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sa-homepage-custom-form
Name (slug)
Version
Category
Heroes & Top-of-Page
Social Proof
Differentiators
Content Blocks
Sidebar
CTA / Footer
Office Anchoring
Status
Live
Beta
Deprecated
Description
Rendered live homepage-style intake form contract. Added from live-site QA after the form family was verified passing but not separately represented in the registry.
When to use
Homepage-style, landing-page, or top-of-page intake placements that should use the same Litify/email/tracking contract as the homepage form.
Source skill
Rules (one per line, leading dash optional)
Must keep sa-homepage-custom-form or sa-custom-contact-intake-form approved class, POST method, /sal/v1/contact-intake route, required hidden attribution fields, redirect fields, and sal_contact_intake_submit marker. Verify with rendered-form-contract-qa before deployment.
Live reference URL
Deployment notes
Created from the rendered live site on 2026-06-15 after full form QA passed. The stored HTML is a known-working rendered contract example; adapt visible copy carefully but keep field names and hidden attribution fields intact.
HTML
<form action="https://aguiarinjurylawyers.com/" class="sa-homepage-custom-form" cr-attached="true" data-rest-endpoint="https://aguiarinjurylawyers.com/?rest_route=/sal/v1/contact-intake" data-sal-attribution-ready="1" data-sal-existing-handler="1" data-sal-form-configured="20260529" id="contact-form" method="post"> <input name="sal_contact_intake_submit" type="hidden" value="1"/> <input name="page_url" type="hidden" value="https://aguiarinjurylawyers.com/?registry_capture=20260615"/> <input name="success_redirect" type="hidden" value="https://aguiarinjurylawyers.com/contact-us/thank-you/"/> <input name="error_redirect" type="hidden" value="https://aguiarinjurylawyers.com/contact-us/?intake=error"/> <input name="referrer" type="hidden" value=""/> <input name="utm_source" type="hidden" value=""/> <input name="utm_medium" type="hidden" value=""/> <input name="utm_campaign" type="hidden" value=""/> <input id="sal_contact_intake_nonce" name="sal_contact_intake_nonce" type="hidden" value="8563fe23f4"/><input name="_wp_http_referer" type="hidden" value="/?registry_capture=20260615"/> <div class="sa-field"> <label class="sa-field-label" for="sa_home_full_name">Full Name *</label> <input id="sa_home_full_name" name="full_name" placeholder="Full Name" required="" type="text"/> </div> <div class="sa-field"> <label class="sa-field-label" for="sa_home_phone">Phone *</label> <input id="sa_home_phone" name="phone" placeholder="Phone Number" required="" type="tel"/> </div> <div class="sa-field"> <label class="sa-field-label" for="sa_home_email">Email Address</label> <input id="sa_home_email" name="email" placeholder="Email Address" type="email"/> </div> <div class="sa-field"> <label class="sa-field-label" for="sa_home_case_type">Case Type *</label> <select id="sa_home_case_type" name="case_type" required=""> <option value="">Case Type</option> <option value="Car Accident">Car Accident</option> <option value="Truck Accident">Truck Accident</option> <option value="Delivery Truck Accident">Delivery Truck Accident</option> <option value="Motorcycle Accident">Motorcycle Accident</option> <option value="Rideshare Accident">Rideshare Accident</option> <option value="Pedestrian Accident">Pedestrian Accident</option> <option value="Bicycle Accident">Bicycle Accident</option> <option value="Wrongful Death">Wrongful Death</option> <option value="Other">Other</option> </select> </div> <div class="sa-field"> <label class="sa-field-label" for="sa_home_injured_status">Were You Injured? *</label> <select id="sa_home_injured_status" name="injured_status" required=""> <option value="">Were You Injured?</option> <option value="Yes, I was injured">Yes, I was injured</option> <option value="No injuries">No injuries</option> </select> </div> <div class="sa-intake-consent"> <input id="sa_home_contact_consent" name="consent" required="" type="checkbox" value="1"/> <label for="sa_home_contact_consent">I agree to be contacted by Sam Aguiar Injury Lawyers about my case and understand that standard messaging rates may apply.</label> </div> <div aria-hidden="true" class="sa-intake-hidden"> <label for="sa_home_company">Company</label> <input autocomplete="off" id="sa_home_company" name="company" tabindex="-1" type="text"/> </div> <button class="sa-submit-btn" type="submit">Start My Free Review</button> <input name="page_title" type="hidden" value="Louisville’s Personal Injury Attorneys | Sam Aguiar Injury Lawyers"/><input name="landing_page_url" type="hidden" value="https://aguiarinjurylawyers.com/?registry_capture=20260615"/><input name="last_page_url" type="hidden" value="https://aguiarinjurylawyers.com/?registry_capture=20260615"/><input name="gclid" type="hidden" value=""/><input name="gbraid" type="hidden" value=""/><input name="wbraid" type="hidden" value=""/><input name="utm_term" type="hidden" value=""/><input name="utm_content" type="hidden" value=""/><input name="message" type="hidden" value=""/></form>
CSS
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