templates/app/tech-form.html.twig line 1

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  1. {% extends 'base.html.twig' %}
  2. {% use 'dropZone.html.twig' %}
  4. {% block javascripts %}
  5.     {{ encore_entry_script_tags('tech') }}
  6.     {{ encore_entry_script_tags('form') }}
  7. {% endblock %}
  9. {% block body %}
  10. <div class="container">
  11.     <h1>Schadenanzeige Technische Versicherung</h1>
  13.     {{ form_start(form) }}
  15.     <div class="row">
  16.         <div class="col-sm-12 col-lg-4">
  17.             {{ form_row(form.department) }}
  18.         </div>
  19.     </div>
  21.     <div class="border mb-2 px-1">
  22.         <div class="row">
  23.             <div class="col-sm-12 col-lg-3">
  24.                 {{ form_row(form.claimDate) }}
  25.             </div>
  26.             <div class="col-sm-12 col-lg-5">
  27.                 {{ form_row(form.claimAddress) }}
  28.             </div>
  29.         </div>
  30.     </div>
  32.     <div class="border mb-2 px-1">
  33.         <div class="row">
  34.             <div class="col-md-12">
  35.                 {{ form_row(form.claimDescription) }}
  36.             </div>
  37.         </div>
  38.     </div>
  40.     <div class="border mb-2 px-1">
  41.         <div class="row">
  42.             <div class="col-md-12">
  43.                 {{ form_row(form.damageCosts) }}
  44.             </div>
  45.         </div>
  46.     </div>
  48.     <div class="border mb-2 px-1">
  49.         <div class="row">
  50.             <div class="col-sm-12 col-lg-5">
  51.                 {{ form_row(form.damageBy) }}
  52.             </div>
  53.         </div>
  54.     </div>
  56.     <div class="border mb-2 px-1">
  57.         <div class="row">
  58.             <div class="col-sm-12 col-lg-5">
  59.                 {{ form_row(form.policeReport) }}
  60.             </div>
  61.         </div>
  62.     </div>
  64.     <div class="border mb-2 px-1">
  65.         <div class="row">
  66.             <div class="col-md-12">
  67.                 <table class="col-md-12">
  68.                     <thead>
  69.                         <tr>
  70.                             <th class="align-top">Objekt</th>
  71.                             <th class="align-top">Geschätzter Schaden</th>
  72.                             <th class="align-top ml-2"></th>
  73.                         </tr>
  74.                     </thead>
  75.                     <tbody id="items" data-widget-counter="{{ form.items|length }}"
  76.                            data-prototype='<tr id="items__item__"><td>{{ form_widget(form.items.vars.prototype.name) }}</td><td>{{ form_widget(form.items.vars.prototype.damageAmount) }}</td><td><button type="button" class="btn btn-danger btn-sm remove-item" data-action="delete" data-row="items__item__"><i class="fas fa-trash"></i></button></td></tr>'
  77.                     >
  78.                         {% for item in form.items %}
  79.                             <tr>
  80.                                 <td>{{ form_widget(item.name) }}</td>
  81.                                 <td>{{ form_widget(item.damageAmount) }}</td>
  82.                                 <td>
  83.                                     <button type="button" class="btn btn-danger btn-sm remove-item" data-action="delete">
  84.                                         <i class="fas fa-trash"></i>
  85.                                     </button>
  86.                                 </td>
  87.                             </tr>
  88.                         {% endfor %}
  89.                     </tbody>
  90.                 </table>
  91.                 <button class="btn btn-sm btn-secondary my-md-1" id="add-item" data-list-selector="#items">Weiteres Objekt hinzufügen</button>
  92.             </div>
  93.         </div>
  94.     </div>
  96.     <div class="border mb-2 px-1">
  97.         <div class="row">
  98.             <div class="col-md-12">
  99.                 <label>Beteiligte / Zeugen</label>
  100.                 <table class="col-md-12">
  101.                     <thead>
  102.                     <tr>
  103.                         <th class="align-top">Name</th>
  104.                         <th class="align-top">Telefon</th>
  105.                         <th class="align-top">Email</th>
  106.                         <th class="align-top ml-2"></th>
  107.                     </tr>
  108.                     </thead>
  109.                     <tbody id="persons" data-widget-counter="{{ form.persons|length }}"
  110.                            data-prototype='<tr id="items__item__"><td>{{ form_widget(form.persons.vars.prototype.name) }}</td><td>{{ form_widget(form.persons.vars.prototype.phone) }}</td><td>{{ form_widget(form.persons.vars.prototype.email) }}</td><td><button type="button" class="btn btn-danger btn-sm remove-item" data-action="delete" data-row="items__item__"><i class="fas fa-trash"></i></button></td></tr>'
  111.                     >
  112.                     {% for person in form.persons %}
  113.                         <tr>
  114.                             <td>{{ form_widget(person.name) }}</td>
  115.                             <td>{{ form_widget(person.phone) }}</td>
  116.                             <td>{{ form_widget(person.email) }}</td>
  117.                             <td>
  118.                                 <button type="button" class="btn btn-danger btn-sm remove-person" data-action="delete">
  119.                                     <i class="fas fa-trash"></i>
  120.                                 </button>
  121.                             </td>
  122.                         </tr>
  123.                     {% endfor %}
  124.                     </tbody>
  125.                 </table>
  126.                 <button class="btn btn-sm btn-secondary my-md-1" id="add-person" data-list-selector="#persons">Weitere Person hinzufügen</button>
  127.             </div>
  128.         </div>
  129.     </div>
  131.     <div class="border mb-2 px-1">
  132.         <div class="row">
  133.             <div class="col-md-12">
  134.                 {{ form_row(form.remark) }}
  135.             </div>
  136.         </div>
  137.     </div>
  139.     <div class="border mb-2 px-1">
  140.         <div class="row">
  141.             <div class="col-sm-12 col-lg-5">
  142.                 <label class="form-label required">Gemeldet durch</label>
  143.                 <div class="row">
  144.                     <div class="col-md-12">
  145.                         {{ form_row(form.name) }}
  146.                         {{ form_row(form.email) }}
  147.                     </div>
  148.                 </div>
  149.             </div>
  150.             <div class="col-sm-12 col-lg-5">
  151.                 <label class="form-label">Kopie an:</label>
  152.                 <div class="row">
  153.                     <div class="col-md-12">
  154.                         {{ form_row(form.ccEmail) }}
  155.                     </div>
  156.                 </div>
  157.             </div>
  158.         </div>
  159.     </div>
  161.     <div class="border mb-2 px-1">
  162.         {% block dropZone %}
  163.             {{ parent() }}
  164.         {% endblock %}
  165.     </div>
  167.     <div class="row justify-content-between">
  168.         <div class="col-md-4">
  169.             {{ form_widget(form.submit) }}
  170.         </div>
  171.         <div class="col-md-4">
  172.             <a href="{{ url('home') }}" class="btn btn-danger float-end">Zurück</a>
  173.         </div>
  174.     </div>
  175.     {{ form_end(form) }}
  176. </div>
  177. {% endblock %}