{!!Form::horizontal_open()!!}
{!! Form::text('id_') ->value('AR-' . $accident_report->id) -> label('Ref No') -> placeholder('< auto generated >') -> addGroupClass('form-group-sm') -> disabled()!!} @if (@$accident_report->id) {!! Form::date('created_at') -> label(trans('Date')) -> addGroupClass('form-group-sm')!!} @endif {!! Form::select('division_id') -> options(array()) -> label(trans('assets::asset.label.division_id')) -> placeholder(trans('assets::asset.placeholder.division_id')) -> required() -> addGroupClass('form-group-sm')!!}
{!! Form::select('accident_type') -> options(trans('accident_report::accident_report.options.accident_type')) -> label('Type') ->required() -> addGroupClass('form-group-sm')!!}
{!! Form::hidden('company_id') ->id('company_id') ->value(user('admin.web')->current_comp) !!}
{!! Form::select('asset_id') ->id('asset_id') ->required() -> options([@$accident_report->asset_id => @$accident_report->asset->name.'    '.@$accident_report->asset_id .'    '.@$accident_report->asset->rfc.'    '.@$accident_report->asset->bar_code]) -> placeholder('Please enter Vehicle') ->raw()!!}
{!! Form::date('accident_date')->addClass('datepick')->label('Accident Date')->required()->placeholder('Accident date')->addGroupClass('form-group-sm') !!} {!! Form::time('accident_time')->addClass('pickatime')->label('Time')->required()->placeholder('Time')->addGroupClass('form-group-sm') !!} {!! Form::text('model_make') ->readonly() ->label(trans('assets::asset.label.model_make')) ->placeholder(trans('assets::asset.placeholder.model_make')) !!} {!! Form::text('vehicle_reg_np') ->readonly() ->label(trans('assets::asset.label.vehicle_reg_np')) ->placeholder(trans('assets::asset.placeholder.vehicle_reg_np')) ->addGroupClass('form-group-sm') !!}
{!! Form::select('departmentid') ->id('departmentid') ->readonly() ->required() ->options([''=>trans('assets::asset.placeholder.department_id')]+Department::departments(),@$accident_report->departmentid?:user('admin.web')->department_id) ->raw()!!} {!! Form::select('workdepartmentid') ->id('workdepartmentid') ->readonly() ->required() ->options([''=>trans('assets::asset.placeholder.work_department_id')]+WorkDepartment::work_departments(),@$accident_report->workdepartmentid?:0) ->raw()!!} {!! Form::select('custodian_id') ->id('custodian_id') ->options([''=>trans('assets::asset.placeholder.custodian_id')]+Company::custodians(),@$accident_report->custodian_id?:0) ->readonly() ->raw()!!}
{!! Form::select('usedby_id') -> options(array()) ->readonly() -> placeholder(trans('accident_report::accident_report.placeholder.used_by')) ->raw()!!}
{!! Form::select('accident_reports_status') -> options(trans('accident_report::accident_report.options.status')) -> label('Status') ->disabled($accident_report->id=='') ->required() -> addGroupClass('form-group-sm')!!} {!! Form::date('statusdate') -> label(trans('Status Date')) ->disabled() -> addGroupClass('form-group-sm')!!}
{!! Form::select('accidentby') -> options(trans('accident_report::accident_report.options.accidentby')) -> label('Accident By ') -> placeholder('Accident By') ->required() -> addGroupClass('form-group-sm')!!}
{!! Form::select('claim_type') -> options(trans('accident_report::accident_report.options.claim_type')) -> label('Claim Type') -> placeholder('Claim Type') -> addGroupClass('form-group-sm')!!} {!! Form::decimal('damagepercentage') -> addGroupClass('form-group-sm') -> label(trans('accident_report::accident_report.label.damagepercentage')) -> placeholder(trans('accident_report::accident_report.placeholder.damagepercentage'))!!} {!! Form::decimal('damageamount') ->min(0) -> addGroupClass('form-group-sm') -> label('Damage Amount') -> placeholder('select damage amount')!!} {!! Form::text('city') -> addGroupClass('form-group-sm') -> label('City') ->required() -> placeholder(trans('Please Enter City'))!!} {!! Form::text('area') -> addGroupClass('form-group-sm') -> label('Area') ->required() -> placeholder('Please Enter Area')!!} {!! Form::number('mileage') -> addGroupClass('form-group-sm') -> label('Mileage') -> min(0) -> placeholder('Please Enter Mileage')!!}
{!! Form::text('contactname') -> label(trans('accident_report::accident_report.label.contactname')) -> addGroupClass('form-group-sm') -> placeholder(trans('accident_report::accident_report.placeholder.contactname'))!!} {!! Form::text('contactmobile') -> addGroupClass('form-group-sm') -> label(trans('accident_report::accident_report.label.contactmobile')) -> placeholder(trans('accident_report::accident_report.placeholder.contactmobile'))!!}
{!! Form::textarea('damagedetails') ->row(2) -> addGroupClass('form-group-sm') ->required() -> label(trans('accident_report::accident_report.label.damagedetails')) -> placeholder(trans('accident_report::accident_report.placeholder.damagedetails'))!!} {!! Form::textarea('action') ->row(2) -> addGroupClass('form-group-sm') -> label(trans('accident_report::accident_report.label.action')) -> placeholder(trans('accident_report::accident_report.placeholder.action'))!!}
{!!$accident_report->fileUpload('image')->view('facility_inspection::admin.facility_inspection.filer.uploader')!!} {!!$accident_report->fileEdit('image')->view('facility_inspection::admin.facility_inspection.filer.editor') !!}
{!! Form::close() !!}