<!--   This is commented out -->

{% if app.session.hasFlash('notice') %}
    <br />
    <div class="flash-notice" >
        {{ app.session.flash('notice') }}
    </div>
{% endif %}

<form id="clientform" action="{{ path('DorcasTabithaBundle_search_create', { 'allrecs' : 'false' } ) }}" method="get" {{ form_enctype(form) }} class="dorcas">


 <h4>Add Client Search Criteria:</h4> 
 
        <div id="ssn">
            {{ form_label(form.ssn) }}
            {{ form_errors(form.ssn) }}
            {{ form_widget(form.ssn, { 'attr': {'size': '11', 'class': 'ssn'} }) }}
        </div>
        <div id="first_name" style="padding-right: 43px;">
            {{ form_label(form.first_name) }}
            {{ form_errors(form.first_name) }}
            {{ form_widget(form.first_name, { 'attr': {'size': '30', 
                'title': 'Searches First Name + Alias/Maiden Name + Other Adult #1 First name + Other Adult #2 First name'} }) }}
        </div>
        <div id="last_name">
            {{ form_label(form.last_name) }}
            {{ form_errors(form.last_name) }}
            {{ form_widget(form.last_name, { 'attr': {'size': '30',
                 'title': 'Searches Last Name + Alias/Maiden Name + Other Adult #1 Last name + Other Adult #2 Last name'} }) }}
        </div>
        <div id="alias" style="width:455px;">
            {{ form_label(form.alias) }}
            {{ form_errors(form.alias) }}
            {{ form_widget(form.alias, { 'attr': {'size': '30'} }) }}
        </div>
        <div id="current_address">
            {{ form_label(form.current_address) }}
            {{ form_errors(form.current_address) }}
            {{ form_widget(form.current_address, { 'attr': {'size': '50',
                'title': 'Searches Current Address + Previous Address'} }) }}
        </div>
        <div style="float: left; padding:3px; width:100%;">
            {{ form_label(form.prev_address1) }}
            {{ form_errors(form.prev_address1) }}
            {{ form_widget(form.prev_address1, { 'attr': {'size': '50'} }) }}
        </div>
 
        <br>&nbsp;


        <div style="float: left;">
                <div style="padding:3px;">
                        {{ form_label(form.other_adult_oneLastName) }}
                        {{ form_errors(form.other_adult_oneLastName) }}
                        {{ form_widget(form.other_adult_oneLastName, { 'attr': {'size': '30'} }) }}
                </div>
                <div id="other_adult_oneFirstName">
                        {{ form_label(form.other_adult_oneFirstName) }}
                        {{ form_errors(form.other_adult_oneFirstName) }}
                        {{ form_widget(form.other_adult_oneFirstName, { 'attr': {'size': '30'} }) }}
                </div>
        </div>
				
        <div style="float: left; padding:3px;">
            <div style="padding:3px;">
                {{ form_label(form.other_adult_twoLastName) }}
                {{ form_errors(form.other_adult_twoLastName) }}
                {{ form_widget(form.other_adult_twoLastName, { 'attr': {'size': '30'} }) }}
            </div>
                    <div id="other_adult_twoSsn">
                {{ form_label(form.other_adult_twoFirstName) }}
                {{ form_errors(form.other_adult_twoFirstName) }}
                {{ form_widget(form.other_adult_twoFirstName, { 'attr': {'size': '30'} }) }}
            </div>		
        </div>
	
	<br>&nbsp;<br>
	<br>&nbsp;<br>
	
	<div style="margin-left:25%; margin-right:25%;">
            <div style=" padding-top: 18px;">
                <input type="submit" value="Submit Search" >
            </div> 
	</div>

	<br>&nbsp;<br>

        {{ form_rest(form) }}

</form>



