{% if not public_mode %} {% include "_global_user_menu.html" %} {% endif %} {% if not (public_mode and public_request_registered and public_request_id) %}

{{ "Sysmantech Support" if public_mode else "Onsite Call Management" }}

{{ "Request an Onsite Service Visit" if public_mode else ("Edit Onsite Call or Lead" if form_mode == 'edit' else "Create a New Onsite Call or Lead") }}

{% if public_mode %} Reliable Tech Support by Sysmantech — Fast, Professional, and Right at Your Doorstep. {% else %} {{ "Update the case details below and save the changes." if form_mode == 'edit' else "Staff can register onsite calls for their own branch, while admins can also create and share leads to other branches from the same screen." }} {% endif %}

{% if not public_mode %}

View Dashboard Main Dashboard

{% endif %}

{% endif %} {% if not public_mode %} {% with messages = get_flashed_messages(with_categories=true) %} {% if messages %}

{% for category, message in messages %}

{% endfor %}

{% endif %} {% endwith %} {% endif %} {% if errors %}

{% for error in errors %}

{% endfor %}

{% endif %} {% if public_mode and public_request_registered and public_request_id %}

Thank You for Your Submission!

Your request has been successfully registered.

Request ID: {{ public_request_id }}

Our support team will review your request and contact you shortly to assist you further.

We appreciate your trust in Sysmantech.

Create New Request

{% else %}

{{ "Customer Request Form" if public_mode else "Internal Call Entry" }}

{% if public_mode %} Fill in the issue details clearly so our support team can contact you and arrange the visit. {% else %} Choose Onsite to capture a service visit, or Lead to register a branch follow-up case with manual lead source tracking. {% endif %}

{% if not public_mode %}

Entry types: {{ call_type_choices|length }} Complaint types: {{ complaint_types|length }} Priority options: {{ priority_levels|length }}

{% endif %}

{% if form_mode == 'edit' and edit_call_id %} {% endif %} {% if not public_mode %}

Entry Type

Use Lead for branch-shared follow-up cases and Onsite for direct service jobs.

{% endif %}

Customer Name

Phone

Location / Place {% if not public_mode %}

Required for onsite calls. Optional for leads.

{% endif %}

District {% set district_options = [ 'Thiruvananthapuram', 'Kollam', 'Pathanamthitta', 'Alappuzha', 'Kottayam', 'Idukki', 'Ernakulam', 'Thrissur', 'Palakkad', 'Malappuram', 'Kozhikode', 'Wayanad', 'Kannur', 'Kasaragod' ] %}

Complaint Type

Preferred Service

Priority

Preferred Date & Time

Device Model

{% if not public_mode and form_mode != 'edit' %}

Assign Branch

{% if can_assign_on_create %}

Assign Engineer

Leave it blank or type a name to search branch coordinators from your database.

{% else %}

Engineer Assignment

Engineer can be assigned later by admin or super admin after the case is created.

{% endif %} {% endif %} {% if not public_mode %}

Lead Source

Manual entry is enough. Example: Facebook Ads, Instagram, Referral, Walk-in.

{% endif %}

Complaint Description

Complaint / Device Images or Videos

Upload up to 3 images or videos, 10 MB each. Media is automatically deleted 30 days after the case is Completed, Failed, or Cancelled.

{% if not public_mode %} Cancel {% endif %}

{% endif %}