document.write("<table style='margin-top:10px;' cellpadding='5px'>");
document.write("<tr>");
document.write("<td style='border-top:1px #000000 solid;border-bottom:1px #000000 solid;background-color:#FFFFCC;'>");
document.write("Please note that our application requirements have been updated.  In order for your application to be reviewed in a timely manner, please make sure that you have included the patient date of birth, annual income, household size and all required signatures.");
document.write("</td>");
document.write("</tr>");
document.write("</table>");