{$pagetitle}

{BEGIN top_block}

{$pagetitlelabel user_emergency_contact 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 account_id_fieldblock}

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

{$account_id_editcontrol}

{END account_id_fieldblock} {BEGIN full_name_fieldblock}

{BEGIN full_name_label} {$full_name_forward_control} {$label user_emergency_contact full_name } {END full_name_label}

{$full_name_editcontrol}

{END full_name_fieldblock} {BEGIN relationship_fieldblock}

{BEGIN relationship_label} {$relationship_forward_control} {$label user_emergency_contact relationship } {END relationship_label}

{$relationship_editcontrol}

{END relationship_fieldblock} {BEGIN address_fieldblock}

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

{$address_editcontrol}

{END address_fieldblock} {BEGIN city_fieldblock}

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

{$city_editcontrol}

{END city_fieldblock} {BEGIN state_fieldblock}

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

{$state_editcontrol}

{END state_fieldblock} {BEGIN zip_fieldblock}

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

{$zip_editcontrol}

{END zip_fieldblock} {BEGIN country_fieldblock}

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

{$country_editcontrol}

{END country_fieldblock} {BEGIN home_phone_fieldblock}

{BEGIN home_phone_label} {$home_phone_forward_control} {$label user_emergency_contact home_phone } {END home_phone_label}

{$home_phone_editcontrol}

{END home_phone_fieldblock} {BEGIN cell_phone_fieldblock}

{BEGIN cell_phone_label} {$cell_phone_forward_control} {$label user_emergency_contact cell_phone } {END cell_phone_label}

{$cell_phone_editcontrol}

{END cell_phone_fieldblock} {BEGIN work_phone_fieldblock}

{BEGIN work_phone_label} {$work_phone_forward_control} {$label user_emergency_contact work_phone } {END work_phone_label}

{$work_phone_editcontrol}

{END work_phone_fieldblock} {BEGIN work_phone_ext_fieldblock}

{BEGIN work_phone_ext_label} {$work_phone_ext_forward_control} {$label user_emergency_contact work_phone_ext } {END work_phone_ext_label}

{$work_phone_ext_editcontrol}

{END work_phone_ext_fieldblock} {BEGIN employer_fieldblock}

{BEGIN employer_label} {$employer_forward_control} {$label user_emergency_contact employer } {END employer_label}

{$employer_editcontrol}

{END employer_fieldblock} {BEGIN account_name_fieldblock}

{BEGIN account_name_label} {$account_name_forward_control} {$label user_emergency_contact account_name } {END account_name_label}

{$account_name_editcontrol}

{END account_name_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}