Name * Please select employee @foreach ($users as $employee) id ? 'selected' : '' }}>{{ $employee->name }} @endforeach @error('data.name') {{ $message }} @enderror

Employee Ref* @error('data.employee_ref') {{ $message }} @enderror

Person Type* @error('data.person_type') {{ $message }} @enderror

Department* @error('data.department') {{ $message }} @enderror

Division @error('data.division') {{ $message }} @enderror

Location* @error('data.location') {{ $message }} @enderror

Category* Select Category Cough, Cold, Flu Covid related Digestive / Stomach Headache / migraine Non-work related injury Psychiatric / Stress Other @error('data.category') {{ $message }} @enderror

Status* Select Status Open Closed @error('data.status') {{ $message }} @enderror

Start Date* @error('data.start_date') {{ $message }} @enderror

End Date

Days @error('data.days') {{ $message }} @enderror

Reason {{ $data['reason'] }}

Review Notes {{ $data['review_notes'] }}