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

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