{% extends "../base.html.to" %}

{% block content %}

<div class="col">

  <div class="panel">

    <div class="panel__content">

      <div class="panel__heading">
        <h1>Order #{{ request_id }}</h1>
        <h2 id="financial-verification">Financial Verification</h2>
      </div>

      {% block form_action %}
        <form method='POST' action="{{ reverse_url('financial_verification', request_id) }}" autocomplete="off">
      {% end %}

      {% module xsrf_form_html() %}
      {% block form %}
        {% autoescape None %}
        {% if f.errors %}
          <b class="usa-input-error-message">There were some errors, see below.</b>
        {% end %}

        <p>In order to get you access to the JEDI Cloud, we will need you to enter the details below that will help us verify and account for your Task Order.</p>

        {{ f.task_order_id.label }}
        {{ f.task_order_id(placeholder="Example: 1234567899C0001") }}
        {% for e in f.task_order_id.errors %}
          <div class="usa-input-error-message">
            {{ e }}
          </div>
        {% end %}

        {{ f.uii_ids.label }}
        {{ f.uii_ids(placeholder="Example: \nDI 0CVA5786950 \nUN1945326361234786950") }}
        {% for e in f.uii_ids.errors %}
          <div class="usa-input-error-message">
            {{ e }}
          </div>
        {% end %}

        {{ f.pe_id.label }}
        {{ f.pe_id(placeholder="Example: 0203752A") }}
        {% for e in f.pe_id.errors %}
          <div class="usa-input-error-message">
            {{ e }}
          </div>
        {% end %}

        {{ f.treasury_code.label }}
        {{ f.treasury_code(placeholder="Example: 1200") }}
        {% for e in f.treasury_code.errors %}
          <div class="usa-input-error-message">
            {{ e }}
          </div>
        {% end %}

        {{ f.ba_code.label }}
        {{ f.ba_code(placeholder="Example: 02") }}
        {% for e in f.ba_code.errors %}
          <div class="usa-input-error-message">
            {{ e }}
          </div>
        {% end %}

        <!-- KO Information -->

        <h3>Contracting Officer (KO) Information</h3>

        {{ f.fname_co.label }}
        {{ f.fname_co(placeholder="Contracting Officer first name") }}
        {% for e in f.fname_co.errors %}
          <div class="usa-input-error-message">
            {{ e }}
          </div>
        {% end %}

        {{ f.lname_co.label }}
        {{ f.lname_co(placeholder="Contracting Officer last name") }}
        {% for e in f.lname_co.errors %}
          <div class="usa-input-error-message">
            {{ e }}
          </div>
        {% end %}

        {{ f.email_co.label }}
        {{ f.email_co(placeholder="jane@mail.mil") }}
        {% for e in f.email_co.errors %}
          <div class="usa-input-error-message">
            {{ e }}
          </div>
        {% end %}

        {{ f.office_co.label }}
        {{ f.office_co(placeholder="Example: WHS") }}
        {% for e in f.office_co.errors %}
          <div class="usa-input-error-message">
            {{ e }}
          </div>
        {% end %}


        <!-- COR Information -->

        <h3>Contracting Officer Representative (COR) Information</h3>

        {{ f.fname_cor.label }}
        {{ f.fname_cor(placeholder="Contracting Officer Representative first name") }}
        {% for e in f.fname_cor.errors %}
          <div class="usa-input-error-message">
            {{ e }}
          </div>
        {% end %}

        {{ f.lname_cor.label }}
        {{ f.lname_cor(placeholder="Contracting Officer Representative last name") }}
        {% for e in f.lname_cor.errors %}
          <div class="usa-input-error-message">
            {{ e }}
          </div>
        {% end %}

        {{ f.email_cor.label }}
        {{ f.email_cor(placeholder="jane@mail.mil") }}
        {% for e in f.email_cor.errors %}
          <div class="usa-input-error-message">
            {{ e }}
          </div>
        {% end %}

        {{ f.office_cor.label }}
        {{ f.office_cor(placeholder="Example: WHS") }}
        {% for e in f.office_cor.errors %}
          <div class="usa-input-error-message">
            {{ e }}
          </div>
        {% end %}

        <br><hr>
        <em>&darr; FIELDS NEEDED FOR MANUAL ENTRY OF TASK ORDER INFORMATION (only necessary if EDA info not available)</em>


        {{ f.funding_type.label }}
        {{ f.funding_type }}
        {% for e in f.funding_type.errors %}
          <div class="usa-input-error-message">
            {{ e }}
          </div>
        {% end %}

        {{ f.funding_type_other.label }}
        {{ f.funding_type_other(placeholder="") }}
        {% for e in f.funding_type_other.errors %}
          <div class="usa-input-error-message">
            {{ e }}
          </div>
        {% end %}

        {{ f.clin_0001.label }}
        {{ f.clin_0001(placeholder="50,000") }}
        {% for e in f.clin_0001.errors %}
          <div class="usa-input-error-message">
            {{ e }}
          </div>
        {% end %}

        {{ f.clin_0003.label }}
        {{ f.clin_0003(placeholder="13,000") }}
        {% for e in f.clin_0003.errors %}
          <div class="usa-input-error-message">
            {{ e }}
          </div>
        {% end %}

        {{ f.clin_1001.label }}
        {{ f.clin_1001(placeholder="30,000") }}
        {% for e in f.clin_1001.errors %}
          <div class="usa-input-error-message">
            {{ e }}
          </div>
        {% end %}

        {{ f.clin_1003.label }}
        {{ f.clin_1003(placeholder="7,000") }}
        {% for e in f.clin_1003.errors %}
          <div class="usa-input-error-message">
            {{ e }}
          </div>
        {% end %}

        {{ f.clin_2001.label }}
        {{ f.clin_2001(placeholder="30,000") }}
        {% for e in f.clin_2001.errors %}
          <div class="usa-input-error-message">
            {{ e }}
          </div>
        {% end %}

        {{ f.clin_2003.label }}
        {{ f.clin_2003(placeholder="7,000") }}
        {% for e in f.clin_2003.errors %}
          <div class="usa-input-error-message">
            {{ e }}
          </div>
        {% end %}
      {% end %}
      {% block next %}
      <input type='submit' class='usa-button usa-button-primary' value='Save & Continue' />
      {% end %}
      </form>

    </div>
  </div>
</div>

{% end %}