document.writeln('<iframe src=\"about:blank\" name=\"hidform1\" style=\"width:0px;height:0px;display:none\"></iframe>')
document.writeln('<script src=\"/ks_inc/common.js\"></script>')
document.writeln('<script src=\"/ks_inc/form_ck.js\"></script>')
document.writeln('<form name=\"myform1\" action=\"/plus/form/form.asp\" onSubmit=\"return(form_c(1));\"  target=\"hidform1\" method=\"post\"> ')
document.writeln('<table width=\"100%\" border=\"0\" cellspacing=\"2\" cellpadding=\"1\">')
document.writeln('<input type=\"hidden\" value=\"Save\" name=\"action\"/>')
document.writeln('<input type=\"hidden\" value=\"1\" name=\"id\"/>')
document.writeln('<input type=\"hidden\" value=\"0\" name=\"m\"/>')
document.writeln('<input type=\"hidden\" value=\"0\" name=\"d\"/>')
document.writeln('<input type=\"hidden\" value=\"{$ToUserName}\" id=\"tousername\" name=\"tousername\"/>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td height=\"40\" align=\"right\" class=\"lefttdbg\">用户编号：</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:500px\" id=\"KS_bh\" name=\"KS_bh\" value=\"\"><span class=\"formstrck1\" id=\"用户编号|%|KS_bh|%|1\" style=\"display:none\"></span><font color=\"red\"> * ')
document.writeln('</font>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td height=\"40\" align=\"right\" class=\"lefttdbg\">用户名称：</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:500px\" id=\"KS_mc\" name=\"KS_mc\" value=\"\"><span class=\"formstrck1\" id=\"用户名称|%|KS_mc|%|1\" style=\"display:none\"></span><font color=\"red\"> * ')
document.writeln('</font>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td height=\"40\" align=\"right\" class=\"lefttdbg\">联系电话：</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:500px\" id=\"KS_tel\" name=\"KS_tel\" value=\"\"><span class=\"formstrck1\" id=\"联系电话|%|KS_tel|%|4\" style=\"display:none\"></span><font color=\"red\"> * ')
document.writeln('</font>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td height=\"40\" align=\"right\" class=\"lefttdbg\">投诉类型：</td>')
document.writeln('  <td><select class=\"upfile\" id=\"KS_lx\" style=\"width:500px\" name=\"KS_lx\"><option value=\"抄收投诉：多抄、少抄、未抄\">抄收投诉：多抄、少抄、未抄</option><option value=\"维修投诉\">维修投诉</option><option ')
document.writeln('value=\"服务质量投诉\">服务质量投诉</option><option value=\"申报安装投诉\">申报安装投诉</option><option value=\"水质投诉：有异味、有杂质、水黄、其他\">水质投诉：有异味、有杂质、水黄、其他</option><option ')
document.writeln('value=\"安全环保类投诉\">安全环保类投诉</option><option value=\"其他投诉\">其他投诉</option></select><font color=\"red\"> * </font> <span style=\"margin-top:5px\">请选择投诉类型</span>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td height=\"120\" align=\"right\" class=\"lefttdbg\">投诉内容：</td>')
document.writeln('  <td><textarea style=\"width:500px;height:100px\" rows=\"5\" id=\"KS_nr\" name=\"KS_nr\"></textarea>  </td>')
document.writeln('</tr>')
document.writeln('<tr class=\"tdbg\"><td height=\"100\" align=\"right\" class=\"lefttdbg\">验证码：</td>')
document.writeln('<td><input name=\"Verifycode\" id=\"Verifycode\" type=\"text\" name=\"textbox\" size=5><span style=\"color:#999\">请输入下图中的字符</span><br/><IMG style=\"cursor:pointer\" src=\"/plus/verifycode.asp\" ')
document.writeln('onClick=\"this.src=\'/plus/verifycode.asp?n=\'+ Math.random();\" align=\"absmiddle\"></td></tr>')
document.writeln('<tr><td colspan=\"2\" class=\"subtdbg\" align=\"center\"><input type=\"submit\" value=\"确认提交\" name=\"submit1\"></td></tr>')
document.writeln('</table>')
document.writeln('</form>')
document.writeln('')