Settlements Form

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Stampone%22,%22checked%22:0,%22dragID%22:-1},{%22dragID%22:0,%22value%22:%22Kevin P. O’Brien%22,%22checked%22:0},{%22dragID%22:1,%22value%22:%22J.B. Dilsheimer%22,%22checked%22:0},{%22dragID%22:2,%22value%22:%22James P. McNally%22,%22checked%22:0},{%22dragID%22:3,%22value%22:%22Prince P. Holloway%22,%22checked%22:0},{%22dragID%22:4,%22value%22:%22Daniel N. Stampone%22,%22checked%22:0},{%22dragID%22:5,%22value%22:%22Daniel T. Thistle%22,%22checked%22:0},{%22dragID%22:6,%22value%22:%22Tyler J. Stampone%22,%22checked%22:0},{%22dragID%22:7,%22value%22:%22Andrea M. Sasso%22,%22checked%22:0},{%22dragID%22:8,%22value%22:%22Dr. Matthew D. Blum%22,%22checked%22:0},{%22dragID%22:9,%22value%22:%22Frank Mallon%22,%22checked%22:0},{%22dragID%22:10,%22value%22:%22Jean Bryan%22,%22checked%22:0},{%22dragID%22:11,%22value%22:%22Tracy Steiner%22,%22checked%22:0},{%22dragID%22:12,%22value%22:%22John Hagan%22,%22checked%22:0},{%22dragID%22:13,%22value%22:%22Dominic Mallon%22,%22checked%22:0},{%22dragID%22:14,%22value%22:%22Debbie Edelman%22,%22checked%22:0},{%22dragID%22:15,%22value%22:%22Lauren Boffa-Taylor%22,%22checked%22:0},{%22dragID%22:16,%22value%22:%22Geraldine Braun%22,%22checked%22:0},{%22dragID%22:17,%22value%22:%22Yarized Santiago%22,%22checked%22:0},{%22dragID%22:18,%22value%22:%22Stephen Zamulinsky%22,%22checked%22:0}%93″ fullwidth_field=”on” _builder_version=”4.3.2″ form_field_font=”||||||||” border_style_all=”solid” use_border_color=”off” global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][/et_pb_contact_field][et_pb_contact_field field_id=”Facts” field_title=”Basic facts about case” field_type=”text” fullwidth_field=”on” _builder_version=”4.3.2″ form_field_font=”||||” use_border_color=”off” global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][/et_pb_contact_field][/et_pb_contact_form][/et_pb_column][et_pb_column type=”1_3″ _builder_version=”3.25″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text disabled_on=”on|on|” admin_label=”Example” _builder_version=”4.3.2″ header_font_size=”35px” custom_padding_tablet=”” custom_padding_phone=”0px|||” custom_padding_last_edited=”on|phone” global_colors_info=”{}”]

Example

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