@php($netPreview = (float) old('net_amount', $endOfServiceSettlement?->net_amount ?? ((float) old('gross_amount', $endOfServiceSettlement?->gross_amount ?? 0) - (float) old('deduction_amount', $endOfServiceSettlement?->deduction_amount ?? 0))))
<div class="row g-5">
    <div class="col-md-4">
        <label class="form-label">{{ trans('hr.payroll_module.labels.settlement_code') }}</label>
        <input type="text" name="settlement_code" class="form-control @error('settlement_code') is-invalid @enderror" value="{{ old('settlement_code', $endOfServiceSettlement?->settlement_code) }}">
        @error('settlement_code')<div class="invalid-feedback">{{ $message }}</div>@enderror
    </div>
    <div class="col-md-4">
        <label class="form-label">{{ trans('hr.payroll_validation.employee') }}</label>
        <select name="employee_id" class="form-select @error('employee_id') is-invalid @enderror">
            <option value="">{{ trans('hr.payroll_module.placeholders.select_employee') }}</option>
            @foreach($employees as $employee)
                <option value="{{ $employee->id }}" @selected((string) old('employee_id', $endOfServiceSettlement?->employee_id) === (string) $employee->id)>{{ $employee->code }} - {{ $employee->name }}</option>
            @endforeach
        </select>
        @error('employee_id')<div class="invalid-feedback">{{ $message }}</div>@enderror
    </div>
    <div class="col-md-4">
        <label class="form-label">{{ trans('hr.payroll_module.labels.resignation_request') }}</label>
        <select name="resignation_request_id" class="form-select @error('resignation_request_id') is-invalid @enderror">
            <option value="">{{ trans('hr.payroll_module.placeholders.select_resignation_request') }}</option>
            @foreach($resignationRequests as $request)
                <option value="{{ $request->id }}" @selected((string) old('resignation_request_id', $endOfServiceSettlement?->resignation_request_id) === (string) $request->id)>{{ $request->request_code ?? ('REQ-' . $request->id) }}</option>
            @endforeach
        </select>
        @error('resignation_request_id')<div class="invalid-feedback">{{ $message }}</div>@enderror
    </div>
    <div class="col-md-4">
        <label class="form-label">{{ trans('hr.payroll_module.labels.branch') }}</label>
        <select name="branch_id" class="form-select @error('branch_id') is-invalid @enderror">
            <option value="">{{ trans('hr.payroll_module.placeholders.select_branch') }}</option>
            @foreach($branches as $branch)
                <option value="{{ $branch->id }}" @selected((string) old('branch_id', $endOfServiceSettlement?->branch_id) === (string) $branch->id)>{{ $branch->name }}</option>
            @endforeach
        </select>
        @error('branch_id')<div class="invalid-feedback">{{ $message }}</div>@enderror
    </div>
    <div class="col-md-4">
        <label class="form-label">{{ trans('hr.payroll_module.labels.posting_profile') }}</label>
        <select name="payroll_posting_profile_id" class="form-select @error('payroll_posting_profile_id') is-invalid @enderror">
            <option value="">{{ trans('hr.payroll_module.placeholders.select_posting_profile') }}</option>
            @foreach($postingProfiles as $profile)
                <option value="{{ $profile->id }}" @selected((string) old('payroll_posting_profile_id', $endOfServiceSettlement?->payroll_posting_profile_id) === (string) $profile->id)>{{ $profile->code }} - {{ $profile->name }}</option>
            @endforeach
        </select>
        @error('payroll_posting_profile_id')<div class="invalid-feedback">{{ $message }}</div>@enderror
    </div>
    <div class="col-md-4">
        <label class="form-label">{{ trans('hr.payroll_module.labels.journal_entry') }}</label>
        <input type="number" name="journal_entry_id" class="form-control @error('journal_entry_id') is-invalid @enderror" value="{{ old('journal_entry_id', $endOfServiceSettlement?->journal_entry_id) }}">
        @error('journal_entry_id')<div class="invalid-feedback">{{ $message }}</div>@enderror
    </div>
    <div class="col-md-4">
        <label class="required form-label">{{ trans('hr.payroll_module.labels.last_working_date') }}</label>
        <input type="date" name="last_working_date" class="form-control @error('last_working_date') is-invalid @enderror" value="{{ old('last_working_date', optional($endOfServiceSettlement?->last_working_date)->format('Y-m-d')) }}" required>
        @error('last_working_date')<div class="invalid-feedback">{{ $message }}</div>@enderror
    </div>
    <div class="col-md-4">
        <label class="form-label">{{ trans('hr.payroll_module.labels.settlement_date') }}</label>
        <input type="date" name="settlement_date" class="form-control @error('settlement_date') is-invalid @enderror" value="{{ old('settlement_date', optional($endOfServiceSettlement?->settlement_date)->format('Y-m-d')) }}">
        @error('settlement_date')<div class="invalid-feedback">{{ $message }}</div>@enderror
    </div>
    <div class="col-md-4">
        <label class="form-label">{{ trans('hr.payroll_module.labels.settlement_reason') }}</label>
        <input type="text" name="settlement_reason" class="form-control @error('settlement_reason') is-invalid @enderror" value="{{ old('settlement_reason', $endOfServiceSettlement?->settlement_reason) }}">
        @error('settlement_reason')<div class="invalid-feedback">{{ $message }}</div>@enderror
    </div>
    <div class="col-md-3">
        <label class="form-label">{{ trans('hr.payroll_module.labels.service_years') }}</label>
        <input type="number" step="0.01" min="0" name="service_years" class="form-control @error('service_years') is-invalid @enderror" value="{{ old('service_years', $endOfServiceSettlement?->service_years) }}">
        @error('service_years')<div class="invalid-feedback">{{ $message }}</div>@enderror
    </div>
    <div class="col-md-3">
        <label class="required form-label">{{ trans('hr.payroll_module.labels.gross_amount') }}</label>
        <input type="number" step="0.01" min="0" name="gross_amount" class="form-control @error('gross_amount') is-invalid @enderror" value="{{ old('gross_amount', $endOfServiceSettlement?->gross_amount) }}" required>
        @error('gross_amount')<div class="invalid-feedback">{{ $message }}</div>@enderror
    </div>
    <div class="col-md-3">
        <label class="form-label">{{ trans('hr.payroll_module.labels.deduction_amount') }}</label>
        <input type="number" step="0.01" min="0" name="deduction_amount" class="form-control @error('deduction_amount') is-invalid @enderror" value="{{ old('deduction_amount', $endOfServiceSettlement?->deduction_amount ?? 0) }}">
        @error('deduction_amount')<div class="invalid-feedback">{{ $message }}</div>@enderror
    </div>
    <div class="col-md-3">
        <label class="form-label">{{ trans('hr.payroll_validation.net_amount') }}</label>
        <input type="text" class="form-control" value="{{ number_format($netPreview, 2) }}" disabled>
    </div>
    <div class="col-md-3">
        <label class="required form-label">{{ trans('hr.payroll_module.labels.status') }}</label>
        <select name="status" class="form-select @error('status') is-invalid @enderror" required>
            @foreach($statuses as $status)
                <option value="{{ $status }}" @selected(old('status', $endOfServiceSettlement?->status ?? 'draft') === $status)>{{ trans('hr.payroll_module.statuses.' . $status) }}</option>
            @endforeach
        </select>
        @error('status')<div class="invalid-feedback">{{ $message }}</div>@enderror
    </div>
    <div class="col-md-3">
        <label class="required form-label">{{ trans('hr.payroll_module.labels.payment_status') }}</label>
        <select name="payment_status" class="form-select @error('payment_status') is-invalid @enderror" required>
            @foreach($paymentStatuses as $status)
                <option value="{{ $status }}" @selected(old('payment_status', $endOfServiceSettlement?->payment_status ?? 'unpaid') === $status)>{{ trans('hr.payroll_module.statuses.' . $status) }}</option>
            @endforeach
        </select>
        @error('payment_status')<div class="invalid-feedback">{{ $message }}</div>@enderror
    </div>
    <div class="col-12">
        <label class="form-label">{{ trans('hr.payroll_module.labels.notes') }}</label>
        <textarea name="notes" rows="4" class="form-control @error('notes') is-invalid @enderror">{{ old('notes', $endOfServiceSettlement?->notes) }}</textarea>
        @error('notes')<div class="invalid-feedback">{{ $message }}</div>@enderror
    </div>
</div>