%# $Header: /raid/cvsroot/rt/webrt/SelfService/Create.html,v 1.2 2001/11/06 23:07:02 jesse Exp $
%# Copyright 1996-2001 Jesse Vincent <jesse@fsck.com>

<& Elements/Header, Title => "Create a request" &>


<FORM ACTION="Display.html" METHOD="POST" ENCTYPE="multipart/form-data">
<INPUT TYPE=HIDDEN Name="id" VALUE="new">
<& /Elements/TitleBoxStart, contentbg => "#cccccc", title => "Create a new ticket" &>

<TABLE>
<TR>
<TD>
Queue:
</TD>
<TD>
<& /Elements/SelectNewTicketQueue, Verbose => 'True' &>
</TD>
</TR>
<TR>
<TD>
Requestors: 
</TD>
<TD>
<INPUT Name="Requestors" Value="<%$session{CurrentUser}->EmailAddress%>" SIZE=20>
</TD>
</TR>
<TR>
<TD>
Cc:
</TD>
<TD>
 <INPUT NAME="Cc" SIZE=20>
</TD>
</TR>
<TR>
<TD>
Subject:
</TD>
<TD>
<INPUT Name="Subject" SIZE=60 MAXSIZE=100 value="">
</TD>
</TR>
<TR>
<TD>
Attach file:
</TD>
<TD>
<INPUT Name="Attach" type=file>
</TD>
</TR>
<TR>
<TD COLSPAN=2>
Describe the issue below:<br>
<& /Elements/MessageBox &>
</TD>
</TR>
</TABLE>
<& /Elements/TitleBoxEnd &>
<& /Elements/Submit, Label => "Create ticket"&>


</FORM>
