{$pagetitle}

{BEGIN top_block}

{$pagetitlelabel incident_parties_involved add}

{END top_block} {BEGIN above-grid_block}

{BEGIN message_block}

{$message}

{BEGIN message_back_button} {END message_back_button} {BEGIN view_page_button} {END view_page_button} {BEGIN edit_page_button} {END edit_page_button}

{END message_block}

{END above-grid_block} {BEGIN grid_block} {BEGIN cellblock_grid_c3} {END cellblock_grid_c3}

{BEGIN company_id_fieldblock}

{BEGIN company_id_label} {$company_id_forward_control} {$label incident_parties_involved company_id } {END company_id_label}

{$company_id_editcontrol}

{END company_id_fieldblock} {BEGIN damage_id_fieldblock}

{BEGIN damage_id_label} {$damage_id_forward_control} {$label incident_parties_involved damage_id } {END damage_id_label}

{$damage_id_editcontrol}

{END damage_id_fieldblock} {BEGIN trip_id_fieldblock}

{BEGIN trip_id_label} {$trip_id_forward_control} {$label incident_parties_involved trip_id } {END trip_id_label}

{$trip_id_editcontrol}

{END trip_id_fieldblock} {BEGIN weekly_id_fieldblock}

{BEGIN weekly_id_label} {$weekly_id_forward_control} {$label incident_parties_involved weekly_id } {END weekly_id_label}

{$weekly_id_editcontrol}

{END weekly_id_fieldblock} {BEGIN account_id_fieldblock}

{BEGIN account_id_label} {$account_id_forward_control} {$label incident_parties_involved account_id } {END account_id_label}

{$account_id_editcontrol}

{END account_id_fieldblock} {BEGIN trip_number_fieldblock}

{BEGIN trip_number_label} {$trip_number_forward_control} {$label incident_parties_involved trip_number } {END trip_number_label}

{$trip_number_editcontrol}

{END trip_number_fieldblock} {BEGIN first_name_fieldblock}

{BEGIN first_name_label} {$first_name_forward_control} {$label incident_parties_involved first_name } {END first_name_label}

{$first_name_editcontrol}

{END first_name_fieldblock} {BEGIN last_name_fieldblock}

{BEGIN last_name_label} {$last_name_forward_control} {$label incident_parties_involved last_name } {END last_name_label}

{$last_name_editcontrol}

{END last_name_fieldblock} {BEGIN birthdate_fieldblock}

{BEGIN birthdate_label} {$birthdate_forward_control} {$label incident_parties_involved birthdate } {END birthdate_label}

{$birthdate_editcontrol}

{END birthdate_fieldblock} {BEGIN gender_fieldblock}

{BEGIN gender_label} {$gender_forward_control} {$label incident_parties_involved gender } {END gender_label}

{$gender_editcontrol}

{END gender_fieldblock} {BEGIN phone_number_fieldblock}

{BEGIN phone_number_label} {$phone_number_forward_control} {$label incident_parties_involved phone_number } {END phone_number_label}

{$phone_number_editcontrol}

{END phone_number_fieldblock} {BEGIN license_state_fieldblock}

{BEGIN license_state_label} {$license_state_forward_control} {$label incident_parties_involved license_state } {END license_state_label}

{$license_state_editcontrol}

{END license_state_fieldblock} {BEGIN drivers_license_number_fieldblock}

{BEGIN drivers_license_number_label} {$drivers_license_number_forward_control} {$label incident_parties_involved drivers_license_number } {END drivers_license_number_label}

{$drivers_license_number_editcontrol}

{END drivers_license_number_fieldblock} {BEGIN country_fieldblock}

{BEGIN country_label} {$country_forward_control} {$label incident_parties_involved country } {END country_label}

{$country_editcontrol}

{END country_fieldblock} {BEGIN zip_fieldblock}

{BEGIN zip_label} {$zip_forward_control} {$label incident_parties_involved zip } {END zip_label}

{$zip_editcontrol}

{END zip_fieldblock} {BEGIN state_fieldblock}

{BEGIN state_label} {$state_forward_control} {$label incident_parties_involved state } {END state_label}

{$state_editcontrol}

{END state_fieldblock} {BEGIN city_fieldblock}

{BEGIN city_label} {$city_forward_control} {$label incident_parties_involved city } {END city_label}

{$city_editcontrol}

{END city_fieldblock} {BEGIN address_fieldblock}

{BEGIN address_label} {$address_forward_control} {$label incident_parties_involved address } {END address_label}

{$address_editcontrol}

{END address_fieldblock} {BEGIN license_plate_number_fieldblock}

{BEGIN license_plate_number_label} {$license_plate_number_forward_control} {$label incident_parties_involved license_plate_number } {END license_plate_number_label}

{$license_plate_number_editcontrol}

{END license_plate_number_fieldblock} {BEGIN year_fieldblock}

{BEGIN year_label} {$year_forward_control} {$label incident_parties_involved year } {END year_label}

{$year_editcontrol}

{END year_fieldblock} {BEGIN make_model_fieldblock}

{BEGIN make_model_label} {$make_model_forward_control} {$label incident_parties_involved make_model } {END make_model_label}

{$make_model_editcontrol}

{END make_model_fieldblock} {BEGIN vin_fieldblock}

{BEGIN vin_label} {$vin_forward_control} {$label incident_parties_involved vin } {END vin_label}

{$vin_editcontrol}

{END vin_fieldblock} {BEGIN insurance_company_fieldblock}

{BEGIN insurance_company_label} {$insurance_company_forward_control} {$label incident_parties_involved insurance_company } {END insurance_company_label}

{$insurance_company_editcontrol}

{END insurance_company_fieldblock} {BEGIN policy_number_fieldblock}

{BEGIN policy_number_label} {$policy_number_forward_control} {$label incident_parties_involved policy_number } {END policy_number_label}

{$policy_number_editcontrol}

{END policy_number_fieldblock} {BEGIN describe_damage_fieldblock}

{BEGIN describe_damage_label} {$describe_damage_forward_control} {$label incident_parties_involved describe_damage } {END describe_damage_label}

{$describe_damage_editcontrol}

{END describe_damage_fieldblock} {BEGIN image_of_license_fieldblock}

{BEGIN image_of_license_label} {$image_of_license_forward_control} {$label incident_parties_involved image_of_license } {END image_of_license_label}

{$image_of_license_editcontrol}

{END image_of_license_fieldblock} {BEGIN image_of_insurance_fieldblock}

{BEGIN image_of_insurance_label} {$image_of_insurance_forward_control} {$label incident_parties_involved image_of_insurance } {END image_of_insurance_label}

{$image_of_insurance_editcontrol}

{END image_of_insurance_fieldblock} {BEGIN locked_fieldblock}

{BEGIN locked_label} {$locked_forward_control} {$label incident_parties_involved locked } {END locked_label}

{$locked_editcontrol}

{END locked_fieldblock}

{END grid_block} {BEGIN below-grid_block}

{mlang_message SAVE} {BEGIN reset_button} {mlang_message RESET} {END reset_button} {BEGIN back_button} {mlang_message BACK_TO_LIST} {END back_button} {BEGIN cancel_button} {mlang_message CANCEL} {END cancel_button}

{END below-grid_block}