#insurance_application .sfm_textbox
{
    padding:1px;
}
#insurance_application .sfm_textarea
{
    padding:2px;
    resize:none;
}
#insurance_application .error_strings
{
    font-family:Verdana;
    font-size:12px;
    color:#660000;
}
#insurance_application img
{
    border:0;
}
#insurance_application .loading_div
{
    background-color:transparent;
    background-image:url("images/loading.gif");
    background-position:center center;
    background-repeat:no-repeat;
}
#insurance_application input[type='submit'],input[type='reset']
{
    font:inherit;
    color:inherit;
}
#insurance_application .sfm_cr_box
{
    font-family:Verdana;
    font-size:10px;
    color:#888888;
}
#insurance_application .sfm_cr_box a
{
    color:#888888;
}
#insurance_application .sfm_slider
{
    margin:0;
    display:inline-bock;
}
#insurance_application .slider_label
{
    padding-top:5px;
    padding-left:3px;
    overflow:visible;
    display:inline-block;
}
#insurance_application .form_outer_div
{
    margin:0 auto;
    border:1px solid #333333;
    background-color:#ffffff;
}
#insurance_application .sfm_form_label
{
    background-color:transparent;
    font-family:Arial;
    font-size:12px;
    color:#000000;
}
#insurance_application .element_label
{
    background-color:transparent;
    font-family:Arial;
    font-size:12px;
    color:#000000;
}
body#sfm_insurance_application_body
{
    background-color:transparent;
    font-family:Arial;
    font-size:12px;
    color:#000000;
    margin:0px;
}
#insurance_application .form_outer_div
{
    font-family:Arial;
    font-size:12px;
    color:#000000;
}
#insurance_application .form_subheading
{
    background-color:transparent;
    font-family:Arial;
    font-size:20px;
    color:#000606;
    font-weight:bold;
    margin:0;
    padding:0;
}
#insurance_application .sfm_float_error_box
{
    font-family:Verdana;
    font-size:10px;
    color:#660000;
    background:none repeat scroll 0 0 #ffff66;
    border:0;
    border-radius:4px;
    -moz-border-radius:4px;
    -webkit-border-radius:4px;
    box-shadow:0 0 4px #333;
    border:1px solid #660000;
}
#insurance_application .sfm_close_box
{
    font-family:Verdana;
    font-size:10px;
    color:#660000;
}
#insurance_application .progress_box_container
{
    border:1px solid #8e8e8e;
    background-color:#cccccc;
    font-family:Arial;
    font-size:10px;
    color:#ffffff;
    text-align:center;
    vertical-align:middle;
}
#insurance_application .progress_box
{
    background-color:#333333;
    width:2px;
    float:left;
    margin:2px;
}
#insurance_application .page_heading
{
    background-color:#000000;
    font-family:Arial;
    font-size:20px;
    color:#000066;
    font-weight:bold;
    margin:0;
    padding:0;
}
#insurance_application .page_number
{
    background-color:transparent;
}
#insurance_application input[type='text'],input[type='password'],input[type='email'],input[type='tel'],input[type='number']
{
    background-color:#ffffff;
    border:1px solid #888888;
    border-radius:3px;
    -moz-border-radius:3px;
    -webkit-border-radius:3px;
    height:23px;
    line-height:23px;
}
#insurance_application textarea
{
    background-color:#ffffff;
    border:1px solid #888888;
    border-radius:3px;
    -moz-border-radius:3px;
    -webkit-border-radius:3px;
}


#insurance_application #label
{
    font-family:Arial;
    font-size:24px;
    color:#00008b;
    font-weight:bold;
    text-decoration:underline;
}
#insurance_application #label11
{
    font-family:Arial;
    font-size:12px;
    color:#000000;
    font-weight:bold;
}
#insurance_application #label12
{
    font-family:Arial;
    font-size:12px;
    color:#000000;
    font-weight:bold;
}
#insurance_application #label15
{
    font-family:Arial;
    font-size:12px;
    color:#000000;
    font-weight:bold;
}
#insurance_application #label21
{
    font-family:Arial;
    font-size:12px;
    color:#000000;
    font-weight:bold;
}
#insurance_application #label23
{
    font-family:Arial;
    font-size:12px;
    color:#000000;
    font-weight:bold;
}
#insurance_application #label35
{
    font-family:Arial;
    font-size:12px;
    color:#000000;
    font-weight:bold;
}
#insurance_application #label36
{
    font-family:Arial;
    font-size:12px;
    color:#000000;
    font-weight:bold;
}
#insurance_application #label37
{
    font-family:Arial;
    font-size:12px;
    color:#000000;
    font-weight:bold;
}
#insurance_application #label38
{
    font-family:Arial;
    font-size:12px;
    color:#000000;
    font-weight:bold;
}
#insurance_application #label39
{
    font-family:Arial;
    font-size:12px;
    color:#000000;
    font-weight:bold;
}
#insurance_application #label40
{
    font-family:Arial;
    font-size:12px;
    color:#000000;
    font-weight:bold;
}
#insurance_application #label41
{
    font-family:Arial;
    font-size:12px;
    color:#000000;
    font-weight:bold;
}
#insurance_application #label42
{
    font-family:Arial;
    font-size:12px;
    color:#000000;
    font-weight:bold;
}
#insurance_application #label43
{
    font-family:Arial;
    font-size:12px;
    color:#000000;
    font-weight:bold;
}
#insurance_application #label49
{
    font-family:Arial;
    font-size:12px;
    color:#ff0000;
    font-weight:bold;
}
#insurance_application #label45
{
    font-family:Arial;
    font-size:12px;
    color:#000000;
    font-weight:bold;
}
#insurance_application #label44
{
    font-family:Arial;
    font-size:12px;
    color:#000000;
    font-weight:bold;
}
#insurance_application #label50
{
    font-family:Arial;
    font-size:12px;
    color:#ff0000;
    font-weight:bold;
}
#insurance_application #label46
{
    font-family:Arial;
    font-size:12px;
    color:#000000;
    font-weight:bold;
}
#insurance_application #label51
{
    font-family:Arial;
    font-size:12px;
    color:#0000ff;
    font-weight:bold;
}
#insurance_application #label56
{
    font-family:Arial;
    font-size:12px;
    color:#0000ff;
    font-weight:bold;
}
#insurance_application #label60
{
    font-family:Arial;
    font-size:14px;
    color:#ff0000;
    font-weight:bold;
}
#insurance_application #label61
{
    font-family:Arial;
    font-size:12px;
    color:#000000;
    font-weight:bold;
}

#insurance_application #t3459ac08999300cfe8b1
{
    width:5px;
    height:5px;
    display:none;
}
#insurance_application #formsection_0_0
{
    z-index:1000;
}
#insurance_application #Image_container
{
    z-index:7;
}
#insurance_application #box_element
{
    z-index:5;
    border:1px solid #000000;
    background-color:#383665;
    border-radius:0px;
    -moz-border-radius:0px;
    -webkit-border-radius:0px;
}
#insurance_application #HyperLink1_container
{
    z-index:115;
}
#insurance_application #HyperLink1
{
    text-align:left;
    font-family:Arial;
    font-size:12px;
    color:#000000;
    text-decoration:underline;
    color:#0000ff;
}
#insurance_application #label_container
{
    z-index:8;
}
#insurance_application #label13_container
{
    z-index:6;
    border-width:1px;
    border-style:solid;
    border-color:#800000;
    background-color:#ffffff;
}
#insurance_application #label13
{
    text-align:center;
    font-family:Arial;
    font-size:12pt;
    font-weight:bold;
    color:#ff0000;
    background-color:#ffffff;
}
#insurance_application #label11_container
{
    z-index:28;
}
#insurance_application #label1_container
{
    z-index:9;
}
#insurance_application #Name_container
{
    z-index:10;
}
#insurance_application #Name
{
    float:left;
    z-index:10;
}
#insurance_application #label2_container
{
    z-index:11;
}
#insurance_application #Address_container
{
    z-index:12;
}
#insurance_application #Address
{
    float:left;
    z-index:12;
}
#insurance_application #label3_container
{
    z-index:13;
}
#insurance_application #City_container
{
    z-index:14;
}
#insurance_application #City
{
    float:left;
    z-index:14;
}
#insurance_application #label4_container
{
    z-index:15;
}
#insurance_application #label5_container
{
    z-index:17;
}
#insurance_application #Province_container
{
    z-index:16;
}
#insurance_application #Province
{
    float:left;
    z-index:16;
}
#insurance_application #PCode_container
{
    z-index:18;
}
#insurance_application #PCode
{
    float:left;
    z-index:18;
}
#insurance_application #label6_container
{
    z-index:19;
}
#insurance_application #HomePhone_container
{
    z-index:20;
}
#insurance_application #HomePhone
{
    float:left;
    z-index:20;
}
#insurance_application #label7_container
{
    z-index:21;
}
#insurance_application #WorkPhone_container
{
    z-index:22;
}
#insurance_application #WorkPhone
{
    float:left;
    z-index:22;
}
#insurance_application #label8_container
{
    z-index:23;
}
#insurance_application #Mobile_container
{
    z-index:24;
}
#insurance_application #Mobile
{
    float:left;
    z-index:24;
}
#insurance_application #label9_container
{
    z-index:25;
}
#insurance_application #label10_container
{
    z-index:27;
}
#insurance_application #Email_container
{
    z-index:26;
}
#insurance_application #Email
{
    float:left;
    z-index:26;
}
#insurance_application #Website_container
{
    z-index:114;
}
#insurance_application #Website
{
    float:left;
    z-index:114;
}
#insurance_application #label18_container
{
    z-index:39;
}
#insurance_application #business_type_0_container
{
    z-index:30;
}
#insurance_application #business_type_1_container
{
    z-index:31;
}
#insurance_application #business_type_2_container
{
    z-index:32;
}
#insurance_application #label12_container
{
    z-index:29;
}
#insurance_application #label17_container
{
    z-index:38;
}
#insurance_application #Business_Name_container
{
    z-index:33;
}
#insurance_application #Business_Name
{
    float:left;
    z-index:33;
}
#insurance_application #Employees_0_container
{
    z-index:36;
}
#insurance_application #Employees_1_container
{
    z-index:37;
}
#insurance_application #label16_container
{
    z-index:35;
}
#insurance_application #label15_container
{
    z-index:34;
}
#insurance_application #formsection_0_576
{
    z-index:1000;
}
#insurance_application #label62_container
{
    z-index:116;
}
#insurance_application #label19_container
{
    z-index:40;
}
#insurance_application #label20_container
{
    z-index:42;
}
#insurance_application #Non_Pro_Staff_container
{
    z-index:41;
}
#insurance_application #Non_Pro_Staff
{
    float:left;
    z-index:41;
}
#insurance_application #label63_container
{
    z-index:117;
}
#insurance_application #Pro_Staff_container
{
    z-index:43;
}
#insurance_application #Pro_Staff
{
    float:left;
    z-index:43;
}
#insurance_application #formsection_0_664
{
    z-index:1000;
}
#insurance_application #Student_0_container
{
    z-index:46;
}
#insurance_application #Student_1_container
{
    z-index:47;
}
#insurance_application #label21_container
{
    z-index:44;
}
#insurance_application #label22_container
{
    z-index:45;
}
#insurance_application #label24_container
{
    z-index:50;
}
#insurance_application #label23_container
{
    z-index:48;
}
#insurance_application #label25_container
{
    z-index:52;
}
#insurance_application #Modality_1_container
{
    z-index:51;
}
#insurance_application #label26_container
{
    z-index:53;
}
#insurance_application #Modality_2_container
{
    z-index:49;
}
#insurance_application #Modality_2
{
    float:left;
    z-index:49;
}
#insurance_application #label35_container
{
    z-index:70;
}
#insurance_application #label27_container
{
    z-index:55;
}
#insurance_application #Modality_3_container
{
    z-index:54;
}
#insurance_application #Modality_3
{
    float:left;
    z-index:54;
}
#insurance_application #label28_container
{
    z-index:57;
}
#insurance_application #Modality_4_container
{
    z-index:56;
}
#insurance_application #Modality_4
{
    float:left;
    z-index:56;
}
#insurance_application #vert_line
{
    z-index:71;
    border:none;
    border-left:2px solid #000000;
}
#insurance_application #label29_container
{
    z-index:59;
}
#insurance_application #Modality_5_container
{
    z-index:58;
}
#insurance_application #Modality_5
{
    float:left;
    z-index:58;
}
#insurance_application #label36_container
{
    z-index:73;
}
#insurance_application #label30_container
{
    z-index:61;
}
#insurance_application #Modality_6_container
{
    z-index:60;
}
#insurance_application #Modality_6
{
    float:left;
    z-index:60;
}
#insurance_application #label31_container
{
    z-index:63;
}
#insurance_application #Modality_7_container
{
    z-index:62;
}
#insurance_application #Modality_7
{
    float:left;
    z-index:62;
}
#insurance_application #label37_container
{
    z-index:74;
}
#insurance_application #label32_container
{
    z-index:65;
}
#insurance_application #Modality_8_container
{
    z-index:64;
}
#insurance_application #Modality_8
{
    float:left;
    z-index:64;
}
#insurance_application #label33_container
{
    z-index:67;
}
#insurance_application #Modality_9_container
{
    z-index:66;
}
#insurance_application #Modality_9
{
    float:left;
    z-index:66;
}
#insurance_application #HyperLink_container
{
    z-index:75;
}
#insurance_application #HyperLink
{
    text-align:left;
    font-family:Arial;
    font-size:12px;
    color:#000000;
    text-decoration:underline;
    color:#0000ff;
}
#insurance_application #vert_line1
{
    z-index:72;
    border:none;
    border-left:2px solid #000000;
}
#insurance_application #label34_container
{
    z-index:69;
}
#insurance_application #Modality_10_container
{
    z-index:68;
}
#insurance_application #Modality_10
{
    float:left;
    z-index:68;
}
#insurance_application #Professional_Negligence_0_container
{
    z-index:78;
}
#insurance_application #Professional_Negligence_1_container
{
    z-index:79;
}
#insurance_application #label38_container
{
    z-index:76;
}
#insurance_application #label39_container
{
    z-index:77;
}
#insurance_application #Declined_coverage_0_container
{
    z-index:83;
}
#insurance_application #Declined_coverage_1_container
{
    z-index:82;
}
#insurance_application #label40_container
{
    z-index:80;
}
#insurance_application #label41_container
{
    z-index:81;
}
#insurance_application #Past_Claims_0_container
{
    z-index:86;
}
#insurance_application #Past_Claims_1_container
{
    z-index:87;
}
#insurance_application #label42_container
{
    z-index:84;
}
#insurance_application #label43_container
{
    z-index:85;
}
#insurance_application #formsection_0_1280
{
    z-index:1000;
}
#insurance_application #label49_container
{
    z-index:99;
}
#insurance_application #details_of_questions_7_to_9_container
{
    z-index:98;
}
#insurance_application #details_of_questions_7_to_9
{
    float:left;
    z-index:98;
}
#insurance_application #formsection_0_1380
{
    z-index:1000;
}
#insurance_application #OCR_membership_0_container
{
    z-index:90;
}
#insurance_application #OCR_membership_1_container
{
    z-index:91;
}
#insurance_application #label45_container
{
    z-index:89;
}
#insurance_application #label44_container
{
    z-index:88;
}
#insurance_application #formsection_0_1440
{
    z-index:1000;
}
#insurance_application #label50_container
{
    z-index:100;
}
#insurance_application #formsection_0_1476
{
    z-index:1000;
}
#insurance_application #Start_Date_0_container
{
    z-index:94;
}
#insurance_application #Start_Date_1_container
{
    z-index:95;
}
#insurance_application #label47_container
{
    z-index:93;
}
#insurance_application #label46_container
{
    z-index:92;
}
#insurance_application #formsection_0_1520
{
    z-index:1000;
}
#insurance_application #label48_container
{
    z-index:97;
}
#insurance_application #DatePicker_container
{
    z-index:96;
}
#insurance_application #DatePicker
{
    float:left;
    z-index:96;
    margin:0px;
}
#insurance_application #DatePicker_image_container
{
    float:left;
    z-index:96;
    height:100%;
    position:relative;
}
#insurance_application #formsection_0_1568
{
    z-index:1000;
}
#insurance_application #label51_container
{
    z-index:101;
}
#insurance_application #label52_container
{
    z-index:102;
}
#insurance_application #label53_container
{
    z-index:103;
}
#insurance_application #label54_container
{
    z-index:104;
}
#insurance_application #label55_container
{
    z-index:105;
}
#insurance_application #label56_container
{
    z-index:106;
}
#insurance_application #label57_container
{
    z-index:107;
}
#insurance_application #label58_container
{
    z-index:108;
}
#insurance_application #label59_container
{
    z-index:109;
}
#insurance_application #label60_container
{
    z-index:110;
}
#insurance_application #label61_container
{
    z-index:112;
}
#insurance_application #Terms_Accepted_container
{
    z-index:111;
}
#insurance_application #Terms_Accepted
{
    float:left;
    z-index:111;
}
#insurance_application #Submit_container
{
    z-index:113;
}
#insurance_application #insurance_application_Submit_img
{
    width:196px;
    height:61px;
    border:none;
}

#insurance_application #insurance_application_outer_div_p1
{
    width:800px;
    height:2350px;
}
#insurance_application #formsection_0_0
{
    width:800px;
    height:576px;
    position:relative;
}
#insurance_application #Image_container
{
    position:absolute;
    left:200px;
    top:0px;
    width:364px;
    height:104px;
}
#insurance_application #box_element
{
    position:absolute;
    left:0px;
    top:104px;
    width:800px;
    height:24px;
}
#insurance_application #HyperLink1_container
{
    position:absolute;
    left:16px;
    top:152px;
    width:110px;
    height:22px;
}
#insurance_application #HyperLink1
{
    position:absolute;
    left:0px;
    top:0px;
}
#insurance_application #label_container
{
    position:absolute;
    left:208px;
    top:160px;
}
#insurance_application #label_container
{
    width:368px;
    height:20px;
}
#insurance_application #label
{
    position:absolute;
    top:0px;
    left:0px;
    width:100%;
    text-align:center;
}
#insurance_application #label13_container
{
    position:absolute;
    left:616px;
    top:144px;
    width:160px;
    height:60px;
}
#insurance_application #label13
{
    position:absolute;
    left:0px;
    top:0px;
}
#insurance_application #label11_container
{
    position:absolute;
    left:16px;
    top:256px;
}
#insurance_application #label11_container
{
    width:32px;
    height:20px;
}
#insurance_application #label11
{
    position:absolute;
    top:3px;
    left:0px;
    width:100%;
    text-align:center;
}
#insurance_application #label1_container
{
    position:absolute;
    left:120px;
    top:256px;
}
#insurance_application #label1_container
{
    width:60px;
    height:20px;
}
#insurance_application #label1
{
    position:absolute;
    top:3px;
    right:0px;
    text-align:right;
}
#insurance_application #Name_container
{
    position:absolute;
    left:184px;
    top:256px;
}
#insurance_application #Name
{
    width:162px;
    height:19px;
}
#insurance_application #label2_container
{
    position:absolute;
    left:120px;
    top:288px;
}
#insurance_application #label2_container
{
    width:60px;
    height:20px;
}
#insurance_application #label2
{
    position:absolute;
    top:3px;
    right:0px;
    text-align:right;
}
#insurance_application #Address_container
{
    position:absolute;
    left:184px;
    top:288px;
}
#insurance_application #Address
{
    width:162px;
    height:19px;
}
#insurance_application #label3_container
{
    position:absolute;
    left:120px;
    top:320px;
}
#insurance_application #label3_container
{
    width:60px;
    height:20px;
}
#insurance_application #label3
{
    position:absolute;
    top:3px;
    right:0px;
    text-align:right;
}
#insurance_application #City_container
{
    position:absolute;
    left:184px;
    top:320px;
}
#insurance_application #City
{
    width:162px;
    height:19px;
}
#insurance_application #label4_container
{
    position:absolute;
    left:120px;
    top:352px;
}
#insurance_application #label4_container
{
    width:60px;
    height:20px;
}
#insurance_application #label4
{
    position:absolute;
    top:3px;
    right:0px;
    text-align:right;
}
#insurance_application #label5_container
{
    position:absolute;
    left:88px;
    top:384px;
}
#insurance_application #label5_container
{
    width:92px;
    height:20px;
}
#insurance_application #label5
{
    position:absolute;
    top:3px;
    right:0px;
    text-align:right;
}
#insurance_application #Province_container
{
    position:absolute;
    left:184px;
    top:352px;
}
#insurance_application #Province
{
    width:114px;
    height:19px;
}
#insurance_application #PCode_container
{
    position:absolute;
    left:184px;
    top:384px;
}
#insurance_application #PCode
{
    width:114px;
    height:19px;
}
#insurance_application #label6_container
{
    position:absolute;
    left:432px;
    top:256px;
}
#insurance_application #label6_container
{
    width:84px;
    height:20px;
}
#insurance_application #label6
{
    position:absolute;
    top:3px;
    right:0px;
    text-align:right;
}
#insurance_application #HomePhone_container
{
    position:absolute;
    left:520px;
    top:256px;
}
#insurance_application #HomePhone
{
    width:114px;
    height:19px;
}
#insurance_application #label7_container
{
    position:absolute;
    left:416px;
    top:288px;
}
#insurance_application #label7_container
{
    width:100px;
    height:20px;
}
#insurance_application #label7
{
    position:absolute;
    top:3px;
    right:0px;
    text-align:right;
}
#insurance_application #WorkPhone_container
{
    position:absolute;
    left:520px;
    top:288px;
}
#insurance_application #WorkPhone
{
    width:114px;
    height:19px;
}
#insurance_application #label8_container
{
    position:absolute;
    left:408px;
    top:320px;
}
#insurance_application #label8_container
{
    width:108px;
    height:20px;
}
#insurance_application #label8
{
    position:absolute;
    top:3px;
    right:0px;
    text-align:right;
}
#insurance_application #Mobile_container
{
    position:absolute;
    left:520px;
    top:320px;
}
#insurance_application #Mobile
{
    width:114px;
    height:19px;
}
#insurance_application #label9_container
{
    position:absolute;
    left:456px;
    top:352px;
}
#insurance_application #label9_container
{
    width:60px;
    height:20px;
}
#insurance_application #label9
{
    position:absolute;
    top:3px;
    right:0px;
    text-align:right;
}
#insurance_application #label10_container
{
    position:absolute;
    left:456px;
    top:384px;
}
#insurance_application #label10_container
{
    width:60px;
    height:20px;
}
#insurance_application #label10
{
    position:absolute;
    top:3px;
    right:0px;
    text-align:right;
}
#insurance_application #Email_container
{
    position:absolute;
    left:520px;
    top:352px;
}
#insurance_application #Email
{
    width:194px;
    height:19px;
}
#insurance_application #Website_container
{
    position:absolute;
    left:520px;
    top:384px;
}
#insurance_application #Website
{
    width:162px;
    height:19px;
}
#insurance_application #label18_container
{
    position:absolute;
    left:96px;
    top:452px;
}
#insurance_application #label18_container
{
    width:88px;
    height:20px;
}
#insurance_application #label18
{
    position:absolute;
    top:3px;
    right:0px;
    text-align:right;
}
#insurance_application #business_type_0_container
{
    position:absolute;
    left:200px;
    top:452px;
    width:128px;
    height:18px;
}
#insurance_application #business_type_1_container
{
    position:absolute;
    left:336px;
    top:452px;
    width:100px;
    height:18px;
}
#insurance_application #business_type_2_container
{
    position:absolute;
    left:448px;
    top:452px;
    width:100px;
    height:18px;
}
#insurance_application #label12_container
{
    position:absolute;
    left:16px;
    top:452px;
}
#insurance_application #label12_container
{
    width:32px;
    height:20px;
}
#insurance_application #label12
{
    position:absolute;
    top:3px;
    left:0px;
    width:100%;
    text-align:center;
}
#insurance_application #label17_container
{
    position:absolute;
    left:96px;
    top:492px;
}
#insurance_application #label17_container
{
    width:116px;
    height:20px;
}
#insurance_application #label17
{
    position:absolute;
    top:3px;
    right:0px;
    text-align:right;
}
#insurance_application #Business_Name_container
{
    position:absolute;
    left:224px;
    top:492px;
}
#insurance_application #Business_Name
{
    width:242px;
    height:19px;
}
#insurance_application #Employees_0_container
{
    position:absolute;
    left:288px;
    top:552px;
    width:48px;
    height:18px;
}
#insurance_application #Employees_1_container
{
    position:absolute;
    left:376px;
    top:552px;
    width:56px;
    height:18px;
}
#insurance_application #label16_container
{
    position:absolute;
    left:96px;
    top:552px;
}
#insurance_application #label16_container
{
    width:168px;
    height:20px;
}
#insurance_application #label16
{
    position:absolute;
    top:3px;
    right:0px;
    text-align:right;
}
#insurance_application #label15_container
{
    position:absolute;
    left:16px;
    top:552px;
}
#insurance_application #label15_container
{
    width:32px;
    height:20px;
}
#insurance_application #label15
{
    position:absolute;
    top:3px;
    left:0px;
    width:100%;
    text-align:center;
}
#insurance_application #formsection_0_576
{
    width:800px;
    height:88px;
    position:relative;
}
#insurance_application #label62_container
{
    position:absolute;
    left:368px;
    top:16px;
}
#insurance_application #label62_container
{
    width:128px;
    height:20px;
}
#insurance_application #label62
{
    position:absolute;
    top:3px;
    right:0px;
    text-align:right;
}
#insurance_application #label19_container
{
    position:absolute;
    left:104px;
    top:16px;
}
#insurance_application #label19_container
{
    width:140px;
    height:20px;
}
#insurance_application #label19
{
    position:absolute;
    top:0px;
    right:0px;
    text-align:right;
}
#insurance_application #label20_container
{
    position:absolute;
    left:128px;
    top:48px;
}
#insurance_application #label20_container
{
    width:116px;
    height:20px;
}
#insurance_application #label20
{
    position:absolute;
    top:0px;
    right:0px;
    text-align:right;
}
#insurance_application #Non_Pro_Staff_container
{
    position:absolute;
    left:248px;
    top:16px;
}
#insurance_application #Non_Pro_Staff
{
    width:114px;
    height:19px;
}
#insurance_application #label63_container
{
    position:absolute;
    left:376px;
    top:48px;
}
#insurance_application #label63_container
{
    width:296px;
    height:20px;
}
#insurance_application #label63
{
    position:absolute;
    top:3px;
    right:0px;
    text-align:right;
}
#insurance_application #Pro_Staff_container
{
    position:absolute;
    left:248px;
    top:48px;
}
#insurance_application #Pro_Staff
{
    width:114px;
    height:19px;
}
#insurance_application #formsection_0_664
{
    width:800px;
    height:616px;
    position:relative;
}
#insurance_application #Student_0_container
{
    position:absolute;
    left:288px;
    top:24px;
    width:48px;
    height:18px;
}
#insurance_application #Student_1_container
{
    position:absolute;
    left:376px;
    top:24px;
    width:56px;
    height:18px;
}
#insurance_application #label21_container
{
    position:absolute;
    left:16px;
    top:24px;
}
#insurance_application #label21_container
{
    width:32px;
    height:20px;
}
#insurance_application #label21
{
    position:absolute;
    top:3px;
    left:0px;
    width:100%;
    text-align:center;
}
#insurance_application #label22_container
{
    position:absolute;
    left:96px;
    top:24px;
}
#insurance_application #label22_container
{
    width:168px;
    height:20px;
}
#insurance_application #label22
{
    position:absolute;
    top:3px;
    right:0px;
    text-align:right;
}
#insurance_application #label24_container
{
    position:absolute;
    left:80px;
    top:64px;
}
#insurance_application #label24_container
{
    width:336px;
    height:20px;
}
#insurance_application #label24
{
    position:absolute;
    top:3px;
    right:0px;
    text-align:right;
}
#insurance_application #label23_container
{
    position:absolute;
    left:16px;
    top:64px;
}
#insurance_application #label23_container
{
    width:32px;
    height:20px;
}
#insurance_application #label23
{
    position:absolute;
    top:3px;
    left:0px;
    width:100%;
    text-align:center;
}
#insurance_application #label25_container
{
    position:absolute;
    left:104px;
    top:96px;
}
#insurance_application #label25_container
{
    width:60px;
    height:20px;
}
#insurance_application #label25
{
    position:absolute;
    top:3px;
    right:0px;
    text-align:right;
}
#insurance_application #Modality_1_container
{
    position:absolute;
    left:224px;
    top:96px;
    width:192px;
    height:14px;
}
#insurance_application #label26_container
{
    position:absolute;
    left:104px;
    top:128px;
}
#insurance_application #label26_container
{
    width:60px;
    height:20px;
}
#insurance_application #label26
{
    position:absolute;
    top:3px;
    right:0px;
    text-align:right;
}
#insurance_application #Modality_2_container
{
    position:absolute;
    left:224px;
    top:128px;
}
#insurance_application #Modality_2
{
    width:256px;
    height:22px;
}
#insurance_application #label35_container
{
    position:absolute;
    left:552px;
    top:152px;
}
#insurance_application #label35_container
{
    width:216px;
    height:20px;
}
#insurance_application #label35
{
    position:absolute;
    top:0px;
    left:0px;
    text-align:left;
}
#insurance_application #label27_container
{
    position:absolute;
    left:104px;
    top:160px;
}
#insurance_application #label27_container
{
    width:60px;
    height:20px;
}
#insurance_application #label27
{
    position:absolute;
    top:3px;
    right:0px;
    text-align:right;
}
#insurance_application #Modality_3_container
{
    position:absolute;
    left:224px;
    top:160px;
}
#insurance_application #Modality_3
{
    width:256px;
    height:22px;
}
#insurance_application #label28_container
{
    position:absolute;
    left:104px;
    top:192px;
}
#insurance_application #label28_container
{
    width:60px;
    height:20px;
}
#insurance_application #label28
{
    position:absolute;
    top:3px;
    right:0px;
    text-align:right;
}
#insurance_application #Modality_4_container
{
    position:absolute;
    left:224px;
    top:192px;
}
#insurance_application #Modality_4
{
    width:256px;
    height:22px;
}
#insurance_application #vert_line
{
    position:absolute;
    left:509px;
    top:104px;
    width:5px;
    height:140px;
}
#insurance_application #label29_container
{
    position:absolute;
    left:104px;
    top:224px;
}
#insurance_application #label29_container
{
    width:60px;
    height:20px;
}
#insurance_application #label29
{
    position:absolute;
    top:3px;
    right:0px;
    text-align:right;
}
#insurance_application #Modality_5_container
{
    position:absolute;
    left:224px;
    top:224px;
}
#insurance_application #Modality_5
{
    width:256px;
    height:22px;
}
#insurance_application #label36_container
{
    position:absolute;
    left:552px;
    top:248px;
}
#insurance_application #label36_container
{
    width:216px;
    height:20px;
}
#insurance_application #label36
{
    position:absolute;
    top:0px;
    left:0px;
    text-align:left;
}
#insurance_application #label30_container
{
    position:absolute;
    left:104px;
    top:272px;
}
#insurance_application #label30_container
{
    width:60px;
    height:20px;
}
#insurance_application #label30
{
    position:absolute;
    top:3px;
    right:0px;
    text-align:right;
}
#insurance_application #Modality_6_container
{
    position:absolute;
    left:224px;
    top:272px;
}
#insurance_application #Modality_6
{
    width:256px;
    height:22px;
}
#insurance_application #label31_container
{
    position:absolute;
    left:104px;
    top:304px;
}
#insurance_application #label31_container
{
    width:60px;
    height:20px;
}
#insurance_application #label31
{
    position:absolute;
    top:3px;
    right:0px;
    text-align:right;
}
#insurance_application #Modality_7_container
{
    position:absolute;
    left:224px;
    top:304px;
}
#insurance_application #Modality_7
{
    width:256px;
    height:22px;
}
#insurance_application #label37_container
{
    position:absolute;
    left:552px;
    top:336px;
}
#insurance_application #label37_container
{
    width:216px;
    height:20px;
}
#insurance_application #label37
{
    position:absolute;
    top:0px;
    left:0px;
    text-align:left;
}
#insurance_application #label32_container
{
    position:absolute;
    left:104px;
    top:336px;
}
#insurance_application #label32_container
{
    width:60px;
    height:20px;
}
#insurance_application #label32
{
    position:absolute;
    top:3px;
    right:0px;
    text-align:right;
}
#insurance_application #Modality_8_container
{
    position:absolute;
    left:224px;
    top:336px;
}
#insurance_application #Modality_8
{
    width:256px;
    height:22px;
}
#insurance_application #label33_container
{
    position:absolute;
    left:104px;
    top:368px;
}
#insurance_application #label33_container
{
    width:60px;
    height:20px;
}
#insurance_application #label33
{
    position:absolute;
    top:3px;
    right:0px;
    text-align:right;
}
#insurance_application #Modality_9_container
{
    position:absolute;
    left:224px;
    top:368px;
}
#insurance_application #Modality_9
{
    width:256px;
    height:22px;
}
#insurance_application #HyperLink_container
{
    position:absolute;
    left:552px;
    top:400px;
    width:208px;
    height:20px;
}
#insurance_application #HyperLink
{
    position:absolute;
    left:0px;
    top:-8px;
}
#insurance_application #vert_line1
{
    position:absolute;
    left:507px;
    top:280px;
    width:11px;
    height:140px;
}
#insurance_application #label34_container
{
    position:absolute;
    left:80px;
    top:400px;
}
#insurance_application #label34_container
{
    width:84px;
    height:20px;
}
#insurance_application #label34
{
    position:absolute;
    top:3px;
    right:0px;
    text-align:right;
}
#insurance_application #Modality_10_container
{
    position:absolute;
    left:224px;
    top:400px;
}
#insurance_application #Modality_10
{
    width:256px;
    height:22px;
}
#insurance_application #Professional_Negligence_0_container
{
    position:absolute;
    left:520px;
    top:464px;
    width:48px;
    height:18px;
}
#insurance_application #Professional_Negligence_1_container
{
    position:absolute;
    left:608px;
    top:464px;
    width:56px;
    height:18px;
}
#insurance_application #label38_container
{
    position:absolute;
    left:16px;
    top:464px;
}
#insurance_application #label38_container
{
    width:32px;
    height:20px;
}
#insurance_application #label38
{
    position:absolute;
    top:3px;
    left:0px;
    width:100%;
    text-align:center;
}
#insurance_application #label39_container
{
    position:absolute;
    left:96px;
    top:464px;
}
#insurance_application #label39_container
{
    width:400px;
    height:20px;
}
#insurance_application #label39
{
    position:absolute;
    top:0px;
    left:0px;
    text-align:left;
}
#insurance_application #Declined_coverage_0_container
{
    position:absolute;
    left:608px;
    top:520px;
    width:56px;
    height:18px;
}
#insurance_application #Declined_coverage_1_container
{
    position:absolute;
    left:520px;
    top:520px;
    width:48px;
    height:18px;
}
#insurance_application #label40_container
{
    position:absolute;
    left:16px;
    top:520px;
}
#insurance_application #label40_container
{
    width:32px;
    height:20px;
}
#insurance_application #label40
{
    position:absolute;
    top:3px;
    left:0px;
    width:100%;
    text-align:center;
}
#insurance_application #label41_container
{
    position:absolute;
    left:96px;
    top:520px;
}
#insurance_application #label41_container
{
    width:400px;
    height:20px;
}
#insurance_application #label41
{
    position:absolute;
    top:0px;
    left:0px;
    text-align:left;
}
#insurance_application #Past_Claims_0_container
{
    position:absolute;
    left:520px;
    top:576px;
    width:48px;
    height:18px;
}
#insurance_application #Past_Claims_1_container
{
    position:absolute;
    left:608px;
    top:576px;
    width:56px;
    height:18px;
}
#insurance_application #label42_container
{
    position:absolute;
    left:16px;
    top:576px;
}
#insurance_application #label42_container
{
    width:32px;
    height:20px;
}
#insurance_application #label42
{
    position:absolute;
    top:3px;
    left:0px;
    width:100%;
    text-align:center;
}
#insurance_application #label43_container
{
    position:absolute;
    left:96px;
    top:576px;
}
#insurance_application #label43_container
{
    width:400px;
    height:20px;
}
#insurance_application #label43
{
    position:absolute;
    top:0px;
    left:0px;
    text-align:left;
}
#insurance_application #formsection_0_1280
{
    width:800px;
    height:100px;
    position:relative;
}
#insurance_application #label49_container
{
    position:absolute;
    left:136px;
    top:24px;
}
#insurance_application #label49_container
{
    width:456px;
    height:20px;
}
#insurance_application #label49
{
    position:absolute;
    top:3px;
    right:0px;
    text-align:right;
}
#insurance_application #details_of_questions_7_to_9_container
{
    position:absolute;
    left:192px;
    top:64px;
}
#insurance_application #details_of_questions_7_to_9
{
    width:322px;
    height:19px;
}
#insurance_application #formsection_0_1380
{
    width:800px;
    height:60px;
    position:relative;
}
#insurance_application #OCR_membership_0_container
{
    position:absolute;
    left:520px;
    top:28px;
    width:48px;
    height:18px;
}
#insurance_application #OCR_membership_1_container
{
    position:absolute;
    left:608px;
    top:28px;
    width:56px;
    height:18px;
}
#insurance_application #label45_container
{
    position:absolute;
    left:96px;
    top:28px;
}
#insurance_application #label45_container
{
    width:400px;
    height:20px;
}
#insurance_application #label45
{
    position:absolute;
    top:0px;
    left:0px;
    text-align:left;
}
#insurance_application #label44_container
{
    position:absolute;
    left:16px;
    top:28px;
}
#insurance_application #label44_container
{
    width:32px;
    height:20px;
}
#insurance_application #label44
{
    position:absolute;
    top:3px;
    left:0px;
    width:100%;
    text-align:center;
}
#insurance_application #formsection_0_1440
{
    width:800px;
    height:36px;
    position:relative;
}
#insurance_application #label50_container
{
    position:absolute;
    left:56px;
    top:8px;
}
#insurance_application #label50_container
{
    width:608px;
    height:20px;
}
#insurance_application #label50
{
    position:absolute;
    top:3px;
    right:0px;
    text-align:right;
}
#insurance_application #formsection_0_1476
{
    width:800px;
    height:44px;
    position:relative;
}
#insurance_application #Start_Date_0_container
{
    position:absolute;
    left:288px;
    top:20px;
    width:48px;
    height:18px;
}
#insurance_application #Start_Date_1_container
{
    position:absolute;
    left:376px;
    top:20px;
    width:104px;
    height:18px;
}
#insurance_application #label47_container
{
    position:absolute;
    left:80px;
    top:20px;
}
#insurance_application #label47_container
{
    width:184px;
    height:20px;
}
#insurance_application #label47
{
    position:absolute;
    top:3px;
    right:0px;
    text-align:right;
}
#insurance_application #label46_container
{
    position:absolute;
    left:16px;
    top:20px;
}
#insurance_application #label46_container
{
    width:32px;
    height:20px;
}
#insurance_application #label46
{
    position:absolute;
    top:3px;
    left:0px;
    width:100%;
    text-align:center;
}
#insurance_application #formsection_0_1520
{
    width:800px;
    height:48px;
    position:relative;
}
#insurance_application #label48_container
{
    position:absolute;
    left:128px;
    top:8px;
}
#insurance_application #label48_container
{
    width:172px;
    height:20px;
}
#insurance_application #label48
{
    position:absolute;
    top:3px;
    right:0px;
    text-align:right;
}
#insurance_application #DatePicker_container
{
    position:absolute;
    left:328px;
    top:8px;
    width:140px;
    height:25px;
}
#insurance_application #DatePicker
{
    width:103px;
    height:19px;
}
#insurance_application #DatePicker_image_container
{
    width:20px;
}
#insurance_application #DatePicker_image
{
    position:absolute;
    top:50%;
    margin-top:-11px;
    margin-left:1px;
}
#insurance_application #formsection_0_1568
{
    width:800px;
    height:782px;
    position:relative;
}
#insurance_application #label51_container
{
    position:absolute;
    left:40px;
    top:32px;
}
#insurance_application #label51_container
{
    width:112px;
    height:20px;
}
#insurance_application #label51
{
    position:absolute;
    top:3px;
    right:0px;
    text-align:right;
}
#insurance_application #label52_container
{
    position:absolute;
    left:48px;
    top:80px;
}
#insurance_application #label52_container
{
    width:704px;
    height:20px;
}
#insurance_application #label52
{
    position:absolute;
    top:0px;
    left:0px;
    text-align:left;
}
#insurance_application #label53_container
{
    position:absolute;
    left:48px;
    top:136px;
}
#insurance_application #label53_container
{
    width:704px;
    height:20px;
}
#insurance_application #label53
{
    position:absolute;
    top:0px;
    left:0px;
    text-align:left;
}
#insurance_application #label54_container
{
    position:absolute;
    left:48px;
    top:216px;
}
#insurance_application #label54_container
{
    width:704px;
    height:20px;
}
#insurance_application #label54
{
    position:absolute;
    top:0px;
    left:0px;
    text-align:left;
}
#insurance_application #label55_container
{
    position:absolute;
    left:48px;
    top:248px;
}
#insurance_application #label55_container
{
    width:704px;
    height:20px;
}
#insurance_application #label55
{
    position:absolute;
    top:3px;
    left:0px;
    text-align:left;
}
#insurance_application #label56_container
{
    position:absolute;
    left:40px;
    top:288px;
}
#insurance_application #label56_container
{
    width:152px;
    height:20px;
}
#insurance_application #label56
{
    position:absolute;
    top:3px;
    right:0px;
    text-align:right;
}
#insurance_application #label57_container
{
    position:absolute;
    left:48px;
    top:336px;
}
#insurance_application #label57_container
{
    width:704px;
    height:20px;
}
#insurance_application #label57
{
    position:absolute;
    top:0px;
    left:0px;
    text-align:left;
}
#insurance_application #label58_container
{
    position:absolute;
    left:48px;
    top:424px;
}
#insurance_application #label58_container
{
    width:704px;
    height:20px;
}
#insurance_application #label58
{
    position:absolute;
    top:0px;
    left:0px;
    text-align:left;
}
#insurance_application #label59_container
{
    position:absolute;
    left:48px;
    top:480px;
}
#insurance_application #label59_container
{
    width:704px;
    height:20px;
}
#insurance_application #label59
{
    position:absolute;
    top:0px;
    left:0px;
    text-align:left;
}
#insurance_application #label60_container
{
    position:absolute;
    left:40px;
    top:552px;
}
#insurance_application #label60_container
{
    width:456px;
    height:20px;
}
#insurance_application #label60
{
    position:absolute;
    top:2px;
    right:0px;
    text-align:right;
}
#insurance_application #label61_container
{
    position:absolute;
    left:24px;
    top:584px;
}
#insurance_application #label61_container
{
    width:472px;
    height:20px;
}
#insurance_application #label61
{
    position:absolute;
    top:3px;
    right:0px;
    text-align:right;
}
#insurance_application #Terms_Accepted_container
{
    position:absolute;
    left:512px;
    top:584px;
}
#insurance_application #Terms_Accepted
{
    width:234px;
    height:19px;
}
#insurance_application #Submit_container
{
    position:absolute;
    left:528px;
    top:664px;
    width:192px;
    height:57px;
}