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464 lines
17 KiB
464 lines
17 KiB
3 years ago
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{
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"form_type": "lettings",
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"sections": {
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"household": {
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"label": "About the household",
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"subsections": {
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"household_characteristics": {
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"label": "Household characteristics",
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"pages": {
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"tenant_code": {
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"questions": {
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"tenant_code": {
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"check_answer_label": "Tenant code",
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"header": "What is the tenant code?",
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"type": "text"
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}
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}
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},
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"tenant_age": {
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"questions": {
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"tenant_age": {
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"check_answer_label": "Tenant's age",
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"header": "What is the tenant's age?",
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"type": "numeric",
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"min": 0,
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"max": 150,
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"step": 1
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}
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}
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},
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"tenant_gender": {
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"questions": {
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"tenant_gender": {
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"check_answer_label": "Tenant's gender",
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"header": "Which of these best describes the tenant's gender identity?",
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"type": "radio",
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"answer_options": {
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"0": "Female",
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"1": "Male",
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"2": "Non-binary",
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"3": "Prefer not to say"
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}
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}
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}
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},
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"household_number_of_other_members": {
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"questions": {
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"household_number_of_other_members": {
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"check_answer_label": "Number of Other Household Members",
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"header": "How many other people are there in the household?",
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"hint_text": "The maximum number of others is 1",
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"type": "numeric",
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"min": 0,
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"max": 1,
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"step": 1,
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"conditional_for": {
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"person_2_relationship": ">0",
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"person_2_age": ">0",
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"person_2_gender": ">0",
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"person_2_economic_status": ">0"
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}
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},
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"person_2_relationship": {
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"check_answer_label": "Person 2's relationship to lead tenant",
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"header": "What's person 2's relationship to lead tenant",
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"type": "radio",
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"answer_options": {
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"0": "Other",
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"1": "Prefer not to say"
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}
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},
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"person_2_age": {
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"check_answer_label": "Person 2's age",
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"header": "What's person 2's age",
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"type": "numeric",
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"min": 0,
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"max": 150,
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"step": 1
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},
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"person_2_gender": {
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"check_answer_label": "Person 2's gender",
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"header": "Which of these best describes person 2's gender identity?",
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"type": "radio",
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"answer_options": {
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"0": "Female",
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"1": "Male",
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"2": "Non-binary",
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"3": "Prefer not to say"
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}
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},
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"person_2_economic_status": {
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"check_answer_label": "Person 2's Work",
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"header": "Which of these best describes person 2's working situation?",
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"type": "radio",
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"answer_options": {
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"0": "Other",
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"1": "Prefer not to say"
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}
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}
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}
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}
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}
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},
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"household_needs": {
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"label": "Household needs",
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"pages": {
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"armed_forces": {
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"header": "Experience of the UK Armed Forces",
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"questions": {
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"armed_forces": {
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"header": "Has the tenant ever served in the UK armed forces?",
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"type": "radio",
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"check_answer_label": "Armed Forces",
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"answer_options": {
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"0": "Yes - a regular",
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"1": "Yes - a reserve",
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"2": "No",
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"3": "Prefer not to say"
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},
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"conditional_for": {
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"armed_forces_active": [
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"Yes - a regular",
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"Yes - a reserve"
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],
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"armed_forces_injured": [
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"Yes - a regular",
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"Yes - a reserve"
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]
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}
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},
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"armed_forces_active": {
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"header": "Are they still serving?",
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"type": "radio",
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"check_answer_label": "When did they leave the Armed Forces?",
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"answer_options": {
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"0": "Yes",
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"1": "No - they left up to 5 years ago",
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"2": "No - they left more than 5 years ago",
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"3": "Prefer not to say"
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}
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},
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"armed_forces_injured": {
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"header": "Were they seriously injured or ill as a result of their service?",
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"type": "radio",
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"check_answer_label": "Has anyone in the household been seriously injured or ill as a result of their service in the armed forces?",
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"answer_options": {
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"0": "Yes",
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"1": "No",
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"2": "Prefer not to say"
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}
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}
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}
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},
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"medical_conditions": {
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"questions": {
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"medical_conditions": {
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"header": "Does anyone in the household have any of the following that they expect to last for 12 months or more:<ul><li>Physical Condition</li><li>Mental Health Condition</li><li>Other Illness</li></ul>",
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"type": "radio",
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"check_answer_label": "Physical, mental health or illness in the household",
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"answer_options": {
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"0": "Yes",
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"1": "No",
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"2": "Do not know",
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"3": "Prefer not to say"
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}
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}
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}
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},
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"accessibility_requirements": {
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"questions": {
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"accessibility_requirements": {
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"header": "Are any of these affected by their condition or illness?",
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"hint_text": "Select all that apply",
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"type": "checkbox",
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"check_answer_label": "Disability requirements",
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"answer_options": {
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"accessibility_requirements_fully_wheelchair_accessible_housing": "Fully wheelchair accessible housing",
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"accessibility_requirements_wheelchair_access_to_essential_rooms": "Wheelchair access to essential rooms",
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"accessibility_requirements_level_access_housing": "Level access housing",
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"divider_a": true,
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"accessibility_requirements_do_not_know": "Do not know"
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}
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}
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}
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},
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"condition_effects": {
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"questions": {
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"condition_effects": {
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"header": "Are any of these affected by their condition or illness?",
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"hint_text": "Select all that apply",
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"type": "checkbox",
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"check_answer_label": "Conditions or illnesses",
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"answer_options": {
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"condition_effects_vision": "Vision - such as blindness or partial sight",
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"condition_effects_hearing": "Hearing - such as deafness or partial hearing"
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}
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}
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}
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}
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}
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}
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}
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},
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"tenancy_and_property": {
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"label": "Tenancy and property information",
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"subsections": {
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"tenancy_information": {
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"label": "Tenancy information",
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"pages": {
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"tenancy_code": {
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"questions": {
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"tenancy_code": {
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"check_answer_label": "What is the tenancy code?",
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"header": "What is the tenancy code?",
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"type": "text"
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}
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}
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}
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}
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},
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"property_information": {
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"label": "Property information",
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"pages": {
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"property_wheelchair_accessible": {
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"questions": {
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"property_wheelchair_accessible": {
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"check_answer_label": "Is property built or adapted to wheelchair user standards?",
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"header": "Is property built or adapted to wheelchair user standards?",
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"type": "radio",
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"answer_options": {
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"0": "Yes",
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"1": "No"
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}
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}
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}
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}
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}
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}
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}
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},
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"rent_and_charges": {
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"label": "Rent and charges",
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"subsections": {
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"income_and_benefits": {
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"label": "Income and benefits",
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"pages": {
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"net_income": {
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"questions": {
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"net_income": {
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"check_answer_label": "Income",
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"header": "What is the tenant’s /and partner’s combined income after tax?",
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"type": "numeric",
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"min": 0,
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"step": "1"
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},
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"net_income_frequency": {
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"check_answer_label": "Income Frequency",
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"header": "How often do they receive this income?",
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"type": "radio",
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"answer_options": {
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"0": "Weekly",
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"1": "Monthly",
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"2": "Yearly"
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}
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}
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}
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},
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"net_income_uc_proportion": {
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"questions": {
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"net_income_uc_proportion": {
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"check_answer_label": "Benefits as a proportion of income",
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"header": "How much of the tenant’s income is from Universal Credit, state pensions or benefits?",
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"type": "radio",
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"answer_options": {
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"0": "All",
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"1": "Some"
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}
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}
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}
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},
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"housing_benefit": {
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"questions": {
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"housing_benefit": {
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"check_answer_label": "Universal Credit & Housing Benefit",
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"header": "Is the tenant likely to be in receipt of any of these housing-related benefits?",
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"type": "radio",
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"answer_options": {
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"0": "Housing Benefit, but not Universal Credit",
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"1": "Prefer not to say"
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}
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}
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}
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}
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}
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},
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"rent": {
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"label": "Rent",
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"pages": {
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"rent": {
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"questions": {
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"rent_frequency": {
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"check_answer_label": "Rent Period",
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"header": "Which period are rent and other charges due?",
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"type": "radio",
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"answer_options": {
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"0": "Weekly for 52 weeks",
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"1": "Fortnightly"
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}
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},
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"basic_rent": {
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"check_answer_label": "Basic Rent",
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"header": "What is the basic rent?",
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"hint_text": "Eligible for housing benefit or Universal Credit",
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"type": "numeric",
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"min": 0,
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"step": 1,
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"fields-to-add": [
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"basic_rent",
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"service_charge",
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"personal_service_charge",
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"support_charge"
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],
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"result-field": "total_charge"
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},
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"service_charge": {
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"check_answer_label": "Service Charge",
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"header": "What is the service charge?",
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"hint_text": "Eligible for housing benefit or Universal Credit",
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"type": "numeric",
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"min": 0,
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"step": 1,
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"fields-to-add": [
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"basic_rent",
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"service_charge",
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"personal_service_charge",
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"support_charge"
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],
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"result-field": "total_charge"
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},
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"personal_service_charge": {
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"check_answer_label": "Personal Service Charge",
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"header": "What is the personal service charge?",
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"hint_text": "Not eligible for housing benefit or Universal Credit. For example, hot water excluding water rates.",
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"type": "numeric",
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"min": 0,
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"step": 1,
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"fields-to-add": [
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"basic_rent",
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"service_charge",
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"personal_service_charge",
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"support_charge"
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],
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"result-field": "total_charge"
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},
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"support_charge": {
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"check_answer_label": "Support Charge",
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"header": "What is the support charge?",
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"hint_text": "This is to fund housing-related support services included in the tenancy agreement",
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"type": "numeric",
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"min": 0,
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"step": 1,
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"fields-to-add": [
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"basic_rent",
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"service_charge",
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"personal_service_charge",
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"support_charge"
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],
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"result-field": "total_charge"
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},
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"total_charge": {
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"check_answer_label": "Total Charge",
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"header": "Total charge?",
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"hint_text": "This is the total of rent and all charges",
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"type": "numeric",
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"min": 0,
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"step": 1,
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"readonly": true
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}
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}
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}
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}
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}
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}
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},
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"local_authority": {
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"label": "Local authority",
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"subsections": {
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"local_authority": {
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"label": "Local authority",
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"pages": {
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"time_lived_in_la": {
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"questions": {
|
||
|
|
"time_lived_in_la": {
|
||
|
|
"check_answer_label": "How long has the household continuously lived in the local authority area where the new letting is located?",
|
||
|
|
"header": "How long has the household continuously lived in the local authority area where the new letting is located?",
|
||
|
|
"type": "radio",
|
||
|
|
"answer_options": {
|
||
|
|
"0": "Just moved to local authority area",
|
||
|
|
"1": "Less than 1 year",
|
||
|
|
"2": "1 to 2 years",
|
||
|
|
"3": "2 to 3 years",
|
||
|
|
"4": "3 to 4 years",
|
||
|
|
"5": "4 to 5 years",
|
||
|
|
"6": "5 years or more",
|
||
|
|
"7": "Do not know"
|
||
|
|
}
|
||
|
|
}
|
||
|
|
}
|
||
|
|
},
|
||
|
|
"time_on_la_waiting_list": {
|
||
|
|
"questions": {
|
||
|
|
"time_on_la_waiting_list": {
|
||
|
|
"check_answer_label": "How long has the household been on the local authority waiting list where the new letting is located?",
|
||
|
|
"header": "How long has the household been on the local authority waiting list where the new letting is located?",
|
||
|
|
"type": "radio",
|
||
|
|
"answer_options": {
|
||
|
|
"0": "Just moved to local authority area",
|
||
|
|
"1": "Less than 1 year",
|
||
|
|
"2": "1 to 2 years",
|
||
|
|
"3": "2 to 3 years",
|
||
|
|
"4": "3 to 4 years",
|
||
|
|
"5": "4 to 5 years",
|
||
|
|
"6": "5 years or more",
|
||
|
|
"7": "Do not know"
|
||
|
|
}
|
||
|
|
}
|
||
|
|
}
|
||
|
|
},
|
||
|
|
"previous_postcode": {
|
||
|
|
"questions": {
|
||
|
|
"previous_postcode": {
|
||
|
|
"check_answer_label": "Postcode of previous accomodation if the household has moved from settled accommodation",
|
||
|
|
"header": "Postcode for the previous accommodation",
|
||
|
|
"hint_text": "If the household has moved from settled accommodation immediately prior to being re-housed",
|
||
|
|
"type": "text"
|
||
|
|
}
|
||
|
|
}
|
||
|
|
}
|
||
|
|
}
|
||
|
|
}
|
||
|
|
}
|
||
|
|
},
|
||
|
|
"submission": {
|
||
|
|
"label": "Submission",
|
||
|
|
"subsections": {
|
||
|
|
"declaration": {
|
||
|
|
"label": "Declaration",
|
||
|
|
"pages": {
|
||
|
|
"declaration": {
|
||
|
|
"questions": {
|
||
|
|
"declaration": {
|
||
|
|
"check_answer_label": "",
|
||
|
|
"header": "What is the tenant code?",
|
||
|
|
"type": "text"
|
||
|
|
}
|
||
|
|
}
|
||
|
|
}
|
||
|
|
}
|
||
|
|
}
|
||
|
|
}
|
||
|
|
}
|
||
|
|
}
|
||
|
|
}
|