<html>
<head>
<meta http-equiv="Content-Language" content="en-us">
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1">
<title><? echo $l_title_report; ?> IV/V</title>
<LINK REL=StyleSheet HREF="css/wizzard.css" TYPE="text/css" MEDIA=screen>
</head>
<body class="main" topmargin=70 leftmargin=0>
<form action="wiz_start.php" method="POST" target="_self">
<input type="hidden" name="lstDepartment" value="<?echo $lstDepartment;?>">
<input type="hidden" name="txtUserFirstName" value="<?echo $txtUserFirstName;?>">
<input type="hidden" name="txtUserLastName" value="<?echo $txtUserLastName;?>">
<input type="hidden" name="txtUserTelephone" value="<?echo $txtUserTelephone;?>">
<input type="hidden" name="txtLocation" value="<?echo $txtLocation;?>">
<input type="hidden" name="txtUserEmail" value="<?echo $txtUserEmail;?>">
<input type="hidden" name="txtStaffid" value="<?echo $txtStaffid;?>">
<input type="hidden" name="txtComputerid" value="<?echo $txtComputerid;?>">
<input type="hidden" name="lstRequest" value="<?echo $lstRequest ;?>">
<table align="center" width="90%">
<tr>
<td align ="center" colspan="2"><h1><? echo $l_titel_wizzard3;?></h1></td>
</tr>
<tr>
<td><?echo $l_shortsummary;?> </td>
<td><input class="input" type="Text" name="txtSummary" value = "<? echo $lstRequest ?>" size="50" maxlength="50"></td>
</tr>
<tr>
<td><?echo $l_detail;?> </td>
<td><textarea class="input" name="txtDetail" cols="50" rows="8"></textarea> </td>
</tr>
<tr>
<td><?echo $l_proposed_solution;?> </td>
<td><textarea class="input" name="txtProposedSolution" cols="50" rows="8"></textarea> </td>
</tr>
<tr>
<td colspan ="2">
<table style="border: 0px;" width="100%" cellspacing=0 cellpadding=0>
<tr>
<td><? echo "<b>$l_priority </b>"; ?> </td>
<td width="25%" bgcolor="<?echo $html_priority_low;?>">
<input type=radio value="0" name="optPriority"><b><?echo $l_low?></b>
</td>
<td width="25%" bgcolor="<?echo $html_priority_normal;?>">
<input type=radio value="1" name="optPriority" checked><b><?echo $l_normal?></b>
</td>
<td width="25%" bgcolor="<?echo $html_priority_high;?>">
<input type=radio value="2" name="optPriority"><b><?echo $l_high?></b>
</td>
<td width="25%" bgcolor="<?echo $html_priority_urgent;?>">
<input type=radio value="3" name="optPriority"><b><?echo $l_urgent?></b>
</td></tr></table>
</td></tr>
<tr>
<td colspan="2" align ="center"><input class="input" type="Submit" name="cmdNext04" value="<? echo $l_next; ?>"></td>
</tr>
<tr> <td colspan ="2"><center><a href="javascript:history.back()"><?echo $l_back;?></a></center></td></tr>
</tr>
</td>
</tr>
</table>
</form>