<form id="formid" action="http://www.baidu.com" method="POST">
				<div class="modal-body">
					<div>
							<div class="form-inline">
  							<div class="form-group">
    							<label for="faultPointLabelFill">故障点:</label>
    							<select id="selectFaultPointFill" name="selectFaultPointFill" class="areas form-control">
  								<option value=-1>全部</option>
								</select>
  							</div>
  							</div>
  							<div class="form-inline">
  							<div class="form-group">
    							<label for="faultTypeLabelFill">故障类型:</label>
    							<select id="selectFaultTypeFill" name="selectFaultTypeFill" class="areas form-control">
								<option value=-1>全部</option>
								</select>
  							</div>
  							</div>
  							<div class="form-inline">
  							<div class="form-group">
    							<label for="faultSubTypeLabelFill">故障子类型:</label>
    							<select id="selectFaultSubTypeFill" name="selectFaultSubTypeFill" class="areas form-control">
								<option value=-1>全部</option>
								</select>
  							</div>
  							</div>
  							<div class="form-inline">
  							<div class="form-group">
    							<label for="faultRemarkLabel">描述:</label>
    							<textarea rows="3" cols="35" id="faultRemarkFill" name="faultRemarkFill" class="areas form-control">
    							
    							</textArea>
    							<input type="hidden" id="checkedFaultId" name="checkedFaultId"/>
  							</div>
  							</div>
						
					</div>
				</div>
				<div class="modal-footer">
					<button type="button" class="btn btn-default" data-dismiss="modal">
						<span class="glyphicon glyphicon-remove" aria-hidden="true"></span>&nbsp;关闭
					</button>
					<button type="submit" id="btn_submit_phone" class="btn btn-primary"
						data-dismiss="modal">
						<span class="ion-edit" aria-hidden="true"></span>&nbsp;填写
					</button>
				</div>
				</form>