1 files changed, 42 insertions, 0 deletions
diff --git a/templates/website/report-form b/templates/website/report-form
new file mode 100644
index 000000000..f1b7bf594
--- /dev/null
+++ b/templates/website/report-form
@@ -0,0 +1,42 @@
+{{ form_start }}
+{{ page_heading }}
+
+{{ text_located }}
+
+{{ text_help }}
+
+{{ errors }}
+
+<div id="problem_form">
+{{ form_heading }}
+<div id="fieldset">
+{{ category }}
+
+<div><label for="form_title">{{ subject_label }}</label>
+<input type="text" value="{{ input_h_title }}" name="title" id="form_title" size="30"></div>
+<div><label for="form_detail">{{ detail_label }}</label>
+<textarea name="detail" id="form_detail" rows="7" cols="26">{{ input_h_detail }}</textarea></div>
+
+{{ partial_field }}
+
+{{ photo_field }}
+
+<div><label for="form_name">{{ name_label }}</label>
+<input type="text" value="{{ input_h_name }}" name="name" id="form_name" size="30"></div>
+<div class="checkbox"><input type="checkbox" name="anonymous" id="form_anonymous" value="1"{{ anon }}>
+<label for="form_anonymous">{{ anonymous }}</label>
+<small>{{ anonymous2 }}</small></div>
+<div><label for="form_email">{{ email_label }}</label>
+<input type="text" value="{{ input_h_email }}" name="email" id="form_email" size="30"></div>
+<div><label for="form_phone">{{ phone_label }}</label>
+<input type="text" value="{{ input_h_phone }}" name="phone" id="form_phone" size="15">
+<small>{{ optional }}</small></div>
+
+{{ text_notes }}
+
+<p id="problem_submit"><input type="submit" name="submit_problem" value="{{ submit_button }}"></p>
+</div>
+</div>
+
+{{ map_end }}
+