.cotiviti-form-card{padding-block:clamp(1.25rem,1rem + 2vw,3rem)}.cotiviti-form-card--lilac{background:var(--cotiviti-color-background-lilac)}.cotiviti-form-card--dark{background:var(--cotiviti-gradient-hero)}.cotiviti-form-card__inner{margin-inline:auto;max-width:var(--cotiviti-container-max);padding-inline:var(--cotiviti-container-pad)}.cotiviti-form-card .form-title{margin:0 0 var(--cotiviti-space-5)}.cotiviti-form-card--dark .form-title{color:var(--cotiviti-color-white)}.cotiviti-form-card__title{margin:0 auto var(--cotiviti-space-5);max-width:56em;text-align:center}.cotiviti-form-card--dark .cotiviti-form-card__title{color:var(--cotiviti-color-white)}.cotiviti-form-card__placeholder{color:var(--cotiviti-color-text);font-family:var(--cotiviti-font-family);margin:0}.cotiviti-form-card--dark .cotiviti-form-card__placeholder{color:var(--cotiviti-color-white)}.cotiviti-form-card .hs-form{display:grid;gap:var(--cotiviti-space-4);grid-template-columns:repeat(2,minmax(0,1fr))}@media (max-width:720px){.cotiviti-form-card .hs-form{grid-template-columns:minmax(0,1fr)}}.cotiviti-form-card .hs-dependent-field,.cotiviti-form-card .hs-form-field{display:flex;flex-direction:column;gap:.5rem;min-width:0}.cotiviti-form-card .hs-form-field label{color:var(--cotiviti-color-text);font-family:var(--cotiviti-font-family);font-size:.875rem;font-weight:700}.cotiviti-form-card--dark .hs-form-field label{color:var(--cotiviti-color-white)}.cotiviti-form-card .hs-form-required{color:var(--cotiviti-color-magenta-600);margin-left:.15em}.cotiviti-form-card--dark .hs-form-required{color:var(--cotiviti-color-magenta-400)}.cotiviti-form-card .hs-input{background:var(--cotiviti-color-white);border:1px solid var(--cotiviti-color-gray-4);border-radius:10px;box-sizing:border-box;color:var(--cotiviti-color-text);font-family:var(--cotiviti-font-family);font-size:1rem;line-height:1.5;padding:12px 14px;transition:border-color var(--cotiviti-transition),box-shadow var(--cotiviti-transition);width:100%}.cotiviti-form-card--dark .hs-input{background-color:hsla(0,0%,100%,.12);border:1.5px solid hsla(0,0%,100%,.28);color:var(--cotiviti-color-white)}.cotiviti-form-card textarea.hs-input{font-family:inherit;min-height:96px;resize:vertical}.cotiviti-form-card .hs-input::placeholder{color:var(--cotiviti-color-gray-2)}.cotiviti-form-card--dark .hs-input::placeholder{color:hsla(0,0%,100%,.6)}.cotiviti-form-card select.hs-input{appearance:none;-webkit-appearance:none;-moz-appearance:none;background-image:url('data:image/svg+xml;utf8,<svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24" fill="none" stroke="%2331006f" stroke-width="2.5" stroke-linecap="round" stroke-linejoin="round"><polyline points="6 9 12 15 18 9"></polyline></svg>');background-position:right 14px center;background-repeat:no-repeat;background-size:16px 16px;padding-right:40px}.cotiviti-form-card--dark select.hs-input{background-image:url('data:image/svg+xml;utf8,<svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24" fill="none" stroke="white" stroke-width="2.5" stroke-linecap="round" stroke-linejoin="round"><polyline points="6 9 12 15 18 9"></polyline></svg>')}.cotiviti-form-card .hs-input:focus-visible{border-color:var(--cotiviti-color-deep-purple);outline:none}.cotiviti-form-card--dark .hs-input:focus-visible{border:1.5px solid var(--cotiviti-color-soothing-violet);outline:none}.cotiviti-form-card .hs-fieldtype-checkbox{grid-column:1/-1}.cotiviti-form-card .inputs-list{display:flex;flex-direction:column;gap:.6rem;list-style:none;margin:0;padding:0}.cotiviti-form-card .inputs-list.multi-container:has(>:nth-child(6)){display:grid;gap:.5rem 1.5rem;grid-template-columns:repeat(2,minmax(0,1fr))}.cotiviti-form-card .hs-form-booleancheckbox-display,.cotiviti-form-card .hs-form-checkbox-display{align-items:flex-start;color:var(--cotiviti-color-text);cursor:pointer;display:flex;font-family:var(--cotiviti-font-family);font-size:.9375rem;font-weight:700;gap:.6rem}.cotiviti-form-card--dark .hs-form-booleancheckbox-display,.cotiviti-form-card--dark .hs-form-checkbox-display{color:var(--cotiviti-color-white)}.cotiviti-form-card .hs-input[type=checkbox]{accent-color:var(--cotiviti-color-deep-purple);background:revert;border:revert;border-radius:revert;flex-shrink:0;height:18px;margin:1px 0 0;min-width:18px;padding:0;width:18px}.cotiviti-form-card--dark .hs-input[type=checkbox]{accent-color:var(--cotiviti-color-soothing-violet)}.cotiviti-form-card .hs_recaptcha,.cotiviti-form-card .hs_submit{grid-column:1/-1}.cotiviti-form-card .hs_recaptcha{margin-bottom:var(--cotiviti-space-4)}.cotiviti-form-card .hs_submit{text-align:center}.cotiviti-form-card .hs_submit input[type=submit]{align-items:center;border:2px solid transparent;border-radius:var(--cotiviti-radius-button);cursor:pointer;display:inline-flex;font-family:var(--cotiviti-font-family);font-size:15px;font-weight:700;justify-content:center;line-height:1;margin-top:var(--cotiviti-space-2);padding:14px 26px;text-decoration:none}.cotiviti-form-card--lilac .hs_submit input[type=submit]{background-color:var(--cotiviti-color-deep-purple)!important;color:#fff!important;transition:transform .18s}.cotiviti-form-card--lilac .hs_submit input[type=submit]:focus-visible{outline:3px solid var(--cotiviti-color-sky-blue);outline-offset:2px}.cotiviti-form-card--lilac .hs_submit input[type=submit]:hover{transform:translateY(-1.2px)}.cotiviti-form-card--dark .hs_submit input[type=submit]{background-color:var(--cotiviti-color-white);border-color:var(--cotiviti-color-white);color:var(--cotiviti-color-deep-purple);transition:color .18s,transform .18s}.cotiviti-form-card--dark .hs_submit input[type=submit]:focus-visible{outline:3px solid var(--cotiviti-color-soothing-violet);outline-offset:2px}.cotiviti-form-card--dark .hs_submit input[type=submit]:hover{color:var(--cotiviti-color-deep-purple);transform:translateY(-1.2px)}.cotiviti-form-card .hs_submit input[type=submit]:disabled{cursor:not-allowed;opacity:.5;pointer-events:none}.cotiviti-form-card .hs-richtext,.cotiviti-form-card .legal-consent-container{color:var(--cotiviti-color-gray-1);font-size:.8125rem;margin-top:var(--cotiviti-space-3)}.cotiviti-form-card--dark .hs-richtext,.cotiviti-form-card--dark .legal-consent-container{color:var(--cotiviti-color-violet-200)}.cotiviti-form-card .submitted-message{text-align:center}.cotiviti-form-card--dark .submitted-message{color:var(--cotiviti-color-white)}