clarms-plugins-verifyform.vue
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<template>
<div class="reservation-container">
<div class="title" v-if="!(userInfo && userInfo.name)"><u><span class="pointer" @click="toRegisterPage">{{$t('clarms.step1.register')}}</span>/<span class="pointer" @click="toLoginPage">{{$t('clarms.step1.login')}}</span></u>{{$t('clarms.step1.t1')}}</div>
<div class="form-name default-mt"> {{$t('clarms.step1.label0')}}</div>
<div class="gird-g form default-mt">
<div class="form-item">
<div class="label">
{{$t('clarms.step1.label1')}}
</div>
<div class="ipt-wrap">
<input class="ipt" type="text" v-model="data.lastName">
</div>
</div>
<div class="form-item">
<div class="label">
{{$t('clarms.step1.label2')}}
</div>
<div class="ipt-wrap">
<input class="ipt" type="text" v-model="data.firstName">
</div>
</div>
<div class="form-item">
<div class="label">
{{$t('clarms.step1.label3')}}
</div>
<div class="ipt-wrap">
<div class="down-arrow"></div>
<el-select class="ipt" v-model="data.idType" :placeholder="$t('clarms.step2.placeHolder1')">
<el-option v-for="(item, index) in policyIdTypeList" :key="index" :label="item.n" :value="item.v"></el-option>
</el-select>
</div>
</div>
<div class="form-item">
<div class="label">
{{$t('clarms.step1.label4')}}
</div>
<div class="ipt-wrap">
<input class="ipt" type="text" v-model="data.idNo">
</div>
</div>
<div class="form-item">
<div class="label">
{{$t('clarms.step1.label5')}}
</div>
<div class="ipt-wrap">
<div class="down-arrow"></div>
<date-picker class="ipt-date" v-model="data.birthDate" :filtModel="['future']" :check="checkDate" :cusStyle="{border:'none !important','background-color':'transparent !important',height:'3rem', padding:'0', color:'#606266'}"></date-picker>
</div>
</div>
</div>
<div class="submit-btn pointer flex-center" @click="handleConfirm" :class="{disabled : btnDisabled}">
<van-loading v-if="loading" />
<span>{{$t('clarms.step1.btn')}}</span>
</div>
<div class="tips" v-if="showTips">
<img class="icon" src="@/assets/images/common/icon-alert-i.png" alt="">
<div class="txt">
{{$t('clarms.step1.noPolicy')}}
<span class="pointer btn" @click="toContactUs">{{$t('clarms.step1.customService')}}</span>
</div>
</div>
</div>
</template>
<script src="./clarms-plugins-verifyform.js"></script>
<style lang="scss" scoped>
@import "./clarms-plugins-verifyform.scss";
</style>