diff --git a/maraudes/templates/maraudes/panel_signalement.html b/maraudes/templates/maraudes/panel_signalement.html
new file mode 100644
index 0000000..ac91675
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+++ b/maraudes/templates/maraudes/panel_signalement.html
@@ -0,0 +1,26 @@
+{% load bootstrap3 %}
+<div class="col-md-6" id="signalement">
+  <form method="post" action="">
+  {% csrf_token %}
+    <div class="panel panel-warning">
+      <div class="panel-heading"><h4 class="panel-title">Signalement</h4></div>
+      <div class="panel-body">
+        <div class="form-horizontal">
+          {% for field in form %}
+            {% if field.name == "sujet" %}
+              <hr />
+            {% endif %}
+            {% bootstrap_field field layout="horizontal" size="small" %}
+          {% endfor %}
+        </div>
+      </div>
+      <div class="panel-footer text-right">
+        <div class="btn-group">
+          <a class= "btn btn-sm btn-primary" id="new-sujet">
+          {% bootstrap_icon "user" %} Nouveau sujet</a>
+          {% bootstrap_button "Enregistrer" icon="save" button_type="submit" button_class="btn btn-success btn-sm pull-right" %}
+        </div>
+      </div>
+    </div>
+  </form>
+</div>