Not without coding. The form really is just a way to get JIRA to send a general "help me obi-wan-jira-admins" email, adding fields to it does not do a lot because the data in those fields is not going to do anything other than be added to the email.
You must be a registered user to add a comment. If you've already registered, sign in. Otherwise, register and sign in.
You must be a registered user to add a comment. If you've already registered, sign in. Otherwise, register and sign in.