{!! Form::open(['id' => 'dataForm', 'name' => 'dataForm', 'class' => 'form-horizontal']) !!}

{{ csrf_field() }} {!! Form::hidden('srequest_id', '', ['id' => 'srequest_id']) !!}

Account * {!! Form::select('account_id', $accounts, null, [ 'class' => 'standardSelect form-control','title' => 'Select Account','data-live-search' => 'true', 'id' => 'account_id', 'data-dropup-auto' => 'false','data-size' => '5']) !!}

Site * {!! Form::select('lead_id', [], null, [ 'class' => 'standardSelect form-control','title' => 'Select Site','data-live-search' => 'true', 'id' => 'lead_id', 'data-dropup-auto' => 'false','data-size' => '5']) !!}

Issue * {!! Form::select('issue', $sr_issue_types['options'], null, [ 'class' => 'standardSelect form-control', 'title' => 'Select Issue Type', 'data-live-search' => 'true', 'id' => 'issue', 'data-dropup-auto' => 'false', 'data-size' => '5', ]) !!}

Category * {!! Form::select('category', $sr_categories['options'], null, [ 'class' => 'standardSelect form-control', 'title' => 'Select Category', 'data-live-search' => 'true', 'id' => 'category', 'data-dropup-auto' => 'false', 'data-size' => '5', ]) !!}

Priority * {!! Form::select('priority', $sr_priorities['options'], null, [ 'class' => 'standardSelect form-control', 'title' => 'Select Priority', 'data-live-search' => 'true', 'id' => 'priority', 'data-dropup-auto' => 'false', 'data-size' => '5', ]) !!}

Note * {!! Form::textarea('comment', '', ['class'=>"form-control", 'id'=>"comment", 'rows'=>2, 'placeholder'=>"Enter comment", 'required']); !!}

{{-- Disabled select to show the selected status --}} Status {!! Form::select('status_display', $sr_statuses['options'], 'new', [ 'class' => 'standardSelect form-control', 'title' => 'Select Status', 'data-live-search' => 'true', 'id' => 'status_display', 'data-dropup-auto' => 'false', 'data-size' => '5', 'disabled' => 'disabled', ]) !!} {{-- Hidden input to submit the value --}} {!! Form::hidden('status', 'new') !!}

{!! Form::close() !!}