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Click on the action menu on the Cover.

Select the Claim Form tab in the ticket and type in the xml for the claim form (contact Bricknode for templates).

The claim form can be customized by entering xml-formatted text like the example below. The full xml document including the answers provided by the customer will be saved in BFS, by using the XML form you can simply add which custom field you would like.

Code Block

language	xml
theme	RDark
title	Claim form example

<?xml version="1.0" encoding="utf-8"?>
<form xmlns="http://www.bricknode.com/XmlForm">

  <section id="Claimsform" heading="Claims form" tooltip="tooltipps" description="" authLevel="1">   

    <layout id="SubHeading1">
      <content lang="">
        <strong>Väghjälp Premium - Reparation</strong>
        <br />
      </content>
    </layout>
    
    <layout id="PolicyHolder">
      <content lang="">
        Försäkringstagare:
      </content>
    </layout>
    
    <table>
      <row>
        <textField id="PolicyHolder1" rows="1" label="Förnamn:" datatype="string" filledValue="" authLevel="1"></textField>
        <textField id="PolicyHolder2" rows="1" label="Efternamn:" datatype="string" filledValue="" authLevel="1"></textField>
      </row>
      <row>
        <textField id="PolicyHolder3" rows="1" label="Adress:" datatype="string" filledValue="" authLevel="1"></textField>
        <textField id="PolicyHolder4" rows="1" label="Postnummer och ort:" datatype="string" filledValue="" authLevel="1"></textField>
      </row>
      <row>
        <textField id="PolicyHolder5" rows="1" label="Telefon:" datatype="string" filledValue="" authLevel="1"></textField>
        <textField id="PolicyHolder6" rows="1" label="Personnummer:" datatype="string" filledValue="" authLevel="1"></textField>
      </row>
      <row>
        <textField id="PolicyHolder7" rows="1" label="Email:" datatype="string" filledValue="" authLevel="1"></textField>
      </row>
    </table>

    <layout id="Vehicle">
      <content lang="">
        <br />
        Fordon:
      </content>
    </layout>
    
    <table>
      <row>
        <textField id="Vehicle1" rows="1" label="Registreringsnummer:" datatype="string" filledValue="" authLevel="1"></textField>
      </row>
    </table>

    <layout id="ClaimEvent">
      <content lang="">
        Skadehändelse:
      </content>
    </layout>

    <table>
      <row>
        <textField id="ClaimEvent1" rows="1" label="Skadedatum:" datatype="string" filledValue="" authLevel="1"></textField>
        <textField id="ClaimEvent2" rows="1" label="Klockslag:" datatype="string" filledValue="" authLevel="1"></textField>
        <textField id="ClaimEvent3" rows="1" label="Skadeplats:" datatype="string" filledValue="" authLevel="1"></textField>
      </row>
    </table>

    <table>
      <row>
        <textField id="ClaimEvent4" rows="2" label="Skadehändelse:" datatype="string" filledValue="" authLevel="1"></textField>
      </row>
    </table>

    <layout id="RepairShop">
      <content lang="">
        Reparatörsverkstad:
      </content>
    </layout>

    <table>
      <row>
        <textField id="RepairShop1" rows="1" label="Reparatörsverkstad:" datatype="string" filledValue="" authLevel="1"></textField>
        <textField id="RepairShop2" rows="1" label="Telefonnummer:" datatype="string" filledValue="" authLevel="1"></textField>
      </row>
      <row>
        <textField id="RepairShop3" rows="1" label="Eventuellt referensnummer:" datatype="string" filledValue="" authLevel="1"></textField>
      </row>
    </table>

    <layout id="BankAccount">
      <content lang="">
        Konto för utbetalning:
      </content>
    </layout>

    <table>
      <row>
        <textField id="BankAccount1" rows="1" label="Bank:" datatype="string" filledValue="" authLevel="1"></textField>
        <textField id="BankAccount2" rows="1" label="Kontoinnehavare:" datatype="string" filledValue="" authLevel="1"></textField>
      </row>
      <row>
        <textField id="BankAccount3" rows="1" label="Clearingnummer:" datatype="string" filledValue="" authLevel="1"></textField>
        <textField id="BankAccount4" rows="1" label="Kontonummer:" datatype="string" filledValue="" authLevel="1"></textField>
      </row>
    </table>

    <layout id="Signature">
      <content lang="">
        Med min underskrift nedan bekräftar jag att alla uppgifter jag lämnat är korrekta och att jag inte undanhållit någon information som är relevant för bedömning av skadan.
      </content>
    </layout>

    <table>
      <row>
        <textField id="Signature1" rows="1" label="Ort och datum" datatype="string" filledValue="" authLevel="1"></textField>
        <textField id="Signature2" rows="1" label="Underskrift" datatype="string" filledValue="" authLevel="1"></textField>
      </row>
    </table>

    <layout id="Space1">
      <content lang="">
        <br />
      </content>
    </layout>    
    
    <multipleSelectList id="Attachments" orientation="horizontal" type="checkbox" label="Till skadeanmälan ska bifogas:" authLevel="1">
      <option id="Attachment1" label="Original kvitto" filledValue="false"/>
      <option id="Attachment2" label="Reparatörsrapport" filledValue="false"/>
      <expression type="validation" errorMessage="">{Attachment1}==true</expression>
      <expression type="validation" errorMessage="">{Attachment2}==true</expression>
    </multipleSelectList>    
    
  </section>
</form>

The XML above generates a form that looks like this:
Image Added

Versions Compared

Old Version 5

New Version 6

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