@extends('claim.claim-header')

@section('claim-contents')
        <div class="col-md-12 table-responsive">
            <hr>
            <section>
                @php $edit = Auth::user()->user_type=='Claimant' && ($claim->claim_tag=='draft' || $claim->claim_tag=='accepted') || Auth::user()->user_type=='Adjuster' && ($claim->claim_tag=='draft'  || $claim->claim_tag=='accepted') @endphp
                <table class="table table-bordered table-condensed table-striped">
                    <thead>
                        <tr>
                            <th width="35%">Requirements<br><small>Requirements with (<span class="text-danger">*</span>) are required.</small></th>
                            <th width="35%">View File</th>
                            @if($edit)
                            <th width="30%">Action<br><small>Allowed file type/s: .png, .jpg, .jpeg, .docx, .pdf</small></th>
                            @endif
                        </tr>
                    </thead>
                    <tbody>
                        @php $cntr = 0; @endphp
                        @forelse($claim_requirements as $req)
                        <tr>
                            <td>@if($req->required=='Yes') <b><span class="text-danger">*</span></b>{{ $req->requirement_desc }} @else {{ $req->requirement_desc }} @endif </td>
                            <td>
                                @forelse($req->attachments as $ch)
                                    <li><a href="{{ url($ch->file_path) }}" target="_blank">{{ $ch->file_description }}</a> @if($edit)<a href="{{ url('/claimrequirement/delete/'.$ch->checklist_attachment_id) }}"><i class="fas fa-trash-alt ml-5" style="color:red"></i></a> @endif
                                    </li>
                                @empty
                                    @if($req->required=='Yes')
                                        @php $cntr=+1; @endphp
                                    @endif
                                    No uploaded file.
                                @endforelse
                            </td>
                            @if($edit)
                            <td>
                                <form method="POST" class="my-form" action="{{ route('claim-requirement.store',['id' => $claim->claim_id]) }}" enctype="multipart/form-data">
                                    @csrf
                                        <input type="hidden" name="requirement_id" value="{{ $req->requirement_id }}">
                                        <input type="hidden" name="checklist" value="{{ $req->checklist_id }}">
                                        <div class="form-group">
                                            <div class="custom-file">
                                                <input type="file" class="custom-file-input" name="uploads[]" multiple required/>
                                                <label class="custom-file-label">Choose file</label>
                                            </div>
                                        </div>
                                            <button type="submit" class="btn btn-info btn-block btnSubmit">
                                                <i class="fa fa-upload"></i> Upload </button>
                                         
                                </form>
                            </td>
                            @endif
                        </tr>
                        @empty
                        <tr>
                            <td colspan="3">No data found.</td>
                        </tr>
                        @endforelse
                        <tr>
                            <td style="color:#1e88e5;"><b>Any additional documentary evidence as may be required by Insurer or adjusters other than above.</b></td>
                            <td>
                                @if(!empty($other_attachments))
                                    @forelse($other_attachments as $att)
                                        <li><a href="{{ url($att->path) }}" target="_blank">{{ $att->description }}</a> @if($edit)<a href="{{ url('/claim/otherattachment/delete/'.$att->other_attachment_id) }}"><i class="fas fa-trash-alt ml-5" style="color:red"></i></a> @endif</li>
                                    @empty
                                        No uploaded file.
                                    @endforelse
                                @else
                                    No uploaded file.
                                @endif
                            </td>
                            @if($edit)
                            <td>
                                <form method="POST" class="my-form" action="{{ route('claim-other-attachment.store',['id' => $claim->claim_id]) }}" enctype="multipart/form-data">
                                    @csrf
                                    <div class="form-group">
                                        <input type="text" class="form-control" name="description" placeholder="File Description" required>
                                        <input type="file" class="form-control" name="upload" required/>
                                    </div>
                                        <button type="submit" class="btn btn-info btn-block btnSubmit">
                                            <i class="fa fa-upload"></i> Upload</button>
                                </form>
                            </td>
                            @endif
                        </tr>
                    </tbody>
                </table>
            </section>
        </div><br>
        <hr>
        <div class="col-md-12">
            <div style="float:right">
            <form method="POST" action="{{ route('file-claim.submit',['id' => $claim->claim_id]) }}" onsubmit="return  confirm('Do you really want to submit the form?');">
                @csrf
                <a href="{{ url('/file-claim/types/'.$claim->claim_code) }}" class="btn btn-success">Previous</a>
                @if(($claim->claim_tag=='draft' &&  Auth::user()->user_type=='Claimant') || ($claim->claim_tag=='draft' &&  Auth::user()->user_type=='Adjuster'))
                <button type="submit" class="btn btn-info" @if($cntr > 0) disabled @endif>Submit Claim</button>
                @else
                    @if(Auth::user()->user_type!='Claimant')
                        <a href="{{ url('/file-claim/status/'.$claim->claim_code) }}" class="btn btn-success">Next</a>
                    @endif
                @endif
            </form>
            </div>
        </div>
@endsection