div.wpforms-container-full .wpforms-form input[type=date],
div.wpforms-container-full .wpforms-form input[type=datetime],
div.wpforms-container-full .wpforms-form input[type=datetime-local],
div.wpforms-container-full .wpforms-form input[type=email],
div.wpforms-container-full .wpforms-form input[type=month],
div.wpforms-container-full .wpforms-form input[type=number],
div.wpforms-container-full .wpforms-form input[type=password],
div.wpforms-container-full .wpforms-form input[type=tel],
div.wpforms-container-full .wpforms-form input[type=text],
div.wpforms-container-full .wpforms-form input[type=time],
div.wpforms-container-full .wpforms-form input[type=url],
div.wpforms-container-full .wpforms-form input[type=week],
div.wpforms-container-full .wpforms-form select,
div.wpforms-container-full .wpforms-form textarea {
    background-color: #ffffff !important;
    border: 1px solid #d6e1e4 !important;
    border-radius: 5px !important;
    color: #2C2a29 !important;
    font-family: "Source Sans Pro",
    sans-serif !important;
    font-size: 1rem !important;
    margin-bottom: 1rem !important;
    outline: none !important;
    padding: 1rem !important;
    width: 100% !important;
    -webkit-appearance: none !important;
    height: auto !important;
}

div.wpforms-container-full .wpforms-form .wpforms-field {
    padding: 0 !important;
}

div.wpforms-container-full .wpforms-form legend {
    color: #500778 !important;
    font-size: 1.75rem !important;
    font-weight: 600 !important;
    margin-bottom: 1.25rem !important;
}

div.wpforms-container-full .wpforms-form hr {
    border-top: 2px solid #d8d8d8 !important;
    margin: 0 0 1rem 0 !important;
}

div.wpforms-container-full .wpforms-form .wpforms-field-file-upload {
    padding: 0 0 1.25rem !important;
}

div.wpforms-container-full .wpforms-form label.wpforms-field-label {
    display: block !important;
    font-weight: 600 !important;
    font-size: inherit !important;
    line-height: 1.66667 !important;
    margin: 0 0 0.625rem !important;
    padding: 0 !important;
}

div.wpforms-container-full .wpforms-form select {
    background-color: #ffffff !important;
    background-image: url("../images/down-arrow.png") !important;
    background-position: 95% center !important;
    background-position: calc(100% - 20px) center !important;
    background-repeat: no-repeat !important;
    background-size: 10px 6px !important;
    border: 1px solid #d6e1e4 !important;
    border-radius: 5px !important;
    color: #2C2a29 !important;
    font-family: "Source Sans Pro", sans-serif !important;
    font-size: 1rem !important;
    -webkit-appearance: none !important;
    -moz-appearance: none !important;
    appearance: none !important;
    padding: 1rem !important;
    width: 100% !important;
}

div.wpforms-container-full .wpforms-form .wpforms-submit-container {
    padding: 0 !important;
}

div.wpforms-container-full .wpforms-form input[type=submit] {
    background-color: #500778 !important;
    border: none !important;
    color: #ffffff !important;
    font-weight: 700 !important;
    text-transform: uppercase !important;
    border-radius: 5px !important;
    cursor: pointer !important;
    font-family: "Source Sans Pro", sans-serif !important;
    font-size: 13px;
    outline: none !important;
    padding: 1rem 2rem !important;
    -webkit-appearance: none !important;
}

.insurance-relief div.wpforms-container-full .wpforms-form input[type=submit] {
    background-color: #004b79 !important;
}

div.wpforms-container-full .wpforms-form button[type=submit] {
    display: none !important;
}

div.wpforms-container-full .wpforms-form .disclaimer {
    display: block !important;
    font-style: italic !important;
    margin-top: -1.25rem !important;
    font-size: smaller !important;
}