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diff --git a/rt/html/SelfService/Create.html b/rt/html/SelfService/Create.html
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+%# BEGIN LICENSE BLOCK
+%# 
+%# Copyright (c) 1996-2003 Jesse Vincent <jesse@bestpractical.com>
+%# 
+%# (Except where explictly superceded by other copyright notices)
+%# 
+%# This work is made available to you under the terms of Version 2 of
+%# the GNU General Public License. A copy of that license should have
+%# been provided with this software, but in any event can be snarfed
+%# from www.gnu.org.
+%# 
+%# This work is distributed in the hope that it will be useful, but
+%# WITHOUT ANY WARRANTY; without even the implied warranty of
+%# MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE.  See the GNU
+%# General Public License for more details.
+%# 
+%# Unless otherwise specified, all modifications, corrections or
+%# extensions to this work which alter its source code become the
+%# property of Best Practical Solutions, LLC when submitted for
+%# inclusion in the work.
+%# 
+%# 
+%# END LICENSE BLOCK
+<& Elements/Header, Title => loc("Create a ticket") &>
+
+<FORM ACTION="Display.html" METHOD="POST" ENCTYPE="multipart/form-data">
+<INPUT TYPE=HIDDEN Name="id" VALUE="new">
+
+<TABLE>
+<TR>
+<TD>
+<&|/l&>Queue</&>:
+</TD>
+<TD>
+<& /Elements/SelectNewTicketQueue, Verbose => 'True' &>
+</TD>
+</TR>
+<TR>
+<TD>
+<&|/l&>Requestors</&>:
+</TD>
+<TD>
+<INPUT Name="Requestors" Value="<%$session{CurrentUser}->EmailAddress%>" SIZE=20>
+</TD>
+</TR>
+<TR>
+<TD>
+<&|/l&>Cc</&>:
+</TD>
+<TD>
+ <INPUT NAME="Cc" SIZE=20>
+</TD>
+</TR>
+<TR>
+<TD>
+<&|/l&>Subject</&>:
+</TD>
+<TD>
+<INPUT Name="Subject" SIZE=60 MAXSIZE=100 value="">
+</TD>
+</TR>
+<TR>
+<TD>
+<&|/l&>Attach file</&>:
+</TD>
+<TD>
+<INPUT Name="Attach" type=file>
+</TD>
+</TR>
+<TR>
+<TD COLSPAN=2>
+<&|/l&>Describe the issue below</&>:<br>
+<& /Elements/MessageBox &>
+</TD>
+</TR>
+</TABLE>
+<& /Elements/Submit, Label => loc("Create ticket")&>
+
+
+</FORM>