<h2>{global:formtitle}</h2>
{error}
<!-- Do not remove this ID, it is used to identify the page so that the pagination script can work correctly -->
<div class="formContainer formHorizontal" id="rsform_{global:formid}_page_0">
	<div class="formRow">
		<div class="formSpan12">
			<div class="rsform-block rsform-block-name-espense rsform-type-textbox{NAME_ESPENSE:errorClass}">
				<label class="formControlLabel" for="NAME_ESPENSE">{NAME_ESPENSE:caption}</label>
				<div class="formControls">
					<div class="formBody">
						{NAME_ESPENSE:body}
						<span class="formValidation">{NAME_ESPENSE:validation}</span>
						<p class="formDescription">{NAME_ESPENSE:description}</p>
					</div>
				</div>
			</div>
			<div class="rsform-block rsform-block-reciept-description rsform-type-textarea{RECIEPT_DESCRIPTION:errorClass}">
				<label class="formControlLabel" for="RECIEPT_DESCRIPTION">{RECIEPT_DESCRIPTION:caption}</label>
				<div class="formControls">
					<div class="formBody">
						{RECIEPT_DESCRIPTION:body}
						<span class="formValidation">{RECIEPT_DESCRIPTION:validation}</span>
						<p class="formDescription">{RECIEPT_DESCRIPTION:description}</p>
					</div>
				</div>
			</div>
			<div class="rsform-block rsform-block-total-amount rsform-type-textbox{TOTAL AMOUNT:errorClass}">
				<label class="formControlLabel" for="TOTAL AMOUNT">{TOTAL AMOUNT:caption}<strong class="formRequired">(*)</strong></label>
				<div class="formControls">
					<div class="formBody">
						{TOTAL AMOUNT:body}
						<span class="formValidation">{TOTAL AMOUNT:validation}</span>
						<p class="formDescription">{TOTAL AMOUNT:description}</p>
					</div>
				</div>
			</div>
			<div class="rsform-block rsform-block-receipt-tax-amount rsform-type-textbox{Receipt__Tax_Amount:errorClass}">
				<label class="formControlLabel" for="Receipt__Tax_Amount">{Receipt__Tax_Amount:caption}</label>
				<div class="formControls">
					<div class="formBody">
						{Receipt__Tax_Amount:body}
						<span class="formValidation">{Receipt__Tax_Amount:validation}</span>
						<p class="formDescription">{Receipt__Tax_Amount:description}</p>
					</div>
				</div>
			</div>
			<div class="rsform-block rsform-block-expense-categories rsform-type-radiogroup{EXPENSE_CATEGORIES:errorClass}">
				<label class="formControlLabel" id="EXPENSE_CATEGORIES-grouplbl">{EXPENSE_CATEGORIES:caption}<strong class="formRequired">(*)</strong></label>
				<div class="formControls" role="group" aria-labelledby="EXPENSE_CATEGORIES-grouplbl">
					<div class="formBody">
						{EXPENSE_CATEGORIES:body}
						<span class="formValidation">{EXPENSE_CATEGORIES:validation}</span>
						<p class="formDescription">{EXPENSE_CATEGORIES:description}</p>
					</div>
				</div>
			</div>
			<div class="rsform-block rsform-block-additional-notes rsform-type-textarea{ADDITIONAL_NOTES:errorClass}">
				<label class="formControlLabel" for="ADDITIONAL_NOTES">{ADDITIONAL_NOTES:caption}</label>
				<div class="formControls">
					<div class="formBody">
						{ADDITIONAL_NOTES:body}
						<span class="formValidation">{ADDITIONAL_NOTES:validation}</span>
						<p class="formDescription">{ADDITIONAL_NOTES:description}</p>
					</div>
				</div>
			</div>
			<div class="rsform-block rsform-block-upload-file rsform-type-fileupload{UPLOAD_FILE:errorClass}">
				<label class="formControlLabel" for="UPLOAD_FILE">{UPLOAD_FILE:caption}</label>
				<div class="formControls">
					<div class="formBody">
						{UPLOAD_FILE:body}
						<span class="formValidation">{UPLOAD_FILE:validation}</span>
						<p class="formDescription">{UPLOAD_FILE:description}</p>
					</div>
				</div>
			</div>
			<div class="rsform-block rsform-block-captcha-expense rsform-type-captcha{CAPTCHA_EXPENSE:errorClass}">
				<label class="formControlLabel" for="captchaTxt99">{CAPTCHA_EXPENSE:caption}<strong class="formRequired">(*)</strong></label>
				<div class="formControls">
					<div class="formBody">
						{CAPTCHA_EXPENSE:body}
						<span class="formValidation">{CAPTCHA_EXPENSE:validation}</span>
						<p class="formDescription">{CAPTCHA_EXPENSE:description}</p>
					</div>
				</div>
			</div>
			<div class="rsform-block rsform-block-submit rsform-type-submitbutton{SUBMIT:errorClass}">
				<label class="formControlLabel">{SUBMIT:caption}</label>
				<div class="formControls">
					<div class="formBody">
						{SUBMIT:body}
						<span class="formValidation">{SUBMIT:validation}</span>
						<p class="formDescription">{SUBMIT:description}</p>
					</div>
				</div>
			</div>
		</div>
	</div>
</div>