{{ form_start(form, {'attr':{'data-remote':'true', 'data-method':'POST', 'data-url':form.vars.action }}) }}
<div class="row">
    <div class="col-md-4">{{ form_row(form.statusDate) }}</div>
    {% if form.providerAmount is defined %}
        <div class="col-md-4">{{ form_row(form.providerAmount) }}</div>
    {% endif %}
    {% if form.clientAmount is defined %}
        <div class="col-md-4">
            {{ form_row(form.clientAmount) }}
        </div>
    {% endif %}
</div>
<div class="row">
    <div class="col-md-6">{{ form_row(form.refundReason) }}</div>
    <div class="col-md-6">{{ form_row(form.observations) }}</div>
    {{ form_row(form.service) }}
</div>
<div class="row">
    <div class="col-md-12">
        <button type="submit" class="btn btn-primary">Registrar {{ "refund"|trans }}<div class="ripple-container"></div></button>
    </div>
</div>

{{ form_end(form) }}