Server : Apache/2 System : Linux server-15-235-50-60 5.15.0-164-generic #174-Ubuntu SMP Fri Nov 14 20:25:16 UTC 2025 x86_64 User : gositeme ( 1004) PHP Version : 8.2.29 Disable Function : exec,system,passthru,shell_exec,proc_close,proc_open,dl,popen,show_source,posix_kill,posix_mkfifo,posix_getpwuid,posix_setpgid,posix_setsid,posix_setuid,posix_setgid,posix_seteuid,posix_setegid,posix_uname Directory :  /home/gositeme/public_html/whmcs/templates/phox/

Upload File : current_dir [ Writeable ] document_root [ Writeable ]

{if $errormessage}
  {include file="$template/includes/alert.tpl" type="error" errorshtml=$errormessage}
{/if}

<form method="post" action="{$smarty.server.PHP_SELF}?step=3" enctype="multipart/form-data" role="form">

  <div class="row">
    <div class="form-group col-sm-6">
      <label for="inputName">{$LANG.supportticketsclientname}</label>
      <input type="text" name="name" id="inputName" value="{$name}" class="form-control{if $loggedin} disabled{/if}" {if $loggedin} disabled="disabled" {/if} />
    </div>
    <div class="form-group col-sm-6">
      <label for="inputEmail">{$LANG.supportticketsclientemail}</label>
      <input type="email" name="email" id="inputEmail" value="{$email}" class="form-control{if $loggedin} disabled{/if}" {if $loggedin} disabled="disabled" {/if} />
    </div>
  </div>
  <div class="row">
    <div class="form-group col-sm-4">
      <label for="inputDepartment">{$LANG.supportticketsdepartment}</label>
      <select name="deptid" id="inputDepartment" class="form-control" onchange="refreshCustomFields(this)">
        {foreach from=$departments item=department}
        <option value="{$department.id}" {if $department.id eq $deptid} selected="selected" {/if}>
          {$department.name}
        </option>
        {/foreach}
      </select>
    </div>
    {if $relatedservices}
    <div class="form-group col-sm-4">
      <label for="inputRelatedService">{$LANG.relatedservice}</label>
      <select name="relatedservice" id="inputRelatedService" class="form-control">
        <option value="">{$LANG.none}</option>
        {foreach from=$relatedservices item=relatedservice}
        <option value="{$relatedservice.id}">
          {$relatedservice.name} ({$relatedservice.status})
        </option>
        {/foreach}
      </select>
    </div>
    {/if}
    <div class="form-group col-sm-4">
      <label for="inputPriority">{$LANG.supportticketspriority}</label>
      <select name="urgency" id="inputPriority" class="form-control">
        <option value="High" {if $urgency eq "High" } selected="selected" {/if}>
          {$LANG.supportticketsticketurgencyhigh}
        </option>
        <option value="Medium" {if $urgency eq "Medium" || !$urgency} selected="selected" {/if}>
          {$LANG.supportticketsticketurgencymedium}
        </option>
        <option value="Low" {if $urgency eq "Low" } selected="selected" {/if}>
          {$LANG.supportticketsticketurgencylow}
        </option>
      </select>
    </div>
  </div>
  <div class="row">
    <div class="form-group col-sm-12">
      <label for="inputSubject">{$LANG.supportticketsticketsubject}</label>
      <input type="text" name="subject" id="inputSubject" value="{$subject}" class="form-control" />
    </div>
  </div>
  <div class="form-group">
    <label for="inputMessage">{$LANG.contactmessage}</label>
    <textarea name="message" id="inputMessage" rows="12" class="form-control markdown-editor" data-auto-save-name="client_ticket_open">{$message}</textarea>
  </div>

  <div class="row form-group">
    <div class="col-sm-12">
      <label for="inputAttachments">{$LANG.supportticketsticketattachments}</label>
    </div>
    <div class="col-sm-9">
      <input type="file" name="attachments[]" id="inputAttachments" class="form-control" />
      <div id="fileUploadsContainer"></div>
    </div>
    <div class="col-sm-3">
      <button type="button" class="btn btn-default btn-block" onclick="extraTicketAttachment()">
        <i class="fas fa-plus"></i> {$LANG.addmore}
      </button>
    </div>
    <div class="col-xs-12 ticket-attachments-message text-muted">
      {$LANG.supportticketsallowedextensions}: {$allowedfiletypes} ({lang key="maxFileSize" fileSize="$uploadMaxFileSize"})
    </div>
  </div>

  <div id="customFieldsContainer">
    {include file="$template/supportticketsubmit-customfields.tpl"}
  </div>

  <div id="autoAnswerSuggestions" class="well hidden"></div>

  <div class="text-center margin-bottom">
    {include file="$template/includes/captcha.tpl"}
  </div>

  <p class="text-center">
    <input type="submit" id="openTicketSubmit" value="{$LANG.supportticketsticketsubmit}" class="btn btn-primary disable-on-click{$captcha->getButtonClass($captchaForm)}" />
    <a href="supporttickets.php" class="btn btn-default">{$LANG.cancel}</a>
  </p>

</form>

{if $kbsuggestions}
<script>
  jQuery(document).ready(function() {
    getTicketSuggestions();
  });
</script>
{/if}