This is a sample case form template created using bootstrap and HTML5
<!DOCTYPE html>
<Head>
<meta charset="utf-8">
<Title>Demo Online Case Form</Title>
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<link href="https://netdna.bootstrapcdn.com/twitter-bootstrap/2.3.2/css/bootstrap-combined.min.css" rel="stylesheet">
<link rel="stylesheet" href="https://fonts.googleapis.com/css?family=Work Sans" type="text/css">
<style>
input[type="text"], select {
width:67%;}
textarea{width:67%;}
option {
font-size: 14px;
font-weight: normal;
line-height: 0px;}
body{letter-spacing:.07em;
display:block;
font-family:Work Sans;}
</style>
</Head>
<Body font-family="Work Sans">
<div id="main_section" class="container">
<NLFORM>
<fieldset class="row span11">
<h3>SUBMIT REQUEST<br/><small>We need some information about your request in order to get started. All starred fields are required.</small></h3>
<div class="span10">
<div class="control-group">
<label class="control-label">TITLE*</label>
<div class="controls">
<!-- This will be translated by NetSuite to an input field for Title-->
<NLTITLE>
</div>
</div>
</div>
<div class="col-md-6">
<div class="span4">
<div class="control-group">
<label class="control-label">FIRST NAME*</label>
<div class="controls">
<!-- This will be translated by NetSuite to an input field for First Name -->
<NLFIRSTNAME>
</div>
</div>
</div></div>
<div class="col-md-6">
<div class="span4">
<div class="control-group">
<label class="control-label">LAST NAME*</label>
<div class="controls">
<!-- This will be translated by NetSuite to an input field for Last Name -->
<NLLASTNAME>
</div>
</div>
</div></div>
<div class="span10">
<div class="control-group">
<label class="control-label">EMAIL*</label>
<div class="controls">
<!-- This will be translated by NetSuite to an input field for Email -->
<NLEMAIL>
</div>
</div>
</div>
<div class="span10">
<div class="control-group">
<label class="control-label">SHIPPING ADDRESS*</label>
<div class="controls">
<!-- This will be translated by NetSuite to an input field for Shipping Address -->
<NLCUSTEVENT1>
</div>
</div>
</div>
<div class="span10">
<div class="control-group">
<label class="control-label">CITY*</label>
<div class="controls">
<!-- This will be translated by NetSuite to an input field for City -->
<NLCITY>
</div>
</div></div>
<div class="col-md-6">
<div class="span4">
<div class="control-group">
<label class="control-label">STATE*</label>
<div class="controls">
<!-- This will be translated by NetSuite to an input field for State -->
<NLSTATE>
</div>
</div>
</div></div>
<div class="col-md-6">
<div class="span4">
<div class="control-group">
<label class="control-label">ZIP CODE*</label>
<div class="controls">
<!-- This will be translated by NetSuite to an input field for Zipcode -->
<NLZIPCODE>
</div>
</div>
</div></div>
<div class="col-md-6">
<div class="span4">
<div class="control-group">
<label class="control-label">PRODUCT NAME/PRODUCT NUMBER*</label>
<div class="controls">
<!-- This will be translated by NetSuite to an input field for Product Number -->
<NLCUSTEVENTPRODUCTNUMBER>
</div>
</div>
</div></div>
<div class="col-md-6">
<div class="span4">
<div class="control-group">
<label class="control-label">YEAR PURCHASED*</label>
<div class="controls">
<!-- This will be translated by NetSuite to an input field for Year Purchased -->
<NLCUSTEVENTYEARPURCHASED>
</div>
</div>
</div></div>
<div class="span4">
<div class="control-group">
<label class="control-label">TYPE OF REQUEST*</label>
<div class="controls">
<!-- This will be translated by NetSuite to an input field for Type of Request -->
<NLCUSTEVENTTYPEOFREQUEST>
</div>
</div>
</div>
<div class="span10">
<div class="control-group">
<label class="control-label">DESCRIPTION*</label>
<div class="controls">
<!-- This will be translated by NetSuite to an input field for Description -->
<NLINCOMINGMESSAGE>
</div>
</div>
</div>
<div class="span10">
<div class="control-group">
<label class="control-label">UPLOAD PHOTOS</label>
<div class="controls">
<!-- This will be translated by NetSuite to an input field for File -->
<NLFILE>
</div>
</div>
</div>
<div class="span10">
<b><input type="Submit" class="btn btn-dark" value="SUBMIT REQUEST" style="width:67%;background:black;color:white;"></b>
</div>
</fieldset>
<NLSUBSIDIARY>
<script src="https://ajax.googleapis.com/ajax/libs/jquery/1.11.1/jquery.min.js"></script>
<!-- Include the Bootstrap JavaScript library -->
<script src="https://maxcdn.bootstrapcdn.com/bootstrap/3.2.0/js/bootstrap.min.js"></script>
</form>
</div>
</body>
</html>