{L_REPORT_POST}{L_REPORT_MESSAGE}

{L_REPORT_POST_EXPLAIN}{L_REPORT_MESSAGE_EXPLAIN}
{L_REASON}:
{L_REPORT_NOTIFY}:
{L_REPORT_NOTIFY_EXPLAIN}
checked="checked" />  {L_YES}   checked="checked" />  {L_NO}
{L_MORE_INFO}:
{L_CAN_LEAVE_BLANK}
 
{S_FORM_TOKEN}