234 lines
8.8 KiB
HTML
234 lines
8.8 KiB
HTML
<?xml version="1.0" encoding="utf-8" ?>
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<html>
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<version>1</version>
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<head>
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<title>Reimbursement Claim / Credit Card statement</title>
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<style type="text/css">
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th {
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text-align: center;
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}
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tr.descr {
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font-size: small;
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}
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tr.example {
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font-style: italic;
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}
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tr.descr td {
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padding: 1px 4px !important;
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}
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table input.form-control,
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table textarea.form-control {
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font-size: 12px;
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}
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table td {
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padding: 1px !important;
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}
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.form-control {
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padding: 3px 6px !important;
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}
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input[type="file"] {
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width: 180px;
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}
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</style>
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<script src="/scripts/addrow.js"></script>
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</head>
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<body class="full-width">
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<h1>Reimbursement Claim / Credit Card statement</h1>
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<p>
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In this form, you can enter your reimbursable expenses (monthly)
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as well as your credit card expenses (twi-monthly), upload
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receipts, and eventually submit it to our financial team.
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</p>
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<p>
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Please fill out all fields as requested, and take care of
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selecting the correct type (Reimbursement Claim or Credit Card).
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</p>
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<form action="/cgi-bin/reimbursement.php" method="post" enctype="multipart/form-data">
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<h2>1. Set general options</h2>
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<div class="form-group form-inline">
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<label class="col-sm-3">Employee:</label>
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<select class="form-control col-sm-9" name="who" size="1" required="required">
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<option />
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<option value="Alexander Sander|alex.sander">Alexander Sander</option>
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<option value="Ana Galan|anaghz">Ana Galán</option>
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<option value="Bonnie Mehring|bonnie">Bonnie Mehring</option>
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<option value="Dario Presutti|dario">Dario Presutti</option>
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<option value="Erik Albers|eal">Erik Albers</option>
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<option value="Florian Snow|floriansnow">Florian Snow</option>
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<option value="Francesca Indorato|fi">Francesca Indorato</option>
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<option value="Gabriel Ku Wei Bin|gabriel.ku">Gabriel Ku Wei Bin</option>
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<option value="Heiki Lõhmus|repentinus">Heiki Lõhmus</option>
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<option value="Henning Fehr|hf">Henning Fehr</option>
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<option value="Irakli Maisuradze|irakli">Irakli Maisuradze</option>
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<option value="Jithendra Palepu|jithendra">Jithendra Palepu</option>
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<option value="Johannes Näder|jn">Johannes Näder</option>
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<option value="Lina Ceballos|lina.ceballos">Lina Ceballos</option>
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<option value="Linda Wagener|linda">Linda Wagener</option>
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<option value="Linus Sehn|linus">Linus Sehn</option>
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<option value="Lucas Lasota|lucas.lasota">Lucas Lasota</option>
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<option value="Max Mehl|max.mehl">Max Mehl</option>
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<option value="Michal Gorlas|micgor32">Michal Gorlas</option>
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<option value="Matthias Kirschner|mk">Matthias Kirschner</option>
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<option value="Reinhard Müller|reinhard">Reinhard Müller</option>
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<option value="Tobias Diekershoff|tobiasd">Tobias Diekershoff</option>
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<option value="Tommaso Marmo|tommi">Tommaso Marmo</option>
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</select>
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</div>
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<div class="clearfix"></div>
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<div class="form-group">
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<label class="col-sm-3">Type:</label>
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<div class="radio form-inline col-sm-9">
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<label>
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<input type="radio" name="type" value="rc" required="required" />
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Reimbursement Claim for month
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<select class="form-control" name="rc_month">
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<option />
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<option value="01">January</option>
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<option value="02">February</option>
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<option value="03">March</option>
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<option value="04">April</option>
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<option value="05">May</option>
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<option value="06">June</option>
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<option value="07">July</option>
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<option value="08">August</option>
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<option value="09">September</option>
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<option value="10">October</option>
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<option value="11">November</option>
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<option value="12">December</option>
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</select>
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<select class="form-control" name="rc_year">
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<option value="2022">2022</option>
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<option value="2023">2023</option>
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<option value="2024" selected="selected">2024</option>
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<option value="2025">2025</option>
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</select>
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</label>
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</div>
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<div class="clearfix"></div>
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<div class="radio form-inline col-sm-offset-3 col-sm-9">
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<label>
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<input type="radio" name="type" value="cc" required="required" />
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Credit Card for quarter
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<select class="form-control" name="cc_month">
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<option />
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<option value="Q1">Q1</option>
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<option value="Q2">Q2</option>
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<option value="Q3">Q3</option>
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<option value="Q4">Q4</option>
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</select>
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<select class="form-control" name="cc_year">
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<option value="2022">2022</option>
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<option value="2023">2023</option>
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<option value="2024" selected="selected">2024</option>
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<option value="2025">2025</option>
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</select>
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</label>
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</div>
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</div>
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<h2>2. Enter your expenses</h2>
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<table class="table table-striped">
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<tr>
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<th>Date</th>
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<th>Amount</th>
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<th>Recipient</th>
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<th>ER number</th>
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<th>Catchphrase</th>
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<th>Description</th>
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<th>Receipt Scan</th>
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<th>Rows</th>
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</tr>
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<tr class="descr">
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<td>"Belegdatum" for credit card statements</td>
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<td>In EUR. Format: 123,00</td>
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<td></td>
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<td>Valid ER number</td>
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<td>Catch phrase for the ER</td>
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<td>What specifically was paid for. <strong>-</strong> if equal to catchphrase</td>
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<td>Upload receipt as PDF, max. 2MB each</td>
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<td>Add a new row, or delete one</td>
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</tr>
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<tr class="descr example">
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<td>Example 1: 16.04.2021</td>
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<td>12,34</td>
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<td>Berlin Bus Company</td>
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<td>er.2021-04-16.123.4567</td>
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<td>Cool Conference</td>
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<td>Bus ticket from Berlin to New York</td>
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<td>e.g. busticket.pdf</td>
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<td></td>
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</tr>
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<tr class="descr example">
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<td>Example 2: 17.04.2021</td>
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<td>67,89</td>
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<td>ACME</td>
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<td>er.2021-04-17.890.1234</td>
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<td>New laptop for Jane Doe</td>
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<td>USB adapter for external keyboard</td>
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<td>e.g. acme-adapter.pdf</td>
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<td></td>
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</tr>
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<tr>
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<td><input type="date" name="entry[]" class="form-control" required="required" /></td>
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<td><input type="text" name="amount[]" class="form-control" pattern="-?\d{0,5},\d{2}" placeholder="12,34" required="required" /></td>
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<td><input type="text" name="recipient[]" class="form-control" required="required" /></td>
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<td><input type="text" name="er[]" class="form-control" pattern="^er\.[\d]{4}-[\d]{2}-[\d]{2}\.[\d.-]+" placeholder="er.2020-..." required="required" /></td>
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<td><input type="text" name="catch[]" class="form-control" required="required" /></td>
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<td><input type="text" name="remarks[]" class="form-control" required="required" /></td>
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<td><input type="file" name="receipt[]" class="form-control" required="required" /></td>
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<td><input type="button" class="AddNewRow btn btn-primary" value="+ 1 row" /></td>
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</tr>
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</table>
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<h2>3. Notes for the financial team</h2>
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<p>If necessary, you can add additional remarks and notes to the statement you send.</p>
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<div class="form-group">
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<textarea name="extra" class="form-control" rows="3"></textarea>
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</div>
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<h2>4. Submit RC/CC statement</h2>
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<p>If you would like to preview the results, either via email or
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only in the web interface, choose differing options below. To not
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lose your data, press the "back" button in your browser to come
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back to this page afterwards.</p>
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<div class="form-group">
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<label class="radio-inline">
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<input type="radio" name="mailopt" value="normal" required="required" checked="checked" /> Send emails to finance team and me
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</label>
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<label class="radio-inline">
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<input type="radio" name="mailopt" value="onlyme" required="required" /> Send email only to me
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</label>
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<label class="radio-inline">
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<input type="radio" name="mailopt" value="none" required="required" /> Do not send any email at all
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</label>
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</div>
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<button type="submit" class="btn btn-primary">Submit RC/CC report</button>
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</form>
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</body>
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</html>
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