<table id="table2" width="84%" border="0" cellpadding="0" cellspacing="0" height="108">
<tbody><tr>
<td width="31%" align="center" height="50%">
<p align="center">
<img src="http://localhost/incidencia/yak_logo.jpg" width="145" border="0" height="103"></p> </td>
<td class="Estilo49" width="69%" align="center"><b><font size="5">Formulario de Incidencias</font></b></td>
</tr>
</tbody></table>
<form id="form1" name="Formulario de Incidencias" method="POST" action="_vti_bin/shtml.exe/incidencia.html" onsubmit="" webbot-action="--WEBBOT-SELF--">
<p align="left">
<label for="textfield">Id del ordenador</label>
<input name="Id" id="textfield" size="60%" style="font-family: Verdana; font-size: 12pt; width: 60%;" type="text">
</p>
<p align="left">Nivel de urgencia
<label for="radio">1</label>
<input name="nivel" value="1" id="radio" style="font-family: Verdana; font-size: 12pt;" type="radio">
<label for="radio">2</label>
<input name="nivel" value="2" id="radio" style="font-family: Verdana; font-size: 12pt;" type="radio">
<label for="radio">3</label>
<input name="nivel" value="3" id="radio" style="font-family: Verdana; font-size: 12pt;" type="radio">
</p>
<p align="left">
<label for="label4">Hora de emisión</label>
<input name="Hora de emision" id="label4" style="width: 15%; font-family: Verdana; font-size: 12pt;" size="15%" type="text">
</p>
<table id="table1" width="97%" border="0" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td width="46%"> </td>
<td colspan="2"> </td>
<td width="23%"> </td>
</tr>
<tr>
<td colspan="4"> </td>
</tr>
<tr>
<td colspan="4"><font color="#000000"><font size="2">Departamento:</font>
</font> <font face="Verdana">
<select name="Departamento" class="interior" size="1" style="font-family: Verdana;">
<option selected="selected">Indique su departamento</option>
<option value="I+D">I+D</option>
<option value="Direccion">Direccion</option>
<option value="Administracion">Administracion</option>
<option value="RRPP">RRPP</option>
</select></font></td>
</tr>
<tr>
<td colspan="4"> </td>
</tr>
<tr>
<td colspan="4">
<label for="textarea">Descripción del problema</label></td>
</tr>
<tr>
<td colspan="4">
<textarea name="Descripcion del problema" cols="70%" id="textarea" rows="3" style="font-family: Verdana; font-size: 12pt;"></textarea></td>
</tr>
<tr>
<td colspan="4"> </td>
</tr>
<td colspan="4"><font color="#000000" size="2">Nombre de la persona que envía incidencia:</font><input name="Persona que envia la incidencia" id="label16" size="40%" style="font-family: Verdana; font-size: 12pt;" type="text"></td>
</tr>
<tr>
<td colspan="4"> </td>
</tr>
<tr>
<td colspan="4"> </td>
</tr>
</tbody></table>
<p align="center">
<input name="Enviar" id="Enviar" value="Enviar" type="submit">
<input value="Borrar" name="B4" type="reset"></p>
<p align="center"> </p>
</form>