Code:
<?php
$problems = array();
$showform = 0;
$errorMessage = "";
function validate($field, $value) {
if ($value == "") {
return 0;
} else {
return 1;
}
}
if($_POST) {
$fields = array('name','title', 'date', 'time', 'building', 'room', 'location', 'occurrence','person', 'title1', 'phone1', 'explanation', 'security', 'police', 'witness', 'acttaken', 'followact');
$x = 0 - 1;
foreach($fields as $field) {
if(isset($_POST[$field])) {
$validation = validate($field, $_POST[$field]);
if ($validation == 1) {
$x++;
$info[$x] = $_POST[$field];
} else {
$problems[$field] = 1;
$showform = 1;
}
} else {
$problems[$field] = 1;
$showform = 1;
}
}
} else {
$showform = 1;
}
if(count($problems) < 1 && $_POST) {
// DO THE MAILING HERE
$fields = array('title', 'name','date', 'time', 'building', 'room', 'location', 'title1','person', 'phone1', 'title2', 'person2', 'phone2','title3','person3', 'phone3','title4','person4', 'phone4','occurrence','obscene','altercation1', 'altercation2', 'sexharass', 'property', 'harm', 'drugs', 'other', 'explanation', 'security', 'police', 'witness','wtitle1', 'wperson', 'wphone1', 'wtitle2', 'wperson2', 'wphone2','wtitle3','wperson3', 'wphone3', 'acttaken', 'followact');
$to2 = "aabdelzaher@dacc.edu";
$subject = "Incident / Unusual Occurrence Report";
$headers ='MIME-Version: 1.0' .PHP_EOL;
$headers .='Content-type: text/html; charset=iso-8859-1' . PHP_EOL;
$headers .= "From: noreply@dacc.edu\r\n" . "X-Mailer: php";
$greet = "The following was submitted on " . date("F j, Y, g:i a") . "<p><p>";
$body = $greet ;
$cn = 1;
foreach($fields as $efield) {
if(isset($_POST[$efield])) {
if($efield == "type3" || $efield == "type4" || $efield == "type5" || $efield == "type6" || $efield == "type7" || $efield == "type8" || $efield == "type9" ) {
$body.= "<strong>". "Type of Occurrence:". "</strong> " . $_POST[$efield] . "<p>";
$cn++;
} elseif($efield == "title") {
$body.= "<strong>"."Name of Person Filing Report: " ."</strong>" . $_POST[$efield] " ";
} elseif($efield == "name") {
$body.= " " . $_POST[$efield] . "<p><hr color=' #33cc66'>";
} elseif($efield == "date") {
$body.= "<strong>". "Date of Occurrence : "."</strong>" . $_POST[$efield] . " ";
} elseif ($efield == "time") {
$body.= "<strong>"."Time: " ."</strong>". $_POST[$efield] . "</p>";
} elseif ($efield == "building") {
$body.= "<strong>"."Building: ". "</strong>" . $_POST[$efield] . " ";
} elseif ($efield == "room") {
$body.= "<strong>"."Room: "."</strong>" . $_POST[$efield] . "<p>";
} elseif ($efield == "location") {
$body.= "<strong>"."Description of Location: ". "</strong>" . $_POST[$efield] . "<p><hr color=' #33cc66'>";
} elseif ($efield == "title1") {
$body.= "<strong>"."First Person involved: ". "</strong>" . $_POST[$efield] . " ";
} elseif ($efield == "person") {
$body.= " " . $_POST[$efield] . "<p>";
} elseif ($efield == "phone1") {
$body.= "<strong>". "Phone : ". "</strong>" . $_POST[$efield] . "<p><hr color=' #33cc66'>";
} elseif ($efield == "explanation") {
$body.= "<strong>"."Detailed Explanation: ". "</strong>" . $_POST[$efield] . "<p><hr color=' #33cc66'>";
} elseif ($efield == "security") {
$body.= "<strong>"."Security called: ". "</strong>" . $_POST[$efield] . "<p>";
} elseif ($efield == "police") {
$body.= "<strong>"."Police called: "."</strong>" . $_POST[$efield] . "<p>";
} elseif ($efield == "witness") {
$body.= "<strong>"."Were there witnesses: "."</strong>" . $_POST[$efield] . "<p><hr color=' #33cc66'>";
} elseif($efield == "wtitle1" && $_POST[$efield] != '') {
$body.= "<strong>"."Witness: "."</strong>" . $_POST[$efield] . " ";
} elseif($efield == "wperson" && $_POST[$efield] != '') {
$body.= " " . $_POST[$efield] . "<p>";
} elseif($efield == "wphone1" && $_POST[$efield] != '') {
$body.= "<strong>"."Phone : "."</strong>" . $_POST[$efield] . "<p><hr color=' #33cc66'>";
}elseif($efield == "wtitle2" && $_POST[$efield] != '') {
$body.= "<strong>"."Second witness: ". "</strong>" . $_POST[$efield] . " ";
} elseif($efield == "wperson2" && $_POST[$efield] != '') {
$body.= " " . $_POST[$efield] . "<p>";
} elseif($efield == "wphone2" && $_POST[$efield] != '') {
$body.= "<strong>"."Phone : ". "</strong>" . $_POST[$efield] . "<p><hr color=' #33cc66'>";
} elseif($efield == "wtitle3" && $_POST[$efield] != '') {
$body.="<strong>". "Third witness: ". "</strong>" . $_POST[$efield] . " ";
} elseif($efield == "wperson3" && $_POST[$efield] != '') {
$body.= " " . $_POST[$efield] . "<p>";
} elseif($efield == "wphone3" && $_POST[$efield] != '') {
$body.= "<strong>". "Phone: "."</strong>" . $_POST[$efield] . "<p><hr color=' #33cc66'>";
} elseif ($efield == "acttaken") {
$body.= "<strong>"."Immediate Action Taken: " ."</strong>". $_POST[$efield] . "<p><hr color=' #33cc66'>";
} elseif ($efield == "followact") {
$body.= "<strong>". "What Follow-up Action will be taken: " "</strong>". $_POST[$efield] . "<p><hr color=' #33cc66'>";
}
}
}
//mail($to, $subject, $body, $headers);
mail($to2, $subject, $body, $headers);
// mail($to3, $subject, $body, $headers);
?>
<p class="style1">Your report has been submitted.<br><br></p>
<?php
}
if($showform == 1) {
?>
<?php if(count($problems) > 0) { ?>
<p><strong><font color="red">PLEASE CORRECT ANY FIELDS WITH A RED * BY
THEM</font></strong></p>
<?php } ?></font></p>
<form action="" method="post" name="incidentreport" onSubmit="return IsValidTime(document.incidentreport.time.value);">
<fieldset>
<legend>
<span lang="en-us">Incident Report</span>
</legend>
<div class="style6">
<div class="style6">
<div class="style7">
<br>
<table style="width: 100%">
<tr>
<td style="width: 248px" class="style1"><font size="-1" face="Arial, Helvetica, sans- serif" align="left">
<label class="formtext" for="name">Name(s):<span lang="en-us">(required)</span> <?php if(isset($problems['name'])) {?><font color="red">*</font><?php } ?></label><br>
<input class="inputstyle" type="text" name="name" value="<?php if(isset($_POST['name'])){ print($_POST['name']); }?>" style=" width: 288px"> </font>
</td>
<td style="width: 148px" class="style1"><font size="-1" face="Arial, Helvetica, sans-serif" align="left">
<label class="formtext" for="title">Title:(required) <?php if(isset($problems['title'])) {?><font color="red">*</font><?php } ?></label><br>
<input class="style6" type="text" name="title" value="<?php if(isset($_POST['title'])){ print($_POST['title']); }?>" style=" width: 132px"></font>
</td>
</tr>
</table>
<p>
</p>
<table >
<tr>
<td style="width: 272px" class="style6"><font size="-1" face="Arial, Helvetica, sans-serif" >
<label class="formtext" for="date" >Date of Occurrence:(required) <?php if(isset($problems['date'])) {?><font color="red">*</font><?php } ?><br></label>
<input type="text" id="date" size=20 value="<?php if(isset($_POST['date'])){ print($_POST['date']); }?>" style="width: 229px" >
</font></td>
<td style="width: 154px" class="style1"><font size="-1" face="Arial, Helvetica, sans-serif" align="left">
<label class="formtext" for="time">Time of Occurrence: <?php if(isset($problems['time'])) {?><font color="red">*</font><?php } ?></label><br>
</font><span class="style8">
<input type="text" id="time" value="<?php if(isset($_POST['time'])){ print($_POST['time']); }?>"> </span></td></tr>
<script type="text/javascript">
AnyTime.picker( "date",
{ format: "%W, %M %d, %Y", firstDOW: 1 } );
$("#time").AnyTime_picker(
{ format: "%h:%i:%p", labelTitle: "Time",
labelHour: "Hour", labelMinute: "Minute" }
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