<form method="post" action="/forms/organizations/{{this.org.id}}/services/{{this.service.slug}}/disable/" data-element="popup" data-id="{{fallback this.name "disable_service"}}">
    <div class="field">
        <input type="text" id="{{fallback this.name "disable_service"}}.comment" name="comment" class="full-width" placeholder="{{i18n "common.form.comment"}}*" required>
    </div>
    <div class="actions">
        <button type="submit" class="highlighted" data-action="ok">{{i18n "service_details.form.action.disable_service"}}</button>
        <label for="cancel_{{fallback this.name "disable_service"}}" class="button" data-action="cancel">{{i18n "common.action.cancel"}}</label>
    </div>
</form>
