{!! Form::label('name_en', 'Emergency Office Name in English') !!}
{!! Form::text('name_en',null,['class'=>'form-control']) !!}
{!! Form::label('name_sw', 'Emergency Office Name in Swahili') !!}
{!! Form::text('name_sw',null,['class'=>'form-control']) !!}
{!! Form::label('phone', 'Phone Number') !!}
{!! Form::text('phone',null,['class'=>'form-control']) !!}
{!! Form::label('email', 'Email Address') !!}
{!! Form::email('email',null,['class'=>'form-control']) !!}
{!! Form::label('physical_address_en', 'Physical Address in English') !!}
{!! Form::text('physical_address_en',null,['class'=>'form-control']) !!}
{!! Form::label('physical_address_sw', 'Physical Address in Kiswahili') !!}
{!! Form::text('physical_address_sw',null,['class'=>'form-control']) !!}
{!! Form::label('active', 'Status') !!}
{!! Form::select('active', array('1' => 'Active','0'=>'Inactive'),null,['class'=>'form-control']) !!}
{!! Form::submit($submitButton, ['class' => 'btn btn-primary col-md-6 offset-md-3']) !!}