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index.zulzul<?page contentType="text/html;charset=UTF-8"?>
<zk>
<window title="報案流程" border="normal" contentStyle="overflow:auto;position:relative" style="overflow:auto;position:relative">
<groupbox mold="3d">
<caption style="background-color: #ACD6FF" label="基本資料"/>
<hlayout>
<box width="75px">memo編號</box>
<textbox id="memo_no" hflex="1"/>
<box width="75px">製單人員</box>
<textbox id="insured_macker" hflex="1"/>
<box>科別ID</box>
<textbox id="branch_id" hflex="1"/>
<box>科別名稱</box>
<textbox id="branch_name" hflex="1"/>
</hlayout>
<separator height="5px"/>
<hlayout>
<box width="75px">送件人</box>
<textbox id="sender" hflex="1"/>
<box width="75px">送件人電話</box>
<textbox id="sender_phone" hflex="1"/>
<box>車牌號碼</box>
<textbox id="car_id" hflex="1"/>
<box>事故日期</box>
<datebox id="insurance_date" hflex="1"/>
</hlayout>
<separator height="5px"/>
<hlayout>
<box width="75px">事故地點</box>
<textbox id="insurance_location" hflex="1"/>
</hlayout>
<separator height="5px"/>
<hlayout>
<box width="75px">事故原因</box>
<textbox id="insurance_reason" hflex="1"/>
</hlayout>
<separator height="5px"/>
<hlayout>
<box width="75px">備註說明</box>
<textbox id="special_comment" multiline="true" width="400px" height="75px"/>
</hlayout>
<hlayout>
<button id="customButton" label="儲存"/>
</hlayout>
</groupbox>
<separator height="15px"/>
<groupbox mold="3d">
<caption style="background-color: #ACD6FF" label="受理資料"/>
<hlayout>
<box width="50px">賠案號碼</box>
<textbox id="compensation_no" hflex="1"/>
<box width="50px">受理日期</box>
<datebox id="accept_date" hflex="1"/>
<box width="50px">受理單位</box>
<textbox id="accept_unit" hflex="1"/>
<box width="50px">理賠經辦</box>
<textbox id="employee" hflex="1"/>
</hlayout>
<separator height="5px"/>
<hlayout>
<box width="50px" style="color: #750000">受理方式</box>
<radiogroup id="accept_method">
<radio label="自動分案" checked="true"/>
<radio label="指定理賠"/>
</radiogroup>
</hlayout>
<separator height="5px"/>
<hlayout>
<box width="50px" style="color: #750000">受理類型</box>
<radiogroup id="accept_type">
<radio label="7-11" checked="true"/>
<radio label="保戶親自"/>
<radio label="修理廠" />
<radio label="傳真"/>
<radio label="專案"/>
<radio label="代理人代理申請"/>
<radio label="行動理賠"/>
<radio label="0800MEMO"/>
<radio label="VIP網站"/>
<radio label="E-Mail"/>
<radio label="上班時段現場處理"/>
<radio label="請求權人申請"/>
<radio label="分流作業"/>
</radiogroup>
</hlayout>
<separator height="5px"/>
<hlayout>
<box width="50px">身分證號</box>
<textbox id="insured_id" hflex="1"/>
<box width="50px">行動電話</box>
<textbox id="phone" hflex="1"/>
<box width="50px">Email</box>
<textbox id="mail" hflex="1"/>
</hlayout>
<separator height="5px"/>
<hlayout>
<box width="50px">地址</box>
<textbox id="insured_address" hflex="1"/>
</hlayout>
<separator height="5px"/>
<hlayout>
<box width="50px">引擎號碼</box>
<textbox id="engine_id" hflex="1"/>
<box width="50px">車輛種類</box>
<textbox id="car_type" hflex="1"/>
<box width="50px">車輛年份</box>
<textbox id="car_year" hflex="1"/>
<box width="50px">載客人數</box>
<textbox id="passenger_num" hflex="1"/>
</hlayout>
<separator height="5px"/>
<hlayout>
<box width="50px">排氣量</box>
<textbox id="displacement" hflex="1"/>
<box width="50px">強制證號</box>
<textbox id="enforcement_no" hflex="1"/>
<box width="50px">廠牌形式</box>
<textbox id="brand" hflex="1"/>
</hlayout>
<hlayout>
<button id="acceptButton" label="儲存"/>
</hlayout>
</groupbox>
<separator height="15px"/>
<groupbox mold="3d">
<caption style="background-color: #ACD6FF" label="賠案處理"/>
<hlayout>
<box>同事故相關賠案號碼</box>
<textbox id="relate_case_id" hflex="1"/>
<box width="50px">被保險人</box>
<textbox id="insured_name" hflex="1"/>
<box width="50px">駕駛人</box>
<textbox id="driver" hflex="1"/>
<box width="50px">接案日</box>
<datebox id="receive_date" hflex="1"/>
<box width="50px">出險型態</box>
<textbox id="insurance_type" hflex="1"/>
</hlayout>
<separator height="5px"/>
<box style="color: #006000">綜合記錄</box>
<grid>
<columns>
<column align="center" width="50px"/>
<column label="日期" align="center" width="200px"/>
<column label="紀錄" align="center"/>
</columns>
<rows>
</rows>
</grid>
<separator height="5px"/>
<box style="color: #006000">簡訊發送記錄</box>
<grid>
<columns>
<column align="center" width="50px"/>
<column label="日期" align="center" width="200px"/>
<column label="簡訊內容" align="center"/>
</columns>
<rows>
</rows>
</grid>
<separator height="5px"/>
<box style="color: #5B00AE">查證資料</box>
<grid>
<columns>
<column align="center" width="50px"/>
<column label="肇事人員" align="center" width="100px"/>
<column label="車號/對照姓名" align="center" width="200px"/>
<column label="肇責初判" align="center"/>
<column label="肇責確認" align="center"/>
<column label="肇責確認%" align="center"/>
</columns>
<rows>
</rows>
</grid>
<separator height="5px"/>
<hlayout>
<box style="color: #5B00AE">警方記錄</box>
<label id="verification_content" style="cursor: pointer; color: #0000C6">[查詢]</label>
</hlayout>
<separator height="5px" />
<hlayout>
<box>我方肇責</box>
<textbox id="our_accident" hflex="1"/>
<box>事故種類</box>
<textbox id="accident_type" hflex="1"/>
</hlayout>
<separator height="5px"/>
<grid>
<columns>
<column align="center" width="50px"/>
<column label="對造車號" align="center" width="100px"/>
<column label="肇責" align="center" width="100px"/>
<column label="車輛種類(乘載數量/單位)" align="center" hflex="1"/>
<column label="車主/車主身分證/車主電話/車主地址/車主E-mail" align="center" hflex="1"/>
<column label="駕駛人/駕駛人身分證/駕駛人電話/駕駛人地址/駕駛人E-mail" align="center" hflex="1"/>
<column label="保險公司/保單編號/強制證號/賠案號碼/理賠經辦/保險期間/保險金額" align="center" hflex="1"/>
</columns>
<rows>
</rows>
</grid>
<hlayout>
<button id="verifyButton" label="儲存"/>
</hlayout>
</groupbox>
<separator height="15px"/>
<groupbox mold="3d">
<caption style="background-color: #ACD6FF" label="理算資料"/>
<hlayout>
<box width="75px">歷次簽結號碼</box>
<textbox id="history_Signed" hflex="1"/>
<box width="75px">業務招攬人</box>
<textbox id="employee_attract_no" hflex="1"/>
<box width="75px">商品別</box>
<textbox id="commodity_type" hflex="1"/>
<box width="75px">專案</box>
<textbox id="project" hflex="1"/>
<box width="75px">特別註記</box>
<textbox id="special_note" hflex="1"/>
</hlayout>
<separator height="5px"/>
<box style="color: #5B00AE">出險資料</box>
<hlayout>
<box width="50px">憲警單位</box>
<textbox id="police_unit" hflex="1"/>
<box>憲警姓名</box>
<textbox id="police_name" hflex="1"/>
<box>憲警電話</box>
<textbox id="pilice_phone" hflex="1"/>
</hlayout>
<separator height="5px"/>
<hlayout>
<box width="50px">核對項目</box>
<textbox id="check_item" hflex="1"/>
<box>已檢具自付額發票影本</box>
<textbox id="invoice_copy" hflex="1"/>
</hlayout>
<separator height="5px"/>
<box style="color: #750000">車體險肇事責任百分比</box>
<hlayout>
<box style="color: #007979">事故種類</box>
<textbox id="accident_type_adjust" hflex="1"/>
<box style="color: #007979">有無肇責</box>
<textbox id="is_responsibility" hflex="1"/>
</hlayout>
<separator height="5px"/>
<box style="color: #00DB00">賠付內容</box>
<grid>
<columns>
<column label="賠付說明" align="center"/>
<column label="理算險種" align="center" width="200px"/>
<column label="結案別" align="center"/>
<column label="受損標的所有權人" align="center"/>
<column label="損失金額" align="center"/>
<column label="自付額" align="center"/>
<column label="暫收款" align="center"/>
<column label="淨賠金額" align="center"/>
<column label="賠付金額" align="center"/>
<column label="賠付對象" align="center"/>
</columns>
<rows>
</rows>
</grid>
<hlayout>
<button id="adjustButton" label="儲存"/>
</hlayout>
</groupbox>
</window>
</zk>