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<form class="form-horizontal">
<fieldset>
<legend>Personal Injury Claims Testing</legend>
<div class="form-group">
<label class="col-md-12 control-label" for="form">Form ID</label>
<div class="col-md-4">
<select id="form" name="form" class="form-control">
<option value="17">Personal Injury standard</option>
<option value="18">Personal Injury standard - Lit Friend</option>
</select>
</div>
</div>
<div class="form-group">
<label class="col-md-4 control-label" for="client_ref">Client Ref</label>
<div class="col-md-5">
<input id="client_ref" name="client_ref" type="text" placeholder="" class="form-control input-md">
</div>
</div>
<div class="form-group">
<label class="col-md-4 control-label" for="case_handler">Case Handler email</label>
<div class="col-md-5">
<input id="case_handler" name="case_handler" type="text" placeholder="" class="form-control input-md">