label {
	font-family: Arial, Helvetica, sans-serif;
	font-size: 1.1em;
	font-weight: bold;
	margin: 0px;
	padding: 0px;
	line-height: 1.1em;
	color: #252525;
}
.row {
	float: left;
	clear: left;
	margin: 0px 0px 19px;
	padding: 0px;
	width: 100%;
}
.columnCity {
	float: left;
	margin: 0px;
	padding: 0px;
	width: 173px;
}
.columnState, .columnDate {
	float: left;
	margin: 0px;
	padding: 0px;
	width: 115px;
}
.columnZip {
	float: left;
	margin: 0px;
	padding: 0px;
	width: 115px;
}
.row input, .row textarea {
	border-style: hidden;
	border-width: 0;
	clear: left;
	color: #000000;
	float: left;
	font-family: Arial, Helvetica, sans-serif;
	font-size: 11px;
	margin: 5px 0 0;
	padding: 5px;
	vertical-align: baseline;
	overflow: hidden;
}
/* override the above rule for these two radio buttons */
#claimant-opioid-y, #claimant-opioid-n {
	clear: none;
	float: none;
}
.row select {
	clear: left;
	color: #000000;
	float: left;
	font-family: Arial, Helvetica, sans-serif;
	font-size: 11px;
	margin: 5px 0 0;
	padding: 5px 5px 5px 0;
	vertical-align: baseline;
	overflow: hidden;
}
#firstName, #lastName, #titlePosition, #preferredTime, #phone {
	background: transparent url(images/input-bg-207.png) no-repeat scroll 0  0;
	width: 200px;
	height: 18px;
}
#practiceName, #prescribingPhyscian, #address1, #address2, #email, #howHeard,
#lastNamePress, #firstNamePress, #publication, #mediaType, #emailPress, #deadline, #pubDate {
	background: transparent url(images/input-bg-427.png) no-repeat scroll 0  0;
	width: 419px;
	height: 18px;
}
#city {
	background: transparent url(images/city-bg.png) no-repeat scroll 0 0;
	width: 150px;
	height: 18px;
}
#state, #zipcode, #requestor-state, #requestor-zipcode, #requestor2-state, #requestor2-zipcode, #claimant-state, #claimant-zipcode, #physician-state, #physician-zipcode {
	background: transparent url(images/zip-bg.png) no-repeat scroll 0 0;
	width: 92px;
	height: 18px;
}
#areacode, #requestor-areacode, #requestor-areacodeFAX, #requestor2-areacode, #requestor2-areacodeFAX, #claimant-areacode, #claimant-birthMonth, #claimant-birthDay, #claimant-birthYear, #visitMonth, #visitDay, #visitYear, #injuryMonth, #injuryDay, #injuryYear, #physician-areacode, #physician-areacodeFAX {
	background: transparent url(images/areacode-bg.png) no-repeat scroll 0 0;
	width: 51px;
	height: 18px;
	float: left;
	clear: none;
}
input.date {
	background: transparent url(images/phone2-bg.png) no-repeat scroll 0 0;
	width: 71px;
	height: 18px;
	float: left;
	clear: none;
}
#phone1, #requestor-phone1, #requestor-phone1FAX, #requestor2-phone1, #requestor2-phone1FAX, #claimant-phone1, #physician-phone1, #physician-phone1FAX {
	background: transparent url(images/phone1-bg.png) no-repeat scroll 0 0;
	width: 51px;
	height: 18px;
	float: left;
	clear: none;
}
#phone2, #requestor-phone2, #requestor-phone2FAX, #requestor2-phone2, #requestor2-phone2FAX, #claimant-phone2, #physician-phone2, #physician-phone2FAX {
	background: transparent url(images/phone2-bg.png) no-repeat scroll 0 0;
	width: 71px;
	height: 18px;
	float: left;
	clear: none;
}
#request {
	background: transparent url(images/request-bg.png) no-repeat scroll 0 0;
	width: 419px;
	height: 113px;
	resize: none;
}
.error {
	color: #ED1C24;
	float: left;
	clear: left;
}
#contactForm {
	margin: 0px;
	padding: 0px;
	float: left;
	clear: left;
}
#contactForm .contact-header {
	margin: 0px;
	padding: 0px;
	float: left;
	height: 45px;
	width: 733px;
}
#contactForm .contact-window {
	margin: 0px;
	padding: 0px;
	clear: left;
	float: left;
	width: 672px;
	background: #FFFFFF;
}
#contactForm .contact-window p {
	font-family: Arial, Helvetica, sans-serif;
	font-size: 1.2em;
	line-height: 15px;
	color: #252525;
	margin: 0px 0px 15px;
	padding: 0px;
	clear: left;
	float: left;
}
#aspmnform {
	margin: 20px 0px 0px;
	padding: 0px;
	clear: both;
	float: left;
	width: 100%;
}
.red {
	color: #ed1c24;
}
#aspmnform .formLeft {
	margin: 0px;
	padding: 0px;
	float: left;
	width: 245px;
}
#aspmnform .formRight {
	margin: 0px;
	padding: 0px;
	clear: none;
	float: right;
	width: 427px;
}
#submit {
	background: transparent url(images/login-submit-button.png) no-repeat  scroll 0 0;
	border: 0 none;
	cursor: pointer;
	height: 20px;
	margin: 0 5px 0 0;
	padding: 0;
	position: relative;
	text-indent: -1000em;
	vertical-align: baseline;
	width: 57px;
}
.recaptchatable * {
	border: 0 none;
	bottom: auto;
	color: black;
	left: auto;
	margin: 0;
	padding: 0 0 5px;
	position: static;
	right: auto;
	text-align: left !important;
	top: auto;
}
/* UDM Form Styles */
#requestors, #claimant, #physician, #opioid {
	clear: left;
	display: inline;
	float: left;
	margin: 14px 0;
	padding: 0;
	width: 690px;
}
#requestor2 {
	border-top: 1px solid #E1E1E1;
	clear: left;
	display: inline;
	float: left;
	margin: 0;
	padding: 14px 0 0 0;
}
#requestors .top, #claimant .top, #physician .top, #opioid .top {
	background: url("images/udm-top-dark-bg.png") no-repeat scroll 0 0  transparent;
	display: inline;
	float: left;
	height: 34px;
	margin: 0;
	padding: 0;
	width: 690px;
}
#requestors .top h3, #claimant .top h3, #physician .top h3, #opioid .top h3 {
	clear: left;
	color: #FFFFFF;
	display: inline;
	float: left;
	font-family: GothamMedium, Arial, Helvetica, sans-serif;
	font-size: 1.3em;
	font-weight: normal;
	letter-spacing: -1px;
	line-height: 18px;
	margin: 8px 0 0;
	padding: 0 0 0 8px;
	text-shadow: 0 0 1px rgba(0, 0, 0, 0.01);
}
#requestor2 h3 {
	clear: left;
	color: #252525;
	display: inline;
	float: left;
	font-family: GothamMedium, Arial, Helvetica, sans-serif;
	font-size: 1.3em;
	font-weight: normal;
	letter-spacing: -1px;
	line-height: normal;
	margin: 0 0 14px 0;
	padding: 0;
	text-shadow: 0 0 1px rgba(0, 0, 0, 0.01);
}
#requestors .middle, #claimant .middle, #physician .middle, #opioid .middle {
	background: none repeat scroll 0 0 #FFFFFF;
	border-left: 1px solid #E1E1E1;
	border-right: 1px solid #E1E1E1;
	clear: left;
	display: inline;
	float: left;
	margin: 0;
	padding: 14px 10px 0 10px;
	width: 668px;
}
#requestors .bottom, #claimant .bottom, #physician .bottom, #opioid .bottom {
	background: url("images/udm-bottom.png") no-repeat scroll 0 0  transparent;
	clear: left;
	display: inline;
	float: left;
	height: 5px;
	margin: 0;
	padding: 0;
	width: 690px;
}
#addRequestor {
	float: left;
	clear: left;
	display: inline;
}
.contact-window-udm {
	background: none repeat scroll 0 0 #FFFFFF;
	clear: left;
	float: left;
	margin: 0;
	padding: 0;
	width: 690px;
}
#requestor-firstName, #requestor-lastName, #requestor-titlePosition, #requestor-city, #requestor-clientName, #requestor2-firstName, #requestor2-lastName, #requestor2-titlePosition, #requestor2-city, #claimant-firstName, #claimant-lastName, #claimant-city, #claimNumber, #physician-firstName, #physician-lastName, #physician-city, #physician-npi {
	background: transparent url(images/input-bg-180.png) no-repeat scroll 0  0;
	width: 165px;
	height: 18px;
	margin: 5px 0;
	padding: 5px 10px 5px 5px;
}
#requestor-Organization, #requestor2-Organization, #requestor-address1, #requestor2-address1, #claimant-address1, #physician-address, #physician-practice {
	background: url("images/input-bg-367.png") no-repeat scroll 0 0  transparent;
	height: 18px;
	margin: 5px 16px 5px 0;
	padding: 5px 16px 5px 5px;
	width: 367px;
}
label.width200 {
	width: 200px;
	float: left;
	display: inline;
}
label.width203 {
	display: inline;
	float: left;
	width: 203px;
}
.floatLeft {
	float: left;
	display: inline;
}
#requestor {
	color: #000000;
	float: right;
	font-family: Arial, Helvetica, sans-serif;
	font-size: 11px;
	margin: -9px 0 0 5px;
	overflow: hidden;
	padding: 5px 5px 5px 0;
	vertical-align: baseline;
}
.requestor {
	display: inline;
	float: left;
	margin: 9px 0 0 0;
}
#requestor-email, #requestor2-email {
	background: url("images/input-bg-367.png") no-repeat scroll 0 0  transparent;
	height: 18px;
	margin: 5px 16px 5px 0;
	padding: 5px 16px 5px 5px;
	width: 367px;
}
/**
 * Additional styles for UDM form
 */
div.success {
	font-size: 1.5em;
}
.placeholder {
	color: #787878 !important;
}
input.phone {
	background: transparent url("images/phone-bg.png") no-repeat scroll 0 0;
	width: 72px;
}
input.ext {
	background: transparent url("images/extension-bg.png") no-repeat scroll 0 0;
	width: 32px;
}
div.phone-with-ext {
	display: inline;
	float: left; /* this doesn't make any sense, because you can't float an inline element, but it's what they have above, so... */
	width: 176px;
}
div.phone-with-ext input {
	float: none; /* to override the above rule for .row input */
}
div.phone-with-ext .error {
	font-weight: bold !important;
	font-size: 1.1em;
}
div.error-summary {
	color: #ed1c24;
	font-weight: bold;
	font-size: 1.1em;
}
fieldset {
	border: 1px solid #ccc;
	clear: left;
	float: left;
	margin: 0 0 20px;
	padding: 15px;
	width: 430px;
}
legend {
	background: none repeat scroll 0 0 #FFFFFF;
	clear: none;
	color: #133880;
	float: left;
	font-family: Arial, Helvetica, sans-serif;
	font-size: 1.2em;
	font-weight: bold;
	line-height: 1.2em;
	margin: 0;
	padding: 5px;
	position: relative;
	top: -25px;
}
form label span {
    color: #ed1c24;
    left: 0;
    padding: 2px 5px;
    position: absolute;
    top: 0;
}

/* For UDM Form -- Error Display is Off */

#udm-form .row label { }
#wrapper #udm-form .row label { display: inline; }
#wrapper #udm-form .row span.error { display: block; position: static; top: auto; left: auto; padding-right: 1em;
form#udm-form label span { bottom: 0px; top: auto; }