<!DOCTYPE html>
<html>
<head>
	<meta charset="UTF-8">
	<title>信保管理-中信保-长银保单管理-某公司处理详情-索赔(新增)</title>
	<style>
		.btn-info:active,
		.btn-info:focus{
			background-color:#fff;
		}
	</style>
</head>
<body>
<div class="base-extend">
	<ol class="breadcrumb" style="margin-top:0;">
		<i class="icon-chevron-sign-left newBackBtn"></i>
	  	<li>信保管理</li>
	  	<li>中信保</li>
	  	<li>长银保单管理</li>
	  	<li>xx公司处理详情</li>
	  	<li>索赔</li>
	</ol>
	<div class="detailContentBox">
		<p class="detailContentBox-title">索赔新增</p>
		<form class="form-horizontal" id="eciClaimAddForm" action="/underlyingAssetInsurance/eci/doAddEciClaim" method="post" autocomplete="off">
			 <input type="hidden" name="assetInsurance.id" th:value="${assetInsuranceId}">
			 <div class="newTabAddUpdateBox">
				<div class="row">
					<table>
						<tr>
							<td colspan="4">
								<span class="detailContentBox-tabletitle">基本信息</span>
							</td>
						</tr>
						<tr>
							<td width="20%">
								<span class="required_fileds_star">保险单号</span>：
							</td>
							<td width="30%" class="enter">
								<input type="text" class="form-control nowrite" name="insurancePolicyNo" th:value="${insurancePolicyNo}" readOnly>
							</td>
							<td width="20%">
								<span class="required_fileds_star">被保险人名称</span>：
							</td>
							<td width="30%" class="enter">
								<input type="text" class="form-control nowrite" name="insuredName" th:value="${insuredName}" readOnly>
							</td>
						</tr>
						<tr>
							<td width="20%">
								<span class="required_fileds_star">买方代码</span>：
							</td>
							<td width="30%" class="enter">
								<input type="text" class="form-control" maxlength="50" name="buyerCode">
							</td>
							<td width="20%">
								<span class="required_fileds_star">案号</span>：
							</td>
							<td width="30%" class="enter">
								<input type="text" class="form-control" maxlength="50" name="caseNo">
							</td>
						</tr>
						<tr>
							<td width="20%">
								<span class="required_fileds_star">是否委托中信保追讨</span>：
							</td>
							<td width="30%" class="enter hasradio">
								<label>
									<input type="radio" class="radios" name="entrustRecover" value="true">
									<span>是</span>
								</label>
								<label>
									<input type="radio" class="radios" name="entrustRecover" value="false">
									<span>否</span>
								</label>
							</td>
							<td width="20%">
								<span class="required_fileds_star">是否签署《赔款转让协议》</span>：
							</td>
							<td width="30%" class="enter hasradio">
								<label>
									<input type="radio" class="radios" name="signIndemnityProtocol" value="true">
									<span>是</span>
								</label>
								<label>
									<input type="radio" class="radios" name="signIndemnityProtocol" value="false">
									<span>否</span>
								</label>
							</td>
						</tr>
						<tr>
							<td width="20%">
								<span class="required_fileds_star">是否已办理贸易融资</span>：
							</td>
							<td width="30%" class="enter hasradio">
								<label>
									<input type="radio" class="radios" name="tradeFinance" value="true">
									<span>是</span>
								</label>
								<label>
									<input type="radio" class="radios" name="tradeFinance" value="false">
									<span>否</span>
								</label>
							</td>
							<td width="20%">
								<span class="required_fileds_star">是否向保兑行/开证行催款</span>：
							</td>
							<td width="30%" class="enter hasradio">
								<label>
									<input type="radio" class="radios" name="urgingPayment" value="true">
									<span>是</span>
								</label>
								<label>
									<input type="radio" class="radios" name="urgingPayment" value="false">
									<span>否</span>
								</label>
							</td>
						</tr>
						<tr>
							<td width="20%">
								<span class="required_fileds_star">是否签署《索赔转让协议》</span>：
							</td>
							<td width="30%" class="enter hasradio">
								<label>
									<input type="radio" class="radios" name="signClaimProtocol" value="true">
									<span>是</span>
								</label>
								<label>
									<input type="radio" class="radios" name="signClaimProtocol" value="false">
									<span>否</span>
								</label>
							</td>
							<td width="20%">
								<span class="required_fileds_star">是否签署应收账款转让协议</span>：
							</td>
							<td width="30%" class="enter hasradio">
								<label>
									<input type="radio" class="radios" name="signReceivableProtocol" value="true">
									<span>是</span>
								</label>
								<label>
									<input type="radio" class="radios" name="signReceivableProtocol" value="false">
									<span>否</span>
								</label>
							</td>
						</tr>
					</table>
				</div>
				<div class="row">
					<table>
						<tr>
							<td colspan="4">
								<span class="detailContentBox-tabletitle">出运信息</span>
							</td>
						</tr>
						<tr>
							<td width="20%">
								<span class="required_fileds_star">海关代码</span>：
							</td>
							<td width="30%" class="enter">
								<input type="text" class="form-control" maxlength="50" name="customCode">
							</td>
							<td width="20%">
								<span class="required_fileds_star">出运日期</span>：
							</td>
							<td width="30%" class="enter">
								<input type="text" class="form-control" readonly id="shippingDate" name="shippingDate">
							</td>
						</tr>
						<tr>
							<td width="20%">
								<span class="required_fileds_star">申报日期</span>：
							</td>
							<td width="30%" class="enter">
								<input type="text" class="form-control" readonly id="declareDate" name="declareDate">
							</td>
							<td width="20%">
								<span class="required_fileds_star">支付条件</span>：
							</td>
							<td width="30%" class="enter">
								<input type="text" class="form-control" maxlength="50" name="paymentTerms">
							</td>
						</tr>
						<tr>
							<td width="20%">
								<span class="required_fileds_star">应付款日期</span>：
							</td>
							<td width="30%" class="enter">
								<input type="text" class="form-control" readonly id="paymentDate" name="paymentDate">
							</td>
							<td width="20%">
								<span class="required_fileds_star">发票号码</span>：
							</td>
							<td width="30%" class="enter">
								<input type="text" class="form-control" maxlength="50" name="invoiceNo">
							</td>
						</tr>
						<tr>
							<td width="20%">
								<span class="required_fileds_star">投保金额<i style="font-style:normal;" th:text="${currencyType?.name}"></i></span>：
								<input type="hidden" name="currencyType.id" th:value="${currencyType?.id}">
							</td>
							<td width="30%" class="enter">
								<input type="text" class="form-control" name="insuredAmount">
							</td>
							<td width="20%">
								<span class="required_fileds_star">信保确认的收汇状态</span>：
							</td>
							<td width="30%" class="enter">
								<input type="text" class="form-control" maxlength="50" name="confirmedCollectionStatus">
							</td>
						</tr>
						<tr>
							<td width="20%">
								<span class="required_fileds_star">索赔金额<i style="font-style:normal;" th:text="${currencyType?.name}"></i></span>：
							</td>
							<td width="30%" class="enter">
								<input type="text" class="form-control" name="claimAmount">
							</td>
							<td width="20%">
								<span class="required_fileds_star">出口企业名称</span>：
							</td>
							<td width="30%" class="enter">
								<input type="text" class="form-control nowrite" name="exporterName" th:value="${exporterName}" readOnly>
							</td>
						</tr>
					</table>
				</div>
				<div class="row">
					<table>
						<tr>
							<td colspan="4">
								<span class="detailContentBox-tabletitle">索赔原因及案情说明</span>
							</td>
						</tr>
						<tr>
							<td width="20%">
								<span class="required_fileds_star">索赔原因</span>：
							</td>
							<td width="30%" class="enter">
								<select class="form-control" name="claimReason.id">
									<option th:each="reason,reasons:${possibleLossReasons}" th:value="${reason.id}" th:text="${reason.name}"></option>
								</select>
							</td>
							<td width="20%">
								<span>索赔结论</span>：
							</td>
							<td width="30%" class="enter hasradio">
								<label>
									<input type="radio" class="radios" name="claimResult" value="true">
									<span>通过</span>
								</label>
								<label>
									<input type="radio" class="radios" name="claimResult" value="false">
									<span>不通过</span>
								</label>
							</td>
						</tr>
						<tr>
							<td width="20%">
								<span class="required_fileds_star">案情说明</span>：
							</td>
							<td colspan="3" class="enter">
								<textarea class="form-control" rows="4" maxlength="3000" name="caseDescription" style="resize:none;"></textarea>
							</td>
						</tr>
						<tr>
							<td width="20%">
								<span class="">减损措施</span>：
							</td>
							<td colspan="3" class="enter">
								<input type="text" class="form-control" maxlength="3000" name="reduceLossMeasures">
							</td>
						</tr>
					</table>
				</div>
			</div>
			<div class="yk_addBtns yk_addNewMsg newTabAddUpdateBtnBox">
				<button class="btn btn-white btn-info colorbtn save">保存</button>
				<button class="btn btn-white btn-info btn-cancel">关闭</button>
			</div>
		</form>
	</div>
</div>	
</body>
<script src="/js/credit/insurance/policy/eciClaimAdd.js"></script>
</html>