.claim-head-form{padding:21px 22px;display:grid;grid-template-columns:1fr 1fr 1fr;gap:16px;align-items:end}.claim-head-form label{font-size:13px;font-weight:700;color:#41545b}.claim-head-form input,.claim-head-form select{display:block;margin-top:7px;width:100%;border:1px solid #dce4e1;border-radius:8px;padding:11px 12px;font:14px "DM Sans";outline:none;background:#fff}.claim-head-form input:focus,.claim-head-form select:focus{border-color:#198170;box-shadow:0 0 0 3px #dff1ea}.rupee-input{position:relative}.rupee-input span{position:absolute;left:12px;top:19px;color:#627477;font-size:14px}.rupee-input input{padding-left:26px}.claim-head-form .dark-btn{height:40px;width:max-content}.claim-head-error{grid-column:1/-1;margin:0;color:#bd493b;font-size:12px;min-height:13px}@media(max-width:750px){.claim-head-form{grid-template-columns:1fr}.claim-head-form .dark-btn{width:100%}}