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.claim-form__review-value{margin-right:auto}.claim-form__review-item--amount{margin-left:auto;align-items:flex-start!important}.claim-form__review-item--amount .claim-form__review-value{margin-right:0!important}.claim-form__review-label{font-family:var(--font-poppins);color:#535557;margin:0;font-size:1rem}.claim-form__review-label--secondary{margin-top:.75rem}.claim-form__review-value{font-family:var(--font-poppins);color:#243746;margin:0;font-size:1rem;font-weight:600}.claim-form__review-description{flex-direction:column;display:flex}.claim-form__review-copy{font-family:var(--font-poppins);color:#243746;letter-spacing:.16px;flex-direction:column;gap:1.25rem;font-size:1rem;font-weight:600;line-height:1.6;display:flex}.claim-form__review-copy 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solid #e4e4e4;border-radius:.25rem;grid-template-columns:auto 1fr auto;align-items:center;gap:1rem;padding:1rem 1.25rem 1rem 1rem;display:grid}.claim-form__file-icon{color:#243746;background-color:#fafbfc;border:.0625rem solid #e4e4e4;border-radius:.25rem;justify-content:center;align-items:center;width:1.5rem;height:1.5rem;display:inline-flex}.claim-form__file-meta{flex-direction:column;gap:.125rem;display:flex}.claim-form__file-name{font-family:var(--font-poppins);color:#243746;font-size:1rem;font-weight:600}.claim-form__file-size{font-family:var(--font-poppins);color:#6a6d70;font-size:.875rem}.claim-form__file-remove{color:#a2412b;cursor:pointer;background:0 0;border:0;justify-content:center;align-items:center;padding:.125rem;transition:color .2s;display:inline-flex}.claim-form__file-remove:hover{color:#cc9285}.claim-form__review-card 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.alert{color:#535557;background-color:#fff;border:.0625rem solid #243746;border-radius:.25rem;align-items:center;gap:.5rem;width:100%;padding:.5rem 1rem;display:flex;box-shadow:0 2px 10px #0000000d}.alert__icon{color:inherit;justify-content:center;align-items:center;display:inline-flex}.alert__content{flex-direction:column;flex:1;gap:.125rem;display:flex}.alert__title{letter-spacing:.01em;text-transform:uppercase;margin:0;font-family:Termina;font-size:1rem}.alert__description{font-family:var(--font-poppins);color:#535557;margin:0;font-size:.875rem}.alert-success{color:#525241;background-color:#edede0;border-color:#525241}.alert-error{color:#a2412b;background-color:#f6ecea;border-color:#a2412b}.alert-warning{color:#7c5c00;background-color:#fcf6e6;border-color:#7c5c00}.alert-info{color:#243746;background-color:#fafbfc;border-color:#243746}.alert button.alert__close{color:inherit;cursor:pointer;background:0 0;border:none;padding:.125rem;line-height:1}.alert button.alert__close:hover{color:#141e27}
.form-progress-bar{background-color:#fff;border:.0625rem solid #e4e4e4;border-radius:.25rem;padding:1.3rem 6.5rem}.form-progress-bar__grid{grid-template-rows:auto auto;align-items:center;gap:1rem 0;display:grid}.form-progress-bar__circle{color:#e4e4e4;width:2.5rem;height:2.5rem;font-family:var(--font-poppins);letter-spacing:.01em;background-color:#fff;border:.125rem solid #e4e4e4;border-radius:50%;justify-content:center;justify-self:center;align-items:center;font-size:1rem;font-weight:600;line-height:1;display:flex}.form-progress-bar__circle.current{color:#fff;background-color:#243746;border-color:#243746;font-size:1.125rem}.form-progress-bar__circle.complete{color:#fff;background-color:#243746;border-color:#243746}.form-progress-bar__connector{background-color:#e4e4e4;place-self:center stretch;width:100%;height:.375rem}.form-progress-bar__connector.complete{background-color:#243746}.form-progress-bar__copy{text-align:center;flex-direction:column;justify-self:center;max-width:14rem;display:flex}.form-progress-bar__title{font-family:var(--font-poppins);letter-spacing:.01em;color:#535557;margin:0;font-size:1rem;font-weight:400;line-height:1.5}.form-progress-bar__title.current{color:#243746;font-weight:600}.form-progress-bar__description{font-family:var(--font-poppins);letter-spacing:.01em;color:#6a6d70;white-space:pre;margin:0;font-size:.875rem;font-weight:400;line-height:1.43}
.form-field{border:1px solid #6a6d70;border-radius:4px;align-items:center;width:100%;display:flex;position:relative}.form-field .input-icon{z-index:1;display:flex;position:absolute;top:1.2rem;right:0}.form-field .input-icon.icon-before{left:0;right:auto}.form-field .input-icon.error{color:#a2412b}.form-field svg{margin:0 1rem}.form-field svg~label{left:3rem}.form-field input~label{pointer-events:none}.form-field input~label:hover{cursor:text}label{letter-spacing:.16px;background-color:#fff;padding:0 .25rem;font-size:1rem;line-height:1.5;transition:all .2s;position:absolute;top:1.25rem;left:1rem}.icon-before~label{left:3rem}label.has-value,input:active+label,input:focus+label,input:placeholder-shown+label{background:#f5f5f5;font-size:.75rem;line-height:1;top:-.375rem;left:.75rem}label .required{color:#a2412b}button[role=combobox] label:not(.has-value){top:1.175rem;left:.75rem}.placeholder-primary input::placeholder{color:#243746}input{border-radius:inherit;letter-spacing:.16px;color:#243746;border:0;outline:none;width:100%;height:100%;padding:1.175rem;position:relative}.icon-before~input{padding-left:3rem}input::selection{color:#fff;background-color:#243746}input:focus-visible{border-color:#a2412b;box-shadow:0 0 0 2px #243746}input:disabled{pointer-events:none;cursor:not-allowed;opacity:.5}input[aria-invalid=true]{border-color:#a2412b;box-shadow:0 0 0 1px #a2412b}textarea{vertical-align:top;color:#243746}textarea::placeholder{color:#243746}textarea:focus-visible{border-color:#a2412b;box-shadow:0 0 0 2px #243746}textarea[aria-invalid=true]{border-color:#a2412b;box-shadow:0 0 0 1px #a2412b}.select{border-radius:inherit;cursor:pointer;background-color:#fff;border:0;outline:none;justify-content:space-between;align-items:center;width:100%;height:auto;padding:1.175rem 0 1.175rem 1.175rem;display:flex}.select[data-state=open] .select-icon{transform:rotate(-180deg)}.select-icon{transition:transform .2s;display:flex}.select-content{width:var(--radix-select-trigger-width);max-height:var(--radix-select-content-available-height)}.select-viewport{background-color:#fff;border:.0625rem solid #e4e4e4;border-radius:.25rem;font-size:.875rem;box-shadow:0 1rem 1rem #53555726}.select-item{cursor:pointer;outline:none;align-items:center;margin-top:.5rem;padding:1rem;display:flex;position:relative}.select-item:after{content:"";border-bottom:.0625rem solid #e4e4e4;width:calc(100% - 2rem);display:block;position:absolute;bottom:0;left:1rem}.select-item:last-child:after{display:none}.select-item[data-state=checked]{background-color:#eee}.select-item:hover{background-color:#5355571a}.select-item-indicator{align-items:center;width:1.5rem;display:flex}.select-item-indicator span{display:flex}.select-item-text{margin-left:1rem}.checkbox{border:.0625rem solid #243746;border-radius:.25rem;justify-content:center;align-items:center;width:1rem;height:1rem;display:flex}.checkbox[data-state=checked]{background-color:#a2412b}.checkbox[data-state=checked]:hover{background-color:#a2412bcc}.form__hint{font-family:var(--font-poppins);color:#6a6d70;letter-spacing:.24px;margin:0 1rem;font-size:.75rem}.form__error{font-family:var(--font-poppins);color:#a2412b;margin:0 1rem;font-size:.75rem}.form__label{font-family:var(--font-poppins);color:#535557;letter-spacing:.16px;margin:0;font-size:1rem}.claim-form__textarea-label.static,.form__label.static{margin-bottom:.5rem;padding:0;position:static}.form__file-input{opacity:0;pointer-events:none;width:0;height:0;position:absolute}