<%@ Page Title="" Language="vb" AutoEventWireup="false" MasterPageFile="~/Driver2/Application/Application2.master" CodeBehind="FMCSR.aspx.vb" Inherits="Web.FMCSR" %>
<%@ MasterType VirtualPath="Application2.Master" %>
<%@ Register TagPrefix="ctrl" Namespace="Web" Assembly="Web" %>
<%@ Register Src="~/_include/controls/StatePicker.ascx" TagPrefix="ctrl" TagName="StatePicker" %>
<%@ Register Src="~/_include/controls/YesNoPicker.ascx" TagPrefix="ctrl" TagName="YesNoPicker" %>
<asp:Content ID="Content1" ContentPlaceHolderID="phContent" runat="server">


    <section>
        <h2>FMCSR</h2>

        <section>
            <ul class="formFields">
                <li class="left">
                    <asp:RequiredFieldValidator runat="server" ControlToValidate="ynDisqualified"
                        Text="required" Display="Dynamic" CssClass="required" />
                    <asp:Label runat="server" AssociatedControlID="ynDisqualified" style="text-align: left"
                        Text="Under FMCSR 391.15, are you currently disqualified from driving a commercial motor vehicle? [49 CFR 391.15]" />
                    <ctrl:YesNoPicker ID="ynDisqualified" runat="server" />
                    <ul class="dependent"
                        data-dependency="<%= ynDisqualified.ClientID %>"
                        data-value="true">
                        <li class="big">
                            <ctrl:RequiredDependentFieldValidator runat="server" ControlToValidate="txtDisqualified"
                                DependencyControl="ynDisqualified" WhenValue="true"
                                Text="required" Display="Dynamic" CssClass="required" />
                            <asp:Label runat="server" AssociatedControlID="txtDisqualified"
                                Text="Please provide additional details" />
                            <asp:TextBox ID="txtDisqualified" runat="server"
                                MaxLength="500" />
                        </li>
                    </ul>
                </li>
            </ul>
            <ul class="formFields">
                <li class="left">
                    <asp:RequiredFieldValidator runat="server" ControlToValidate="ynRevoked"
                        Text="required" Display="Dynamic" CssClass="required" />
                    <asp:Label runat="server" AssociatedControlID="ynRevoked" style="text-align: left"
                        Text="Has your license, permit, or privilege to drive ever been suspended or revoked for any reason? [49 CFR 391.21(b)(9)]" />
                    <ctrl:YesNoPicker ID="ynRevoked" runat="server" />
                    <ul class="dependent"
                        data-dependency="<%= ynRevoked.ClientID %>"
                        data-value="true">
                        <li class="big">
                            <ctrl:RequiredDependentFieldValidator runat="server" ControlToValidate="txtRevoked"
                                DependencyControl="ynRevoked" WhenValue="true"
                                Text="required" Display="Dynamic" CssClass="required" />
                            <asp:Label runat="server" AssociatedControlID="txtRevoked"
                                Text="Please provide additional details" />
                            <asp:TextBox ID="txtRevoked" runat="server"
                                MaxLength="500" />
                        </li>
                    </ul>
                </li>
            </ul>
            <ul class="formFields">
                <li class="left">
                    <asp:RequiredFieldValidator runat="server" ControlToValidate="ynDenied"
                        Text="required" Display="Dynamic" CssClass="required" />
                    <asp:Label runat="server" AssociatedControlID="ynDenied" style="text-align: left"
                        Text="Have you ever been denied a license, permit, or privilege to operate a motor vehicle? [49 CFR 391.21(b)(9)]" />
                    <ctrl:YesNoPicker ID="ynDenied" runat="server" />
                    <ul class="dependent"
                        data-dependency="<%= ynDenied.ClientID %>"
                        data-value="true">
                        <li class="big">
                            <ctrl:RequiredDependentFieldValidator runat="server" ControlToValidate="txtDenied"
                                DependencyControl="ynDenied" WhenValue="true"
                                Text="required" Display="Dynamic" CssClass="required" />
                            <asp:Label runat="server" AssociatedControlID="txtDenied" style="text-align: left"
                                Text="Please provide additional details" />
                            <asp:TextBox ID="txtDenied" runat="server"
                                MaxLength="500" />
                        </li>
                    </ul>
                </li>
            </ul>
            <ul class="formFields">
                <li>
                    <asp:RequiredFieldValidator runat="server" ControlToValidate="ynPositive"
                        Text="required" Display="Dynamic" CssClass="required" />
                    <asp:Label runat="server" AssociatedControlID="ynPositive" style="text-align: left"
                        Text="Within the past two years, have you tested positive, or refused to test, on a pre-employment drug or alcohol test by an employer to whom you applied, but did not obtain, safety-sensitive transportation work covered by DOT agency drug and alcohol testing rules? [49 CFR 40.25(j)]" />
                    <ctrl:YesNoPicker ID="ynPositive" runat="server" />
                    <ul class="dependent"
                        data-dependency="<%= ynPositive.ClientID %>"
                        data-value="true">
                        <li class="big">
                            <ctrl:RequiredDependentFieldValidator runat="server" ControlToValidate="txtPositive"
                                DependencyControl="ynPositive" WhenValue="true"
                                Text="required" Display="Dynamic" CssClass="required" />
                            <asp:Label runat="server" AssociatedControlID="txtPositive" style="text-align: left"
                                Text="Please provide additional details" />
                            <asp:TextBox ID="txtPositive" runat="server"
                                MaxLength="500" />
                        </li>
                        <li>
                            <ctrl:RequiredDependentFieldValidator runat="server" ControlToValidate="txtPostiveDate"
                                DependencyControl="ynPositive" WhenValue="true"
                                Text="required" Display="Dynamic" CssClass="required" />
                            <asp:Label runat="server" AssociatedControlID="txtPostiveDate" style="text-align: left"
                                Text="Date of last positive or refusal" />
                            <asp:TextBox ID="txtPostiveDate" runat="server"
                                MaxLength="50" />
                        </li>
                    </ul>
                </li>
            </ul>
            <ul class="formFields">
                <li class="left">
                    <asp:RequiredFieldValidator runat="server" ControlToValidate="ynConvicted" style="text-align: left"
                        Text="required" Display="Dynamic" CssClass="required" />
                    <asp:Label runat="server"  style="text-align: left"
                        Text="In the past three (3) years, have you ever been convicted of any of the following offenses committed during on-duty time [49 CFR 391.15 and 49 CFR 395.2]:<br/>" />
                    <asp:Label runat="server"  style="text-align: left"
                        Text="* Driving a commercial motor vehicle with a blood alcohol concentration (BAC) of .04 percent or more<br/>" />
                    <asp:Label runat="server"  style="text-align: left"
                        Text="* Driving under the influence of alcohol, as prescribed by state law<br/>" />
                    <asp:Label runat="server"  style="text-align: left"
                        Text="* Refusal to undergo drug and alcohol testing as required by any jurisdiction for the enforcement of Federal Motor Carrier Safety Act regulations<br/>" />
                    <asp:Label runat="server"  style="text-align: left"
                        Text="* Driving a commercial motor vehicle under the influence of any 21 CFR 1308.11 Schedule 1 identified controlled substance, an amphetamine, a narcotic drug, a formulation of an amphetamine, or a derivative of a narcotic drug<br/>" />
                    <asp:Label runat="server"  style="text-align: left"
                        Text="* Transportation, possession, or unlawful use of a 21 CFR 1308.11 Schedule 1 identified controlled substance, amphetamines, narcotic drugs, formulations of an amphetamine, or derivatives of narcotic drugs while you were on duty driving for a motor carrier<br/>" />
                    <asp:Label runat="server"  style="text-align: left"
                        Text="* Leaving the scene of an accident while operating a commercial motor vehicle<br/>" />
                    <asp:Label runat="server"  style="text-align: left"
                        Text="* Or any other felony involving the use of a commercial motor vehicle<br/>" />
                    <ctrl:YesNoPicker ID="ynConvicted" runat="server" />
                    <ul class="dependent"
                        data-dependency="<%= ynConvicted.ClientID %>"
                        data-value="true">
                        <li>
                            <asp:Label runat="server" AssociatedControlID="ynConvicted2" style="text-align: left"
                                Text="In the three years before the conviction you identified above, had you been convicted on a seperate occasion of either the same offense or one of the other offenses listed above? [49 CFR 391.15(c)(3)]" />
                            <ctrl:YesNoPicker ID="ynConvicted2" runat="server" />
                            <ul class="dependent"
                                data-dependency="<%= ynConvicted2.ClientID %>"
                                data-value="true">
                                <li>
                                    <ctrl:RequiredDependentFieldValidator runat="server" ControlToValidate="txtConvicted2Date"
                                        DependencyControl="ynConvicted2" WhenValue="true"
                                        Text="required" Display="Dynamic" CssClass="required" />
                                    <asp:Label runat="server" AssociatedControlID="txtConvicted2Date" style="text-align: left"
                                        Text="Date of most recent conviction identified above" />
                                    <asp:TextBox ID="txtConvicted2Date" runat="server"
                                        MaxLength="50" />
                                </li>
                                <li class="big">
                                    <ctrl:RequiredDependentFieldValidator runat="server" ControlToValidate="txtConvicted2"
                                        DependencyControl="ynConvicted2" WhenValue="true"
                                        Text="required" Display="Dynamic" CssClass="required" />
                                    <asp:Label runat="server" AssociatedControlID="txtConvicted2" style="text-align: left"
                                        Text="Please provide additional details" />
                                    <asp:TextBox ID="txtConvicted2" runat="server"
                                        MaxLength="500" />
                                </li>
                            </ul>
                        </li>
                       
                    </ul>
                </li>
            </ul>


        </section>
    </section>

</asp:Content>