diff --git a/berichtsheft/assets/templates/report_input.html b/berichtsheft/assets/templates/report_input.html
new file mode 100644
index 0000000..8175d4e
--- /dev/null
+++ b/berichtsheft/assets/templates/report_input.html
@@ -0,0 +1,29 @@
+<template id="report_input">
+    <div class="day-content flexv">
+        <div class="day-line flexh">
+            <div class="flexgrow"><input type="text"/></div>
+            <div class="flexten"><input class="sh" type="text" maxlength="2" pattern="[0-9]{1}"></div>
+            <div class="flexten"></div>
+        </div>
+        <div class="day-line flexh">
+            <div class="flexgrow"><input type="text"/></div>
+            <div class="flexten"><input class="sh" type="text" maxlength="2" pattern="[0-9]{1}"></div>
+            <div class="flexten"></div>
+        </div>
+        <div class="day-line flexh">
+            <div class="flexgrow"><input type="text"/></div>
+            <div class="flexten"><input class="sh" type="text" maxlength="2" pattern="[0-9]{1}"></div>
+            <div class="flexten"></div>
+        </div>
+        <div class="day-line flexh">
+            <div class="flexgrow"><input type="text"/></div>
+            <div class="flexten"><input class="sh" type="text" maxlength="2" pattern="[0-9]{1}"></div>
+            <div class="flexten"></div>
+        </div>
+        <div class="day-line flexh">
+            <div class="flexgrow"><input type="text"/></div>
+            <div class="flexten"><input class="sh" type="text" maxlength="2" pattern="[0-9]{1}"></div>
+            <div class="subtotal green flexten"></div>
+        </div>
+    </div>
+</template>