templates/sinistre/_form.html.twig line 1

  1. {{ form_start(form) }}
  2.     
  3.     <div class="row g-3">
  4.         <div class="col-md-6">
  5.             <div class="form-floating">
  6.                 {{ form_widget(form.nom,{'attr':{'class':"form-control"}}) }}
  7.             <label for="name">Nom</label>
  8.             </div>
  9.         </div>
  10.         <div class="col-md-6">
  11.             <div class="form-floating">
  12.                 {{ form_widget(form.prenom,{'attr':{'class':"form-control"}}) }}
  13.                 <label for="email">Prénom</label>
  14.             </div>
  15.         </div>
  16.         <div class="col-md-6"> 
  17.             <div class="form-floating">
  18.                 {{ form_widget(form.telephone,{'attr':{'class':"form-control"}}) }}
  19.             <label for="name">Téléphone</label>
  20.             </div>
  21.         </div> 
  22.         <div class="col-md-6">
  23.             <div class="form-floating">
  24.                 {{ form_widget(form.lieuAccident,{'attr':{'class':"form-control"}}) }}
  25.             <label for="name">Lieu accident</label>
  26.             </div>
  27.         </div>
  28.         <div class="col-md-6">
  29.             <div class="form-floating">
  30.                 <input 
  31.                     type="date" 
  32.                     class="form-control"
  33.                     id="date"
  34.                     name="date"/>
  35.             <label for="name">Date accident</label>
  36.             </div>
  37.         </div>
  38.         <div class="col-md-6">
  39.             <div class="form-floating">
  40.                 {{ form_widget(form.photo_assurance,{'attr':{'class':"form-control"}}) }}
  41.                 <label for="assurance">Photo Assurance</label>
  42.             </div>
  43.         </div> 
  44.         <div class="col-md-6">
  45.             <div class="form-floating">
  46.                 {{ form_widget(form.permis_conduire,{'attr':{'class':"form-control"}}) }}
  47.                 <label for="permis">Permis de conduire</label>
  48.             </div>
  49.         </div>
  50.         <div class="col-md-6">
  51.             <div class="form-floating">
  52.                 {{ form_widget(form.carte_grise,{'attr':{'class':"form-control"}}) }}
  53.                 <label for="carteGrise">Carte Grise</label>
  54.             </div>
  55.         </div>
  56.          <div class="col-md-6">
  57.             <div class="form-floating">
  58.                 {{ form_widget(form.proces_verbal,{'attr':{'class':"form-control"}}) }}
  59.                 <label for="carteGrise">AVP</label>
  60.             </div>
  61.         </div>
  62.         <div class="col-12">
  63.             <div class="form-floating">
  64.                 {{ form_widget(form.circonstancesAccident,{'attr':{'class':"form-control"}}) }}  
  65.                 <label for="message">Circonstances accident</label>
  66.             </div>
  67.         </div>
  68.         <div class="col-12">
  69.             <button class="btn btn-primary py-3 px-5" type="submit">
  70.                 {{ button_label|default('Envoyer') }}
  71.             </button>
  72.         </div>
  73.     </div>
  75.     <script>
  77.     function chiffres(event) {
  78.         // Compatibilité IE / Firefox
  79.         if(!event&&window.event) {
  80.         event=window.event;
  81.         }
  82.         // DOM
  83.         if(event.keyCode == 8)  {
  85.         }else if(event.keyCode == 127){
  87.         }else if(event.which < 48 || event.which > 57 ) {
  88.         event.preventDefault();
  89.         event.stopPropagation();
  90.         event.returnValue = false;
  91.         event.cancelBubble = true;
  92.         jError("Veuilllez saisir des chiffres uniquement svp !");
  93.         //envisager une redirection si possible
  94.         }
  95.     }
  97.     </script>
  98. {{ form_end(form) }}
  99.