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path: root/templates/incident.tpl
blob: 81ad0b33e22a80d1e3ccea64a09e473a8f9a7ec0 (plain)
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{strip}
<form id="employmentForm" class="form-horizontal" method="post" action="process.php?form=incident"
  	data-fv-framework="bootstrap"
	data-fv-icon-valid="icon-tick"
	data-fv-icon-invalid="icon-cross"
	data-fv-icon-validating="icon-recycle">

	<input type="hidden" value="form_incident" name="formID" />
	<div class="col-lg-2 col-md-1 hidden-sm hidden-xs">&nbsp;</div>
	<div class="form-all col-lg-8 col-md-10 col-sm-12 col-xs-12">

        <div class="form-header-group">
          <div class="header-text httal htvam">
            <h3 class="form-header" id="header_1">
              Incident Report
            </h3>
          </div>
        </div>

		<div class="form-input-wide" id="cid_18">
			<div class="form-html" id="text_18">
				<p>
					<span style="color: #ff0000;"><strong>OK14A Rev: 1 Date: 04/2014 Pages: 1 of 1</strong></span>
				</p>
			</div>
		</div>

		{foreach from=$formInfo key=i item=item}
			{include file="bitpackage:form/`$item['form_template']`.tpl" name=$item['cross_ref_title'] value1=$item['xkey'] value2=$item['xkey_ext'] value3=$item['xdata']}
		{/foreach}

		<div class="form-group">
			<div class="col-xs-9 col-xs-offset-3">
				<button type="submit" class="btn btn-primary" name="signup"
					value="Sign up">Submit</button>
			</div>
		</div>
	</div>
	<div class="col-lg-2 col-md-1 hidden-sm hidden-xs">&nbsp;</div>
</form>
{/strip}