BugReport : plateforme de remontée d'incidents

<form method="POST" action="" id="formReport" name="formReport">
<fieldset class="cadre">
<legend>Soumettre un report</legend>	
	<table>
	<tr>
				<td>Application : </td>
				<td>
					<select id='application' name='application'>
						<?php echo $data['appli'];?>
					</select>
				</td>
			</tr>
			<tr>
				<td>Cas d'utilisation : </td>
				<td>
					<select id='selectUseCase' name='selectUseCase'>		
					</select>
					<div id=autreUseCase>	
					</div>		
				</td>
			</tr>
			<tr>
				<td>Message système : </td>
				<td>
					<input type="text" name="systemMessage" required/>
				</td>
			</tr>
			<tr>
				<td>Action utilisateur : </td>
				<td>
					<input type="text" name="userAction" required/>
				</td>
			</tr>
			<tr>
				<td>Description : </td>
				<td>
					<textarea rows="5" cols="50" name="description" style="resize:none;" required></textarea>
				</td>
			</tr>
		</table>
						<div class="buttons">
					<div id="btSubmitReport" class="btn">Soumettre le report</div>
				</div>
	</form>
<?php echo $data['js'];?>
</fieldset>

public function index(){
		$this->refresh();
	}