<div style="margin-top:10px;" class="lr-form-container">
    <div class="lr-form-row lr-form-row-title">
        <label>选择车牌号</label>
    </div>
	<!--<div class="lr-form-row">
        <label>车牌选择</label>
        <div id="plateselect"></div>
    </div>-->
	<div class="lr-form-row">
        <label>车牌号<font style="color:red;position:initial;"> *</font></label>
        <input id='plate' type="text" readonly>
    </div>
    <div class="lr-form-row">
        <label>手机号码<font style="color:red;position:initial;"> *</font></label>
        <input id='mobile' type="text">
    </div>
      <div class="lr-form-row">
        <label>报警种类<font style="color:red;position:initial;"> *</font></label>
        <div id="select4"></div>
    </div>
	<div class="lr-form-row">
        <label>被盗日期<font style="color:red;position:initial;"> *</font></label>
        <div id="date2"></div>
    </div>
     <div class="lr-form-row">
        <label>事发城市<font style="color:red;position:initial;"> *</font></label>
        <div id="select3"></div>
    </div>

    <div class="lr-form-row">
        <label>事发地址<font style="color:red;position:initial;"> *</font></label>
        <input type="text" id="address">
    </div>
    <div class="lr-form-row lr-form-row-multi">
        <label>报警原因<font style="color:red;position:initial;"> *</font></label>
        <!--<div class="lrtextarea"  contenteditable="true" ></div>-->
        <textarea id="textarea"></textarea>
    </div>
</div>
<div style="padding:10px;">
<button type="button" class="lr-btn-primary lr-btn-block">报警</button>
</div>