From 44e204689dbb7091ed4e6eff92b30927ebf06ae9 Mon Sep 17 00:00:00 2001
From: akiyamn
Date: Tue, 7 Jun 2022 13:28:35 +1000
Subject: Minor modifications as per request including: buttons, checkboxes

---
 src/33.html | 49 +++++++++++++++++++++++++++++++++++--------------
 1 file changed, 35 insertions(+), 14 deletions(-)

(limited to 'src/33.html')

diff --git a/src/33.html b/src/33.html
index cd20425..7b6737b 100644
--- a/src/33.html
+++ b/src/33.html
@@ -72,21 +72,42 @@
                             </div>
                           </div>
                         </div>
-                        <div class="checkbox-group">
-                          <input type="checkbox" />
-                          <label>Lorem ipsum dolor sit amet, consectetur adipiscing elit.</label>
-                        </div>
-                        <div class="checkbox-group">
-                          <input type="checkbox" id="indeterminate"/>
-                          <label>Cursus euismod quis viverra nibh cras pulvinar mattis nunc.</label>
-                        </div>
-
-                        <!-- placeholder script to show "indeterminate" status of checkbox. delete me -->
-                        <script>document.getElementById("indeterminate").indeterminate = true;</script>
-
-                        <button class="btn primary">Confirm</button>
-                        <button class="btn secondary">Cancel</button>
 
+                        <form data-auto="mygov-dls-form" id="mygov-dls-form-wrapper" aria-labelledby="mygov-dls-form-heading" novalidate="">
+                          <fieldset class="fieldset--title__hidden">
+                            <label class="checkbox mb-none" for="checkbox-confirm">
+                              <input type="checkbox" id="checkbox-confirm" value="true" ng-reflect-form="[object Object]" ng-reflect-ng-class="[object Object]" aria-required="true" aria-invalid="false" aria-errormessage="checkbox-confirm__validation-messages" class="ng-untouched ng-pristine ng-valid">
+                              <span class="checkmark"></span>
+                              <span class="label">
+                                <p>I confirm these documents are accurate and complete.</p>
+                              </span>
+                            </label>
+                            <div class="checkbox mt-none pt-none pb-none">
+                              <div role="alert" class="error-message" id="checkbox-confirm__validation-messages">
+                                <span>You must confirm that the documents are accurate and complete</span>
+                              </div>
+                            </div>
+                            
+                            <label class="checkbox checkbox--error mb-none" for="checkbox-consent">
+                              <input type="checkbox" id="checkbox-consent" value="true" ng-reflect-form="[object Object]" ng-reflect-ng-class="[object Object]" aria-required="true" aria-invalid="false" aria-errormessage="checkbox-consent__validation-messages" class="ng-untouched ng-pristine ng-valid">
+                              <span class="checkmark"></span>
+                              <span class="label">
+                                <p>I give consent for these document to be retrieved by Medicare.</p>
+                              </span>
+                            </label>
+                          
+                            <div class="checkbox mt-none pt-none pb-none">
+                              <div role="alert" class="error-message" id="checkbox-confirm__validation-messages">
+                                <span>You must confirm that you agree to give consent for the documents to be retrieved</span>
+                              </div>
+                            </div>
+                            
+                            <div _ngcontent-set-c83="" class="button-container">
+                              <label data-auto="submission-button" class="btn btn--primary" type="submit"> Submit documents</label>
+                              <label _ngcontent-set-c83="" class="btn btn--secondary" ng-reflect-router-link="/dls" href="#/dls">Cancel</label>
+                            </div>
+                          </fieldset>
+                        </form>
                     </div>
                   </main>
                 </div>
-- 
cgit v1.2.3