@include ('errors.list') @if(isset($driver['id'])) {{ Form::model($driver, array('route' => array('driver.update', $driver->id),'id'=>'driver_form','method' => 'PUT','files'=>true, 'enctype' => 'multipart/form-data')) }} @else {{ Form::open(array('route' => 'driver.store','id'=>'driver_form','files'=>true, 'enctype' => 'multipart/form-data')) }} @endif

@role('SuperAdmin')

{{ Form::label('company_id', 'Company',array('class' => 'col-sm-4 col-form-label ')) }}

@endrole

Profile Info

{{ Form::label('first_name', 'First Name',array('class' => 'col-sm-4 col-form-label ')) }}

{{ Form::text('first_name', (isset($user->first_name) ? $user->first_name : null), array('class' => 'form-control','required'=>'')) }}

{{ Form::label('last_name', 'Last Name',array('class' => 'col-sm-4 col-form-label ')) }}

{{ Form::text('last_name', (isset($user->last_name) ? $user->last_name : null), array('class' => 'form-control','required'=>'')) }}

Email:

{{ Form::label('phone', 'Phone',array('class' => 'col-sm-4 col-form-label')) }}

{{ Form::text('phone', (isset($driver->phone) ? $driver->phone : null), array('class' => 'form-control phoneNumber' , 'id' =>'phone_number')) }}

{{ Form::label('address', 'Address',array('class' => 'col-sm-4 col-form-label')) }}

{{ Form::textarea('address', (isset($driver->address) ? $driver->address : null), array('class' => 'form-control','rows'=>'3')) }}

Location Info

{{ Form::label('state', 'State',array('class' => 'col-sm-4 col-form-label')) }}

{{ Form::text('state', (isset($driver->state) ? $driver->state : null), array('class' => 'form-control alphaNumeric')) }}

{{ Form::label('city', 'City',array('class' => 'col-sm-4 col-form-label')) }}

{{ Form::text('city', (isset($driver->city) ? $driver->city : null), array('class' => 'form-control alphaNumeric')) }}

{{ Form::label('zip', 'Zip',array('class' => 'col-sm-4 col-form-label')) }}

{{ Form::text('zip', (isset($driver->zip) ? $driver->zip : null), array('class' => 'form-control alphaNumeric','required'=>'')) }}

{{ Form::label('country', 'Country',array('class' => 'col-sm-4 col-form-label')) }}

{{ Form::select('country',['1' => 'US'], (isset($driver->country) ? $driver->country : '1') ,array('class' => 'form-control')) }}

{{ Form::label('is_active', 'Status',array('class' => 'col-sm-4 col-form-label')) }}

{{ Form::select('is_active',['1' => 'Active','0' => 'InActive'], (isset($driver->is_active) ? $driver->is_active : '1'),array('class' => 'form-control')) }}

{{ Form::label('license_no', 'License #',array('class' => 'col-sm-4 col-form-label')) }}

{{ Form::text('license_no', (isset($driver->license_no) ? $driver->license_no : null), array('class' => 'form-control alphaNumeric','required'=>'')) }}

{{ Form::label('license_country', 'Country',array('class' => 'col-sm-4 col-form-label')) }}

{{ Form::select('license_country',['1' => 'US'], (isset($driver->license_country) ? $driver->license_country : '1') ,array('class' => 'form-control')) }}

License State

{{ Form::label('expiration_date', 'Expiry Date',array('class' => 'col-sm-4 col-form-label')) }}

{{ Form::text('expiration_date', '', array('class' => 'form-control lic_expiration_date')) }}

Is HOS Exempt?

{{ Form::label('hos_profile', 'HOS Profile',array('class' => 'col-sm-3 col-form-label ')) }}

ADMINISTRATIVE SETTINGS

Profile Info

Location Info