{!! Form::open(['route' => 'autoisolir.store', 'method' => 'POST']) !!}

{{ __('autoisolir.label.server') }} {!! Form::select('mikrotik_id', $mikrotiks, null, [ 'placeholder' => __('autoisolir.placeholder.select-server'), 'class' => 'form-control', 'id' => 'server-dropdown', ]) !!} @if ($errors->has('mikrotik_id')) {{ $errors->first('mikrotik_id') }} @endif

{{ __('autoisolir.label.profile') }}

@if ($errors->has('profile_id')) {{ $errors->first('profile_id') }} @endif

{{ __('autoisolir.label.address_list_isolir') }}

{!! Form::text('address_list_isolir', null, [ 'placeholder' => __('autoisolir.placeholder.addresslist'), 'class' => 'form-control', ]) !!}

@if ($errors->has('address_list_isolir')) {{ $errors->first('address_list_isolir') }} @endif

{{ __('autoisolir.label.name') }}

{!! Form::text('name', null, ['placeholder' => __('autoisolir.placeholder.name'), 'class' => 'form-control']) !!}

@if ($errors->has('name')) {{ $errors->first('name') }} @endif

{{ __('autoisolir.label.auto-isolir-option') }}

@if ($errors->has('activation_date')) {{ $errors->first('activation_date') }} @endif

{{ __('autoisolir.label.due-date') }}

{!! Form::text('due_date', null, [ 'placeholder' => __('autoisolir.placeholder.due-date'), 'class' => 'form-control', 'id' => 'due_date', 'readonly', ]) !!}

@if ($errors->has('due_date')) {{ $errors->first('due_date') }} @endif

{{ __('autoisolir.label.comment-payment') }}

{!! Form::text('comment_payment', null, [ 'placeholder' => __('autoisolir.placeholder.comment-payment'), 'class' => 'form-control', ]) !!}

@if ($errors->has('comment_payment')) {{ $errors->first('comment_payment') }} @endif

{{ __('autoisolir.label.comment-unpayment') }}

{!! Form::text('comment_unpayment', null, [ 'placeholder' => __('autoisolir.placeholder.comment-unpayment'), 'class' => 'form-control', ]) !!}

@if ($errors->has('comment_unpayment')) {{ $errors->first('comment_unpayment') }} @endif

{{ __('autoisolir.header.create') }}