<div id="z-rightbox-content">
  <div id="z-problem-form">
    <div class="z-title">REPORT INACCURACY</div>
<form action="/en/real_estate/883055/problem.json" method="post">      <div class="z-body">
        <input id="report_problem_listing_id" name="report_problem[listing_id]" type="hidden" value="883055" />
        <div class="z-clearfix">
          <div class="z-left">
            <div class="z-field-wrapper">
              <label class="required-field" for="report_problem_from_name">Your name</label>
              <input class="z-textfield" id="report_problem_from_name" name="report_problem[from_name]" size="30" type="text" />
              <div class="error z-hide" id="error-for-from-name">&nbsp;</div>
            </div>
          </div>
          <div class="z-right">
            <div class="z-field-wrapper">
              <label class="required-field" for="report_problem_from_email">Your email</label>
              <input class="z-textfield" id="report_problem_from_email" name="report_problem[from_email]" size="30" type="text" />
              <div class="error z-hide" id="error-for-from-email">&nbsp;</div>
            </div>
          </div>
        </div>
        <div class="z-field-wrapper">
          <label class="required-field" for="report_problem_issue_type">How best to describe this problem</label>
          <select id="report_problem_issue_type" name="report_problem[issue_type]"><option value="">Select One</option>
<option value="Incorrect details/price">Incorrect details/price</option>
<option value="Incorrect agent contact">Incorrect agent contact</option>
<option value="Original listing not available">Original listing not available</option>
<option value="Other">Other</option></select>
          <div class="error z-hide" id="error-for-issue-type">&nbsp;</div>
        </div>
        <div class="z-field-wrapper z-notes">
          <label for="report_problem_comments">Tell us about the problem</label>
          <textarea cols="40" id="report_problem_comments" name="report_problem[comments]" rows="20"></textarea>
          <div class="error z-hide" id="error-for-comments">&nbsp;</div>
        </div>
        <div class="z-buttons">
          <div id="z-share-submit-btn" class="z-btn-submit-container z-right">
            <button id="z-problem-submit" class="z-listing-cancel btn" name="cancel" type="submit">
              <span>Submit</span>
            </button>
          </div>
          <a rel="deactivate" class="z-rightbox-action z-right" href="#">
            Cancel
          </a>
        </div>
      </div>
</form>  </div>
  <div id="z-problem-success" style="display:none;">
    <div id="z-problem-success-message" class="z-message-success">&nbsp;</div>
  </div>
</div>

