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diff --git a/web-ui/src/account_recovery/forms/admin_recovery_code_form.js b/web-ui/src/account_recovery/forms/admin_recovery_code_form.js
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+/*
+ * Copyright (c) 2017 ThoughtWorks, Inc.
+ *
+ * Pixelated is free software: you can redistribute it and/or modify
+ * it under the terms of the GNU Affero General Public License as published by
+ * the Free Software Foundation, either version 3 of the License, or
+ * (at your option) any later version.
+ *
+ * Pixelated is distributed in the hope that it will be useful,
+ * but WITHOUT ANY WARRANTY; without even the implied warranty of
+ * MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the
+ * GNU Affero General Public License for more details.
+ *
+ * You should have received a copy of the GNU Affero General Public License
+ * along with Pixelated. If not, see <http://www.gnu.org/licenses/>.
+ */
+
+import React from 'react';
+import { translate } from 'react-i18next';
+
+import InputField from 'src/common/input_field/input_field';
+import SubmitButton from 'src/common/submit_button/submit_button';
+
+import './admin_recovery_code_form.scss';
+
+
+export const AdminRecoveryCodeForm = ({ t }) => (
+ <div>
+ <h1>{t('account-recovery.admin-form.title')}</h1>
+ <ul>
+ <li>{t('account-recovery.admin-form.tip1')}</li>
+ <li>{t('account-recovery.admin-form.tip2')}</li>
+ <li>{t('account-recovery.admin-form.tip3')}</li>
+ </ul>
+ <InputField name='admin-code' label={t('account-recovery.admin-form.input-label')} />
+ <SubmitButton buttonText={t('account-recovery.admin-form.button')} />
+ </div>
+);
+
+AdminRecoveryCodeForm.propTypes = {
+ t: React.PropTypes.func.isRequired
+};
+
+export default translate('', { wait: true })(AdminRecoveryCodeForm);