id}}"@endisset >
claimNotification)value="{{$vars['claim']->claimNotification->id}}"@endisset >
claimIntimation)value="{{$vars['claim']->claimIntimation->id}}"@endisset >
claimNotification)) value="{{$vars['claim']->claimNotification->claim_report_date}}"
@else value="{{now()->format('Y-m-d\TH:i')}}"
@endif name="claim_report_date" id="claim_report_date" required>
claimNotification)) value="{{$vars['claim']->claimNotification->claim_report_date}}"
@else value="{{now()->format('Y-m-d\TH:i')}}"
@endif name="loss_date" id="loss_date"
placeholder="Accident Discovery Date" required>
claimIntimation)value="{{$vars['claim']->claimIntimation->claim_reserve_method}}"
@endisset name="claim_reserve_method" id="claim_reserve_method"
placeholder="Claim Reserve Method" required>
claimNotification)value="{{$vars['claim']->claimNotification->loss_location}}"
@endisset name="loss_location" id="loss_location"
placeholder="Accident Location" required>