diff --git a/frontend/src/resources/change-equipment-status/ChangeEquipmentStatusCreate.tsx b/frontend/src/resources/change-equipment-status/ChangeEquipmentStatusCreate.tsx
new file mode 100644
index 0000000..8103c20
--- /dev/null
+++ b/frontend/src/resources/change-equipment-status/ChangeEquipmentStatusCreate.tsx
@@ -0,0 +1,14 @@
+import { Create, SimpleForm, TextInput, DateInput, ReferenceInput } from 'react-admin';
+import { EquipmentStatusSelectInput } from '../equipment/EquipmentStatusSelectInput';
+
+export const ChangeEquipmentStatusCreate = () => (
+  <Create>
+    <SimpleForm>
+      <ReferenceInput source="equipmentId" reference="equipment" />
+      <EquipmentStatusSelectInput source="newStatus" />
+      <TextInput source="number" />
+      <DateInput source="date" />
+      <TextInput source="responsible" />
+    </SimpleForm>
+  </Create>
+);
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