diff --git a/www/conservancy/templates/ccs_upload/upload.html b/www/conservancy/templates/ccs_upload/upload.html
new file mode 100644
index 0000000000000000000000000000000000000000..57c9bf1d790c264f38ae49285f5b64a21b3b529d
--- /dev/null
+++ b/www/conservancy/templates/ccs_upload/upload.html
@@ -0,0 +1,34 @@
+{% extends "base_conservancy.html" %}
+{% block category %}Copyright Assignment{% endblock %}
+{% load static %}
+
+{% block outercontent %}
+  <style>
+   label { display: block; }
+
+   li.info {
+     background: #F0FFB8;
+     border: 1px solid #D0DD98;
+   }
+  </style>
+  <h1>CCS Candidate Upload</h1>
+
+  <div class="mw7 mb4">
+    <p>Please note that a progress bar is not shown and that large uploads may take a significant time.</p>
+
+    {% if messages %}
+      <ul class="messages list mv2 ">
+        {% for message in messages %}
+          <li class="{{ message.tags }} pa2">{{ message }}</li>
+        {% endfor %}
+      </ul>
+    {% endif %}
+
+    <form action="." method="post" enctype="multipart/form-data" class="mw7">
+      {% csrf_token %}
+      {{ form.as_p }}
+
+      <p><button type="submit" class="ph3 pv2">Next</button></p>
+    </form>
+  </div>
+{% endblock %}