<?php echo $__env->make('common.modalHead', \Illuminate\Support\Arr::except(get_defined_vars(), ['__data', '__path']))->render(); ?>
            <div class="row">
                <div class="col-sm-12 col-md-6">
                    <div class="form-group">
                        <label>Nombre</label>
                        <input type="text" class="form-control" wire:model.lazy="name" placeholder="ej. Cita médica">
                        <?php $__errorArgs = ['name'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?>
                            <span class="text-danger er"><?php echo e($message); ?></span>
                        <?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?>
                    </div>
                </div>
                <div class="col-sm-12 col-md-6">
                    <div class="form-group">
                        <label>Requiere documento de soporte?</label>
                        <select class="form-select form-control" wire:model.lazy="support_document_required">
                            <option value="0">No</option>
                            <option value="1">Si</option>
                        </select>
                        <?php $__errorArgs = ['support_document_required'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?>
                            <span class="text-danger er"><?php echo e($message); ?></span>
                        <?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?>
                    </div>
                </div>
                <div class="col-sm-12 col-md-12">
                    <div class="form-group">
                        <label>Descripción</label>
                        <textarea class="form-control" wire:model.lazy="description" rows="3" placeholder="ej. Cita médica para el día de hoy"></textarea>
                        <?php $__errorArgs = ['description'];
$__bag = $errors->getBag($__errorArgs[1] ?? 'default');
if ($__bag->has($__errorArgs[0])) :
if (isset($message)) { $__messageOriginal = $message; }
$message = $__bag->first($__errorArgs[0]); ?>
                            <span class="text-danger er"><?php echo e($message); ?></span>
                        <?php unset($message);
if (isset($__messageOriginal)) { $message = $__messageOriginal; }
endif;
unset($__errorArgs, $__bag); ?>
                    </div>
                </div>


            </div>
<?php echo $__env->make('common.modalFooter', \Illuminate\Support\Arr::except(get_defined_vars(), ['__data', '__path']))->render(); ?>
<?php /**PATH /var/www/html/resources/views/livewire/type_work_permit/form.blade.php ENDPATH**/ ?>