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software-dev-7054cem/templates/report.html
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<!DOCTYPE html> | |
<html lang="en"> | |
<head> | |
<meta charset="UTF-8"> | |
<title>Demo</title> | |
<link href="https://cdn.jsdelivr.net/npm/bootstrap@5.0.0-beta3/dist/css/bootstrap.min.css" rel="stylesheet" integrity="sha384-eOJMYsd53ii+scO/bJGFsiCZc+5NDVN2yr8+0RDqr0Ql0h+rP48ckxlpbzKgwra6" crossorigin="anonymous"> | |
</head> | |
<body> | |
<script src="https://cdn.jsdelivr.net/npm/bootstrap@5.0.0-beta3/dist/js/bootstrap.bundle.min.js" integrity="sha384-JEW9xMcG8R+pH31jmWH6WWP0WintQrMb4s7ZOdauHnUtxwoG2vI5DkLtS3qm9Ekf" crossorigin="anonymous"></script> | |
<nav class="navbar navbar-expand-lg navbar-dark bg-dark"> | |
<div class="container-fluid"> | |
<a class="navbar-brand" href="#">Local Council</a> | |
<button class="navbar-toggler" type="button" data-bs-toggle="collapse" data-bs-target="#navbarNav" aria-controls="navbarNav" aria-expanded="false" aria-label="Toggle navigation"> | |
<span class="navbar-toggler-icon"></span> | |
</button> | |
<div class="collapse navbar-collapse" id="navbarNav"> | |
<ul class="navbar-nav"> | |
<li class="nav-item"> | |
<a class="nav-link" aria-current="page" href="/">Home</a> | |
</li> | |
<li class="nav-item"> | |
<a class="nav-link" href="#">Residents</a> | |
</li> | |
<li class="nav-item"> | |
<a class="nav-link" href="#">Business</a> | |
</li> | |
<li class="nav-item"> | |
<a class="nav-link" href="#">Council</a> | |
</li> | |
<li class="nav-item"> | |
<a class="nav-link" href="#">Healthcare</a> | |
</li> | |
<li class="nav-item"> | |
<a class="nav-link" href="#">Latest News</a> | |
</li> | |
</li> | |
<li class="nav-item"> | |
<a class="nav-link" href="/sign-in">Staff</a> | |
</li> | |
<li class="nav-item"> | |
<a class="nav-link active" href="#">Report an issue</a> | |
</li> | |
</ul> | |
</div> | |
</div> | |
</nav> | |
<div class="alert alert-primary" role="alert"> | |
<p style="margin-left:5px">The latest government advice on Coronavirus is now available <a href="#">here</a></p> | |
</div> | |
<div align="center"> | |
<h2>Report a council related issue</h2> | |
<br><br> | |
<hr style="width:100%;" /> | |
<div class="container" align="left"> | |
<form action = "{{ url_for('issue') }}" method = "POST"> | |
<div class="mb-3"> | |
<label for="titleIssue" class="form-label">Title of Issue</label> | |
<input type="text" name = "title" class="form-control" id="titleIssue" aria-describedby="emailHelp"> | |
</div> | |
<select name = "query" class="form-select" aria-label="Default select example"> | |
<option selected>My query is related to:</option> | |
<option value="Abandoned vehicle">Abandoned vehicle</option> | |
<option value="Benefits">Benefits</option> | |
<option value="Birth certificate amendment">Birth certificate amendment</option> | |
<option value="Blue Badges misuse">Blue Badges misuse</option> | |
<option value="Consultations">Consultations</option> | |
<option value="Council Tax change of address for landlords">Council Tax change of address for landlords</option> | |
<option value="Council Tax change of address for tenants">Council Tax change of address for tenants</option> | |
<option value="Council Tax change of address for students">Council Tax change of address for students</option> | |
<option value="Counterfeit products">Counterfeit products</option> | |
<option value="Death certificate correction">Death certificate correction</option> | |
<option value="Dog fouling">Dog fouling</option> | |
<option value="Dust/odour">Dust/odour</option> | |
<option value="Empty properties">Empty properties</option> | |
<option value="Flooding">Flooding</option> | |
<option value="Food complaint">Food complaint</option> | |
<option value="Graffiti">Graffiti</option> | |
<option value="Harm or neglect">Harm or neglect</option> | |
<option value="Health and safety in the workplace">Health and safety in the workplace</option> | |
<option value="Light pollution">Light pollution</option> | |
<option value="Litter bin problem">Litter bin problem</option> | |
</select> | |
<div class="mb-3"> | |
<label for="exampleFormControlTextarea1" class="form-label">Describe the Issue</label> | |
<textarea class="form-control" name = "description" id="exampleFormControlTextarea1" rows="3"></textarea> | |
</div> | |
<div class="mb-3"> | |
<label for="location" class="form-label">Post Code</label> | |
<input type="text" name = "postcode" class="form-control" id="location" aria-describedby="emailHelp"> | |
</div> | |
<div class="d-grid gap-2"> | |
<button type="submit" class="btn btn-primary">Submit</button> | |
</div> | |
</form> | |
</div> | |
</div> | |
</body> | |
</html> |