{% load i18n %} {% load static %} {% trans "Report an Observation" %} - Al Hammadi

{% trans "Report an Observation" %}

{% trans "Help us improve by reporting issues you notice" %}

{% trans "Anonymous Reporting" %}

{% trans "You can submit this report anonymously. Providing your information is optional but may help us follow up if needed." %}

{% if messages %} {% for message in messages %} {% endfor %} {% endif %}
{% csrf_token %} {{ form.website }}
{% trans "Category" %} ({% trans "optional" %})
{{ form.category }} {% if form.category.errors %}
{{ form.category.errors.0 }}
{% endif %}
{% trans "Severity" %}
{% trans "Low" %}
{% trans "Medium" %}
{% trans "High" %}
{% trans "Critical" %}
{% trans "Title" %} ({% trans "optional" %})
{{ form.title }} {% if form.title.errors %}
{{ form.title.errors.0 }}
{% endif %}
{% trans "Description" %} *
{{ form.description }} {% if form.description.errors %}
{{ form.description.errors.0 }}
{% endif %}
{% trans "Please describe what you observed in detail." %}
{% trans "Location" %} ({% trans "optional" %})
{{ form.location_text }} {% if form.location_text.errors %}
{{ form.location_text.errors.0 }}
{% endif %}
{% trans "When did this occur?" %}
{{ form.incident_datetime }} {% if form.incident_datetime.errors %}
{{ form.incident_datetime.errors.0 }}
{% endif %}
{% trans "Attachments" %} ({% trans "optional" %})

{% trans "Click to upload files" %}

{% trans "Images, PDF, Word, Excel (max 10MB each)" %}

{% trans "Your Information" %} ({% trans "optional" %})

{% trans "Providing your information helps us follow up if needed. Leave blank to submit anonymously." %}

{{ form.reporter_staff_id }}
{{ form.reporter_name }}
{{ form.reporter_phone }}
{{ form.reporter_email }}
{% trans "Track an existing observation" %}