intranet.rangeramerican.com Open in urlscan Pro
72.50.26.114  Public Scan

URL: http://intranet.rangeramerican.com/index.php?option=com_maqmahelpdesk&Itemid=103&id_workgroup=10&task=ticket_view&filter_ticketid=3...
Submission: On February 06 via manual from US — Scanned from DE

Form analysis 1 forms found in the DOM

Name: adminFormPOST /index.php

<form id="adminForm" name="adminForm" action="/index.php" method="post" enctype="multipart/form-data" class="form-horizontal">
  <input type="hidden" name="f796c41dc1cd33070aecb9de1bd4d99d" value="1"> <input type="hidden" name="task" value="">
  <input type="hidden" name="clientrate" value="0">
  <input type="hidden" name="replysubject" value="">
  <input type="hidden" name="id_activity_type" value="0">
  <input type="hidden" name="id_activity_rate" value="0">
  <input type="hidden" name="start_time" value="0">
  <input type="hidden" name="end_time" value="0">
  <input type="hidden" name="break_time" value="0">
  <input type="hidden" name="replytime" value="0">
  <input type="hidden" name="tickettravel" value="0">
  <input type="hidden" name="assign_to" value="616">
  <input type="hidden" name="old_assign" value="616">
  <input type="hidden" name="old_status" value="6">
  <input type="hidden" name="old_priority" value="5">
  <input type="hidden" name="id_priority" value="5">
  <input type="hidden" name="id_assign" value="616">
  <input type="hidden" name="old_duedate_date" value="2024-01-23">
  <input type="hidden" name="old_duedate_hour" value="15:36">
  <input type="hidden" name="old_id_category" value="9">
  <input type="hidden" id="id_category" name="id_category" value="9">
  <input type="hidden" name="is_editreplied" value="0">
  <input type="hidden" name="originalmsg" value="0">
  <input type="hidden" name="option" value="com_maqmahelpdesk">
  <input type="hidden" id="Itemid" name="Itemid" value="103">
  <input type="hidden" name="id_workgroup" id="id_workgroup" value="10">
  <input type="hidden" name="id_directory" id="id_directory" value="0">
  <input type="hidden" id="id" name="id" value="36660">
  <input type="hidden" name="last_status" value="New">
  <input type="hidden" name="duedate_date" id="duedate_date" value="2024-01-23">
  <input type="hidden" name="duedate_hours" id="duedate_hours" value="15:36">
  <input type="hidden" name="filter_email" id="filter_email" value="Ezequiel.BerriosReyes@viatris.com">
  <input type="hidden" name="filter_ticketid" id="filter_ticketid" value="36660">
  <div class="control-group row-fluid">
    <label class="control-label">User</label>
    <div class="controls" style="padding-top:5px;"> Ezequiel Berrios Reyes (Ezequiel.BerriosReyes@viatris.com) </div>
  </div>
  <div class="control-group row-fluid">
    <label class="control-label">Category</label>
    <div class="controls" style="padding-top:5px;"> Reclamaciones (Claims) </div>
  </div>
  <div class="control-group row-fluid">
    <label class="control-label">Assign To</label>
    <div class="controls" style="padding-top:5px;"> Milagros Martinez </div>
  </div>
  <div class="control-group row-fluid">
    <label class="control-label">Source</label>
    <div class="controls" style="padding-top:5px;"> Website </div>
  </div>
  <div class="control-group row-fluid">
    <label class="control-label">Priority</label>
    <div class="controls" style="padding-top:5px;"> Urgente(Urgent) </div>
  </div>
  <div class="control-group row-fluid">
    <label class="control-label">Status</label>
    <div class="controls">
      <select id="id_status" name="id_status">
        <option value="6" selected="selected">In Progress</option>
        <option value="1">New</option>
      </select>
    </div>
  </div>
  <div id="cf2" class="control-group row-fluid field cfield cat0 cfieldsection-" style="display: block;">
    <label class="control-label" for="custom2"> Nombre del empleado: <span class="required">*</span> </label>
    <div class="controls">
      <input type="hidden" id="custom2" name="custom2" value="Ezequiel" maxlength="25" readonly="">Ezequiel
    </div>
  </div>
  <div id="cf11" class="control-group row-fluid field cfield cat0 cfieldsection-" style="display: block;">
    <label class="control-label" for="custom11"> Primer Apellido (Last Name) <span class="required">*</span> </label>
    <div class="controls">
      <input type="hidden" id="custom11" name="custom11" value="Berrios" maxlength="25" readonly="">Berrios
    </div>
  </div>
  <div id="cf12" class="control-group row-fluid field cfield cat0 cfieldsection-" style="display: block;">
    <label class="control-label" for="custom12"> Segundo Apellido (Second Last Name) <span class="required">*</span> </label>
    <div class="controls">
      <input type="text" id="custom12" name="custom12" value="Reyes" maxlength="25">
    </div>
  </div>
  <div id="cf13" class="control-group row-fluid field cfield cat0 cfieldsection-" style="display: block;">
    <label class="control-label" for="custom13"> Número de empleado (Employee number) <span class="required">*</span> </label>
    <div class="controls">
      <input type="text" id="custom13" name="custom13" value="45517" maxlength="25">
    </div>
  </div>
  <div id="cf15" class="control-group row-fluid field cfield cat0 cfieldsection-" style="display: block;">
    <label class="control-label" for="custom15"> Gerente (Manager)1 <span class="required">*</span> </label>
    <div class="controls">
      <select id="custom15" name="custom15" class="inputbox">
        <option value=""></option>
        <option value="Carlos Carmona">Carlos Carmona</option>
        <option value="Ernesto Correa">Ernesto Correa</option>
        <option value="Javier Soto">Javier Soto</option>
        <option value="Jose Perez">Jose Perez</option>
        <option value="Leslie Colon">Leslie Colon</option>
        <option value="Loreimy Torres">Loreimy Torres</option>
        <option value="Luis Cordero">Luis Cordero</option>
        <option value="Miguel Maldonado">Miguel Maldonado</option>
        <option value="Rafael Carderon">Rafael Carderon</option>
        <option value="Tommy Villariny">Tommy Villariny</option>
        <option value="Victor Fernandez">Victor Fernandez</option>
        <option value="Zulimar Jimenez">Zulimar Jimenez</option>
        <option value="Leovigildo Vazquez">Leovigildo Vazquez</option>
      </select>
    </div>
  </div>
  <div id="cf113" class="control-group row-fluid note cfield cat9 cfieldsection-" style="display: block;">
    <div class="controls">
      <input type="hidden" id="custom113" name="custom113" value="" maxlength="0" readonly="">
    </div>
  </div>
  <div class="span12 issection cfieldsection-reclamacion-1-claim-1" style="display: block;">
    <label class="control-label" style="font-size:120%;padding:5px 10px;">Reclamación 1 (Claim 1)</label>
  </div>
  <div id="cf17" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-1-claim-1" style="display: block;">
    <label class="control-label" for="custom17"> Cualificación (Qualification) <span class="required">*</span> </label>
    <div class="controls">
      <select id="custom17" name="custom17" class="inputbox">
        <option value="Desarmado (Unarmed)" selected="">Desarmado (Unarmed)</option>
        <option value="Armado (Armed)">Armado (Armed)</option>
        <option value="Táctico (Tactical)">Táctico (Tactical)</option>
        <option value="Taser (Taser)">Taser (Taser)</option>
      </select>
    </div>
  </div>
  <div id="cf16" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-1-claim-1" style="display: block;">
    <label class="control-label" for="custom16"> Tipo de Reclamación (Type of Claim) <span class="required">*</span> </label>
    <div class="controls">
      <select id="custom16" name="custom16" class="inputbox">
        <option value="Salario por hora (Hourly wage)" selected="">Salario por hora (Hourly wage)</option>
        <option value="Cantidad de horas trabajadas (Amount of hours worked)">Cantidad de horas trabajadas (Amount of hours worked)</option>
      </select>
    </div>
  </div>
  <div id="cf18" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-1-claim-1" style="display: block;">
    <label class="control-label" for="custom18"> Fecha a reclamar: día 1 (Date to claim: day 1) <span class="required">*</span> </label>
    <div class="controls">
      <div class="field-calendar">
        <div class="input-append">
          <input type="text" id="custom18" name="custom18" value="2024-01-06" class="inputbox" data-alt-value="2024-01-06" autocomplete="off">
          <button type="button" class="btn btn-secondary" id="custom18_btn" data-inputfield="custom18" data-dayformat="%Y-%m-%d" data-button="custom18_btn" data-firstday="0" data-weekend="0,6" data-today-btn="1" data-week-numbers="1"
            data-show-time="0" data-show-others="1" data-time-24="24" data-only-months-nav="0" title="Open the calendar"><span class="icon-calendar" aria-hidden="true"></span></button>
        </div>
        <div class="js-calendar" style="direction: ltr; position: absolute; box-shadow: rgba(0, 0, 0, 0.67) 0px 0px 70px 0px; min-width: 0px; padding: 0px; display: none; left: auto; top: auto; z-index: 1060; border-radius: 20px;">
          <div class="calendar-container">
            <table class="table" cellspacing="0" cellpadding="0" style="margin-bottom: 0px; visibility: visible;">
              <thead class="calendar-header">
                <tr class="calendar-head-row">
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 18px; line-height: 18px;"><a class="js-btn btn-prev-year" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on">‹</a></td>
                  <td colspan="6" class="title">
                    <div unselectable="on">
                      <div style="text-align:center;font-size:18px"><span>2024</span></div>
                    </div>
                  </td>
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 18px; line-height: 18px;"><a class="js-btn btn-next-year" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on"> ›</a></td>
                </tr>
                <tr class="calendar-head-row">
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 2em; line-height: 1em;"><a class="js-btn btn-prev-month" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on">‹</a></td>
                  <td colspan="6" class="title" style="text-align: center;">
                    <div unselectable="on">
                      <div style="text-align:center;font-size:1.2em"><span>January</span></div>
                    </div>
                  </td>
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 2em; line-height: 1em;"><a class="js-btn btn-next-month" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on"> ›</a></td>
                </tr>
                <tr class="daynames wk">
                  <td class="day-name wn">wk</td>
                  <td class="day-name day-name-week">Sun</td>
                  <td class="day-name day-name-week">Mon</td>
                  <td class="day-name day-name-week">Tue</td>
                  <td class="day-name day-name-week">Wed</td>
                  <td class="day-name day-name-week">Thu</td>
                  <td class="day-name day-name-week">Fri</td>
                  <td class="day-name day-name-week">Sat</td>
                </tr>
              </thead>
              <tbody>
                <tr class="daysrow wk">
                  <td class="day wn">52</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">31</td>
                  <td class="day" style="text-align: center; cursor: pointer;">1</td>
                  <td class="day" style="text-align: center; cursor: pointer;">2</td>
                  <td class="day" style="text-align: center; cursor: pointer;">3</td>
                  <td class="day" style="text-align: center; cursor: pointer;">4</td>
                  <td class="day" style="text-align: center; cursor: pointer;">5</td>
                  <td class="day selected weekend" style="text-align: center; cursor: pointer;">6</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">1</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">7</td>
                  <td class="day" style="text-align: center; cursor: pointer;">8</td>
                  <td class="day" style="text-align: center; cursor: pointer;">9</td>
                  <td class="day" style="text-align: center; cursor: pointer;">10</td>
                  <td class="day" style="text-align: center; cursor: pointer;">11</td>
                  <td class="day" style="text-align: center; cursor: pointer;">12</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">13</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">2</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">14</td>
                  <td class="day" style="text-align: center; cursor: pointer;">15</td>
                  <td class="day" style="text-align: center; cursor: pointer;">16</td>
                  <td class="day" style="text-align: center; cursor: pointer;">17</td>
                  <td class="day" style="text-align: center; cursor: pointer;">18</td>
                  <td class="day" style="text-align: center; cursor: pointer;">19</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">20</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">3</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">21</td>
                  <td class="day" style="text-align: center; cursor: pointer;">22</td>
                  <td class="day" style="text-align: center; cursor: pointer;">23</td>
                  <td class="day" style="text-align: center; cursor: pointer;">24</td>
                  <td class="day" style="text-align: center; cursor: pointer;">25</td>
                  <td class="day" style="text-align: center; cursor: pointer;">26</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">27</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">4</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">28</td>
                  <td class="day" style="text-align: center; cursor: pointer;">29</td>
                  <td class="day" style="text-align: center; cursor: pointer;">30</td>
                  <td class="day" style="text-align: center; cursor: pointer;">31</td>
                  <td class="day disabled othermonth " style="text-align: center;">1</td>
                  <td class="day disabled othermonth " style="text-align: center;">2</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">3</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">5</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">4</td>
                  <td class="day disabled othermonth " style="text-align: center;">5</td>
                  <td class="day disabled othermonth  today" style="text-align: center;">6</td>
                  <td class="day disabled othermonth " style="text-align: center;">7</td>
                  <td class="day disabled othermonth " style="text-align: center;">8</td>
                  <td class="day disabled othermonth " style="text-align: center;">9</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">10</td>
                </tr>
              </tbody>
            </table>
            <div class="buttons-wrapper btn-group"><button type="button" data-action="clear" class="js-btn btn btn-clear">Clear</button><button type="button" data-action="today" class="js-btn btn btn-today">Today</button><button type="button"
                data-action="exit" class="js-btn btn btn-exit">Close</button></div>
          </div>
        </div>
      </div>
      <span class="help-block">Favor de seleccionar la fecha que desea reclamar. (Please select the date you wish to claim)</span>
    </div>
  </div>
  <div id="cf21" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-1-claim-1" style="display: block;">
    <label class="control-label" for="custom21"> Hora Entrada (Militar 0 a 24) (Clock-In (Military 0 to 24)) <span class="required">*</span> </label>
    <div class="controls">
      <select id="custom21" name="custom21" class="inputbox">
        <option value="0">0</option>
        <option value="1">1</option>
        <option value="2">2</option>
        <option value="3">3</option>
        <option value="4">4</option>
        <option value="5">5</option>
        <option value="6">6</option>
        <option value="7">7</option>
        <option value="8">8</option>
        <option value="9">9</option>
        <option value="10">10</option>
        <option value="11">11</option>
        <option value="12">12</option>
        <option value="13" selected="">13</option>
        <option value="14">14</option>
        <option value="15">15</option>
        <option value="16">16</option>
        <option value="17">17</option>
        <option value="18">18</option>
        <option value="19">19</option>
        <option value="20">20</option>
        <option value="21">21</option>
        <option value="22">22</option>
        <option value="23">23</option>
      </select>
    </div>
  </div>
  <div id="cf22" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-1-claim-1" style="display: block;">
    <label class="control-label" for="custom22"> Hora Salida (Militar 0 a 24) Clock-out (Military 0 to 24) <span class="required">*</span> </label>
    <div class="controls">
      <select id="custom22" name="custom22" class="inputbox">
        <option value="0">0</option>
        <option value="1">1</option>
        <option value="2">2</option>
        <option value="3">3</option>
        <option value="4">4</option>
        <option value="5">5</option>
        <option value="6">6</option>
        <option value="7">7</option>
        <option value="8">8</option>
        <option value="9">9</option>
        <option value="10">10</option>
        <option value="11">11</option>
        <option value="12">12</option>
        <option value="13">13</option>
        <option value="14">14</option>
        <option value="15">15</option>
        <option value="16">16</option>
        <option value="17">17</option>
        <option value="18">18</option>
        <option value="19">19</option>
        <option value="20">20</option>
        <option value="21">21</option>
        <option value="22" selected="">22</option>
        <option value="23">23</option>
      </select>
    </div>
  </div>
  <div id="cf89" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-1-claim-1" style="display: block;">
    <label class="control-label" for="custom89"> Comentarios (Comments): <span class="required">*</span> </label>
    <div class="controls">
      <textarea id="custom89" name="custom89" rows="7">Entré a las 1330 de la tarde en el segundo turno. No se me pagó el día completo en el pago pasado.</textarea>
    </div>
  </div>
  <div id="cf19" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-1-claim-1" style="display: block;">
    <label class="control-label" for="custom19"> Cliente y Lugar (Client and Place) <span class="required">*</span> </label>
    <div class="controls">
      <input type="hidden" id="custom19" name="custom19" value="Viatris Vega Baja" maxlength="25" readonly="">Viatris Vega Baja
    </div>
  </div>
  <div id="cf14" class="control-group row-fluid field cfield cat9 cat26 cfieldsection-reclamacion-1-claim-1" style="display: block;">
    <label class="control-label" for="custom14"> Puesto (Post) <span class="required">*</span> </label>
    <div class="controls">
      <input type="text" id="custom14" name="custom14" value="Control Room" maxlength="20">
    </div>
  </div>
  <div class="span12 issection cfieldsection-reclamacion-2-claim-2" style="display: block;">
    <label class="control-label" style="font-size:120%;padding:5px 10px;">Reclamación 2 (Claim 2)</label>
  </div>
  <div id="cf34" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-2-claim-2" style="display: block;">
    <label class="control-label" for="custom34"> Cliente y Lugar (Client and Place) (2) </label>
    <div class="controls">
      <input type="text" id="custom34" name="custom34" value="" maxlength="25">
    </div>
  </div>
  <div id="cf61" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-2-claim-2" style="display: block;">
    <label class="control-label" for="custom61"> Puesto (Post) (2) </label>
    <div class="controls">
      <input type="text" id="custom61" name="custom61" value="" maxlength="25">
    </div>
  </div>
  <div id="cf72" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-2-claim-2" style="display: block;">
    <label class="control-label" for="custom72"> Cualificación (Qualification) (2) </label>
    <div class="controls">
      <select id="custom72" name="custom72" class="inputbox">
        <option value="Desarmado (Unarmed)" selected="">Desarmado (Unarmed)</option>
        <option value="Armado (Armed)">Armado (Armed)</option>
        <option value="Táctico (Tactical)">Táctico (Tactical)</option>
        <option value="Taser (Taser)">Taser (Taser)</option>
      </select>
    </div>
  </div>
  <div id="cf81" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-2-claim-2" style="display: block;">
    <label class="control-label" for="custom81"> Tipo de Reclamación (Type of Claim) (2) </label>
    <div class="controls">
      <select id="custom81" name="custom81" class="inputbox">
        <option value="Salario por hora (Hourly wage)" selected="">Salario por hora (Hourly wage)</option>
        <option value="Cantidad de horas trabajadas (Amount of hours worked)">Cantidad de horas trabajadas (Amount of hours worked)</option>
      </select>
    </div>
  </div>
  <div id="cf25" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-2-claim-2" style="display: block;">
    <label class="control-label" for="custom25"> Fecha a reclamar: día 2 (Date to claim: day 2) </label>
    <div class="controls">
      <div class="field-calendar">
        <div class="input-append">
          <input type="text" id="custom25" name="custom25" value="" class="inputbox" data-alt-value="" autocomplete="off">
          <button type="button" class="btn btn-secondary" id="custom25_btn" data-inputfield="custom25" data-dayformat="%Y-%m-%d" data-button="custom25_btn" data-firstday="0" data-weekend="0,6" data-today-btn="1" data-week-numbers="1"
            data-show-time="0" data-show-others="1" data-time-24="24" data-only-months-nav="0" title="Open the calendar"><span class="icon-calendar" aria-hidden="true"></span></button>
        </div>
        <div class="js-calendar" style="direction: ltr; position: absolute; box-shadow: rgba(0, 0, 0, 0.67) 0px 0px 70px 0px; min-width: 0px; padding: 0px; display: none; left: auto; top: auto; z-index: 1060; border-radius: 20px;">
          <div class="calendar-container">
            <table class="table" cellspacing="0" cellpadding="0" style="margin-bottom: 0px; visibility: visible;">
              <thead class="calendar-header">
                <tr class="calendar-head-row">
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 18px; line-height: 18px;"><a class="js-btn btn-prev-year" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on">‹</a></td>
                  <td colspan="6" class="title">
                    <div unselectable="on">
                      <div style="text-align:center;font-size:18px"><span>2024</span></div>
                    </div>
                  </td>
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 18px; line-height: 18px;"><a class="js-btn btn-next-year" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on"> ›</a></td>
                </tr>
                <tr class="calendar-head-row">
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 2em; line-height: 1em;"><a class="js-btn btn-prev-month" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on">‹</a></td>
                  <td colspan="6" class="title" style="text-align: center;">
                    <div unselectable="on">
                      <div style="text-align:center;font-size:1.2em"><span>February</span></div>
                    </div>
                  </td>
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 2em; line-height: 1em;"><a class="js-btn btn-next-month" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on"> ›</a></td>
                </tr>
                <tr class="daynames wk">
                  <td class="day-name wn">wk</td>
                  <td class="day-name day-name-week">Sun</td>
                  <td class="day-name day-name-week">Mon</td>
                  <td class="day-name day-name-week">Tue</td>
                  <td class="day-name day-name-week">Wed</td>
                  <td class="day-name day-name-week">Thu</td>
                  <td class="day-name day-name-week">Fri</td>
                  <td class="day-name day-name-week">Sat</td>
                </tr>
              </thead>
              <tbody>
                <tr class="daysrow wk">
                  <td class="day wn">4</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">28</td>
                  <td class="day disabled othermonth " style="text-align: center;">29</td>
                  <td class="day disabled othermonth " style="text-align: center;">30</td>
                  <td class="day disabled othermonth " style="text-align: center;">31</td>
                  <td class="day" style="text-align: center; cursor: pointer;">1</td>
                  <td class="day" style="text-align: center; cursor: pointer;">2</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">3</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">5</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">4</td>
                  <td class="day" style="text-align: center; cursor: pointer;">5</td>
                  <td class="day selected today" style="text-align: center; cursor: pointer;">6</td>
                  <td class="day" style="text-align: center; cursor: pointer;">7</td>
                  <td class="day" style="text-align: center; cursor: pointer;">8</td>
                  <td class="day" style="text-align: center; cursor: pointer;">9</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">10</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">6</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">11</td>
                  <td class="day" style="text-align: center; cursor: pointer;">12</td>
                  <td class="day" style="text-align: center; cursor: pointer;">13</td>
                  <td class="day" style="text-align: center; cursor: pointer;">14</td>
                  <td class="day" style="text-align: center; cursor: pointer;">15</td>
                  <td class="day" style="text-align: center; cursor: pointer;">16</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">17</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">7</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">18</td>
                  <td class="day" style="text-align: center; cursor: pointer;">19</td>
                  <td class="day" style="text-align: center; cursor: pointer;">20</td>
                  <td class="day" style="text-align: center; cursor: pointer;">21</td>
                  <td class="day" style="text-align: center; cursor: pointer;">22</td>
                  <td class="day" style="text-align: center; cursor: pointer;">23</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">24</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">8</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">25</td>
                  <td class="day" style="text-align: center; cursor: pointer;">26</td>
                  <td class="day" style="text-align: center; cursor: pointer;">27</td>
                  <td class="day" style="text-align: center; cursor: pointer;">28</td>
                  <td class="day" style="text-align: center; cursor: pointer;">29</td>
                  <td class="day disabled othermonth " style="text-align: center;">1</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">2</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">9</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">3</td>
                  <td class="day disabled othermonth " style="text-align: center;">4</td>
                  <td class="day disabled othermonth " style="text-align: center;">5</td>
                  <td class="day disabled othermonth " style="text-align: center;">6</td>
                  <td class="day disabled othermonth " style="text-align: center;">7</td>
                  <td class="day disabled othermonth " style="text-align: center;">8</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">9</td>
                </tr>
              </tbody>
            </table>
            <div class="buttons-wrapper btn-group"><button type="button" data-action="clear" class="js-btn btn btn-clear">Clear</button><button type="button" data-action="today" class="js-btn btn btn-today">Today</button><button type="button"
                data-action="exit" class="js-btn btn btn-exit">Close</button></div>
          </div>
        </div>
      </div>
      <span class="help-block">Favor de seleccionar la fecha que desea reclamar. (Please select the date you wish to claim)</span>
    </div>
  </div>
  <div id="cf43" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-2-claim-2" style="display: block;">
    <label class="control-label" for="custom43"> Hora Entrada (Militar 0 a 24) (Clock-In (Military 0 to 24))(2) </label>
    <div class="controls">
      <select id="custom43" name="custom43" class="inputbox">
        <option value="0" selected="">0</option>
        <option value="1">1</option>
        <option value="2">2</option>
        <option value="3">3</option>
        <option value="4">4</option>
        <option value="5">5</option>
        <option value="6">6</option>
        <option value="7">7</option>
        <option value="8">8</option>
        <option value="9">9</option>
        <option value="10">10</option>
        <option value="11">11</option>
        <option value="12">12</option>
        <option value="13">13</option>
        <option value="14">14</option>
        <option value="15">15</option>
        <option value="16">16</option>
        <option value="17">17</option>
        <option value="18">18</option>
        <option value="19">19</option>
        <option value="20">20</option>
        <option value="21">21</option>
        <option value="22">22</option>
        <option value="23">23</option>
      </select>
    </div>
  </div>
  <div id="cf52" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-2-claim-2" style="display: block;">
    <label class="control-label" for="custom52"> Hora Salida (Militar 0 a 24) (Clock-out (Military 0 to 24))(2) </label>
    <div class="controls">
      <textarea id="custom52" name="custom52" rows="7"></textarea>
    </div>
  </div>
  <div id="cf90" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-2-claim-2" style="display: block;">
    <label class="control-label" for="custom90"> Comentarios (Comments) (2): </label>
    <div class="controls">
      <textarea id="custom90" name="custom90" rows="7"></textarea>
    </div>
  </div>
  <div class="span12 issection cfieldsection-reclamacion-3-claim-3" style="display: block;">
    <label class="control-label" style="font-size:120%;padding:5px 10px;">Reclamación 3 (Claim 3)</label>
  </div>
  <div id="cf35" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-3-claim-3" style="display: block;">
    <label class="control-label" for="custom35"> Cliente y Lugar (Client and Place) (3) </label>
    <div class="controls">
      <input type="text" id="custom35" name="custom35" value="" maxlength="25">
    </div>
  </div>
  <div id="cf62" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-3-claim-3" style="display: block;">
    <label class="control-label" for="custom62"> Puesto (Post) (3) </label>
    <div class="controls">
      <input type="text" id="custom62" name="custom62" value="" maxlength="25">
    </div>
  </div>
  <div id="cf73" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-3-claim-3" style="display: block;">
    <label class="control-label" for="custom73"> Cualificación (Qualification) (3) </label>
    <div class="controls">
      <select id="custom73" name="custom73" class="inputbox">
        <option value="Desarmado (Unarmed)" selected="">Desarmado (Unarmed)</option>
        <option value="Armado (Armed)">Armado (Armed)</option>
        <option value="Táctico (Tactical)">Táctico (Tactical)</option>
        <option value="Taser (Taser)">Taser (Taser)</option>
      </select>
    </div>
  </div>
  <div id="cf82" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-3-claim-3" style="display: block;">
    <label class="control-label" for="custom82"> Tipo de Reclamación (Type of Claim) (3) </label>
    <div class="controls">
      <select id="custom82" name="custom82" class="inputbox">
        <option value="Salario por hora (Hourly wage)" selected="">Salario por hora (Hourly wage)</option>
        <option value="Cantidad de horas trabajadas (Amount of hours worked)">Cantidad de horas trabajadas (Amount of hours worked)</option>
      </select>
    </div>
  </div>
  <div id="cf26" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-3-claim-3" style="display: block;">
    <label class="control-label" for="custom26"> Fecha a reclamar: día 3 (Date to claim: day 3) </label>
    <div class="controls">
      <div class="field-calendar">
        <div class="input-append">
          <input type="text" id="custom26" name="custom26" value="" class="inputbox" data-alt-value="" autocomplete="off">
          <button type="button" class="btn btn-secondary" id="custom26_btn" data-inputfield="custom26" data-dayformat="%Y-%m-%d" data-button="custom26_btn" data-firstday="0" data-weekend="0,6" data-today-btn="1" data-week-numbers="1"
            data-show-time="0" data-show-others="1" data-time-24="24" data-only-months-nav="0" title="Open the calendar"><span class="icon-calendar" aria-hidden="true"></span></button>
        </div>
        <div class="js-calendar" style="direction: ltr; position: absolute; box-shadow: rgba(0, 0, 0, 0.67) 0px 0px 70px 0px; min-width: 0px; padding: 0px; display: none; left: auto; top: auto; z-index: 1060; border-radius: 20px;">
          <div class="calendar-container">
            <table class="table" cellspacing="0" cellpadding="0" style="margin-bottom: 0px; visibility: visible;">
              <thead class="calendar-header">
                <tr class="calendar-head-row">
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 18px; line-height: 18px;"><a class="js-btn btn-prev-year" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on">‹</a></td>
                  <td colspan="6" class="title">
                    <div unselectable="on">
                      <div style="text-align:center;font-size:18px"><span>2024</span></div>
                    </div>
                  </td>
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 18px; line-height: 18px;"><a class="js-btn btn-next-year" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on"> ›</a></td>
                </tr>
                <tr class="calendar-head-row">
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 2em; line-height: 1em;"><a class="js-btn btn-prev-month" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on">‹</a></td>
                  <td colspan="6" class="title" style="text-align: center;">
                    <div unselectable="on">
                      <div style="text-align:center;font-size:1.2em"><span>February</span></div>
                    </div>
                  </td>
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 2em; line-height: 1em;"><a class="js-btn btn-next-month" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on"> ›</a></td>
                </tr>
                <tr class="daynames wk">
                  <td class="day-name wn">wk</td>
                  <td class="day-name day-name-week">Sun</td>
                  <td class="day-name day-name-week">Mon</td>
                  <td class="day-name day-name-week">Tue</td>
                  <td class="day-name day-name-week">Wed</td>
                  <td class="day-name day-name-week">Thu</td>
                  <td class="day-name day-name-week">Fri</td>
                  <td class="day-name day-name-week">Sat</td>
                </tr>
              </thead>
              <tbody>
                <tr class="daysrow wk">
                  <td class="day wn">4</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">28</td>
                  <td class="day disabled othermonth " style="text-align: center;">29</td>
                  <td class="day disabled othermonth " style="text-align: center;">30</td>
                  <td class="day disabled othermonth " style="text-align: center;">31</td>
                  <td class="day" style="text-align: center; cursor: pointer;">1</td>
                  <td class="day" style="text-align: center; cursor: pointer;">2</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">3</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">5</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">4</td>
                  <td class="day" style="text-align: center; cursor: pointer;">5</td>
                  <td class="day selected today" style="text-align: center; cursor: pointer;">6</td>
                  <td class="day" style="text-align: center; cursor: pointer;">7</td>
                  <td class="day" style="text-align: center; cursor: pointer;">8</td>
                  <td class="day" style="text-align: center; cursor: pointer;">9</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">10</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">6</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">11</td>
                  <td class="day" style="text-align: center; cursor: pointer;">12</td>
                  <td class="day" style="text-align: center; cursor: pointer;">13</td>
                  <td class="day" style="text-align: center; cursor: pointer;">14</td>
                  <td class="day" style="text-align: center; cursor: pointer;">15</td>
                  <td class="day" style="text-align: center; cursor: pointer;">16</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">17</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">7</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">18</td>
                  <td class="day" style="text-align: center; cursor: pointer;">19</td>
                  <td class="day" style="text-align: center; cursor: pointer;">20</td>
                  <td class="day" style="text-align: center; cursor: pointer;">21</td>
                  <td class="day" style="text-align: center; cursor: pointer;">22</td>
                  <td class="day" style="text-align: center; cursor: pointer;">23</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">24</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">8</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">25</td>
                  <td class="day" style="text-align: center; cursor: pointer;">26</td>
                  <td class="day" style="text-align: center; cursor: pointer;">27</td>
                  <td class="day" style="text-align: center; cursor: pointer;">28</td>
                  <td class="day" style="text-align: center; cursor: pointer;">29</td>
                  <td class="day disabled othermonth " style="text-align: center;">1</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">2</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">9</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">3</td>
                  <td class="day disabled othermonth " style="text-align: center;">4</td>
                  <td class="day disabled othermonth " style="text-align: center;">5</td>
                  <td class="day disabled othermonth " style="text-align: center;">6</td>
                  <td class="day disabled othermonth " style="text-align: center;">7</td>
                  <td class="day disabled othermonth " style="text-align: center;">8</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">9</td>
                </tr>
              </tbody>
            </table>
            <div class="buttons-wrapper btn-group"><button type="button" data-action="clear" class="js-btn btn btn-clear">Clear</button><button type="button" data-action="today" class="js-btn btn btn-today">Today</button><button type="button"
                data-action="exit" class="js-btn btn btn-exit">Close</button></div>
          </div>
        </div>
      </div>
      <span class="help-block">Favor de seleccionar la fecha que desea reclamar. (Please select the date you wish to claim)</span>
    </div>
  </div>
  <div id="cf44" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-3-claim-3" style="display: block;">
    <label class="control-label" for="custom44"> Hora Entrada (Militar 0 a 24) (Clock-In (Military 0 to 24))(3) </label>
    <div class="controls">
      <select id="custom44" name="custom44" class="inputbox">
        <option value="0" selected="">0</option>
        <option value="1">1</option>
        <option value="2">2</option>
        <option value="3">3</option>
        <option value="4">4</option>
        <option value="5">5</option>
        <option value="6">6</option>
        <option value="7">7</option>
        <option value="8">8</option>
        <option value="9">9</option>
        <option value="10">10</option>
        <option value="11">11</option>
        <option value="12">12</option>
        <option value="13">13</option>
        <option value="14">14</option>
        <option value="15">15</option>
        <option value="16">16</option>
        <option value="17">17</option>
        <option value="18">18</option>
        <option value="19">19</option>
        <option value="20">20</option>
        <option value="21">21</option>
        <option value="22">22</option>
        <option value="23">23</option>
      </select>
    </div>
  </div>
  <div id="cf53" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-3-claim-3" style="display: block;">
    <label class="control-label" for="custom53"> Hora Salida (Militar 0 a 24) (Clock-out (Military 0 to 24))(3) </label>
    <div class="controls">
      <select id="custom53" name="custom53" class="inputbox">
        <option value="0" selected="">0</option>
        <option value="1">1</option>
        <option value="2">2</option>
        <option value="3">3</option>
        <option value="4">4</option>
        <option value="5">5</option>
        <option value="6">6</option>
        <option value="7">7</option>
        <option value="8">8</option>
        <option value="9">9</option>
        <option value="10">10</option>
        <option value="11">11</option>
        <option value="12">12</option>
        <option value="13">13</option>
        <option value="14">14</option>
        <option value="15">15</option>
        <option value="16">16</option>
        <option value="17">17</option>
        <option value="18">18</option>
        <option value="19">19</option>
        <option value="20">20</option>
        <option value="21">21</option>
        <option value="22">22</option>
        <option value="23">23</option>
      </select>
    </div>
  </div>
  <div id="cf91" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-3-claim-3" style="display: block;">
    <label class="control-label" for="custom91"> Comentarios (Comments) (3): </label>
    <div class="controls">
      <textarea id="custom91" name="custom91" rows="7"></textarea>
    </div>
  </div>
  <div class="span12 issection cfieldsection-reclamacion-4-claim-4" style="display: block;">
    <label class="control-label" style="font-size:120%;padding:5px 10px;">Reclamación 4 (Claim 4)</label>
  </div>
  <div id="cf27" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-4-claim-4" style="display: block;">
    <label class="control-label" for="custom27"> Fecha a reclamar: día 4 (Date to claim: day 4) </label>
    <div class="controls">
      <div class="field-calendar">
        <div class="input-append">
          <input type="text" id="custom27" name="custom27" value="" class="inputbox" data-alt-value="" autocomplete="off">
          <button type="button" class="btn btn-secondary" id="custom27_btn" data-inputfield="custom27" data-dayformat="%Y-%m-%d" data-button="custom27_btn" data-firstday="0" data-weekend="0,6" data-today-btn="1" data-week-numbers="1"
            data-show-time="0" data-show-others="1" data-time-24="24" data-only-months-nav="0" title="Open the calendar"><span class="icon-calendar" aria-hidden="true"></span></button>
        </div>
        <div class="js-calendar" style="direction: ltr; position: absolute; box-shadow: rgba(0, 0, 0, 0.67) 0px 0px 70px 0px; min-width: 0px; padding: 0px; display: none; left: auto; top: auto; z-index: 1060; border-radius: 20px;">
          <div class="calendar-container">
            <table class="table" cellspacing="0" cellpadding="0" style="margin-bottom: 0px; visibility: visible;">
              <thead class="calendar-header">
                <tr class="calendar-head-row">
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 18px; line-height: 18px;"><a class="js-btn btn-prev-year" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on">‹</a></td>
                  <td colspan="6" class="title">
                    <div unselectable="on">
                      <div style="text-align:center;font-size:18px"><span>2024</span></div>
                    </div>
                  </td>
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 18px; line-height: 18px;"><a class="js-btn btn-next-year" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on"> ›</a></td>
                </tr>
                <tr class="calendar-head-row">
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 2em; line-height: 1em;"><a class="js-btn btn-prev-month" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on">‹</a></td>
                  <td colspan="6" class="title" style="text-align: center;">
                    <div unselectable="on">
                      <div style="text-align:center;font-size:1.2em"><span>February</span></div>
                    </div>
                  </td>
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 2em; line-height: 1em;"><a class="js-btn btn-next-month" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on"> ›</a></td>
                </tr>
                <tr class="daynames wk">
                  <td class="day-name wn">wk</td>
                  <td class="day-name day-name-week">Sun</td>
                  <td class="day-name day-name-week">Mon</td>
                  <td class="day-name day-name-week">Tue</td>
                  <td class="day-name day-name-week">Wed</td>
                  <td class="day-name day-name-week">Thu</td>
                  <td class="day-name day-name-week">Fri</td>
                  <td class="day-name day-name-week">Sat</td>
                </tr>
              </thead>
              <tbody>
                <tr class="daysrow wk">
                  <td class="day wn">4</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">28</td>
                  <td class="day disabled othermonth " style="text-align: center;">29</td>
                  <td class="day disabled othermonth " style="text-align: center;">30</td>
                  <td class="day disabled othermonth " style="text-align: center;">31</td>
                  <td class="day" style="text-align: center; cursor: pointer;">1</td>
                  <td class="day" style="text-align: center; cursor: pointer;">2</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">3</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">5</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">4</td>
                  <td class="day" style="text-align: center; cursor: pointer;">5</td>
                  <td class="day selected today" style="text-align: center; cursor: pointer;">6</td>
                  <td class="day" style="text-align: center; cursor: pointer;">7</td>
                  <td class="day" style="text-align: center; cursor: pointer;">8</td>
                  <td class="day" style="text-align: center; cursor: pointer;">9</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">10</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">6</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">11</td>
                  <td class="day" style="text-align: center; cursor: pointer;">12</td>
                  <td class="day" style="text-align: center; cursor: pointer;">13</td>
                  <td class="day" style="text-align: center; cursor: pointer;">14</td>
                  <td class="day" style="text-align: center; cursor: pointer;">15</td>
                  <td class="day" style="text-align: center; cursor: pointer;">16</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">17</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">7</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">18</td>
                  <td class="day" style="text-align: center; cursor: pointer;">19</td>
                  <td class="day" style="text-align: center; cursor: pointer;">20</td>
                  <td class="day" style="text-align: center; cursor: pointer;">21</td>
                  <td class="day" style="text-align: center; cursor: pointer;">22</td>
                  <td class="day" style="text-align: center; cursor: pointer;">23</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">24</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">8</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">25</td>
                  <td class="day" style="text-align: center; cursor: pointer;">26</td>
                  <td class="day" style="text-align: center; cursor: pointer;">27</td>
                  <td class="day" style="text-align: center; cursor: pointer;">28</td>
                  <td class="day" style="text-align: center; cursor: pointer;">29</td>
                  <td class="day disabled othermonth " style="text-align: center;">1</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">2</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">9</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">3</td>
                  <td class="day disabled othermonth " style="text-align: center;">4</td>
                  <td class="day disabled othermonth " style="text-align: center;">5</td>
                  <td class="day disabled othermonth " style="text-align: center;">6</td>
                  <td class="day disabled othermonth " style="text-align: center;">7</td>
                  <td class="day disabled othermonth " style="text-align: center;">8</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">9</td>
                </tr>
              </tbody>
            </table>
            <div class="buttons-wrapper btn-group"><button type="button" data-action="clear" class="js-btn btn btn-clear">Clear</button><button type="button" data-action="today" class="js-btn btn btn-today">Today</button><button type="button"
                data-action="exit" class="js-btn btn btn-exit">Close</button></div>
          </div>
        </div>
      </div>
      <span class="help-block">Favor de seleccionar la fecha que desea reclamar. (Please select the date you wish to claim)</span>
    </div>
  </div>
  <div id="cf36" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-4-claim-4" style="display: block;">
    <label class="control-label" for="custom36"> Cliente y Lugar (Client and Place) (4) </label>
    <div class="controls">
      <input type="text" id="custom36" name="custom36" value="" maxlength="25">
    </div>
  </div>
  <div id="cf45" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-4-claim-4" style="display: block;">
    <label class="control-label" for="custom45"> Hora Entrada (Militar 0 a 24) (Clock-In (Military 0 to 24))(4) </label>
    <div class="controls">
      <select id="custom45" name="custom45" class="inputbox">
        <option value="0" selected="">0</option>
        <option value="1">1</option>
        <option value="2">2</option>
        <option value="3">3</option>
        <option value="4">4</option>
        <option value="5">5</option>
        <option value="6">6</option>
        <option value="7">7</option>
        <option value="8">8</option>
        <option value="9">9</option>
        <option value="10">10</option>
        <option value="11">11</option>
        <option value="12">12</option>
        <option value="13">13</option>
        <option value="14">14</option>
        <option value="15">15</option>
        <option value="16">16</option>
        <option value="17">17</option>
        <option value="18">18</option>
        <option value="19">19</option>
        <option value="20">20</option>
        <option value="21">21</option>
        <option value="22">22</option>
        <option value="23">23</option>
      </select>
    </div>
  </div>
  <div id="cf55" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-4-claim-4" style="display: block;">
    <label class="control-label" for="custom55"> Hora Salida (Militar 0 a 24) (Clock-out (Military 0 to 24))(4) </label>
    <div class="controls">
      <select id="custom55" name="custom55" class="inputbox">
        <option value="0" selected="">0</option>
        <option value="1">1</option>
        <option value="2">2</option>
        <option value="3">3</option>
        <option value="4">4</option>
        <option value="5">5</option>
        <option value="6">6</option>
        <option value="7">7</option>
        <option value="8">8</option>
        <option value="9">9</option>
        <option value="10">10</option>
        <option value="11">11</option>
        <option value="12">12</option>
        <option value="13">13</option>
        <option value="14">14</option>
        <option value="15">15</option>
        <option value="16">16</option>
        <option value="17">17</option>
        <option value="18">18</option>
        <option value="19">19</option>
        <option value="20">20</option>
        <option value="21">21</option>
        <option value="22">22</option>
        <option value="23">23</option>
      </select>
    </div>
  </div>
  <div id="cf63" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-4-claim-4" style="display: block;">
    <label class="control-label" for="custom63"> Puesto (Post) (4) </label>
    <div class="controls">
      <input type="text" id="custom63" name="custom63" value="" maxlength="25">
    </div>
  </div>
  <div id="cf74" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-4-claim-4" style="display: block;">
    <label class="control-label" for="custom74"> Cualificación (Qualification) (4) </label>
    <div class="controls">
      <select id="custom74" name="custom74" class="inputbox">
        <option value="Desarmado (Unarmed)" selected="">Desarmado (Unarmed)</option>
        <option value="Armado (Armed)">Armado (Armed)</option>
        <option value="Táctico (Tactical)">Táctico (Tactical)</option>
        <option value="Taser (Taser)">Taser (Taser)</option>
      </select>
    </div>
  </div>
  <div id="cf83" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-4-claim-4" style="display: block;">
    <label class="control-label" for="custom83"> Tipo de Reclamación (Type of Claim) (4) </label>
    <div class="controls">
      <select id="custom83" name="custom83" class="inputbox">
        <option value="Salario por hora (Hourly wage)" selected="">Salario por hora (Hourly wage)</option>
        <option value="Cantidad de horas trabajadas (Amount of hours worked)">Cantidad de horas trabajadas (Amount of hours worked)</option>
      </select>
    </div>
  </div>
  <div id="cf92" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-4-claim-4" style="display: block;">
    <label class="control-label" for="custom92"> Comentarios (Comments) (4): </label>
    <div class="controls">
      <textarea id="custom92" name="custom92" rows="7"></textarea>
    </div>
  </div>
  <div class="span12 issection cfieldsection-reclamacion-5-claim-5" style="display: block;">
    <label class="control-label" style="font-size:120%;padding:5px 10px;">Reclamación 5 (Claim 5)</label>
  </div>
  <div id="cf37" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-5-claim-5" style="display: block;">
    <label class="control-label" for="custom37"> Cliente y Lugar (Client and Place) (5) </label>
    <div class="controls">
      <input type="text" id="custom37" name="custom37" value="" maxlength="25">
    </div>
  </div>
  <div id="cf64" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-5-claim-5" style="display: block;">
    <label class="control-label" for="custom64"> Puesto (Post) (5) </label>
    <div class="controls">
      <input type="text" id="custom64" name="custom64" value="" maxlength="25">
    </div>
  </div>
  <div id="cf75" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-5-claim-5" style="display: block;">
    <label class="control-label" for="custom75"> Cualificación (Qualification) (5) </label>
    <div class="controls">
      <select id="custom75" name="custom75" class="inputbox">
        <option value="Desarmado (Unarmed)" selected="">Desarmado (Unarmed)</option>
        <option value="Armado (Armed)">Armado (Armed)</option>
        <option value="Táctico (Tactical)">Táctico (Tactical)</option>
        <option value="Taser (Taser)">Taser (Taser)</option>
      </select>
    </div>
  </div>
  <div id="cf84" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-5-claim-5" style="display: block;">
    <label class="control-label" for="custom84"> Tipo de Reclamación (Type of Claim) (5) </label>
    <div class="controls">
      <select id="custom84" name="custom84" class="inputbox">
        <option value="Salario por hora (Hourly wage)" selected="">Salario por hora (Hourly wage)</option>
        <option value="Cantidad de horas trabajadas (Amount of hours worked)">Cantidad de horas trabajadas (Amount of hours worked)</option>
      </select>
    </div>
  </div>
  <div id="cf28" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-5-claim-5" style="display: block;">
    <label class="control-label" for="custom28"> Fecha a reclamar: día 5 (Date to claim: day 5) </label>
    <div class="controls">
      <div class="field-calendar">
        <div class="input-append">
          <input type="text" id="custom28" name="custom28" value="" class="inputbox" data-alt-value="" autocomplete="off">
          <button type="button" class="btn btn-secondary" id="custom28_btn" data-inputfield="custom28" data-dayformat="%Y-%m-%d" data-button="custom28_btn" data-firstday="0" data-weekend="0,6" data-today-btn="1" data-week-numbers="1"
            data-show-time="0" data-show-others="1" data-time-24="24" data-only-months-nav="0" title="Open the calendar"><span class="icon-calendar" aria-hidden="true"></span></button>
        </div>
        <div class="js-calendar" style="direction: ltr; position: absolute; box-shadow: rgba(0, 0, 0, 0.67) 0px 0px 70px 0px; min-width: 0px; padding: 0px; display: none; left: auto; top: auto; z-index: 1060; border-radius: 20px;">
          <div class="calendar-container">
            <table class="table" cellspacing="0" cellpadding="0" style="margin-bottom: 0px; visibility: visible;">
              <thead class="calendar-header">
                <tr class="calendar-head-row">
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 18px; line-height: 18px;"><a class="js-btn btn-prev-year" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on">‹</a></td>
                  <td colspan="6" class="title">
                    <div unselectable="on">
                      <div style="text-align:center;font-size:18px"><span>2024</span></div>
                    </div>
                  </td>
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 18px; line-height: 18px;"><a class="js-btn btn-next-year" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on"> ›</a></td>
                </tr>
                <tr class="calendar-head-row">
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 2em; line-height: 1em;"><a class="js-btn btn-prev-month" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on">‹</a></td>
                  <td colspan="6" class="title" style="text-align: center;">
                    <div unselectable="on">
                      <div style="text-align:center;font-size:1.2em"><span>February</span></div>
                    </div>
                  </td>
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 2em; line-height: 1em;"><a class="js-btn btn-next-month" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on"> ›</a></td>
                </tr>
                <tr class="daynames wk">
                  <td class="day-name wn">wk</td>
                  <td class="day-name day-name-week">Sun</td>
                  <td class="day-name day-name-week">Mon</td>
                  <td class="day-name day-name-week">Tue</td>
                  <td class="day-name day-name-week">Wed</td>
                  <td class="day-name day-name-week">Thu</td>
                  <td class="day-name day-name-week">Fri</td>
                  <td class="day-name day-name-week">Sat</td>
                </tr>
              </thead>
              <tbody>
                <tr class="daysrow wk">
                  <td class="day wn">4</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">28</td>
                  <td class="day disabled othermonth " style="text-align: center;">29</td>
                  <td class="day disabled othermonth " style="text-align: center;">30</td>
                  <td class="day disabled othermonth " style="text-align: center;">31</td>
                  <td class="day" style="text-align: center; cursor: pointer;">1</td>
                  <td class="day" style="text-align: center; cursor: pointer;">2</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">3</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">5</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">4</td>
                  <td class="day" style="text-align: center; cursor: pointer;">5</td>
                  <td class="day selected today" style="text-align: center; cursor: pointer;">6</td>
                  <td class="day" style="text-align: center; cursor: pointer;">7</td>
                  <td class="day" style="text-align: center; cursor: pointer;">8</td>
                  <td class="day" style="text-align: center; cursor: pointer;">9</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">10</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">6</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">11</td>
                  <td class="day" style="text-align: center; cursor: pointer;">12</td>
                  <td class="day" style="text-align: center; cursor: pointer;">13</td>
                  <td class="day" style="text-align: center; cursor: pointer;">14</td>
                  <td class="day" style="text-align: center; cursor: pointer;">15</td>
                  <td class="day" style="text-align: center; cursor: pointer;">16</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">17</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">7</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">18</td>
                  <td class="day" style="text-align: center; cursor: pointer;">19</td>
                  <td class="day" style="text-align: center; cursor: pointer;">20</td>
                  <td class="day" style="text-align: center; cursor: pointer;">21</td>
                  <td class="day" style="text-align: center; cursor: pointer;">22</td>
                  <td class="day" style="text-align: center; cursor: pointer;">23</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">24</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">8</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">25</td>
                  <td class="day" style="text-align: center; cursor: pointer;">26</td>
                  <td class="day" style="text-align: center; cursor: pointer;">27</td>
                  <td class="day" style="text-align: center; cursor: pointer;">28</td>
                  <td class="day" style="text-align: center; cursor: pointer;">29</td>
                  <td class="day disabled othermonth " style="text-align: center;">1</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">2</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">9</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">3</td>
                  <td class="day disabled othermonth " style="text-align: center;">4</td>
                  <td class="day disabled othermonth " style="text-align: center;">5</td>
                  <td class="day disabled othermonth " style="text-align: center;">6</td>
                  <td class="day disabled othermonth " style="text-align: center;">7</td>
                  <td class="day disabled othermonth " style="text-align: center;">8</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">9</td>
                </tr>
              </tbody>
            </table>
            <div class="buttons-wrapper btn-group"><button type="button" data-action="clear" class="js-btn btn btn-clear">Clear</button><button type="button" data-action="today" class="js-btn btn btn-today">Today</button><button type="button"
                data-action="exit" class="js-btn btn btn-exit">Close</button></div>
          </div>
        </div>
      </div>
      <span class="help-block">Favor de seleccionar la fecha que desea reclamar. (Please select the date you wish to claim)</span>
    </div>
  </div>
  <div id="cf47" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-5-claim-5" style="display: block;">
    <label class="control-label" for="custom47"> Hora Entrada (Militar 0 a 24) (Clock-In (Military 0 to 24))(5) </label>
    <div class="controls">
      <select id="custom47" name="custom47" class="inputbox">
        <option value="0" selected="">0</option>
        <option value="1">1</option>
        <option value="2">2</option>
        <option value="3">3</option>
        <option value="4">4</option>
        <option value="5">5</option>
        <option value="6">6</option>
        <option value="7">7</option>
        <option value="8">8</option>
        <option value="9">9</option>
        <option value="10">10</option>
        <option value="11">11</option>
        <option value="12">12</option>
        <option value="13">13</option>
        <option value="14">14</option>
        <option value="15">15</option>
        <option value="16">16</option>
        <option value="17">17</option>
        <option value="18">18</option>
        <option value="19">19</option>
        <option value="20">20</option>
        <option value="21">21</option>
        <option value="22">22</option>
        <option value="23">23</option>
      </select>
    </div>
  </div>
  <div id="cf56" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-5-claim-5" style="display: block;">
    <label class="control-label" for="custom56"> Hora Salida (Militar 0 a 24) (Clock-out (Military 0 to 24))(5) </label>
    <div class="controls">
      <select id="custom56" name="custom56" class="inputbox">
        <option value="0" selected="">0</option>
        <option value="1">1</option>
        <option value="2">2</option>
        <option value="3">3</option>
        <option value="4">4</option>
        <option value="5">5</option>
        <option value="6">6</option>
        <option value="7">7</option>
        <option value="8">8</option>
        <option value="9">9</option>
        <option value="10">10</option>
        <option value="11">11</option>
        <option value="12">12</option>
        <option value="13">13</option>
        <option value="14">14</option>
        <option value="15">15</option>
        <option value="16">16</option>
        <option value="17">17</option>
        <option value="18">18</option>
        <option value="19">19</option>
        <option value="20">20</option>
        <option value="21">21</option>
        <option value="22">22</option>
        <option value="23">23</option>
      </select>
    </div>
  </div>
  <div id="cf93" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-5-claim-5" style="display: block;">
    <label class="control-label" for="custom93"> Comentarios (Comments) (5): </label>
    <div class="controls">
      <textarea id="custom93" name="custom93" rows="7"></textarea>
    </div>
  </div>
  <div class="span12 issection cfieldsection-reclamacion-6-claim-6" style="display: block;">
    <label class="control-label" style="font-size:120%;padding:5px 10px;">Reclamación 6 (Claim 6)</label>
  </div>
  <div id="cf38" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-6-claim-6" style="display: block;">
    <label class="control-label" for="custom38"> Cliente y Lugar (Client and Place) (6) </label>
    <div class="controls">
      <input type="text" id="custom38" name="custom38" value="" maxlength="25">
    </div>
  </div>
  <div id="cf66" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-6-claim-6" style="display: block;">
    <label class="control-label" for="custom66"> Puesto (Post) (6) </label>
    <div class="controls">
      <input type="text" id="custom66" name="custom66" value="" maxlength="25">
    </div>
  </div>
  <div id="cf76" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-6-claim-6" style="display: block;">
    <label class="control-label" for="custom76"> Cualificación (Qualification) (6) </label>
    <div class="controls">
      <select id="custom76" name="custom76" class="inputbox">
        <option value="Desarmado (Unarmed)" selected="">Desarmado (Unarmed)</option>
        <option value="Armado (Armed)">Armado (Armed)</option>
        <option value="Táctico (Tactical)">Táctico (Tactical)</option>
        <option value="Taser (Taser)">Taser (Taser)</option>
      </select>
    </div>
  </div>
  <div id="cf87" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-6-claim-6" style="display: block;">
    <label class="control-label" for="custom87"> Tipo de Reclamación (Type of Claim) (6) </label>
    <div class="controls">
      <select id="custom87" name="custom87" class="inputbox">
        <option value="Salario por hora (Hourly wage)" selected="">Salario por hora (Hourly wage)</option>
        <option value="Cantidad de horas trabajadas (Amount of hours worked)">Cantidad de horas trabajadas (Amount of hours worked)</option>
      </select>
    </div>
  </div>
  <div id="cf29" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-6-claim-6" style="display: block;">
    <label class="control-label" for="custom29"> Fecha a reclamar: día 6 (Date to claim: day 6) </label>
    <div class="controls">
      <div class="field-calendar">
        <div class="input-append">
          <input type="text" id="custom29" name="custom29" value="" class="inputbox" data-alt-value="" autocomplete="off">
          <button type="button" class="btn btn-secondary" id="custom29_btn" data-inputfield="custom29" data-dayformat="%Y-%m-%d" data-button="custom29_btn" data-firstday="0" data-weekend="0,6" data-today-btn="1" data-week-numbers="1"
            data-show-time="0" data-show-others="1" data-time-24="24" data-only-months-nav="0" title="Open the calendar"><span class="icon-calendar" aria-hidden="true"></span></button>
        </div>
        <div class="js-calendar" style="direction: ltr; position: absolute; box-shadow: rgba(0, 0, 0, 0.67) 0px 0px 70px 0px; min-width: 0px; padding: 0px; display: none; left: auto; top: auto; z-index: 1060; border-radius: 20px;">
          <div class="calendar-container">
            <table class="table" cellspacing="0" cellpadding="0" style="margin-bottom: 0px; visibility: visible;">
              <thead class="calendar-header">
                <tr class="calendar-head-row">
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 18px; line-height: 18px;"><a class="js-btn btn-prev-year" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on">‹</a></td>
                  <td colspan="6" class="title">
                    <div unselectable="on">
                      <div style="text-align:center;font-size:18px"><span>2024</span></div>
                    </div>
                  </td>
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 18px; line-height: 18px;"><a class="js-btn btn-next-year" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on"> ›</a></td>
                </tr>
                <tr class="calendar-head-row">
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 2em; line-height: 1em;"><a class="js-btn btn-prev-month" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on">‹</a></td>
                  <td colspan="6" class="title" style="text-align: center;">
                    <div unselectable="on">
                      <div style="text-align:center;font-size:1.2em"><span>February</span></div>
                    </div>
                  </td>
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 2em; line-height: 1em;"><a class="js-btn btn-next-month" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on"> ›</a></td>
                </tr>
                <tr class="daynames wk">
                  <td class="day-name wn">wk</td>
                  <td class="day-name day-name-week">Sun</td>
                  <td class="day-name day-name-week">Mon</td>
                  <td class="day-name day-name-week">Tue</td>
                  <td class="day-name day-name-week">Wed</td>
                  <td class="day-name day-name-week">Thu</td>
                  <td class="day-name day-name-week">Fri</td>
                  <td class="day-name day-name-week">Sat</td>
                </tr>
              </thead>
              <tbody>
                <tr class="daysrow wk">
                  <td class="day wn">4</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">28</td>
                  <td class="day disabled othermonth " style="text-align: center;">29</td>
                  <td class="day disabled othermonth " style="text-align: center;">30</td>
                  <td class="day disabled othermonth " style="text-align: center;">31</td>
                  <td class="day" style="text-align: center; cursor: pointer;">1</td>
                  <td class="day" style="text-align: center; cursor: pointer;">2</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">3</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">5</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">4</td>
                  <td class="day" style="text-align: center; cursor: pointer;">5</td>
                  <td class="day selected today" style="text-align: center; cursor: pointer;">6</td>
                  <td class="day" style="text-align: center; cursor: pointer;">7</td>
                  <td class="day" style="text-align: center; cursor: pointer;">8</td>
                  <td class="day" style="text-align: center; cursor: pointer;">9</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">10</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">6</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">11</td>
                  <td class="day" style="text-align: center; cursor: pointer;">12</td>
                  <td class="day" style="text-align: center; cursor: pointer;">13</td>
                  <td class="day" style="text-align: center; cursor: pointer;">14</td>
                  <td class="day" style="text-align: center; cursor: pointer;">15</td>
                  <td class="day" style="text-align: center; cursor: pointer;">16</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">17</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">7</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">18</td>
                  <td class="day" style="text-align: center; cursor: pointer;">19</td>
                  <td class="day" style="text-align: center; cursor: pointer;">20</td>
                  <td class="day" style="text-align: center; cursor: pointer;">21</td>
                  <td class="day" style="text-align: center; cursor: pointer;">22</td>
                  <td class="day" style="text-align: center; cursor: pointer;">23</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">24</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">8</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">25</td>
                  <td class="day" style="text-align: center; cursor: pointer;">26</td>
                  <td class="day" style="text-align: center; cursor: pointer;">27</td>
                  <td class="day" style="text-align: center; cursor: pointer;">28</td>
                  <td class="day" style="text-align: center; cursor: pointer;">29</td>
                  <td class="day disabled othermonth " style="text-align: center;">1</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">2</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">9</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">3</td>
                  <td class="day disabled othermonth " style="text-align: center;">4</td>
                  <td class="day disabled othermonth " style="text-align: center;">5</td>
                  <td class="day disabled othermonth " style="text-align: center;">6</td>
                  <td class="day disabled othermonth " style="text-align: center;">7</td>
                  <td class="day disabled othermonth " style="text-align: center;">8</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">9</td>
                </tr>
              </tbody>
            </table>
            <div class="buttons-wrapper btn-group"><button type="button" data-action="clear" class="js-btn btn btn-clear">Clear</button><button type="button" data-action="today" class="js-btn btn btn-today">Today</button><button type="button"
                data-action="exit" class="js-btn btn btn-exit">Close</button></div>
          </div>
        </div>
      </div>
      <span class="help-block">Favor de seleccionar la fecha que desea reclamar. (Please select the date you wish to claim)</span>
    </div>
  </div>
  <div id="cf46" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-6-claim-6" style="display: block;">
    <label class="control-label" for="custom46"> Hora Entrada (Militar 0 a 24) (Clock-In (Military 0 to 24))(6) </label>
    <div class="controls">
      <select id="custom46" name="custom46" class="inputbox">
        <option value="0" selected="">0</option>
        <option value="1">1</option>
        <option value="2">2</option>
        <option value="3">3</option>
        <option value="4">4</option>
        <option value="5">5</option>
        <option value="6">6</option>
        <option value="7">7</option>
        <option value="8">8</option>
        <option value="9">9</option>
        <option value="10">10</option>
        <option value="11">11</option>
        <option value="12">12</option>
        <option value="13">13</option>
        <option value="14">14</option>
        <option value="15">15</option>
        <option value="16">16</option>
        <option value="17">17</option>
        <option value="18">18</option>
        <option value="19">19</option>
        <option value="20">20</option>
        <option value="21">21</option>
        <option value="22">22</option>
        <option value="23">23</option>
      </select>
    </div>
  </div>
  <div id="cf57" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-6-claim-6" style="display: block;">
    <label class="control-label" for="custom57"> Hora Salida (Militar 0 a 24) (Clock-out (Military 0 to 24))(6) </label>
    <div class="controls">
      <select id="custom57" name="custom57" class="inputbox">
        <option value="0" selected="">0</option>
        <option value="1">1</option>
        <option value="2">2</option>
        <option value="3">3</option>
        <option value="4">4</option>
        <option value="5">5</option>
        <option value="6">6</option>
        <option value="7">7</option>
        <option value="8">8</option>
        <option value="9">9</option>
        <option value="10">10</option>
        <option value="11">11</option>
        <option value="12">12</option>
        <option value="13">13</option>
        <option value="14">14</option>
        <option value="15">15</option>
        <option value="16">16</option>
        <option value="17">17</option>
        <option value="18">18</option>
        <option value="19">19</option>
        <option value="20">20</option>
        <option value="21">21</option>
        <option value="22">22</option>
        <option value="23">23</option>
      </select>
    </div>
  </div>
  <div id="cf94" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-6-claim-6" style="display: block;">
    <label class="control-label" for="custom94"> Comentarios (Comments) (6): </label>
    <div class="controls">
      <textarea id="custom94" name="custom94" rows="7"></textarea>
    </div>
  </div>
  <div class="span12 issection cfieldsection-reclamacion-7-claim-7" style="display: block;">
    <label class="control-label" style="font-size:120%;padding:5px 10px;">Reclamación 7 (Claim 7)</label>
  </div>
  <div id="cf39" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-7-claim-7" style="display: block;">
    <label class="control-label" for="custom39"> Cliente y Lugar (Client and Place) (7) </label>
    <div class="controls">
      <input type="text" id="custom39" name="custom39" value="" maxlength="25">
    </div>
  </div>
  <div id="cf77" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-7-claim-7" style="display: block;">
    <label class="control-label" for="custom77"> Cualificación (Qualification) (7) </label>
    <div class="controls">
      <select id="custom77" name="custom77" class="inputbox">
        <option value="Desarmado (Unarmed)" selected="">Desarmado (Unarmed)</option>
        <option value="Armado (Armed)">Armado (Armed)</option>
        <option value="Táctico (Tactical)">Táctico (Tactical)</option>
        <option value="Taser (Taser)">Taser (Taser)</option>
      </select>
    </div>
  </div>
  <div id="cf67" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-7-claim-7" style="display: block;">
    <label class="control-label" for="custom67"> Puesto (Post) (7) </label>
    <div class="controls">
      <input type="text" id="custom67" name="custom67" value="" maxlength="25">
    </div>
  </div>
  <div id="cf85" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-7-claim-7" style="display: block;">
    <label class="control-label" for="custom85"> Tipo de Reclamación (Type of Claim) (7) </label>
    <div class="controls">
      <select id="custom85" name="custom85" class="inputbox">
        <option value="Salario por hora (Hourly wage)" selected="">Salario por hora (Hourly wage)</option>
        <option value="Cantidad de horas trabajadas (Amount of hours worked)">Cantidad de horas trabajadas (Amount of hours worked)</option>
      </select>
    </div>
  </div>
  <div id="cf30" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-7-claim-7" style="display: block;">
    <label class="control-label" for="custom30"> Fecha a reclamar: día 7 (Date to claim: day 7) </label>
    <div class="controls">
      <div class="field-calendar">
        <div class="input-append">
          <input type="text" id="custom30" name="custom30" value="" class="inputbox" data-alt-value="" autocomplete="off">
          <button type="button" class="btn btn-secondary" id="custom30_btn" data-inputfield="custom30" data-dayformat="%Y-%m-%d" data-button="custom30_btn" data-firstday="0" data-weekend="0,6" data-today-btn="1" data-week-numbers="1"
            data-show-time="0" data-show-others="1" data-time-24="24" data-only-months-nav="0" title="Open the calendar"><span class="icon-calendar" aria-hidden="true"></span></button>
        </div>
        <div class="js-calendar" style="direction: ltr; position: absolute; box-shadow: rgba(0, 0, 0, 0.67) 0px 0px 70px 0px; min-width: 0px; padding: 0px; display: none; left: auto; top: auto; z-index: 1060; border-radius: 20px;">
          <div class="calendar-container">
            <table class="table" cellspacing="0" cellpadding="0" style="margin-bottom: 0px; visibility: visible;">
              <thead class="calendar-header">
                <tr class="calendar-head-row">
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 18px; line-height: 18px;"><a class="js-btn btn-prev-year" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on">‹</a></td>
                  <td colspan="6" class="title">
                    <div unselectable="on">
                      <div style="text-align:center;font-size:18px"><span>2024</span></div>
                    </div>
                  </td>
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 18px; line-height: 18px;"><a class="js-btn btn-next-year" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on"> ›</a></td>
                </tr>
                <tr class="calendar-head-row">
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 2em; line-height: 1em;"><a class="js-btn btn-prev-month" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on">‹</a></td>
                  <td colspan="6" class="title" style="text-align: center;">
                    <div unselectable="on">
                      <div style="text-align:center;font-size:1.2em"><span>February</span></div>
                    </div>
                  </td>
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 2em; line-height: 1em;"><a class="js-btn btn-next-month" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on"> ›</a></td>
                </tr>
                <tr class="daynames wk">
                  <td class="day-name wn">wk</td>
                  <td class="day-name day-name-week">Sun</td>
                  <td class="day-name day-name-week">Mon</td>
                  <td class="day-name day-name-week">Tue</td>
                  <td class="day-name day-name-week">Wed</td>
                  <td class="day-name day-name-week">Thu</td>
                  <td class="day-name day-name-week">Fri</td>
                  <td class="day-name day-name-week">Sat</td>
                </tr>
              </thead>
              <tbody>
                <tr class="daysrow wk">
                  <td class="day wn">4</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">28</td>
                  <td class="day disabled othermonth " style="text-align: center;">29</td>
                  <td class="day disabled othermonth " style="text-align: center;">30</td>
                  <td class="day disabled othermonth " style="text-align: center;">31</td>
                  <td class="day" style="text-align: center; cursor: pointer;">1</td>
                  <td class="day" style="text-align: center; cursor: pointer;">2</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">3</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">5</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">4</td>
                  <td class="day" style="text-align: center; cursor: pointer;">5</td>
                  <td class="day selected today" style="text-align: center; cursor: pointer;">6</td>
                  <td class="day" style="text-align: center; cursor: pointer;">7</td>
                  <td class="day" style="text-align: center; cursor: pointer;">8</td>
                  <td class="day" style="text-align: center; cursor: pointer;">9</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">10</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">6</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">11</td>
                  <td class="day" style="text-align: center; cursor: pointer;">12</td>
                  <td class="day" style="text-align: center; cursor: pointer;">13</td>
                  <td class="day" style="text-align: center; cursor: pointer;">14</td>
                  <td class="day" style="text-align: center; cursor: pointer;">15</td>
                  <td class="day" style="text-align: center; cursor: pointer;">16</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">17</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">7</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">18</td>
                  <td class="day" style="text-align: center; cursor: pointer;">19</td>
                  <td class="day" style="text-align: center; cursor: pointer;">20</td>
                  <td class="day" style="text-align: center; cursor: pointer;">21</td>
                  <td class="day" style="text-align: center; cursor: pointer;">22</td>
                  <td class="day" style="text-align: center; cursor: pointer;">23</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">24</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">8</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">25</td>
                  <td class="day" style="text-align: center; cursor: pointer;">26</td>
                  <td class="day" style="text-align: center; cursor: pointer;">27</td>
                  <td class="day" style="text-align: center; cursor: pointer;">28</td>
                  <td class="day" style="text-align: center; cursor: pointer;">29</td>
                  <td class="day disabled othermonth " style="text-align: center;">1</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">2</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">9</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">3</td>
                  <td class="day disabled othermonth " style="text-align: center;">4</td>
                  <td class="day disabled othermonth " style="text-align: center;">5</td>
                  <td class="day disabled othermonth " style="text-align: center;">6</td>
                  <td class="day disabled othermonth " style="text-align: center;">7</td>
                  <td class="day disabled othermonth " style="text-align: center;">8</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">9</td>
                </tr>
              </tbody>
            </table>
            <div class="buttons-wrapper btn-group"><button type="button" data-action="clear" class="js-btn btn btn-clear">Clear</button><button type="button" data-action="today" class="js-btn btn btn-today">Today</button><button type="button"
                data-action="exit" class="js-btn btn btn-exit">Close</button></div>
          </div>
        </div>
      </div>
      <span class="help-block">Favor de seleccionar la fecha que desea reclamar. (Please select the date you wish to claim)</span>
    </div>
  </div>
  <div id="cf48" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-7-claim-7" style="display: block;">
    <label class="control-label" for="custom48"> Hora Entrada (Militar 0 a 24) (Clock-In (Military 0 to 24))(7) </label>
    <div class="controls">
      <select id="custom48" name="custom48" class="inputbox">
        <option value="0" selected="">0</option>
        <option value="1">1</option>
        <option value="2">2</option>
        <option value="3">3</option>
        <option value="4">4</option>
        <option value="5">5</option>
        <option value="6">6</option>
        <option value="7">7</option>
        <option value="8">8</option>
        <option value="9">9</option>
        <option value="10">10</option>
        <option value="11">11</option>
        <option value="12">12</option>
        <option value="13">13</option>
        <option value="14">14</option>
        <option value="15">15</option>
        <option value="16">16</option>
        <option value="17">17</option>
        <option value="18">18</option>
        <option value="19">19</option>
        <option value="20">20</option>
        <option value="21">21</option>
        <option value="22">22</option>
        <option value="23">23</option>
      </select>
    </div>
  </div>
  <div id="cf58" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-7-claim-7" style="display: block;">
    <label class="control-label" for="custom58"> Hora Salida (Militar 0 a 24) (Clock-out (Military 0 to 24))(7) </label>
    <div class="controls">
      <select id="custom58" name="custom58" class="inputbox">
        <option value="0" selected="">0</option>
        <option value="1">1</option>
        <option value="2">2</option>
        <option value="3">3</option>
        <option value="4">4</option>
        <option value="5">5</option>
        <option value="6">6</option>
        <option value="7">7</option>
        <option value="8">8</option>
        <option value="9">9</option>
        <option value="10">10</option>
        <option value="11">11</option>
        <option value="12">12</option>
        <option value="13">13</option>
        <option value="14">14</option>
        <option value="15">15</option>
        <option value="16">16</option>
        <option value="17">17</option>
        <option value="18">18</option>
        <option value="19">19</option>
        <option value="20">20</option>
        <option value="21">21</option>
        <option value="22">22</option>
        <option value="23">23</option>
      </select>
    </div>
  </div>
  <div id="cf95" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-7-claim-7" style="display: block;">
    <label class="control-label" for="custom95"> Comentarios (Comments) (7): </label>
    <div class="controls">
      <textarea id="custom95" name="custom95" rows="7"></textarea>
    </div>
  </div>
  <div class="span12 issection cfieldsection-reclamacion-8-claim-8" style="display: block;">
    <label class="control-label" style="font-size:120%;padding:5px 10px;">Reclamación 8 (Claim 8)</label>
  </div>
  <div id="cf40" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-8-claim-8" style="display: block;">
    <label class="control-label" for="custom40"> Cliente y Lugar (Client and Place) (8) </label>
    <div class="controls">
      <input type="text" id="custom40" name="custom40" value="" maxlength="25">
    </div>
  </div>
  <div id="cf69" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-8-claim-8" style="display: block;">
    <label class="control-label" for="custom69"> Puesto (Post) (8) </label>
    <div class="controls">
      <input type="text" id="custom69" name="custom69" value="" maxlength="25">
    </div>
  </div>
  <div id="cf78" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-8-claim-8" style="display: block;">
    <label class="control-label" for="custom78"> Cualificación (Qualification) (8) </label>
    <div class="controls">
      <select id="custom78" name="custom78" class="inputbox">
        <option value="Desarmado (Unarmed)" selected="">Desarmado (Unarmed)</option>
        <option value="Armado (Armed)">Armado (Armed)</option>
        <option value="Táctico (Tactical)">Táctico (Tactical)</option>
        <option value="Taser (Taser)">Taser (Taser)</option>
      </select>
    </div>
  </div>
  <div id="cf86" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-8-claim-8" style="display: block;">
    <label class="control-label" for="custom86"> Tipo de Reclamación (8) </label>
    <div class="controls">
      <select id="custom86" name="custom86" class="inputbox">
        <option value="Salario por hora" selected="">Salario por hora</option>
        <option value="Cantidad de horas trabajadas">Cantidad de horas trabajadas</option>
      </select>
    </div>
  </div>
  <div id="cf31" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-8-claim-8" style="display: block;">
    <label class="control-label" for="custom31"> Fecha a reclamar: día 8 (Date to claim: day 8) </label>
    <div class="controls">
      <div class="field-calendar">
        <div class="input-append">
          <input type="text" id="custom31" name="custom31" value="" class="inputbox" data-alt-value="" autocomplete="off">
          <button type="button" class="btn btn-secondary" id="custom31_btn" data-inputfield="custom31" data-dayformat="%Y-%m-%d" data-button="custom31_btn" data-firstday="0" data-weekend="0,6" data-today-btn="1" data-week-numbers="1"
            data-show-time="0" data-show-others="1" data-time-24="24" data-only-months-nav="0" title="Open the calendar"><span class="icon-calendar" aria-hidden="true"></span></button>
        </div>
        <div class="js-calendar" style="direction: ltr; position: absolute; box-shadow: rgba(0, 0, 0, 0.67) 0px 0px 70px 0px; min-width: 0px; padding: 0px; display: none; left: auto; top: auto; z-index: 1060; border-radius: 20px;">
          <div class="calendar-container">
            <table class="table" cellspacing="0" cellpadding="0" style="margin-bottom: 0px; visibility: visible;">
              <thead class="calendar-header">
                <tr class="calendar-head-row">
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 18px; line-height: 18px;"><a class="js-btn btn-prev-year" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on">‹</a></td>
                  <td colspan="6" class="title">
                    <div unselectable="on">
                      <div style="text-align:center;font-size:18px"><span>2024</span></div>
                    </div>
                  </td>
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 18px; line-height: 18px;"><a class="js-btn btn-next-year" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on"> ›</a></td>
                </tr>
                <tr class="calendar-head-row">
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 2em; line-height: 1em;"><a class="js-btn btn-prev-month" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on">‹</a></td>
                  <td colspan="6" class="title" style="text-align: center;">
                    <div unselectable="on">
                      <div style="text-align:center;font-size:1.2em"><span>February</span></div>
                    </div>
                  </td>
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 2em; line-height: 1em;"><a class="js-btn btn-next-month" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on"> ›</a></td>
                </tr>
                <tr class="daynames wk">
                  <td class="day-name wn">wk</td>
                  <td class="day-name day-name-week">Sun</td>
                  <td class="day-name day-name-week">Mon</td>
                  <td class="day-name day-name-week">Tue</td>
                  <td class="day-name day-name-week">Wed</td>
                  <td class="day-name day-name-week">Thu</td>
                  <td class="day-name day-name-week">Fri</td>
                  <td class="day-name day-name-week">Sat</td>
                </tr>
              </thead>
              <tbody>
                <tr class="daysrow wk">
                  <td class="day wn">4</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">28</td>
                  <td class="day disabled othermonth " style="text-align: center;">29</td>
                  <td class="day disabled othermonth " style="text-align: center;">30</td>
                  <td class="day disabled othermonth " style="text-align: center;">31</td>
                  <td class="day" style="text-align: center; cursor: pointer;">1</td>
                  <td class="day" style="text-align: center; cursor: pointer;">2</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">3</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">5</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">4</td>
                  <td class="day" style="text-align: center; cursor: pointer;">5</td>
                  <td class="day selected today" style="text-align: center; cursor: pointer;">6</td>
                  <td class="day" style="text-align: center; cursor: pointer;">7</td>
                  <td class="day" style="text-align: center; cursor: pointer;">8</td>
                  <td class="day" style="text-align: center; cursor: pointer;">9</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">10</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">6</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">11</td>
                  <td class="day" style="text-align: center; cursor: pointer;">12</td>
                  <td class="day" style="text-align: center; cursor: pointer;">13</td>
                  <td class="day" style="text-align: center; cursor: pointer;">14</td>
                  <td class="day" style="text-align: center; cursor: pointer;">15</td>
                  <td class="day" style="text-align: center; cursor: pointer;">16</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">17</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">7</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">18</td>
                  <td class="day" style="text-align: center; cursor: pointer;">19</td>
                  <td class="day" style="text-align: center; cursor: pointer;">20</td>
                  <td class="day" style="text-align: center; cursor: pointer;">21</td>
                  <td class="day" style="text-align: center; cursor: pointer;">22</td>
                  <td class="day" style="text-align: center; cursor: pointer;">23</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">24</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">8</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">25</td>
                  <td class="day" style="text-align: center; cursor: pointer;">26</td>
                  <td class="day" style="text-align: center; cursor: pointer;">27</td>
                  <td class="day" style="text-align: center; cursor: pointer;">28</td>
                  <td class="day" style="text-align: center; cursor: pointer;">29</td>
                  <td class="day disabled othermonth " style="text-align: center;">1</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">2</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">9</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">3</td>
                  <td class="day disabled othermonth " style="text-align: center;">4</td>
                  <td class="day disabled othermonth " style="text-align: center;">5</td>
                  <td class="day disabled othermonth " style="text-align: center;">6</td>
                  <td class="day disabled othermonth " style="text-align: center;">7</td>
                  <td class="day disabled othermonth " style="text-align: center;">8</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">9</td>
                </tr>
              </tbody>
            </table>
            <div class="buttons-wrapper btn-group"><button type="button" data-action="clear" class="js-btn btn btn-clear">Clear</button><button type="button" data-action="today" class="js-btn btn btn-today">Today</button><button type="button"
                data-action="exit" class="js-btn btn btn-exit">Close</button></div>
          </div>
        </div>
      </div>
      <span class="help-block">Favor de seleccionar la fecha que desea reclamar. (Please select the date you wish to claim)</span>
    </div>
  </div>
  <div id="cf49" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-8-claim-8" style="display: block;">
    <label class="control-label" for="custom49"> Hora Entrada (Militar 0 a 24) (Clock-In (Military 0 to 24))(8) </label>
    <div class="controls">
      <select id="custom49" name="custom49" class="inputbox">
        <option value="0" selected="">0</option>
        <option value="1">1</option>
        <option value="2">2</option>
        <option value="3">3</option>
        <option value="4">4</option>
        <option value="5">5</option>
        <option value="6">6</option>
        <option value="7">7</option>
        <option value="8">8</option>
        <option value="9">9</option>
        <option value="10">10</option>
        <option value="11">11</option>
        <option value="12">12</option>
        <option value="13">13</option>
        <option value="14">14</option>
        <option value="15">15</option>
        <option value="16">16</option>
        <option value="17">17</option>
        <option value="18">18</option>
        <option value="19">19</option>
        <option value="20">20</option>
        <option value="21">21</option>
        <option value="22">22</option>
        <option value="23">23</option>
      </select>
    </div>
  </div>
  <div id="cf54" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-8-claim-8" style="display: block;">
    <label class="control-label" for="custom54"> Hora Salida (Militar 0 a 24) (Clock-out (Military 0 to 24))(8) </label>
    <div class="controls">
      <select id="custom54" name="custom54" class="inputbox">
        <option value="0" selected="">0</option>
        <option value="1">1</option>
        <option value="2">2</option>
        <option value="3">3</option>
        <option value="4">4</option>
        <option value="5">5</option>
        <option value="6">6</option>
        <option value="7">7</option>
        <option value="8">8</option>
        <option value="9">9</option>
        <option value="10">10</option>
        <option value="11">11</option>
        <option value="12">12</option>
        <option value="13">13</option>
        <option value="14">14</option>
        <option value="15">15</option>
        <option value="16">16</option>
        <option value="17">17</option>
        <option value="18">18</option>
        <option value="19">19</option>
        <option value="20">20</option>
        <option value="21">21</option>
        <option value="22">22</option>
        <option value="23">23</option>
      </select>
    </div>
  </div>
  <div id="cf96" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-8-claim-8" style="display: block;">
    <label class="control-label" for="custom96"> Comentarios (Comments) (8): </label>
    <div class="controls">
      <textarea id="custom96" name="custom96" rows="7"></textarea>
    </div>
  </div>
  <div class="span12 issection cfieldsection-reclamacion-9-claim-9" style="display: block;">
    <label class="control-label" style="font-size:120%;padding:5px 10px;">Reclamación 9 (Claim 9)</label>
  </div>
  <div id="cf32" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-9-claim-9" style="display: block;">
    <label class="control-label" for="custom32"> Fecha a reclamar: día 9 (Date to claim: day 9) </label>
    <div class="controls">
      <div class="field-calendar">
        <div class="input-append">
          <input type="text" id="custom32" name="custom32" value="" class="inputbox" data-alt-value="" autocomplete="off">
          <button type="button" class="btn btn-secondary" id="custom32_btn" data-inputfield="custom32" data-dayformat="%Y-%m-%d" data-button="custom32_btn" data-firstday="0" data-weekend="0,6" data-today-btn="1" data-week-numbers="1"
            data-show-time="0" data-show-others="1" data-time-24="24" data-only-months-nav="0" title="Open the calendar"><span class="icon-calendar" aria-hidden="true"></span></button>
        </div>
        <div class="js-calendar" style="direction: ltr; position: absolute; box-shadow: rgba(0, 0, 0, 0.67) 0px 0px 70px 0px; min-width: 0px; padding: 0px; display: none; left: auto; top: auto; z-index: 1060; border-radius: 20px;">
          <div class="calendar-container">
            <table class="table" cellspacing="0" cellpadding="0" style="margin-bottom: 0px; visibility: visible;">
              <thead class="calendar-header">
                <tr class="calendar-head-row">
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 18px; line-height: 18px;"><a class="js-btn btn-prev-year" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on">‹</a></td>
                  <td colspan="6" class="title">
                    <div unselectable="on">
                      <div style="text-align:center;font-size:18px"><span>2024</span></div>
                    </div>
                  </td>
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 18px; line-height: 18px;"><a class="js-btn btn-next-year" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on"> ›</a></td>
                </tr>
                <tr class="calendar-head-row">
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 2em; line-height: 1em;"><a class="js-btn btn-prev-month" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on">‹</a></td>
                  <td colspan="6" class="title" style="text-align: center;">
                    <div unselectable="on">
                      <div style="text-align:center;font-size:1.2em"><span>February</span></div>
                    </div>
                  </td>
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 2em; line-height: 1em;"><a class="js-btn btn-next-month" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on"> ›</a></td>
                </tr>
                <tr class="daynames wk">
                  <td class="day-name wn">wk</td>
                  <td class="day-name day-name-week">Sun</td>
                  <td class="day-name day-name-week">Mon</td>
                  <td class="day-name day-name-week">Tue</td>
                  <td class="day-name day-name-week">Wed</td>
                  <td class="day-name day-name-week">Thu</td>
                  <td class="day-name day-name-week">Fri</td>
                  <td class="day-name day-name-week">Sat</td>
                </tr>
              </thead>
              <tbody>
                <tr class="daysrow wk">
                  <td class="day wn">4</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">28</td>
                  <td class="day disabled othermonth " style="text-align: center;">29</td>
                  <td class="day disabled othermonth " style="text-align: center;">30</td>
                  <td class="day disabled othermonth " style="text-align: center;">31</td>
                  <td class="day" style="text-align: center; cursor: pointer;">1</td>
                  <td class="day" style="text-align: center; cursor: pointer;">2</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">3</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">5</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">4</td>
                  <td class="day" style="text-align: center; cursor: pointer;">5</td>
                  <td class="day selected today" style="text-align: center; cursor: pointer;">6</td>
                  <td class="day" style="text-align: center; cursor: pointer;">7</td>
                  <td class="day" style="text-align: center; cursor: pointer;">8</td>
                  <td class="day" style="text-align: center; cursor: pointer;">9</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">10</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">6</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">11</td>
                  <td class="day" style="text-align: center; cursor: pointer;">12</td>
                  <td class="day" style="text-align: center; cursor: pointer;">13</td>
                  <td class="day" style="text-align: center; cursor: pointer;">14</td>
                  <td class="day" style="text-align: center; cursor: pointer;">15</td>
                  <td class="day" style="text-align: center; cursor: pointer;">16</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">17</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">7</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">18</td>
                  <td class="day" style="text-align: center; cursor: pointer;">19</td>
                  <td class="day" style="text-align: center; cursor: pointer;">20</td>
                  <td class="day" style="text-align: center; cursor: pointer;">21</td>
                  <td class="day" style="text-align: center; cursor: pointer;">22</td>
                  <td class="day" style="text-align: center; cursor: pointer;">23</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">24</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">8</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">25</td>
                  <td class="day" style="text-align: center; cursor: pointer;">26</td>
                  <td class="day" style="text-align: center; cursor: pointer;">27</td>
                  <td class="day" style="text-align: center; cursor: pointer;">28</td>
                  <td class="day" style="text-align: center; cursor: pointer;">29</td>
                  <td class="day disabled othermonth " style="text-align: center;">1</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">2</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">9</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">3</td>
                  <td class="day disabled othermonth " style="text-align: center;">4</td>
                  <td class="day disabled othermonth " style="text-align: center;">5</td>
                  <td class="day disabled othermonth " style="text-align: center;">6</td>
                  <td class="day disabled othermonth " style="text-align: center;">7</td>
                  <td class="day disabled othermonth " style="text-align: center;">8</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">9</td>
                </tr>
              </tbody>
            </table>
            <div class="buttons-wrapper btn-group"><button type="button" data-action="clear" class="js-btn btn btn-clear">Clear</button><button type="button" data-action="today" class="js-btn btn btn-today">Today</button><button type="button"
                data-action="exit" class="js-btn btn btn-exit">Close</button></div>
          </div>
        </div>
      </div>
      <span class="help-block">Favor de seleccionar la fecha que desea reclamar. (Please select the date you wish to claim)</span>
    </div>
  </div>
  <div id="cf42" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-9-claim-9" style="display: block;">
    <label class="control-label" for="custom42"> Cliente y Lugar (Client and Place) (9) </label>
    <div class="controls">
      <input type="text" id="custom42" name="custom42" value="" maxlength="25">
    </div>
  </div>
  <div id="cf50" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-9-claim-9" style="display: block;">
    <label class="control-label" for="custom50"> Hora Entrada (Militar 0 a 24) (Clock-In (Military 0 to 24))(9) </label>
    <div class="controls">
      <select id="custom50" name="custom50" class="inputbox">
        <option value="0" selected="">0</option>
        <option value="1">1</option>
        <option value="2">2</option>
        <option value="3">3</option>
        <option value="4">4</option>
        <option value="5">5</option>
        <option value="6">6</option>
        <option value="7">7</option>
        <option value="8">8</option>
        <option value="9">9</option>
        <option value="10">10</option>
        <option value="11">11</option>
        <option value="12">12</option>
        <option value="13">13</option>
        <option value="14">14</option>
        <option value="15">15</option>
        <option value="16">16</option>
        <option value="17">17</option>
        <option value="18">18</option>
        <option value="19">19</option>
        <option value="20">20</option>
        <option value="21">21</option>
        <option value="22">22</option>
        <option value="23">23</option>
      </select>
    </div>
  </div>
  <div id="cf59" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-9-claim-9" style="display: block;">
    <label class="control-label" for="custom59"> Hora Salida (Militar 0 a 24) (Clock-out (Military 0 to 24))(9) </label>
    <div class="controls">
      <select id="custom59" name="custom59" class="inputbox">
        <option value="0" selected="">0</option>
        <option value="1">1</option>
        <option value="2">2</option>
        <option value="3">3</option>
        <option value="4">4</option>
        <option value="5">5</option>
        <option value="6">6</option>
        <option value="7">7</option>
        <option value="8">8</option>
        <option value="9">9</option>
        <option value="10">10</option>
        <option value="11">11</option>
        <option value="12">12</option>
        <option value="13">13</option>
        <option value="14">14</option>
        <option value="15">15</option>
        <option value="16">16</option>
        <option value="17">17</option>
        <option value="18">18</option>
        <option value="19">19</option>
        <option value="20">20</option>
        <option value="21">21</option>
        <option value="22">22</option>
        <option value="23">23</option>
      </select>
    </div>
  </div>
  <div id="cf70" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-9-claim-9" style="display: block;">
    <label class="control-label" for="custom70"> Puesto (Post) (9) </label>
    <div class="controls">
      <input type="text" id="custom70" name="custom70" value="" maxlength="25">
    </div>
  </div>
  <div id="cf79" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-9-claim-9" style="display: block;">
    <label class="control-label" for="custom79"> Cualificación (Qualification) (9) </label>
    <div class="controls">
      <select id="custom79" name="custom79" class="inputbox">
        <option value="Desarmado (Unarmed)" selected="">Desarmado (Unarmed)</option>
        <option value="Armado (Armed)">Armado (Armed)</option>
        <option value="Táctico (Tactical)">Táctico (Tactical)</option>
        <option value="Taser (Taser)">Taser (Taser)</option>
      </select>
    </div>
  </div>
  <div id="cf88" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-9-claim-9" style="display: block;">
    <label class="control-label" for="custom88"> Tipo de Reclamación (9) </label>
    <div class="controls">
      <select id="custom88" name="custom88" class="inputbox">
        <option value="Salario por hora" selected="">Salario por hora</option>
        <option value="Cantidad de horas trabajadas">Cantidad de horas trabajadas</option>
      </select>
    </div>
  </div>
  <div id="cf97" class="control-group row-fluid field cfield cat9 cfieldsection-reclamacion-9-claim-9" style="display: block;">
    <label class="control-label" for="custom97"> Comentarios (Comments) (9): </label>
    <div class="controls">
      <textarea id="custom97" name="custom97" rows="7"></textarea>
    </div>
  </div>
  <div class="span12 issection cfieldsection-solicitud-de-deposito-directo" style="display: none;">
    <label class="control-label" style="font-size:120%;padding:5px 10px;">Solicitud de depósito directo</label>
  </div>
  <div id="cf217" class="control-group row-fluid field cfield cat57 cfieldsection-solicitud-de-deposito-directo" style="display: none;">
    <label class="control-label" for="custom217"> Teléfono: <span class="required">*</span> </label>
    <div class="controls">
      <input type="hidden" id="custom217" name="custom217" value="" maxlength="25" readonly=""> <span class="help-block"><br>
        <br>
        <font size="3"><b>SOLICITUD DE AUTORIZACIÓN A RANGER AMERICAN A ACREDITAR EL TOTAL DE MI SALARIO NETO EN LA CUENTA:</b></font>
        <br>
        <br>
      </span>
    </div>
  </div>
  <div id="cf218" class="control-group row-fluid field cfield cat57 cfieldsection-solicitud-de-deposito-directo" style="display: none;">
    <label class="control-label" for="custom218">
      <b>NOMBRE DEL BANCO: </b> <span class="required">*</span> </label>
    <div class="controls">
      <input type="hidden" id="custom218" name="custom218" value="" maxlength="25" readonly="">
    </div>
  </div>
  <div id="cf219" class="control-group row-fluid field cfield cat57 cfieldsection-solicitud-de-deposito-directo" style="display: none;">
    <label class="control-label" for="custom219">
      <b>TIPO DE CUENTA: </b> <span class="required">*</span> </label>
    <div class="controls">
      <input type="hidden" id="custom219" name="custom219" value="Cheques" maxlength="25" readonly="">Cheques
    </div>
  </div>
  <div id="cf220" class="control-group row-fluid field cfield cat57 cfieldsection-solicitud-de-deposito-directo" style="display: none;">
    <label class="control-label" for="custom220">
      <b>NÚMERO DE CUENTA: </b> <span class="required">*</span> </label>
    <div class="controls">
      <input type="hidden" id="custom220" name="custom220" value="" maxlength="25" readonly="">
    </div>
  </div>
  <div id="cf221" class="control-group row-fluid field cfield cat57 cfieldsection-solicitud-de-deposito-directo" style="display: none;">
    <label class="control-label" for="custom221">
      <b>NÚMERO DE RUTA: </b> <span class="required">*</span> </label>
    <div class="controls">
      <input type="hidden" id="custom221" name="custom221" value="" maxlength="25" readonly=""> <span class="help-block"><br>
        <br>
        <font size="3">Esta autorización es efectiva a partir del próximo periodo de pago a partir de la fecha abajo indicada y subsiguiente hasta tanto esta autorización sea cancelada por escrito. Cualquier reclamación de mi parte por concepto de
          salarios de acreditados a mi cuenta conforme a este documento, se hará directamente a través del Departamento de Nómina de Ranger American y del Banco con quien tengo mi cuenta. Toda autorización para depósito directo debe estar acompañada
          de cualquier documento con el nombre y el número de cuenta impreso para ser procesada. <b>(Ej.Cheque "Void" u Hoja de depósito)</b></font>
        <br>
        <br>
      </span>
    </div>
  </div>
  <div id="cf222" class="control-group row-fluid field cfield cat57 cfieldsection-solicitud-de-deposito-directo" style="display: none;">
    <label class="control-label" for="custom222"> Firma del Empleado: <span class="required">*</span> </label>
    <div class="controls">
      <input type="hidden" id="custom222" name="custom222" value="" maxlength="0" readonly="">
    </div>
  </div>
  <div class="span12 issection cfieldsection-solicitud-de-licencia-de-enfermedad" style="display: none;">
    <label class="control-label" style="font-size:120%;padding:5px 10px;">Solicitud de Licencia de Enfermedad</label>
  </div>
  <div id="cf232" class="control-group row-fluid field cfield cat49 cfieldsection-solicitud-de-licencia-de-enfermedad" style="display: none;">
    <label class="control-label" for="custom232"> Cliente: <span class="required">*</span> </label>
    <div class="controls">
      <input type="hidden" id="custom232" name="custom232" value="" maxlength="50" readonly="">
    </div>
  </div>
  <div id="cf233" class="control-group row-fluid field cfield cat49 cfieldsection-solicitud-de-licencia-de-enfermedad" style="display: none;">
    <label class="control-label" for="custom233"> Fecha que se ausentó: <span class="required">*</span> </label>
    <div class="controls">
      <input type="hidden" id="custom233" name="custom233" value="" maxlength="50" readonly=""> <span class="help-block">mm/dd/yyyy - mm/dd/yyyy</span>
    </div>
  </div>
  <div id="cf234" class="control-group row-fluid field cfield cat49 cfieldsection-solicitud-de-licencia-de-enfermedad" style="display: none;">
    <label class="control-label" for="custom234"> Horario: <span class="required">*</span> </label>
    <div class="controls">
      <input type="hidden" id="custom234" name="custom234" value="" maxlength="50" readonly=""> <span class="help-block">Hora militar 00:00</span>
    </div>
  </div>
  <div class="span12 issection cfieldsection-solicitud-de-vacaciones" style="display: none;">
    <label class="control-label" style="font-size:120%;padding:5px 10px;">Solicitud de Vacaciones</label>
  </div>
  <div id="cf152" class="control-group row-fluid field cfield cat26 cfieldsection-solicitud-de-vacaciones" style="display: none;">
    <label class="control-label" for="custom152"> En la ciudad de San Juan, Puerto Rico, hoy: <span class="required">*</span> </label>
    <div class="controls">
      <div class="field-calendar">
        <div class="input-append">
          <input type="text" id="custom152" name="custom152" value="" class="inputbox" data-alt-value="" autocomplete="off">
          <button type="button" class="btn btn-secondary" id="custom152_btn" data-inputfield="custom152" data-dayformat="%Y-%m-%d" data-button="custom152_btn" data-firstday="0" data-weekend="0,6" data-today-btn="1" data-week-numbers="1"
            data-show-time="0" data-show-others="1" data-time-24="24" data-only-months-nav="0" title="Open the calendar"><span class="icon-calendar" aria-hidden="true"></span></button>
        </div>
        <div class="js-calendar" style="direction: ltr; position: absolute; box-shadow: rgba(0, 0, 0, 0.67) 0px 0px 70px 0px; min-width: 0px; padding: 0px; display: none; left: auto; top: auto; z-index: 1060; border-radius: 20px;">
          <div class="calendar-container">
            <table class="table" cellspacing="0" cellpadding="0" style="margin-bottom: 0px; visibility: visible;">
              <thead class="calendar-header">
                <tr class="calendar-head-row">
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 18px; line-height: 18px;"><a class="js-btn btn-prev-year" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on">‹</a></td>
                  <td colspan="6" class="title">
                    <div unselectable="on">
                      <div style="text-align:center;font-size:18px"><span>2024</span></div>
                    </div>
                  </td>
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 18px; line-height: 18px;"><a class="js-btn btn-next-year" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on"> ›</a></td>
                </tr>
                <tr class="calendar-head-row">
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 2em; line-height: 1em;"><a class="js-btn btn-prev-month" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on">‹</a></td>
                  <td colspan="6" class="title" style="text-align: center;">
                    <div unselectable="on">
                      <div style="text-align:center;font-size:1.2em"><span>February</span></div>
                    </div>
                  </td>
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 2em; line-height: 1em;"><a class="js-btn btn-next-month" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on"> ›</a></td>
                </tr>
                <tr class="daynames wk">
                  <td class="day-name wn">wk</td>
                  <td class="day-name day-name-week">Sun</td>
                  <td class="day-name day-name-week">Mon</td>
                  <td class="day-name day-name-week">Tue</td>
                  <td class="day-name day-name-week">Wed</td>
                  <td class="day-name day-name-week">Thu</td>
                  <td class="day-name day-name-week">Fri</td>
                  <td class="day-name day-name-week">Sat</td>
                </tr>
              </thead>
              <tbody>
                <tr class="daysrow wk">
                  <td class="day wn">4</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">28</td>
                  <td class="day disabled othermonth " style="text-align: center;">29</td>
                  <td class="day disabled othermonth " style="text-align: center;">30</td>
                  <td class="day disabled othermonth " style="text-align: center;">31</td>
                  <td class="day" style="text-align: center; cursor: pointer;">1</td>
                  <td class="day" style="text-align: center; cursor: pointer;">2</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">3</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">5</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">4</td>
                  <td class="day" style="text-align: center; cursor: pointer;">5</td>
                  <td class="day selected today" style="text-align: center; cursor: pointer;">6</td>
                  <td class="day" style="text-align: center; cursor: pointer;">7</td>
                  <td class="day" style="text-align: center; cursor: pointer;">8</td>
                  <td class="day" style="text-align: center; cursor: pointer;">9</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">10</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">6</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">11</td>
                  <td class="day" style="text-align: center; cursor: pointer;">12</td>
                  <td class="day" style="text-align: center; cursor: pointer;">13</td>
                  <td class="day" style="text-align: center; cursor: pointer;">14</td>
                  <td class="day" style="text-align: center; cursor: pointer;">15</td>
                  <td class="day" style="text-align: center; cursor: pointer;">16</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">17</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">7</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">18</td>
                  <td class="day" style="text-align: center; cursor: pointer;">19</td>
                  <td class="day" style="text-align: center; cursor: pointer;">20</td>
                  <td class="day" style="text-align: center; cursor: pointer;">21</td>
                  <td class="day" style="text-align: center; cursor: pointer;">22</td>
                  <td class="day" style="text-align: center; cursor: pointer;">23</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">24</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">8</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">25</td>
                  <td class="day" style="text-align: center; cursor: pointer;">26</td>
                  <td class="day" style="text-align: center; cursor: pointer;">27</td>
                  <td class="day" style="text-align: center; cursor: pointer;">28</td>
                  <td class="day" style="text-align: center; cursor: pointer;">29</td>
                  <td class="day disabled othermonth " style="text-align: center;">1</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">2</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">9</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">3</td>
                  <td class="day disabled othermonth " style="text-align: center;">4</td>
                  <td class="day disabled othermonth " style="text-align: center;">5</td>
                  <td class="day disabled othermonth " style="text-align: center;">6</td>
                  <td class="day disabled othermonth " style="text-align: center;">7</td>
                  <td class="day disabled othermonth " style="text-align: center;">8</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">9</td>
                </tr>
              </tbody>
            </table>
            <div class="buttons-wrapper btn-group"><button type="button" data-action="clear" class="js-btn btn btn-clear">Clear</button><button type="button" data-action="today" class="js-btn btn btn-today">Today</button><button type="button"
                data-action="exit" class="js-btn btn btn-exit">Close</button></div>
          </div>
        </div>
      </div>
      <span class="help-block">(Seleccione la fecha de hoy) <br>
        <br>
        <b>DE LA PRIMERA PARTE:</b> Ranger American, una corporación organizada bajo las leyes del Estado Libre Asociado de Puerto Rico. De ahora en adelante denominado como <b>EL PATRONO</b>. <br>
        <br></span>
    </div>
  </div>
  <div id="cf153" class="control-group row-fluid field cfield cat26 cfieldsection-solicitud-de-vacaciones" style="display: none;">
    <label class="control-label" for="custom153">
      <b>DE LA SEGUNDA PARTE:</b> <span class="required">*</span> </label>
    <div class="controls">
      <input type="text" id="custom153" name="custom153" value="" maxlength="25"> <span class="help-block">(escriba su nombre y apellido) <br>
        <br> ,mayor de edad y empleada de la primera parte. De ahora en adelante denominado como <b>EL EMPLEADO</b>. <br>
        <br> Ambas partes aseguran encontrarse en pleno goce y ejercicio de sus derechos civiles. Aseguran además, tener la capacidad legal necesaria para realizar este acuerdo: <br>
        <br>
        <br>
        <center>
          <font size="4"><b>EXPONEN</b></font>
        </center>
        <br>
        <br>
        <b>QUE</b>:&nbsp;&nbsp;El empleado mediante este acuerdo, según lo establece la Ley 180 del 1998 solicita disfrute y pago de sus vacaciones acumuladas bajo los siguiente términos:
      </span>
    </div>
  </div>
  <div id="cf154" class="control-group row-fluid field cfield cat26 cfieldsection-solicitud-de-vacaciones" style="display: none;">
    <label class="control-label" for="custom154"> Las Vacaciones se disfrutarán <b>desde:</b> <span class="required">*</span> </label>
    <div class="controls">
      <div class="field-calendar">
        <div class="input-append">
          <input type="text" id="custom154" name="custom154" value="" class="inputbox" data-alt-value="" autocomplete="off">
          <button type="button" class="btn btn-secondary" id="custom154_btn" data-inputfield="custom154" data-dayformat="%Y-%m-%d" data-button="custom154_btn" data-firstday="0" data-weekend="0,6" data-today-btn="1" data-week-numbers="1"
            data-show-time="0" data-show-others="1" data-time-24="24" data-only-months-nav="0" title="Open the calendar"><span class="icon-calendar" aria-hidden="true"></span></button>
        </div>
        <div class="js-calendar" style="direction: ltr; position: absolute; box-shadow: rgba(0, 0, 0, 0.67) 0px 0px 70px 0px; min-width: 0px; padding: 0px; display: none; left: auto; top: auto; z-index: 1060; border-radius: 20px;">
          <div class="calendar-container">
            <table class="table" cellspacing="0" cellpadding="0" style="margin-bottom: 0px; visibility: visible;">
              <thead class="calendar-header">
                <tr class="calendar-head-row">
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 18px; line-height: 18px;"><a class="js-btn btn-prev-year" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on">‹</a></td>
                  <td colspan="6" class="title">
                    <div unselectable="on">
                      <div style="text-align:center;font-size:18px"><span>2024</span></div>
                    </div>
                  </td>
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 18px; line-height: 18px;"><a class="js-btn btn-next-year" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on"> ›</a></td>
                </tr>
                <tr class="calendar-head-row">
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 2em; line-height: 1em;"><a class="js-btn btn-prev-month" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on">‹</a></td>
                  <td colspan="6" class="title" style="text-align: center;">
                    <div unselectable="on">
                      <div style="text-align:center;font-size:1.2em"><span>February</span></div>
                    </div>
                  </td>
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 2em; line-height: 1em;"><a class="js-btn btn-next-month" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on"> ›</a></td>
                </tr>
                <tr class="daynames wk">
                  <td class="day-name wn">wk</td>
                  <td class="day-name day-name-week">Sun</td>
                  <td class="day-name day-name-week">Mon</td>
                  <td class="day-name day-name-week">Tue</td>
                  <td class="day-name day-name-week">Wed</td>
                  <td class="day-name day-name-week">Thu</td>
                  <td class="day-name day-name-week">Fri</td>
                  <td class="day-name day-name-week">Sat</td>
                </tr>
              </thead>
              <tbody>
                <tr class="daysrow wk">
                  <td class="day wn">4</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">28</td>
                  <td class="day disabled othermonth " style="text-align: center;">29</td>
                  <td class="day disabled othermonth " style="text-align: center;">30</td>
                  <td class="day disabled othermonth " style="text-align: center;">31</td>
                  <td class="day" style="text-align: center; cursor: pointer;">1</td>
                  <td class="day" style="text-align: center; cursor: pointer;">2</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">3</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">5</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">4</td>
                  <td class="day" style="text-align: center; cursor: pointer;">5</td>
                  <td class="day selected today" style="text-align: center; cursor: pointer;">6</td>
                  <td class="day" style="text-align: center; cursor: pointer;">7</td>
                  <td class="day" style="text-align: center; cursor: pointer;">8</td>
                  <td class="day" style="text-align: center; cursor: pointer;">9</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">10</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">6</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">11</td>
                  <td class="day" style="text-align: center; cursor: pointer;">12</td>
                  <td class="day" style="text-align: center; cursor: pointer;">13</td>
                  <td class="day" style="text-align: center; cursor: pointer;">14</td>
                  <td class="day" style="text-align: center; cursor: pointer;">15</td>
                  <td class="day" style="text-align: center; cursor: pointer;">16</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">17</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">7</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">18</td>
                  <td class="day" style="text-align: center; cursor: pointer;">19</td>
                  <td class="day" style="text-align: center; cursor: pointer;">20</td>
                  <td class="day" style="text-align: center; cursor: pointer;">21</td>
                  <td class="day" style="text-align: center; cursor: pointer;">22</td>
                  <td class="day" style="text-align: center; cursor: pointer;">23</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">24</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">8</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">25</td>
                  <td class="day" style="text-align: center; cursor: pointer;">26</td>
                  <td class="day" style="text-align: center; cursor: pointer;">27</td>
                  <td class="day" style="text-align: center; cursor: pointer;">28</td>
                  <td class="day" style="text-align: center; cursor: pointer;">29</td>
                  <td class="day disabled othermonth " style="text-align: center;">1</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">2</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">9</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">3</td>
                  <td class="day disabled othermonth " style="text-align: center;">4</td>
                  <td class="day disabled othermonth " style="text-align: center;">5</td>
                  <td class="day disabled othermonth " style="text-align: center;">6</td>
                  <td class="day disabled othermonth " style="text-align: center;">7</td>
                  <td class="day disabled othermonth " style="text-align: center;">8</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">9</td>
                </tr>
              </tbody>
            </table>
            <div class="buttons-wrapper btn-group"><button type="button" data-action="clear" class="js-btn btn btn-clear">Clear</button><button type="button" data-action="today" class="js-btn btn btn-today">Today</button><button type="button"
                data-action="exit" class="js-btn btn btn-exit">Close</button></div>
          </div>
        </div>
      </div>
    </div>
  </div>
  <div id="cf155" class="control-group row-fluid field cfield cat26 cfieldsection-solicitud-de-vacaciones" style="display: none;">
    <label class="control-label" for="custom155">
      <b>Hasta:</b> <span class="required">*</span> </label>
    <div class="controls">
      <div class="field-calendar">
        <div class="input-append">
          <input type="text" id="custom155" name="custom155" value="" class="inputbox" data-alt-value="" autocomplete="off">
          <button type="button" class="btn btn-secondary" id="custom155_btn" data-inputfield="custom155" data-dayformat="%Y-%m-%d" data-button="custom155_btn" data-firstday="0" data-weekend="0,6" data-today-btn="1" data-week-numbers="1"
            data-show-time="0" data-show-others="1" data-time-24="24" data-only-months-nav="0" title="Open the calendar"><span class="icon-calendar" aria-hidden="true"></span></button>
        </div>
        <div class="js-calendar" style="direction: ltr; position: absolute; box-shadow: rgba(0, 0, 0, 0.67) 0px 0px 70px 0px; min-width: 0px; padding: 0px; display: none; left: auto; top: auto; z-index: 1060; border-radius: 20px;">
          <div class="calendar-container">
            <table class="table" cellspacing="0" cellpadding="0" style="margin-bottom: 0px; visibility: visible;">
              <thead class="calendar-header">
                <tr class="calendar-head-row">
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 18px; line-height: 18px;"><a class="js-btn btn-prev-year" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on">‹</a></td>
                  <td colspan="6" class="title">
                    <div unselectable="on">
                      <div style="text-align:center;font-size:18px"><span>2024</span></div>
                    </div>
                  </td>
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 18px; line-height: 18px;"><a class="js-btn btn-next-year" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on"> ›</a></td>
                </tr>
                <tr class="calendar-head-row">
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 2em; line-height: 1em;"><a class="js-btn btn-prev-month" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on">‹</a></td>
                  <td colspan="6" class="title" style="text-align: center;">
                    <div unselectable="on">
                      <div style="text-align:center;font-size:1.2em"><span>February</span></div>
                    </div>
                  </td>
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 2em; line-height: 1em;"><a class="js-btn btn-next-month" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on"> ›</a></td>
                </tr>
                <tr class="daynames wk">
                  <td class="day-name wn">wk</td>
                  <td class="day-name day-name-week">Sun</td>
                  <td class="day-name day-name-week">Mon</td>
                  <td class="day-name day-name-week">Tue</td>
                  <td class="day-name day-name-week">Wed</td>
                  <td class="day-name day-name-week">Thu</td>
                  <td class="day-name day-name-week">Fri</td>
                  <td class="day-name day-name-week">Sat</td>
                </tr>
              </thead>
              <tbody>
                <tr class="daysrow wk">
                  <td class="day wn">4</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">28</td>
                  <td class="day disabled othermonth " style="text-align: center;">29</td>
                  <td class="day disabled othermonth " style="text-align: center;">30</td>
                  <td class="day disabled othermonth " style="text-align: center;">31</td>
                  <td class="day" style="text-align: center; cursor: pointer;">1</td>
                  <td class="day" style="text-align: center; cursor: pointer;">2</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">3</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">5</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">4</td>
                  <td class="day" style="text-align: center; cursor: pointer;">5</td>
                  <td class="day selected today" style="text-align: center; cursor: pointer;">6</td>
                  <td class="day" style="text-align: center; cursor: pointer;">7</td>
                  <td class="day" style="text-align: center; cursor: pointer;">8</td>
                  <td class="day" style="text-align: center; cursor: pointer;">9</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">10</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">6</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">11</td>
                  <td class="day" style="text-align: center; cursor: pointer;">12</td>
                  <td class="day" style="text-align: center; cursor: pointer;">13</td>
                  <td class="day" style="text-align: center; cursor: pointer;">14</td>
                  <td class="day" style="text-align: center; cursor: pointer;">15</td>
                  <td class="day" style="text-align: center; cursor: pointer;">16</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">17</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">7</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">18</td>
                  <td class="day" style="text-align: center; cursor: pointer;">19</td>
                  <td class="day" style="text-align: center; cursor: pointer;">20</td>
                  <td class="day" style="text-align: center; cursor: pointer;">21</td>
                  <td class="day" style="text-align: center; cursor: pointer;">22</td>
                  <td class="day" style="text-align: center; cursor: pointer;">23</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">24</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">8</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">25</td>
                  <td class="day" style="text-align: center; cursor: pointer;">26</td>
                  <td class="day" style="text-align: center; cursor: pointer;">27</td>
                  <td class="day" style="text-align: center; cursor: pointer;">28</td>
                  <td class="day" style="text-align: center; cursor: pointer;">29</td>
                  <td class="day disabled othermonth " style="text-align: center;">1</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">2</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">9</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">3</td>
                  <td class="day disabled othermonth " style="text-align: center;">4</td>
                  <td class="day disabled othermonth " style="text-align: center;">5</td>
                  <td class="day disabled othermonth " style="text-align: center;">6</td>
                  <td class="day disabled othermonth " style="text-align: center;">7</td>
                  <td class="day disabled othermonth " style="text-align: center;">8</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">9</td>
                </tr>
              </tbody>
            </table>
            <div class="buttons-wrapper btn-group"><button type="button" data-action="clear" class="js-btn btn btn-clear">Clear</button><button type="button" data-action="today" class="js-btn btn btn-today">Today</button><button type="button"
                data-action="exit" class="js-btn btn btn-exit">Close</button></div>
          </div>
        </div>
      </div>
    </div>
  </div>
  <div id="cf156" class="control-group row-fluid field cfield cat26 cfieldsection-solicitud-de-vacaciones" style="display: none;">
    <label class="control-label" for="custom156">
      <b>Para un total de: </b> <span class="required">*</span> </label>
    <div class="controls">
      <input type="text" id="custom156" name="custom156" value="" maxlength="25"> <span class="help-block">días consecutivos <b>(mínimo deben ser cinco días)</b>
        <br>
        <br>
        <b>QUE:</b> El exceso de días de licencia por vacaciones acumuladas si alguno, sea liquidado en efectivo <b>(esto no aplica a empleados de oficina)</b>.</span>
    </div>
  </div>
  <div id="cf157" class="control-group row-fluid field cfield cat26 cfieldsection-solicitud-de-vacaciones" style="display: none;">
    <label class="control-label" for="custom157"> Acuerdo efectuado <b>HOY:</b> <span class="required">*</span> </label>
    <div class="controls">
      <div class="field-calendar">
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          <input type="text" id="custom157" name="custom157" value="" class="inputbox" data-alt-value="" autocomplete="off">
          <button type="button" class="btn btn-secondary" id="custom157_btn" data-inputfield="custom157" data-dayformat="%Y-%m-%d" data-button="custom157_btn" data-firstday="0" data-weekend="0,6" data-today-btn="1" data-week-numbers="1"
            data-show-time="0" data-show-others="1" data-time-24="24" data-only-months-nav="0" title="Open the calendar"><span class="icon-calendar" aria-hidden="true"></span></button>
        </div>
        <div class="js-calendar" style="direction: ltr; position: absolute; box-shadow: rgba(0, 0, 0, 0.67) 0px 0px 70px 0px; min-width: 0px; padding: 0px; display: none; left: auto; top: auto; z-index: 1060; border-radius: 20px;">
          <div class="calendar-container">
            <table class="table" cellspacing="0" cellpadding="0" style="margin-bottom: 0px; visibility: visible;">
              <thead class="calendar-header">
                <tr class="calendar-head-row">
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 18px; line-height: 18px;"><a class="js-btn btn-prev-year" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on">‹</a></td>
                  <td colspan="6" class="title">
                    <div unselectable="on">
                      <div style="text-align:center;font-size:18px"><span>2024</span></div>
                    </div>
                  </td>
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 18px; line-height: 18px;"><a class="js-btn btn-next-year" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on"> ›</a></td>
                </tr>
                <tr class="calendar-head-row">
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 2em; line-height: 1em;"><a class="js-btn btn-prev-month" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on">‹</a></td>
                  <td colspan="6" class="title" style="text-align: center;">
                    <div unselectable="on">
                      <div style="text-align:center;font-size:1.2em"><span>February</span></div>
                    </div>
                  </td>
                  <td colspan="1" class=" nav" style="text-align: center; font-size: 2em; line-height: 1em;"><a class="js-btn btn-next-month" style="display:inline;padding:2px 6px;cursor:pointer;text-decoration:none;" unselectable="on"> ›</a></td>
                </tr>
                <tr class="daynames wk">
                  <td class="day-name wn">wk</td>
                  <td class="day-name day-name-week">Sun</td>
                  <td class="day-name day-name-week">Mon</td>
                  <td class="day-name day-name-week">Tue</td>
                  <td class="day-name day-name-week">Wed</td>
                  <td class="day-name day-name-week">Thu</td>
                  <td class="day-name day-name-week">Fri</td>
                  <td class="day-name day-name-week">Sat</td>
                </tr>
              </thead>
              <tbody>
                <tr class="daysrow wk">
                  <td class="day wn">4</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">28</td>
                  <td class="day disabled othermonth " style="text-align: center;">29</td>
                  <td class="day disabled othermonth " style="text-align: center;">30</td>
                  <td class="day disabled othermonth " style="text-align: center;">31</td>
                  <td class="day" style="text-align: center; cursor: pointer;">1</td>
                  <td class="day" style="text-align: center; cursor: pointer;">2</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">3</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">5</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">4</td>
                  <td class="day" style="text-align: center; cursor: pointer;">5</td>
                  <td class="day selected today" style="text-align: center; cursor: pointer;">6</td>
                  <td class="day" style="text-align: center; cursor: pointer;">7</td>
                  <td class="day" style="text-align: center; cursor: pointer;">8</td>
                  <td class="day" style="text-align: center; cursor: pointer;">9</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">10</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">6</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">11</td>
                  <td class="day" style="text-align: center; cursor: pointer;">12</td>
                  <td class="day" style="text-align: center; cursor: pointer;">13</td>
                  <td class="day" style="text-align: center; cursor: pointer;">14</td>
                  <td class="day" style="text-align: center; cursor: pointer;">15</td>
                  <td class="day" style="text-align: center; cursor: pointer;">16</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">17</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">7</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">18</td>
                  <td class="day" style="text-align: center; cursor: pointer;">19</td>
                  <td class="day" style="text-align: center; cursor: pointer;">20</td>
                  <td class="day" style="text-align: center; cursor: pointer;">21</td>
                  <td class="day" style="text-align: center; cursor: pointer;">22</td>
                  <td class="day" style="text-align: center; cursor: pointer;">23</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">24</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">8</td>
                  <td class="day weekend" style="text-align: center; cursor: pointer;">25</td>
                  <td class="day" style="text-align: center; cursor: pointer;">26</td>
                  <td class="day" style="text-align: center; cursor: pointer;">27</td>
                  <td class="day" style="text-align: center; cursor: pointer;">28</td>
                  <td class="day" style="text-align: center; cursor: pointer;">29</td>
                  <td class="day disabled othermonth " style="text-align: center;">1</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">2</td>
                </tr>
                <tr class="daysrow wk">
                  <td class="day wn">9</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">3</td>
                  <td class="day disabled othermonth " style="text-align: center;">4</td>
                  <td class="day disabled othermonth " style="text-align: center;">5</td>
                  <td class="day disabled othermonth " style="text-align: center;">6</td>
                  <td class="day disabled othermonth " style="text-align: center;">7</td>
                  <td class="day disabled othermonth " style="text-align: center;">8</td>
                  <td class="day disabled othermonth  weekend" style="text-align: center;">9</td>
                </tr>
              </tbody>
            </table>
            <div class="buttons-wrapper btn-group"><button type="button" data-action="clear" class="js-btn btn btn-clear">Clear</button><button type="button" data-action="today" class="js-btn btn btn-today">Today</button><button type="button"
                data-action="exit" class="js-btn btn btn-exit">Close</button></div>
          </div>
        </div>
      </div>
    </div>
  </div>
  <div id="cf158" class="control-group row-fluid field cfield cat26 cfieldsection-solicitud-de-vacaciones" style="display: none;">
    <label class="control-label" for="custom158">
      <b>Firma Empleado:</b> </label>
    <div class="controls">
      <input type="hidden" id="custom158" name="custom158" value="" maxlength="0" readonly="">
    </div>
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    <label class="control-label" style="font-size:120%;padding:5px 10px;">Talonarios</label>
  </div>
  <div id="cf223" class="control-group row-fluid field cfield cat51 cfieldsection-talonarios" style="display: none;">
    <label class="control-label" for="custom223"> Fecha de bi-semana solicitada: <span class="required">*</span> </label>
    <div class="controls">
      <input type="hidden" id="custom223" name="custom223" value="" maxlength="50" readonly=""> <span class="help-block">dd/mm/yyyy - dd/mm/yyyy </span>
    </div>
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                  <div class="message-author">
                    <strong>Ezequiel Berrios Reyes</strong>
                    <small>21 January 2024, 15:51</small>
                  </div>
                  <div class="message-text">
                    <p> Saludos, <br>
                      <br> Estuve trabajando 8 horas el sábado 01-06-24 y no se me pagó ninguna hora. Adjunto el talonario enviado por Ranger American y la nomina firmada por mi persona. Mi supervisor inmediato envió un correo electrónico a la señora
                      Milly Martínez.
                    </p>
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                      <img src="http://intranet.rangeramerican.com/media/com_maqmahelpdesk/images/themes/default/16px/attach.png" alt="" align="left">
                      <a href="/index.php/payroll-nomina/tickets/attachment?id=15856&amp;extid=36660">36660_Reclamación Ezequiel Berrios 45517.pdf</a>
                    </p>
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                  <div class="message-author">
                    <strong>Ezequiel Berrios Reyes</strong>
                    <small> 3 February 2024, 14:47</small>
                  </div>
                  <div class="message-text">
                    <p><span style="color:#666;font-size:11px;">Summary:</span> Seguimiento</p>
                    <p> Saludos, <br>
                      <br> Es para verificar si se ha dado atención a este asunto en particular.<br>
                      <br> Respetuosamente, <br>
                      <br> Ezequiel Berrios Reyes, <br> Ranger Amercan Security Officer<br> 45517
                    </p>
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RECLAMACIÓN DE PAGO DE HORAS

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#36660
Date: 21 January 2024, 15:51


 

User
Ezequiel Berrios Reyes (Ezequiel.BerriosReyes@viatris.com)
Category
Reclamaciones (Claims)
Assign To
Milagros Martinez
Source
Website
Priority
Urgente(Urgent)
Status
In Progress New
Nombre del empleado: *
Ezequiel
Primer Apellido (Last Name) *
Berrios
Segundo Apellido (Second Last Name) *

Número de empleado (Employee number) *

Gerente (Manager)1 *
Carlos CarmonaErnesto CorreaJavier SotoJose PerezLeslie ColonLoreimy TorresLuis
CorderoMiguel MaldonadoRafael CarderonTommy VillarinyVictor FernandezZulimar
JimenezLeovigildo Vazquez

Reclamación 1 (Claim 1)
Cualificación (Qualification) *
Desarmado (Unarmed)Armado (Armed)Táctico (Tactical)Taser (Taser)
Tipo de Reclamación (Type of Claim) *
Salario por hora (Hourly wage)Cantidad de horas trabajadas (Amount of hours
worked)
Fecha a reclamar: día 1 (Date to claim: day 1) *

‹
2024
›‹
January
›wkSunMonTueWedThuFriSat5231123456178910111213214151617181920321222324252627428293031123545678910

ClearTodayClose
Favor de seleccionar la fecha que desea reclamar. (Please select the date you
wish to claim)
Hora Entrada (Militar 0 a 24) (Clock-In (Military 0 to 24)) *
01234567891011121314151617181920212223
Hora Salida (Militar 0 a 24) Clock-out (Military 0 to 24) *
01234567891011121314151617181920212223
Comentarios (Comments): *
Entré a las 1330 de la tarde en el segundo turno. No se me pagó el día completo
en el pago pasado.
Cliente y Lugar (Client and Place) *
Viatris Vega Baja
Puesto (Post) *

Reclamación 2 (Claim 2)
Cliente y Lugar (Client and Place) (2)

Puesto (Post) (2)

Cualificación (Qualification) (2)
Desarmado (Unarmed)Armado (Armed)Táctico (Tactical)Taser (Taser)
Tipo de Reclamación (Type of Claim) (2)
Salario por hora (Hourly wage)Cantidad de horas trabajadas (Amount of hours
worked)
Fecha a reclamar: día 2 (Date to claim: day 2)

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February
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Favor de seleccionar la fecha que desea reclamar. (Please select the date you
wish to claim)
Hora Entrada (Militar 0 a 24) (Clock-In (Military 0 to 24))(2)
01234567891011121314151617181920212223
Hora Salida (Militar 0 a 24) (Clock-out (Military 0 to 24))(2)

Comentarios (Comments) (2):

Reclamación 3 (Claim 3)
Cliente y Lugar (Client and Place) (3)

Puesto (Post) (3)

Cualificación (Qualification) (3)
Desarmado (Unarmed)Armado (Armed)Táctico (Tactical)Taser (Taser)
Tipo de Reclamación (Type of Claim) (3)
Salario por hora (Hourly wage)Cantidad de horas trabajadas (Amount of hours
worked)
Fecha a reclamar: día 3 (Date to claim: day 3)

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February
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Favor de seleccionar la fecha que desea reclamar. (Please select the date you
wish to claim)
Hora Entrada (Militar 0 a 24) (Clock-In (Military 0 to 24))(3)
01234567891011121314151617181920212223
Hora Salida (Militar 0 a 24) (Clock-out (Military 0 to 24))(3)
01234567891011121314151617181920212223
Comentarios (Comments) (3):

Reclamación 4 (Claim 4)
Fecha a reclamar: día 4 (Date to claim: day 4)

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February
›wkSunMonTueWedThuFriSat428293031123545678910611121314151617718192021222324825262728291293456789

ClearTodayClose
Favor de seleccionar la fecha que desea reclamar. (Please select the date you
wish to claim)
Cliente y Lugar (Client and Place) (4)

Hora Entrada (Militar 0 a 24) (Clock-In (Military 0 to 24))(4)
01234567891011121314151617181920212223
Hora Salida (Militar 0 a 24) (Clock-out (Military 0 to 24))(4)
01234567891011121314151617181920212223
Puesto (Post) (4)

Cualificación (Qualification) (4)
Desarmado (Unarmed)Armado (Armed)Táctico (Tactical)Taser (Taser)
Tipo de Reclamación (Type of Claim) (4)
Salario por hora (Hourly wage)Cantidad de horas trabajadas (Amount of hours
worked)
Comentarios (Comments) (4):

Reclamación 5 (Claim 5)
Cliente y Lugar (Client and Place) (5)

Puesto (Post) (5)

Cualificación (Qualification) (5)
Desarmado (Unarmed)Armado (Armed)Táctico (Tactical)Taser (Taser)
Tipo de Reclamación (Type of Claim) (5)
Salario por hora (Hourly wage)Cantidad de horas trabajadas (Amount of hours
worked)
Fecha a reclamar: día 5 (Date to claim: day 5)

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2024
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February
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ClearTodayClose
Favor de seleccionar la fecha que desea reclamar. (Please select the date you
wish to claim)
Hora Entrada (Militar 0 a 24) (Clock-In (Military 0 to 24))(5)
01234567891011121314151617181920212223
Hora Salida (Militar 0 a 24) (Clock-out (Military 0 to 24))(5)
01234567891011121314151617181920212223
Comentarios (Comments) (5):

Reclamación 6 (Claim 6)
Cliente y Lugar (Client and Place) (6)

Puesto (Post) (6)

Cualificación (Qualification) (6)
Desarmado (Unarmed)Armado (Armed)Táctico (Tactical)Taser (Taser)
Tipo de Reclamación (Type of Claim) (6)
Salario por hora (Hourly wage)Cantidad de horas trabajadas (Amount of hours
worked)
Fecha a reclamar: día 6 (Date to claim: day 6)

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February
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ClearTodayClose
Favor de seleccionar la fecha que desea reclamar. (Please select the date you
wish to claim)
Hora Entrada (Militar 0 a 24) (Clock-In (Military 0 to 24))(6)
01234567891011121314151617181920212223
Hora Salida (Militar 0 a 24) (Clock-out (Military 0 to 24))(6)
01234567891011121314151617181920212223
Comentarios (Comments) (6):

Reclamación 7 (Claim 7)
Cliente y Lugar (Client and Place) (7)

Cualificación (Qualification) (7)
Desarmado (Unarmed)Armado (Armed)Táctico (Tactical)Taser (Taser)
Puesto (Post) (7)

Tipo de Reclamación (Type of Claim) (7)
Salario por hora (Hourly wage)Cantidad de horas trabajadas (Amount of hours
worked)
Fecha a reclamar: día 7 (Date to claim: day 7)

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2024
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February
›wkSunMonTueWedThuFriSat428293031123545678910611121314151617718192021222324825262728291293456789

ClearTodayClose
Favor de seleccionar la fecha que desea reclamar. (Please select the date you
wish to claim)
Hora Entrada (Militar 0 a 24) (Clock-In (Military 0 to 24))(7)
01234567891011121314151617181920212223
Hora Salida (Militar 0 a 24) (Clock-out (Military 0 to 24))(7)
01234567891011121314151617181920212223
Comentarios (Comments) (7):

Reclamación 8 (Claim 8)
Cliente y Lugar (Client and Place) (8)

Puesto (Post) (8)

Cualificación (Qualification) (8)
Desarmado (Unarmed)Armado (Armed)Táctico (Tactical)Taser (Taser)
Tipo de Reclamación (8)
Salario por horaCantidad de horas trabajadas
Fecha a reclamar: día 8 (Date to claim: day 8)

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2024
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February
›wkSunMonTueWedThuFriSat428293031123545678910611121314151617718192021222324825262728291293456789

ClearTodayClose
Favor de seleccionar la fecha que desea reclamar. (Please select the date you
wish to claim)
Hora Entrada (Militar 0 a 24) (Clock-In (Military 0 to 24))(8)
01234567891011121314151617181920212223
Hora Salida (Militar 0 a 24) (Clock-out (Military 0 to 24))(8)
01234567891011121314151617181920212223
Comentarios (Comments) (8):

Reclamación 9 (Claim 9)
Fecha a reclamar: día 9 (Date to claim: day 9)

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2024
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February
›wkSunMonTueWedThuFriSat428293031123545678910611121314151617718192021222324825262728291293456789

ClearTodayClose
Favor de seleccionar la fecha que desea reclamar. (Please select the date you
wish to claim)
Cliente y Lugar (Client and Place) (9)

Hora Entrada (Militar 0 a 24) (Clock-In (Military 0 to 24))(9)
01234567891011121314151617181920212223
Hora Salida (Militar 0 a 24) (Clock-out (Military 0 to 24))(9)
01234567891011121314151617181920212223
Puesto (Post) (9)

Cualificación (Qualification) (9)
Desarmado (Unarmed)Armado (Armed)Táctico (Tactical)Taser (Taser)
Tipo de Reclamación (9)
Salario por horaCantidad de horas trabajadas
Comentarios (Comments) (9):

Solicitud de depósito directo
Teléfono: *


SOLICITUD DE AUTORIZACIÓN A RANGER AMERICAN A ACREDITAR EL TOTAL DE MI SALARIO
NETO EN LA CUENTA:


NOMBRE DEL BANCO: *

TIPO DE CUENTA: *
Cheques
NÚMERO DE CUENTA: *

NÚMERO DE RUTA: *


Esta autorización es efectiva a partir del próximo periodo de pago a partir de
la fecha abajo indicada y subsiguiente hasta tanto esta autorización sea
cancelada por escrito. Cualquier reclamación de mi parte por concepto de
salarios de acreditados a mi cuenta conforme a este documento, se hará
directamente a través del Departamento de Nómina de Ranger American y del Banco
con quien tengo mi cuenta. Toda autorización para depósito directo debe estar
acompañada de cualquier documento con el nombre y el número de cuenta impreso
para ser procesada. (Ej.Cheque "Void" u Hoja de depósito)


Firma del Empleado: *

Solicitud de Licencia de Enfermedad
Cliente: *

Fecha que se ausentó: *
mm/dd/yyyy - mm/dd/yyyy
Horario: *
Hora militar 00:00
Solicitud de Vacaciones
En la ciudad de San Juan, Puerto Rico, hoy: *

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(Seleccione la fecha de hoy)

DE LA PRIMERA PARTE: Ranger American, una corporación organizada bajo las leyes
del Estado Libre Asociado de Puerto Rico. De ahora en adelante denominado como
EL PATRONO.


DE LA SEGUNDA PARTE: *
(escriba su nombre y apellido)

,mayor de edad y empleada de la primera parte. De ahora en adelante denominado
como EL EMPLEADO.

Ambas partes aseguran encontrarse en pleno goce y ejercicio de sus derechos
civiles. Aseguran además, tener la capacidad legal necesaria para realizar este
acuerdo:


EXPONEN

QUE:  El empleado mediante este acuerdo, según lo establece la Ley 180 del 1998
solicita disfrute y pago de sus vacaciones acumuladas bajo los siguiente
términos:
Las Vacaciones se disfrutarán desde: *

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Hasta: *

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Para un total de: *
días consecutivos (mínimo deben ser cinco días)

QUE: El exceso de días de licencia por vacaciones acumuladas si alguno, sea
liquidado en efectivo (esto no aplica a empleados de oficina).
Acuerdo efectuado HOY: *

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Firma Empleado:

Talonarios
Fecha de bi-semana solicitada: *
dd/mm/yyyy - dd/mm/yyyy
 * Activity History
 * Attachments 0
 * Logs

 1. Ezequiel Berrios Reyes 21 January 2024, 15:51
    
    Saludos,
    
    Estuve trabajando 8 horas el sábado 01-06-24 y no se me pagó ninguna hora.
    Adjunto el talonario enviado por Ranger American y la nomina firmada por mi
    persona. Mi supervisor inmediato envió un correo electrónico a la señora
    Milly Martínez.
    
    36660_Reclamación Ezequiel Berrios 45517.pdf

 2. Ezequiel Berrios Reyes 3 February 2024, 14:47
    
    Summary: Seguimiento
    
    Saludos,
    
    Es para verificar si se ha dado atención a este asunto en particular.
    
    Respetuosamente,
    
    Ezequiel Berrios Reyes,
    Ranger Amercan Security Officer
    45517


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03/02/2024 14:47 A reply has been added. 14:47 E-mail notification successful
22/01/2024 17:20 E-mail notification successful 17:20 Status changed 17:20
E-mail notification successful 17:20 Ticket Assign 21/01/2024 15:51 E-mail
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