When the site gets moved to the new publish platform, this is the code we need to use for the Actual Online Bankruptcy Form on the Practice Areas page:
<form action="https://www.rapidimport.com/questionnaire.cgi" method="post">
<input type="hidden" name="atty" value="cohanlaw" />
SSN: <input type="text" name="ssn1" size="3" maxlength="3" />-
<input type="text" name="ssn2" size="2" maxlength="2" />-
<input type="text" name="ssn3" size="4" maxlength="4" />
<input type="submit" value="Log In" />
</form>