_3": {
						"htmlLabel": "<h4>Check your email</h4>\n\n<p>We've sent a copy of your submission to&nbsp;<strong>{{Form.data.$submitResponse.emailSentTo ? Form.data.$submitResponse.emailSentTo : Form.data.yourEmailAddress}}</strong>.</p>\n\n<p>If you didn't receive it or would like another copy, just select the option below.</p>\n",
						"label": "Check your email\n\nWe've sent a copy of your submission to.\n\nIf you didn't receive it or would like another copy, just select the option below.",
						"mandatoryMsg": ""
					},
					"textDisplay_4": {
						"htmlLabel": "<h4>Send yourself a reminder email</h4>\n<p>Enter your email address and we'll send you you instructions on how to return to your form.</p>",
						"label": "Send yourself a reminder email\nEnter your email address and we'll send you you instructions on how to return to your form.",
						"mandatoryMsg": ""
					},
					"textDisplay_5": {
						"htmlLabel": "<h4>Check your email</h4>\n\n<p>We've sent instructions to your email address (<strong>{{Form.data.$submitResponse.emailSentTo ? Form.data.$submitResponse.emailSentTo : Form.data.send_reminder_email}}</strong>) on how to return to the application when you are ready.</p>\n\n<p>If you didn't receive it or would like a reminder sent to a different email address, just click the link below and follow the instructions.</p>",
						"label": "Check your email\n\nWe've sent instructions to your email address () on how to return to the application when you are ready.\n\nIf you didn't receive it or would like a reminder sent to a different email address, just click the link below and follow the instructions.",
						"mandatoryMsg": ""
					},
					"textDisplay_6": {
						"htmlLabel": "<h5>Reference code</h5>\n\n<p>{{data.isCollab?\"\":\"When you saved your form you should have been provided a reference code.\"}}</p>\n",
						"label": "Reference code",
						"mandatoryMsg": ""
					},
					"textDisplay_7": {
						"htmlLabel": "<span ng-bind-html=\"data.abouttextPrefill\">abouttext</span>",
						"label": "abouttext",
						"mandatoryMsg": ""
					},
					"textEligibility": {
						"htmlLabel": "<strong>Eligibility for this patient </strong>(the patient must meet at least one priority group eligibility criteria for a government funded JEV vaccine) <span style=\"color:red\">*</span>",
						"label": "Eligibility for this patient (the patient must meet at least one priority group eligibility criteria for a government funded JEV vaccine) *",
						"mandatoryMsg": ""
					},
					"textEmergency": {
						"htmlLabel": "Areas of high JEV concern include local government areas in <a href=\"https://www.health.nsw.gov.au/Infectious/jev/Pages/vaccination.aspx\" target=\"_blank\">NSW</a>, <a href=\"https://www.betterhealth.vic.gov.au/japanese-encephalitis\" target=\"_blank\">Victoria</a>, <a href=\"https://www.sahealth.sa.gov.au/wps/wcm/connect/public+content/sa+health+internet/conditions/infectious+diseases/japanese+encephalitis/access+to+japanese+encephalitis+virus+vaccine\" target=\"_blank\">South Australia</a> and <a href=\"https://www.qld.gov.au/health/condition/infections-and-parasites/viral-infections/japanese-encephalitis\" target=\"_blank\">Queensland</a>.",
						"label": "Areas of high JEV concern include local government areas in NSW, Victoria, South Australia and Queensland.",
						"mandatoryMsg": ""
					},
					"textMozzies": {
						"htmlLabel": "<ul>\n\t<li>environmental health officers and workers (urban and remote)</li>\n\t<li>entomologists or other personnel who work directly with mosquitoes.</li>\n</ul>\n",
						"label": "environmental health officers and workers (urban and remote)\n\tentomologists or other personnel who work directly with mosquitoes.",
						"mandatoryMsg": ""
					},
					"textPork": {
						"htmlLabel": "<ul>\n\t<li>Works or resides at, or has a planned, non-deferable visit to a piggery, including but not limited to farm workers and their families (including children aged 2 months and older) living at the piggery.</li>\n\t<li>Transport workers who transport pigs to piggeries, veterinarians and others involved in the care of pigs at piggeries.</li>\n\t<li>Works at, or has a planned, non-deferable visit to a pork abattoir or pork rendering plant.</li>\n</ul>\n",
						"label": "Works or resides at, or has a planned, non-deferable visit to a piggery, including but not limited to farm workers and their families (including children aged 2 months and older) living at the piggery.\n\tTransport workers who transport pigs to piggeries, veterinarians and others involved in the care of pigs at piggeries.\n\tWorks at, or has a planned, non-deferable visit to a pork abattoir or pork rendering plant.",
						"mandatoryMsg": ""
					},
					"textdisplay1": {
						"htmlLabel": "{{data.followupdata}}",
						"label": "",
						"mandatoryMsg": ""
					},
					"title": {
						"htmlLabel": "Title",
						"label": "Title",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"options": [
								{
									"label": "Mr",
									"value": "Mr"
								},
								{
									"label": "Mrs",
									"value": "Mrs"
								},
								{
									"label": "Miss",
									"value": "Miss"
								},
								{
									"label": "Ms",
									"value": "Ms"
								},
								{
									"label": "Dr",
									"value": "Dr"
								}
							],
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"total_1": {
						"htmlLabel": "Total",
						"label": "Total",
						"mandatoryMsg": ""
					},
					"trackingCodeCustom": {
						"htmlLabel": "",
						"label": "Tracking code (Custom)",
						"mandatoryMsg": "",
						"properties": {
							"trackingCodePrefix": "Reference code: "
						}
					},
					"trackingCodeCustom_2": {
						"htmlLabel": "",
						"label": "Tracking code (Custom)",
						"mandatoryMsg": "",
						"properties": {
							"trackingCodePrefix": "Reference code: "
						}
					},
					"trackingCodeCustom_3": {
						"htmlLabel": "",
						"label": "Tracking code (Custom)",
						"mandatoryMsg": "",
						"properties": {
							"trackingCodePrefix": "Reference code: "
						}
					},
					"unitSSB_1": {
						"htmlLabel": "Unit",
						"label": "Unit",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": ""
						}
					},
					"unitvalue": {
						"htmlLabel": "UnitValue",
						"label": "UnitValue",
						"mandatoryMsg": ""
					},
					"vaccine": {
						"htmlLabel": "Vaccine requested",
						"label": "Vaccine requested",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"options": [
								{
									"label": "Imojev",
									"value": "Imojev"
								},
								{
									"label": "JEspect",
									"value": "JEspect"
								}
							],
							"underHelpText": ""
						}
					},
					"vaccineData": {
						"htmlLabel": "Vaccine Data",
						"label": "Vaccine Data",
						"mandatoryMsg": ""
					},
					"vaccinesList": {
						"htmlLabel": "Vaccines List",
						"label": "Vaccines List",
						"mandatoryMsg": ""
					},
					"yourEmailAddress": {
						"htmlLabel": "Your email address",
						"label": "Your email address",
						"mandatoryMsg": "",
						"properties": {
							"alertIcon": "fa-solid fa-face-laugh",
							"alertText": "",
							"helpText": "",
							"placeholder": "",
							"underHelpText": "",
							"validationMessage": "Enter a valid email address e.g. name@example.com"
						}
					},
					"yourSubmissionHasBeenSuccessful": {
						"htmlLabel": "Your submission has been successful. Please keep a copy of this receipt for your records.",
						"label": "Your submission has been successful. Please keep a copy of this receipt for your records.",
						"mandatoryMsg": ""
					}
				},
				"label": "English"
			}
		]
	},
	"type": "form"
}