The Form input elements are:

            Reporter name                                                text type input

            Password                                                        password type input element

            Description of the incident                              textarea element

            Category for incident                                      menu

            Checkbox to request email report copy          checkbox

            Optional email address if requested               text type input

No inputs for time, date, or incident number,

Lay out the form in a visually effective way using HTML elements and style rules to control the appearance of the elements including the font-family, font-size, background colors, and text color.

All the elements mentioned must belong to (one) form - not multiple forms - since only one form can be transmitted at a time (that is, triggered or fired by a form submit).