<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Reservoirname')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-reservoirname" class="form-control" name="row[reservoirname]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Fill_in')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-fill_in" class="form-control" name="row[fill_in]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Accidenttime')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-accidenttime" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[accidenttime]" type="text" value="{:date('Y-m-d H:i:s')}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Audit')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-audit" class="form-control" name="row[audit]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Audittime')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-audittime" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[audittime]" type="text" value="{:date('Y-m-d H:i:s')}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Message')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-message" class="form-control" name="row[message]" type="text">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>