<!DOCTYPE html>
<html lang="en">
<head>
<meta http-equiv="Content-type" content="text/html; charset=[% settings.charset %]" />
<title>HMDS RequestForm</title>
<link rel="stylesheet" href="[% request.uri_base %]/css/bootstrap.css" />
<link rel="stylesheet" href="[% request.uri_base %]/css/local.css" />
</head>
<body>
[% content %]
</body>
</html>