{!! Form::open(['action' => ['BillingController@billAgreement'],  'id' => 'fm_bill_agreement', 'class' => 'form-horizontal', 'role' => 'form']) !!}

{!! Form::hidden('agreement_id', $agreement_id, ['id' => 'agreement_id']) !!}

<div class="form-group">
    {!! Form::label('billing_month', 'Billing Month:', ['class' => 'control-label col-sm-2']) !!}
    <div class="col-sm-10">
        <div class='input-group monthpicker' id="billing-monthpicker">
               <input class="form-control" type="text" id="billing_month" name="billing_month" required="required">
               <span class="input-group-addon"><span class="glyphicon glyphicon-calendar"></span></span>
        </div>
    </div>
</div>
    
    
<div class = "form-group">
    {!! Form::label('arrear_interest', 'Arrear interest?', ['class' => 'control-label col-sm-3']) !!}
    <div class="col-sm-9">
    {!! Form::checkbox('arrear_interest',null, true)  !!}
    </div>
</div>
  
{!! Form::close() !!}