<link href="//netdna.bootstrapcdn.com/bootstrap/3.2.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//netdna.bootstrapcdn.com/bootstrap/3.2.0/js/bootstrap.min.js"></script> <script src="//code.jquery.com/jquery-1.11.1.min.js"></script> <!------ Include the above in your HEAD tag ----------> <form class="form-horizontal"> <fieldset> <!-- Form Name --> <legend>Help Desk - AMR</legend> <!-- Text input--> <div class="control-group"> <label class="control-label" for="textinput">Nome</label> <div class="controls"> <input id="textinput" name="textinput" type="text" placeholder="placeholder" class="input-xlarge"> <p class="help-block">Digite aqui seu nome</p> </div> </div> <!-- Text input--> <div class="control-group"> <label class="control-label" for="textinput">Titulo</label> <div class="controls"> <input id="textinput" name="textinput" type="text" placeholder="placeholder" class="input-xlarge"> <p class="help-block">Digite aqui o titulo do seu chamado</p> </div> </div> <!-- Select Basic --> <div class="control-group"> <label class="control-label" for="selectbasic">Tipo de Problema</label> <div class="controls"> <select id="selectbasic" name="selectbasic" class="input-medium"> <option>Microsiga</option> <option>E-mail</option> <option>Impressora</option> <option>Internet</option> <option>Rede</option> <option>Outros</option> </select> </div> </div> <!-- Multiple Checkboxes (inline) --> <div class="control-group"> <label class="control-label" for="checkboxes">Prioridade</label> <div class="controls"> <label class="checkbox inline" for="checkboxes-0"> <input type="checkbox" name="checkboxes" id="checkboxes-0" value="Baixa"> Baixa </label> <label class="checkbox inline" for="checkboxes-1"> <input type="checkbox" name="checkboxes" id="checkboxes-1" value="Media"> Media </label> <label class="checkbox inline" for="checkboxes-2"> <input type="checkbox" name="checkboxes" id="checkboxes-2" value="Alta"> Alta </label> </div> </div> <!-- Textarea --> <div class="control-group"> <label class="control-label" for="Detalhes">Text Area</label> <div class="controls"> <textarea id="Detalhes" name="Detalhes">Detalhes</textarea> </div> </div> <!-- Appended Input--> <div class="control-group"> <label class="control-label" for="appendedtext">Anexar</label> <div class="controls"> <div class="input-append"> <input id="appendedtext" name="appendedtext" class="input-xlarge" placeholder="placeholder" type="text"> <span class="add-on">Anexar</span> </div> <p class="help-block">Envie um anexo</p> </div> </div> <!-- Button --> <div class="control-group"> <label class="control-label" for="singlebutton">Enviar</label> <div class="controls"> <button id="singlebutton" name="singlebutton" class="btn btn-primary">Enviar</button> </div> </div> </fieldset> </form>