"Incident Ticket"
Bootstrap 4.0.0 Snippet by tamaker

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<link href="//maxcdn.bootstrapcdn.com/bootstrap/4.0.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css">
<script src="//maxcdn.bootstrapcdn.com/bootstrap/4.0.0/js/bootstrap.min.js"></script>
<script src="//cdnjs.cloudflare.com/ajax/libs/jquery/3.2.1/jquery.min.js"></script>
<!------ Include the above in your HEAD tag ---------->
<form class="form-horizontal">
<fieldset>
<!-- Form Name -->
<legend><h1>Incident Ticket</h1> </legend>
<!-- Text input-->
<div class="form-group">
<label class="col-md-12 control-label" for="ticketRequestorName">Requestor</label>
<div class="col-md-12">
<input id="ticketRequestorName" name="ticketRequestorName" type="text" placeholder="Requesting AD Users Name" class="form-control input-md" required="">
</div>
</div>
<!-- Text input-->
<div class="form-group">
<label class="col-md-12 control-label" for="ticketSubject">Subject / Title</label>
<div class="col-md-12">
<input id="ticketSubject" name="ticketSubject" type="text" placeholder="Subject / Title for Ticket" class="form-control input-md" required="">
</div>
</div>
<!-- Select Basic -->
<div class="form-group">
<label class="col-md-12 control-label" for="ticketImpact">Impact On Users</label>
<div class="col-md-6">
<select id="ticketImpact" name="ticketImpact" class="form-control">
<option value="1">Option one</option>
<option value="2">Option two</option>
</select>
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div { border: 0px solid gray; }
.form-horizontal { padding: 20px; margin: 0 auto; max-width: 700px; }
.control-label { background-color: black; color: white; padding-top: 0px; text-align: left; font-weight: bold; padding: 8px; font-size: 1em; border-radius: .4em; }
.inputtext:focus { background-color: #FFFACD; }
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