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diff --git a/web-ui/src/account_recovery/user_recovery_code_form/user_recovery_code_form.js b/web-ui/src/account_recovery/user_recovery_code_form/user_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 BackLink from 'src/common/back_link/back_link';
+
+import './user_recovery_code_form.scss';
+
+export const UserRecoveryCodeForm = ({ t, previous, next, saveCode }) => (
+ <form className='account-recovery-form user-code' onSubmit={next}>
+ <img
+ className='account-recovery-progress'
+ src='/public/images/account-recovery/step_2.svg'
+ alt={t('account-recovery.user-form.image-description')}
+ />
+ <h1>{t('account-recovery.user-form.title')}</h1>
+ <div className='user-code-form-content'>
+ <img
+ className='user-code-image'
+ src='/public/images/account-recovery/codes.svg'
+ alt=''
+ />
+ <p>{t('account-recovery.user-form.description')}</p>
+ </div>
+ <InputField
+ name='user-code' label={t('account-recovery.user-form.input-label')}
+ onChange={saveCode}
+ />
+ <SubmitButton buttonText={t('account-recovery.button-next')} />
+ <BackLink text={t('account-recovery.back')} onClick={previous} />
+ </form>
+);
+
+UserRecoveryCodeForm.propTypes = {
+ t: React.PropTypes.func.isRequired,
+ previous: React.PropTypes.func.isRequired,
+ next: React.PropTypes.func.isRequired,
+ saveCode: React.PropTypes.func.isRequired
+};
+
+export default translate('', { wait: true })(UserRecoveryCodeForm);