/* Hide Submit Button */
.form-submit-button {
    display: none !important;
  }
  
  /* Hide Print Button */
  #print-preview {
    display: none !important;
  }
  /* Hiding Language dropdown*/
   
  #form-element-wrapper_48{
      visibility: hidden !important;
    }
    #form-element-wrapper_2
    {
        display: none;
    }
    /* TO CONTROL SCREEN SCROLL*/
.form-section, .form-item {
    display: block;
    overflow: hidden;
    padding-left: inherit;
    padding-bottom: 16px;
}


.header_container {
    display: flex;
    justify-content: space-between;
    column-gap: 30px !important;

    }
  
    .box {
        border: 1px solid black;
        margin-bottom: 20px;
        width:120%;
    }
    
    .box1 {
        border: 1px solid black;
        margin-bottom: 20px;
        width:96%;
    }
     
    .box-Contents {
        width: 40%;
        float: left;
        position: relative;
    }
    .box-Contents1 {
        width: 40%;
        float: left;
        position: relative;
    }
   
    .divTableRow {
        display: table-row;
    }
  
    .divTableCell {
        display: table-cell;
       
    }
    .BYBOffice2 {
        float: right;
 
    }
    
    .BYBOffice1 {
       width:80%;
       padding-top: 5%;
     
    }

    .divTableCellN {
        display: table-cell;
        padding-top: 6px;
        padding-right: 15px;
    }
    .divTableCellM {
        display: table-cell;
        padding-top: 6px;
        padding-right: 15px;
    }
    .Mailing {
        display: inline-block;
      white-space: nowrap;
        width: 100%;
    }
    /*------------------------------------------------------------*/
    .grid-container {
        display: grid
    ;
        grid-template-columns: repeat(2, 1fr);
        padding-bottom: 20px;
        gap: 2.5%;
        margin-bottom: -15px;
    }
    ul, ol {
        margin-right: 18px;
    }
    /*-------------------------------------for XXX claimant SSN Number-------------------------------------*/
    .ssn-container {
        display: inline-flex
    ;
        align-items: center;
        gap: 5px;
        direction:ltr !important;
    }
    .ssn-block {
        text-align: center;
        margin-right: 5px;
    }
    .ssn-number {
        text-align: center;
    }
    .ssn-line {
        border-top: 1px solid black;
        width: 20px;
        height: 1px;
        margin-top: 2px;
    }
    /*-----------------------for lines and content --------------------------------------------*/
    .form-field {
        display: flex
    ;
        align-items: center;
        margin-bottom: 15px;
        margin-top:15px;
      
    }
    .form-field .text {
        margin-bottom: 8px;
       white-space: nowrap;
    }
    .line {
        flex-grow: 1;
        border-bottom: 1.5px solid #000;
        margin-left: 5px;
        margin-bottom: 8px;
        margin-right: 5px;
        height:28px;
    }
    .nintext {
        display: block;
      
    }
    .sub-text1 {
        display: grid;
        grid-template-columns: 22% 24% 30% 24%;
        gap: 0.5rem;
   
        padding-top: 10px;
        padding-bottom: 10px;

        padding-right: 20px;

    }
    .sub-text{
        display: flex
;
    /* align-items: center; */
    margin-bottom: 5px;

    margin-right: 5px;
    }
    .Checkboxsize {
        width: 14px;
        height: 14px;
        background-color: white;
        border-radius: 5%;
        vertical-align: middle;
        border: 1px solid gray;
        appearance: none;
        -webkit-appearance: none;
        outline: none;
    }
    .ctext {
        padding-right: 15px;
        padding-left: 5px;
    }
    .ctext1 {
        padding-right: 20px;
        padding-left: 20px;
        display: block;
        margin-top: -20px;
    }
    .container{
        width: 96%;
    }
    .blanklinecallout {
        position: absolute;
        width: 1px;
        height: 1px;
        padding: 0;
        margin: -1px;
        overflow: hidden;
        clip: rect(0, 0, 0, 0);
        border: 0;
    }
    .line1 {
        flex-grow: 1;
        border-bottom: 1.5px solid #000;
        margin-left: 5px;
        margin-bottom: 40px;
        margin-right: 5px;
        margin-top: 10px;
        height:25px;
    }
    .line2 {
        flex-grow: 1;
        border-bottom: 1.5px solid #000;
        margin-left: 11px;
        margin-bottom: 8px;
        margin-right: 7px;
        /* margin-top: 4px; */
        width: 23%;
        height:25px;
    }
    .line3{
        flex-grow: 1;
        border-bottom: 1.5px solid #000;
        margin-left: 11px;
        margin-bottom: 8px;
        margin-right: 7px;
        margin-top: 20px; 
        width: 23%;
        height:5px;
    }
    .line4 {
        flex-grow: 1;
        border-bottom: 1.5px solid #000;
        margin-left: 5px;
        margin-bottom: 8px;
        margin-right: 5px;
        text-align: center;
        height: 28px;
    }
    .line5 {
        flex-grow: 1;
        border-bottom: 1.5px solid #000;
        margin-left: 11px;
        margin-bottom: 8px;
        margin-right: 7px;
        /* margin-top: 4px; */
        width: 29%;
        height: 28px;
    }

    .jtext {
        display: block;
        margin-top: -23px;
        padding-left: 12px;
        margin-right: 25px;
    }
    .jtext1 {
        display: block;
        margin-top: -10px;
        padding-left: 12px;
        margin-right: 25px;
    }
    .dtext {
        display: block;
        margin-top: -18px;
        padding-left: 25px;
        margin-right: 25px;
      
    }
    .etext {
        display: block;
       
    }
    .form-field1 {
        display: flex
    ;
        align-items: center;
        margin-bottom: 15px;
        margin-top:15px;
      
    }
/*------------------------------fior dotted box --------------------------*/
.dotted-container {
    display: inline-flex
;
    gap: 5px;
    vertical-align: middle;
    direction:ltr !important;
}
.dotted-box {
    width: 20px;
    height: 25px;
    border: 2.5px dotted #333;
    padding-left:5px;
    padding-right: 5px;
}
.sr-only {
    position: absolute;
    width: 1px;
    height: 1px;
    padding: 0;
    margin: -1px;
    overflow: hidden;
    clip: rect(0, 0, 0, 0);
    border: 0;
}
/*-----------------------------grid ----------------------------------*/
.grid-container1 {
    display: grid;
    grid-template-columns: auto 1fr auto 1fr auto 1fr auto 1fr;
    gap: 7px;
    align-items: center;
    padding-top: 15px;
    padding-bottom: 15px;
    width: 100%;
}
.grid-row {
    display: contents; /* Keeps grid structure while using divs */
}
.grid-cell {
    display: flex;
    align-items: center;
}
.NoWrap{
    white-space: nowrap;
}
.underline {
    display: inline-block;
    border-bottom: 1px solid black;
    min-width: 140px;
    text-align: center;
    white-space: nowrap;
    height:28px;
}
.amount-field {
    min-width: 85px;
}
.payment-type {
    min-width: 85px;
}
.date-field {
    min-width: 100px;
}

.info{
    padding-bottom:15px;

}
.list{
    margin-top:-7px;
}
.list1{
    margin-top:-20px;
}
@media only screen and (max-width: 768px) {

    
    .header_container {
        flex-direction: column;
        justify-content: center;
        align-items: center !important;
    }
    .box {
        border: 1px solid black;
        margin-bottom: 20px;
         width: 95%;
    }
    .box-Contents {
        width: 35%;
        /* float: left; */
        /* position: relative; */
        text-align: center;
    }
    
    .box-Contents1 {
        width: 100%;
        padding-left: 32px;
        padding-right: 0px;
    }
    .BYBOffice2 {
        width: 100%;
        padding-top: 5%;
        padding-left: 32px;
        padding-right: 0px;
      
     } 
    .box1 {
        border: 1px solid black;
        margin-bottom: 20px;
        width:92%;
    }
    .ctext1 {
        padding-right: 20px;
        padding-left: 20px;
        /* display: block; */
        margin-top: -20px;
    }
    .grid-container {
        display: block;
        grid-template-columns: repeat(2, 1fr);
        padding-bottom: 20px;
        gap: 2.5%;
    }
    .line {
        flex-grow: 1;
        border-bottom: 1.5px solid #000;
        margin-left: 1px; 
        margin-bottom: 8px;
        margin-right: 5px;
    }
    
    
    .sub-text1 {
        grid-template-columns: AUTO;
        gap: 0.5rem;
        padding-top: 10px;
        padding-bottom: 10px;
        padding-right: 20px;
        display: grid
;
    }
    .form-field .text {
        margin-bottom: 8px;
        white-space: normal;
        padding-top:10px;
    }
    .dotted-container {
        display: inline-flex
    ;
        gap: 5px;
        vertical-align: middle;
        padding-top: 15px;
    } 
    .BYBOffice1 {
        width: 80%;
        padding-bottom: 10px;
        padding-top: 2%;
    }
    .list1 {
        margin-top: -17px;
    }
    .list {
        margin-top: 5px;
    }
.info{
    padding-top: 15px;
    padding-bottom: 0px;
}
    
    .form-field {
        display: contents;
        align-items: center;
        margin-bottom: 15px;
        margin-top: 15px;
    }
    .line2 {
        flex-grow: 1;
        border-bottom: 1.5px solid #000;
        margin-left: 3px;
        margin-bottom: 8px;
        margin-right: 7px;
        /* margin-top: 4px; */
        width: 98%;
    }

    .ssn-container {
        display: inline-flex
    ;
        align-items: center;
        gap: 5px;
        padding-top: 10px;
     
    }
    .sub-text {
        display: grid
    ;
        padding-top: 5px;
    }
    .grid-cell {
        display: grid
;
        align-items: center;
        padding-top: 10px;
    }
    .grid-container1 {
        display: block;
        grid-template-columns: auto 1fr auto 1fr auto 1fr auto 1fr;
        gap: 10px;
        align-items: center;
        padding-top: 15px;
        padding-bottom: 15px;
        width: 100%;
    }
    .form-field {
        display: block;
        align-items: center;
        margin-bottom: 15px;
        margin-top: 15px;
    }
    .line3 {
        flex-grow: 1;
        border-bottom: 1.5px solid #000;
        margin-left: 1px;
        margin-bottom: 8px;
        margin-right: 7px;
        margin-top: 20px;
        width: 98%;
    }
    .line5 {
        flex-grow: 1;
        border-bottom: 1.5px solid #000;
        margin-left: 3px;
        margin-bottom: 8px;
        margin-right: 7px;
        /* margin-top: 4px; */
        width: 98%;
    }
    .Logo{
        padding-top:15px;
    }
    .line4 {
        flex-grow: 1;
        border-bottom: 1.5px solid #000;
        margin-left: 3px;
        margin-bottom: 8px;
        margin-right: 16px;
        text-align: center;
        display: inline-block;
        width: 25%;
    }
}


  /* Media Query for iPad Mini */
  @media only screen 
  and (min-width: 768px) 
  and (max-width: 768px) 
  and (min-height: 1024px) 
  and (max-height: 1024px)
  {
    .header_container {
        flex-direction: column;
        justify-content: center;
        align-items: center !important;
    }
    .box-Contents {
        width: 20%;
        /* float: left; */
        /* position: relative; */
        text-align: center;
    }
    .box-Contents1 {
        width: 44%;
    }
    .BYBOffice1 {
        width: 80%;
        padding-bottom: 10px;
        padding-top: 1%;
    }
    .BYBOffice2 {
        width: 44%;
        padding-top: 2%;
        padding-left: 32px;
        padding-right: 0px;
    }

    .line2 {
        flex-grow: 1;
        border-bottom: 1.5px solid #000;
        margin-left: 4px;
        margin-bottom: 8px;
        margin-right: 7px;
        /* margin-top: 4px; */
        width: 99%;
    }.line5 {
        flex-grow: 1;
        border-bottom: 1.5px solid #000;
        margin-left: 0px;
        margin-bottom: 8px;
        margin-right: 7px;
        /* margin-top: 4px; */
        width: 99%;
    }
    .Logo{
        padding-top:15px;
    }
    .line3 {
        flex-grow: 1;
        border-bottom: 1.5px solid #000;
        margin-left: -2px;
        margin-bottom: 8px;
        margin-right: 7px;
        margin-top: 20px;
        width: 99%;
 
    }
    .line4 {
        flex-grow: 1;
        border-bottom: 1.5px solid #000;
        margin-left: 3px;
        margin-bottom: 8px;
        margin-right: 16px;
        text-align: center;
        display: inline-block;
        width: 29%;
    }

}