{% extends "layouts/source_user_base.html" %} {% load i18n %} {% block title %}{% trans "Submit Observation" %} - {{ source.get_localized_name }}{% endblock %} {% block extra_css %} {% endblock %} {% block content %}

{% trans "Submit Observation" %}

{% trans "Report a safety observation from" %} {{ source.get_localized_name }}

{% trans "Back to Observations" %}

{% trans "Source Information" %}

{% trans "This observation will be automatically linked to" %} {{ source.get_localized_name }}. {% trans "All required fields are marked with" %} *

{% csrf_token %}

{% trans "Reporter Information" %}

{{ form.reporter_name }} {% if form.reporter_name.errors %}
{% for error in form.reporter_name.errors %}{{ error }}{% endfor %}
{% endif %}
{{ form.reporter_phone }} {% if form.reporter_phone.errors %}
{% for error in form.reporter_phone.errors %}{{ error }}{% endfor %}
{% endif %}
{{ form.reporter_email }} {% if form.reporter_email.errors %}
{% for error in form.reporter_email.errors %}{{ error }}{% endfor %}
{% endif %}
{{ form.category }} {% if form.category.errors %}
{% for error in form.category.errors %}{{ error }}{% endfor %}
{% endif %}

{% trans "Location" %}

{{ form.location }} {% if form.location.errors %}
{% for error in form.location.errors %}{{ error }}{% endfor %}
{% endif %}
{{ form.main_section }}
{{ form.subsection }}

{% trans "Observation Details" %}

{{ form.title }} {% if form.title.errors %}
{% for error in form.title.errors %}{{ error }}{% endfor %}
{% endif %}
{{ form.description }} {% if form.description.errors %}
{% for error in form.description.errors %}{{ error }}{% endfor %}
{% endif %}
{% trans "Cancel" %}
{% endblock %}