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120 lines
3.8 KiB
120 lines
3.8 KiB
<% form_for @employee do |f| %>
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<%= f.error_messages %>
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<fieldset class="left">
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<legend>Personal Info</legend>
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<%# f.label :number %>
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<%# f.text_field :number %>
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<table cellpadding="0">
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<tr>
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<td class="name"><%= f.label :firstname, "First Name", :class => "label" %></td>
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<td colspan="3" class="name">
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<%= f.label :lastname, "Last Name", :class => "label" %></td>
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</tr>
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<tr>
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<td class="border"><%= f.text_field :firstname, :size => "12" %></td>
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<td colspan="3" class="border"><%= f.text_field :lastname, :size => "12" %></td>
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</tr>
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<tr>
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<td colspan="4"><%= f.label :street, "Street", :class => "label" %></td>
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</tr>
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<tr>
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<td colspan="4" class="border"><%= f.text_field :street %></td>
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</tr>
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<tr>
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<td class="city"><%= f.label :city, "City", :class => "label" %></td>
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<td> </td>
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<td class="state"><%= f.label :state, "St", :class => "label" %></td>
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<td class="zip"><%= f.label :zip, "Zip", :class => "label" %></td>
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</tr>
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<tr>
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<td colspan="2" class="border"><%= f.text_field :city, :size => "20" %></td>
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<td class="border"><%= f.text_field :state, :size => "2" %></td>
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<td class="border"><%= f.text_field :zip, :size => "6" %></td>
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</tr>
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<tr>
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<td><%= f.label :dob, "Birth Date", :class => "label" %></td>
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<td colspan="3"><%= f.label :hired, "Hire Date", :class => "label" %></td>
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</tr>
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<tr>
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<td class="border"><%= f.calendar_date_select :dob, :size => "10",
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:year_range => 70.years.ago..0.years.ago,
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:buttons => false %></td>
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<td colspan="3" class="border"><%= f.calendar_date_select :hired, :size => "10",
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:year_range => 20.years.ago..1.year.from_now,
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:buttons => false %></td>
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</tr>
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<tr>
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<td class="ssn"><%= f.label :ssn, "Social", :class => "label" %></td>
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<td colspan="3" class="phone"><%= f.label :phone, "Phone", :class => "label" %></td>
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</tr>
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<tr>
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<td class="border"><%= f.text_field :ssn, :size => "10" %></td>
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<td colspan="3" class="border"><%= f.text_field :phone, :size => "12" %></td>
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</tr>
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<tr>
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<td> </td>
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<td class="tax"><%= f.label :tax_status, "Status", :class => "label" %></td>
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<td class="dep"><%= f.label :dependents, "Dep", :class => "label" %></td>
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<td><%= f.label :payrate, "Rate", :class => "label" %></td>
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</tr>
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<tr>
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<td class="border"> </td>
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<td class="border"><%= f.text_field :tax_status, :size => "1" %></td>
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<td class="border"><%= f.text_field :dependents, :size => "1" %></td>
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<td class="border"><%= f.text_field :payrate, :size => "4" %></td>
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</tr>
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</table>
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</fieldset>
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<fieldset class="right loads">
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<legend>Recent Loads</legend>
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<br />
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<br />
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<br />
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<br />
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<br />
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<br />
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<br />
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<br />
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<br />
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<br />
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<br />
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<br />
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<br />
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<br />
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<br />
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<br />
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<br />
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<br />
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<br />
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<br />
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</fieldset>
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<!-- License Info -->
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<fieldset class="left">
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<legend>Vehicle Info</legend>
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<table cellspacing="0">
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<tr>
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<td class="dl_number">
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<%= f.label :dl_number, "License No.", :class => "label" %></td>
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<td class="dl_state"><%= f.label :dl_state, "St", :class => "label" %></td>
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<td class="dl_expire"><%= f.label :dl_expire, "Expiry", :class => "label" %></td>
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</tr>
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<tr>
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<td class="border"><%= f.text_field :dl_number, :size => "14" %></td>
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<td class="border state"><%= f.text_field :dl_state, :size => "2" %></td>
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<td class="border"><%= f.calendar_date_select :dl_expire,
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:size => "10" %></td>
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</tr>
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<!-- Truck Info -->
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<tr>
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<td><%= f.label :truck, "Truck No", :class => "label" %></td>
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<td colspan="2"><%= f.label :trailer, "Trailer No", :class => "label" %></td>
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</tr>
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<tr>
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<td class="border"><%= f.text_field :truck, :size => "12" %></td>
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<td colspan="2" class="border"><%= f.text_field :trailer, :size => "12" %></td>
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</tr>
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</table>
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</fieldset>
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<hr class="clear">
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<p><%= f.submit "Submit" %></p>
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<% end %>
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