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| <template name="addincidentform"> |
| <form id="addincidentform" class="form-horizontal" style="margin: 0px 30% 20px;"> |
| <legend>New Incident</legend> |
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| <div class="form-group"> |
| <label class="col-xs-3 control-label" for="summary">Incident Summary:</label> |
| <div class="col-xs-5"> |
| <input id="summary" name="summary" placeholder="e.g. Data Disclosure on Foo Product" |
| class="form-control summary" required="" type="text"> |
| </div> |
| </div> |
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| <div class="form-group"> |
| <label class="col-xs-3 control-label" for="dateOpened">Date Opened:</label> |
| <div class="col-xs-5"> |
| <div class="input-prepend input-group"> |
| <span class="add-on input-group-addon"><i class="icon-calendar fa fa-calendar"></i></span> |
| <input class="input form-control dateOpened calendarfield" name="dateOpened" id="dateOpened" type="text" |
| placeholder="today" value="{{uiDateFormat now}}"> |
| </div> |
| </div> |
| </div> |
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| <div class="form-group"> |
| <label class="col-xs-3 control-label" for="phase">Phase:</label> |
| <div class="col-xs-5"> |
| <select id="phase" name="phase" class="form-control"> |
| <option>Identification</option> |
| <option>Containment</option> |
| <option>Eradication</option> |
| <option>Recovery</option> |
| <option>Lessons Learned</option> |
| </select> |
| </div> |
| </div> |
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| <div class="form-group"> |
| <label class="col-xs-3 control-label" for="submit"></label> |
| <div class="col-xs-3"> |
| <button id="submit" type="submit" name="submit" class="form-control btn btn-primary submit">Save</button> |
| </div> |
| </div> |
| </form> |
| </template> |
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