@extends('Admin.Layout.main_layout') 	
@section('title','Complaints And Appeals')
@section('main_container')
      <!-- partial -->
      <div class="main-panel">        
        <div class="content-wrapper">
          <div class="page-header">
            <h3 class="page-title">
            Complaints And Appeals
            </h3>
            <nav aria-label="breadcrumb">
                <ol class="breadcrumb">
                <li class="breadcrumb-item"><a href="#">Dashboard</a></li>
                <li class="breadcrumb-item active" aria-current="page">Complaints And Appeals</li>
                </ol>
            </nav>
          </div>
          <div class="row">
            <div class="col-md-8 grid-margin stretch-card">
              <div class="card">
                <div class="card-body">
                  <h4 class="card-title"> Complaints And Appeals</h4>
                  
                  <form class="forms-sample" action="{{ route('Complaints.store') }}"  method="post" enctype="multipart/form-data">
				            @csrf
                    
					
					          <div class="form-group">
                      <label for="exampleInputUsername1">Complaint Name <span style="color:red">*</span></label>
                      <input type="text" class="form-control" id="exampleInputUsername1" name="name" value="{{ old('name') }}">
                      @if($errors->has('name'))	
                      <span class="text-danger" >{{($errors->first('name'))}}</span>
                      @endif
                    </div>
					
					          <div class="form-group">
                      <label for="exampleInputUsername1">Report<span style="color:red">*</span></label>
                      <input type="file" class="form-control" id="exampleInputUsername1" name="complaint_document" value="{{ old('complaint_document') }}">
                      @if($errors->has('complaint_document'))	
                      <span class="text-danger" >{{($errors->first('complaint_document'))}}</span>
                      @endif
                    </div>
					
					          
                    <button type="submit" class="btn btn-primary mr-2" name="submit" value="Send">Submit</button>
                 </form>
                </div>
              </div>
            </div>
            
            
            
            
            
          </div>
        </div>
        <!-- content-wrapper ends -->
        @endsection