{box title="New Request"}
{img src="queue.gif" alt=""} {trans("Queue:")}
{img src="helpdesk.gif" alt=""} {trans("Subject:")}
{img src="help.gif" alt=""} {trans("Body:")}
{img src="attach.gif" alt=""} {trans("Attachments:")}
{trans("Submit")} {img src="save.gif" alt="Submit"}
{/box}