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[% USE T8 %]
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[% USE L %]
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[% USE HTML %]
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<h1>[% title %]</h1>
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<script type="text/javascript">
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$(function(){ document.Form.subject.focus(); });
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</script>
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<form action="fu.pl" method="post" name="Form" id="form">
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<div class="wrapper">
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<table class="tbl-horizontal">
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<tbody>
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<tr>
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<th>[% 'Created for' | $T8 %]</th>
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<td>
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<select name="created_for" class="wi-wider">
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<option></option>
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[% FOREACH row = EMPLOYEES %]
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<option value="[% HTML.escape(row.id) %]">
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[% IF row.name %]
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[% HTML.escape(row.name) %] ([% HTML.escape(row.login) %])
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[% ELSE %]
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[% HTML.escape(row.login) %]
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[% END %]
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</option>
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[% END %]
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</select>
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</td>
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</tr>
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<tr>
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<th>[% 'Subject' | $T8 %]</th>
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<td><input type="text" name="subject" class="wi-wider"></td>
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</tr>
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<tr>
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<th>[% 'Body' | $T8 %]</th>
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<td><input type="text" name="body" class="wi-wider"></td>
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</tr>
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<tr>
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<th>[% 'Reference' | $T8 %]</th>
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<td><input type="text" name="reference" class="wi-wider"></td>
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</tr>
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<tr>
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<th>[% 'Follow-Up Date' | $T8 %]</th>
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<td>
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[% 'From' | $T8 %] [% L.date_tag('follow_up_date_from') %]
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[% 'To (time)' | $T8 %] [% L.date_tag('follow_up_date_to' ) %]
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</td>
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</tr>
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<tr>
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<th>[% 'Created on' | $T8 %]</th>
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<td>
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[% 'From' | $T8 %] [% L.date_tag('itime_from') %]
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[% 'To (time)' | $T8 %] [% L.date_tag('itime_to' ) %]
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</td>
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</tr>
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</tbody>
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</table>
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</div>
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<div class="form-addition control-panel">
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<h3>[% 'Include in Report' | $T8 %]</h3>
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<div class="list">
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<input type="checkbox" name="due_only" id="due_only" value="1" checked> <label for="due_only">[% 'Only due follow-ups' | $T8 %]</label> <br>
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<input type="checkbox" name="all_users" id="all_users" value="1" checked> <label for="all_users">[% 'Other users\' follow-ups' | $T8 %]</label> <br>
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<input type="checkbox" name="not_done" id="not_done" value="1" checked> <label for="not_done">[% 'Not done yet' | $T8 %]</label> <br>
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<input type="checkbox" name="done" id="done" value="1"> <label for="done">[% 'Done' | $T8 %]</label>
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</div>
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</div>
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</form>
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