Edit element

sa-inline-form

Name (slug) Version

Category Status

Description When to use Source skill Rules (one per line, leading dash optional) Live reference URL Deployment notes HTML

<style id="sa-form-label-submit-guard-2026-06-15">
.sa-custom-contact-intake-form .sa-field-control{display:flex!important;flex-direction:column;gap:5px;width:100%;min-width:0;margin:0 0 14px;color:inherit;box-sizing:border-box;}
.sa-custom-contact-intake-form .sa-field-control .sa-form-label{display:block!important;font-size:13px!important;font-weight:700!important;text-transform:uppercase;letter-spacing:.5px;color:inherit!important;margin:0!important;line-height:1.25!important;}
.sa-custom-contact-intake-form .sa-field-control > input,
.sa-custom-contact-intake-form .sa-field-control > select,
.sa-custom-contact-intake-form .sa-field-control > textarea{width:100%!important;margin:0!important;box-sizing:border-box;}
.sa-custom-contact-intake-form textarea.sa-form-field{height:auto!important;min-height:84px;resize:vertical;}
.sa-custom-contact-intake-form button[type="submit"],
.sa-custom-contact-intake-form .submit,
.sa-custom-contact-intake-form input[type="submit"]{display:flex!important;align-items:center;justify-content:center;width:100%;min-height:46px;color:#fff!important;-webkit-text-fill-color:#fff!important;background:linear-gradient(0deg,#000 0%,#0B212D 100%)!important;border:2px solid #0B212D!important;border-radius:8px;opacity:1!important;visibility:visible!important;text-shadow:none!important;font-weight:700;text-transform:uppercase;cursor:pointer;}
</style>
<form action="https://aguiarinjurylawyers.com/locations/lexington/" class="sa-inline-form sa-custom-contact-intake-form" cr-attached="true" data-rest-endpoint="https://aguiarinjurylawyers.com/?rest_route=/sal/v1/contact-intake" data-sal-attribution-ready="1" data-sal-bridge-rest-attached="1" data-sal-form-configured="20260529" data-sal-submit-ready="1" id="sa-lex-inline-form" method="post" target="_blank">
<input name="sal_contact_intake_submit" type="hidden" value="1"/>
<input name="page_url" type="hidden" value="https://aguiarinjurylawyers.com/locations/lexington/?registry_capture=20260615"/>
<input name="page_title" type="hidden" value="Lexington Personal Injury Lawyers | Sam Aguiar Injury Lawyers"/>
<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="gclid" type="hidden" value=""/>
<input name="utm_source" type="hidden" value=""/>
<input name="utm_medium" type="hidden" value=""/>
<input name="utm_campaign" type="hidden" value=""/>
<div class="sa-form-field">
<label class="sa-field-control" for="sa-form-1-full-name"><span class="sa-form-label">Full Name</span><input autocomplete="name" class="sa-form-field" id="sa-form-1-full-name" name="full_name" placeholder="Full Name" required="" type="text"/></label>
</div>
<div class="sa-form-field">
<label class="sa-field-control" for="sa-form-1-phone"><span class="sa-form-label">Phone Number</span><input autocomplete="tel" class="sa-form-field" id="sa-form-1-phone" name="phone" placeholder="Phone Number" required="" type="tel"/></label>
</div>
<div class="sa-form-field">
<label class="sa-field-control" for="sa-form-1-case-type"><span class="sa-form-label">Case Type</span><select id="sa-form-1-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="Motorcycle Accident">Motorcycle Accident</option>
<option value="Rideshare Accident">Rideshare Accident</option>
<option value="Pedestrian Accident">Pedestrian Accident</option>
<option value="Other">Other</option>
</select></label>
</div>
<div class="sa-form-field">
<label class="sa-field-control" for="sa-form-1-message"><span class="sa-form-label">Tell Us What Happened</span><textarea class="sa-form-field" id="sa-form-1-message" name="message" placeholder="Tell us about it" rows="3"></textarea></label>
</div>
<div class="sa-form-honeypot">
<label>Company<input autocomplete="off" name="company" tabindex="-1" type="text"/></label>
</div>
<label class="sa-form-consent">
<input name="consent" required="" type="checkbox" value="1"/>
<span>By submitting, I agree to be contacted by Sam Aguiar Injury Lawyers by phone, text, or email about my case. Message and data rates may apply.</span>
</label>
<button class="sa-form-submit submit" type="submit">Get Started</button>
<input name="landing_page_url" type="hidden" value="https://aguiarinjurylawyers.com/locations/lexington/?registry_capture=20260615"/><input name="last_page_url" type="hidden" value="https://aguiarinjurylawyers.com/locations/lexington/?registry_capture=20260615"/><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="email" type="hidden" value=""/><input name="injured_status" type="hidden" value=""/></form>

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