No, that form should be working fine.
Delete the entries that you've made and go back through and re-enter the information. Make sure to pay careful attention to the questions. This is a new credit and some of the questions to determine if you qualify can be confusing. Take your time with them.
@HockeyMom12
**Say "Thanks" by clicking the thumb icon in a post
**Mark the post that answers your question by clicking on "Mark as Best Answer"