diff --git a/app/src/main/java/fr/sanchezm/attestationsCovid19/MainActivity.kt b/app/src/main/java/fr/sanchezm/attestationsCovid19/MainActivity.kt
index 1a0ff59..e6ff040 100644
--- a/app/src/main/java/fr/sanchezm/attestationsCovid19/MainActivity.kt
+++ b/app/src/main/java/fr/sanchezm/attestationsCovid19/MainActivity.kt
@@ -15,6 +15,8 @@ class MainActivity : AppCompatActivity() {
 
         val navController = findNavController(R.id.nav_host_fragment)
 
+        navController
+        actionBar?.hide()
         navView.setupWithNavController(navController)
         navView.setBackgroundColor(resources.getColor(R.color.itemBackground, theme))
     }
diff --git a/app/src/main/java/fr/sanchezm/attestationsCovid19/ui/add/AddFragment.kt b/app/src/main/java/fr/sanchezm/attestationsCovid19/ui/add/AddFragment.kt
index 7e7387c..8472c62 100644
--- a/app/src/main/java/fr/sanchezm/attestationsCovid19/ui/add/AddFragment.kt
+++ b/app/src/main/java/fr/sanchezm/attestationsCovid19/ui/add/AddFragment.kt
@@ -4,7 +4,6 @@ import android.os.Bundle
 import android.view.LayoutInflater
 import android.view.View
 import android.view.ViewGroup
-import android.widget.TextView
 import androidx.fragment.app.Fragment
 import androidx.lifecycle.Observer
 import androidx.lifecycle.ViewModelProviders
@@ -22,9 +21,7 @@ class AddFragment : Fragment() {
         homeViewModel =
             ViewModelProviders.of(this).get(AddViewModel::class.java)
         val root = inflater.inflate(R.layout.fragment_add_attestation, container, false)
-        val textView: TextView = root.findViewById(R.id.text_home)
         homeViewModel.text.observe(viewLifecycleOwner, Observer {
-            textView.text = it
         })
         return root
     }
diff --git a/app/src/main/res/layout/activity_main.xml b/app/src/main/res/layout/activity_main.xml
index 6dc94d0..77b456a 100644
--- a/app/src/main/res/layout/activity_main.xml
+++ b/app/src/main/res/layout/activity_main.xml
@@ -3,16 +3,13 @@
     xmlns:app="http://schemas.android.com/apk/res-auto"
     android:id="@+id/container"
     android:layout_width="match_parent"
-    android:layout_height="match_parent"
-    android:paddingTop="?attr/actionBarSize">
+    android:layout_height="match_parent">
 
     <com.google.android.material.bottomnavigation.BottomNavigationView
         android:id="@+id/nav_view"
-        android:layout_width="0dp"
-        android:layout_height="wrap_content"
-        android:layout_marginStart="0dp"
-        android:layout_marginEnd="0dp"
-        android:background="@color/colorPrimaryBackground"
+        android:layout_width="match_parent"
+        android:layout_height="56dp"
+        android:layout_margin="0dp"
         app:layout_constraintBottom_toBottomOf="parent"
         app:layout_constraintLeft_toLeftOf="parent"
         app:layout_constraintRight_toRightOf="parent"
@@ -24,10 +21,11 @@
         android:layout_width="match_parent"
         android:layout_height="match_parent"
         app:defaultNavHost="true"
-        app:layout_constraintBottom_toTopOf="@id/nav_view"
-        app:layout_constraintLeft_toLeftOf="parent"
-        app:layout_constraintRight_toRightOf="parent"
+        android:layout_marginBottom="56dp"
+        app:layout_constraintBottom_toTopOf="@+id/nav_view"
+        app:layout_constraintEnd_toEndOf="parent"
         app:layout_constraintTop_toTopOf="parent"
+        app:layout_constraintStart_toStartOf="parent"
         app:navGraph="@navigation/mobile_navigation" />
 
 </androidx.constraintlayout.widget.ConstraintLayout>
\ No newline at end of file
diff --git a/app/src/main/res/layout/fragment_add_attestation.xml b/app/src/main/res/layout/fragment_add_attestation.xml
index 2e7706c..88c3c26 100644
--- a/app/src/main/res/layout/fragment_add_attestation.xml
+++ b/app/src/main/res/layout/fragment_add_attestation.xml
@@ -1,22 +1,234 @@
 <?xml version="1.0" encoding="utf-8"?>
 <androidx.constraintlayout.widget.ConstraintLayout xmlns:android="http://schemas.android.com/apk/res/android"
-    xmlns:app="http://schemas.android.com/apk/res-auto"
     xmlns:tools="http://schemas.android.com/tools"
     android:layout_width="match_parent"
     android:layout_height="match_parent"
+    xmlns:app="http://schemas.android.com/apk/res-auto"
     tools:context=".ui.add.AddFragment">
 
-    <TextView
-        android:id="@+id/text_home"
+    <androidx.core.widget.NestedScrollView
         android:layout_width="match_parent"
-        android:layout_height="wrap_content"
-        android:layout_marginStart="8dp"
-        android:layout_marginTop="8dp"
-        android:layout_marginEnd="8dp"
-        android:textAlignment="center"
-        android:textSize="20sp"
+        android:layout_height="match_parent"
         app:layout_constraintBottom_toBottomOf="parent"
         app:layout_constraintEnd_toEndOf="parent"
         app:layout_constraintStart_toStartOf="parent"
-        app:layout_constraintTop_toTopOf="parent" />
+        app:layout_constraintTop_toTopOf="parent">
+
+        <LinearLayout
+            android:layout_width="match_parent"
+            android:layout_height="wrap_content"
+            android:orientation="vertical"
+            android:paddingHorizontal="50dp"
+            android:paddingVertical="20dp">
+
+            <TextView
+                android:layout_width="match_parent"
+                android:layout_height="wrap_content"
+                android:text="@string/attestation_title"
+                android:textColor="?attr/colorPrimary"
+                android:textSize="25sp" />
+
+            <TextView
+                android:layout_width="match_parent"
+                android:layout_height="wrap_content"
+                android:layout_marginBottom="20dp"
+                android:text="@string/attestation_subtitle"
+                android:textColor="?attr/colorAccent"
+                android:textSize="15sp" />
+
+            <com.google.android.material.textfield.TextInputLayout
+                android:id="@+id/firstName"
+                style="@style/TextInputLayout"
+                android:layout_width="match_parent"
+                android:layout_height="wrap_content"
+                android:hint="@string/first_name">
+
+                <com.google.android.material.textfield.TextInputEditText
+                    android:layout_width="match_parent"
+                    android:layout_height="wrap_content"
+                    android:inputType="textPersonName|textCapWords" />
+
+            </com.google.android.material.textfield.TextInputLayout>
+
+            <com.google.android.material.textfield.TextInputLayout
+                android:id="@+id/lastName"
+                style="@style/TextInputLayout"
+                android:layout_width="match_parent"
+                android:layout_height="wrap_content"
+                android:hint="@string/last_name">
+
+                <com.google.android.material.textfield.TextInputEditText
+                    android:layout_width="match_parent"
+                    android:layout_height="wrap_content"
+                    android:inputType="textPersonName|textCapWords" />
+
+            </com.google.android.material.textfield.TextInputLayout>
+
+            <com.google.android.material.textfield.TextInputLayout
+                android:id="@+id/birthday"
+                style="@style/TextInputLayout"
+                android:layout_width="match_parent"
+                android:layout_height="wrap_content"
+                android:hint="@string/birthday">
+
+                <com.google.android.material.textfield.TextInputEditText
+                    android:layout_width="match_parent"
+                    android:layout_height="wrap_content"
+                    android:inputType="date" />
+
+            </com.google.android.material.textfield.TextInputLayout>
+
+            <com.google.android.material.textfield.TextInputLayout
+                android:id="@+id/birthPlace"
+                style="@style/TextInputLayout"
+                android:layout_width="match_parent"
+                android:layout_height="wrap_content"
+                android:hint="@string/birth_place">
+
+                <com.google.android.material.textfield.TextInputEditText
+                    android:layout_width="match_parent"
+                    android:layout_height="wrap_content"
+                    android:inputType="text|textCapWords" />
+
+            </com.google.android.material.textfield.TextInputLayout>
+
+            <com.google.android.material.textfield.TextInputLayout
+                android:id="@+id/address"
+                style="@style/TextInputLayout"
+                android:layout_width="match_parent"
+                android:layout_height="wrap_content"
+                android:hint="@string/address">
+
+                <com.google.android.material.textfield.TextInputEditText
+                    android:layout_width="match_parent"
+                    android:layout_height="wrap_content"
+                    android:inputType="textPostalAddress|textCapWords" />
+
+            </com.google.android.material.textfield.TextInputLayout>
+
+            <com.google.android.material.textfield.TextInputLayout
+                android:id="@+id/city"
+                style="@style/TextInputLayout"
+                android:layout_width="match_parent"
+                android:layout_height="wrap_content"
+                android:hint="@string/city">
+
+                <com.google.android.material.textfield.TextInputEditText
+                    android:layout_width="match_parent"
+                    android:layout_height="wrap_content"
+                    android:inputType="text|textCapWords" />
+
+            </com.google.android.material.textfield.TextInputLayout>
+
+            <com.google.android.material.textfield.TextInputLayout
+                android:id="@+id/postalCode"
+                style="@style/TextInputLayout"
+                android:layout_width="match_parent"
+                android:layout_height="wrap_content"
+                android:hint="@string/postal_code">
+
+                <com.google.android.material.textfield.TextInputEditText
+                    android:layout_width="match_parent"
+                    android:layout_height="wrap_content"
+                    android:inputType="text|textCapWords" />
+
+            </com.google.android.material.textfield.TextInputLayout>
+
+            <com.google.android.material.textfield.TextInputLayout
+                android:id="@+id/exitDate"
+                style="@style/TextInputLayout"
+                android:layout_width="match_parent"
+                android:layout_height="wrap_content"
+                android:hint="@string/exit_date">
+
+                <com.google.android.material.textfield.TextInputEditText
+                    android:layout_width="match_parent"
+                    android:layout_height="wrap_content"
+                    android:inputType="date" />
+
+            </com.google.android.material.textfield.TextInputLayout>
+
+            <com.google.android.material.textfield.TextInputLayout
+                android:id="@+id/exitHour"
+                style="@style/TextInputLayout"
+                android:layout_width="match_parent"
+                android:layout_height="wrap_content"
+                android:hint="@string/exit_hour">
+
+                <com.google.android.material.textfield.TextInputEditText
+                    android:layout_width="match_parent"
+                    android:layout_height="wrap_content"
+                    android:inputType="time" />
+
+            </com.google.android.material.textfield.TextInputLayout>
+
+            <TextView
+                android:layout_width="match_parent"
+                android:layout_height="wrap_content"
+                android:layout_marginTop="20dp"
+                android:text="@string/reason"
+                android:textColor="?attr/colorPrimary"
+                android:textSize="18sp" />
+
+            <com.google.android.material.checkbox.MaterialCheckBox
+                android:id="@+id/reason1"
+                style="@style/MaterialCheckBox"
+                android:layout_width="wrap_content"
+                android:layout_height="wrap_content"
+                android:text="@string/reason_1" />
+
+            <com.google.android.material.checkbox.MaterialCheckBox
+                android:id="@+id/reason2"
+                style="@style/MaterialCheckBox"
+                android:layout_width="wrap_content"
+                android:layout_height="wrap_content"
+                android:text="@string/reason_2" />
+
+            <com.google.android.material.checkbox.MaterialCheckBox
+                android:id="@+id/reason3"
+                style="@style/MaterialCheckBox"
+                android:layout_width="wrap_content"
+                android:layout_height="wrap_content"
+                android:text="@string/reason_3" />
+
+            <com.google.android.material.checkbox.MaterialCheckBox
+                android:id="@+id/reason4"
+                style="@style/MaterialCheckBox"
+                android:layout_width="wrap_content"
+                android:layout_height="wrap_content"
+                android:text="@string/reason_4" />
+
+            <com.google.android.material.checkbox.MaterialCheckBox
+                android:id="@+id/reason5"
+                style="@style/MaterialCheckBox"
+                android:layout_width="wrap_content"
+                android:layout_height="wrap_content"
+                android:text="@string/reason_5" />
+
+            <com.google.android.material.checkbox.MaterialCheckBox
+                android:id="@+id/reason6"
+                style="@style/MaterialCheckBox"
+                android:layout_width="wrap_content"
+                android:layout_height="wrap_content"
+                android:text="@string/reason_6" />
+
+            <com.google.android.material.checkbox.MaterialCheckBox
+                android:id="@+id/reason7"
+                style="@style/MaterialCheckBox"
+                android:layout_width="wrap_content"
+                android:layout_height="wrap_content"
+                android:text="@string/reason_7" />
+
+            <com.google.android.material.button.MaterialButton
+                android:id="@+id/containedButton"
+                android:layout_width="match_parent"
+                android:layout_height="wrap_content"
+                android:layout_marginTop="20dp"
+                android:enabled="false"
+                android:text="@string/generate_attestation_button" />
+
+        </LinearLayout>
+
+    </androidx.core.widget.NestedScrollView>
+
 </androidx.constraintlayout.widget.ConstraintLayout>
\ No newline at end of file
diff --git a/app/src/main/res/values/strings.xml b/app/src/main/res/values/strings.xml
index 61108ff..1f3fbef 100644
--- a/app/src/main/res/values/strings.xml
+++ b/app/src/main/res/values/strings.xml
@@ -2,4 +2,27 @@
     <string name="app_name">Attestation de déplacement dérogatoire</string>
     <string name="title_add">Nouvelle Attestation</string>
     <string name="title_attestations">Mes Attestations</string>
+
+    <string name="attestation_title">Attestation de déplacement dérogatoire</string>
+    <string name="attestation_subtitle">#RestonsChezNous</string>
+
+    <string name="first_name">Prénom</string>
+    <string name="last_name">Nom</string>
+    <string name="birthday">Date de naissance</string>
+    <string name="birth_place">Lieu de naissance</string>
+    <string name="address">Adresse</string>
+    <string name="city">Ville</string>
+    <string name="postal_code">Code Postal</string>
+    <string name="reason">Choisissez le ou les motif(s) de sortie</string>
+    <string name="exit_date">Date de sortie</string>
+    <string name="exit_hour">Heure de sortie</string>
+    <string name="generate_attestation_button">Générer l\'attestation</string>
+
+    <string name="reason_1">Déplacements entre le domicile et le lieu d’exercice de l’activité professionnelle, lorsqu\'ils sont indispensables à l\'exercice d’activités ne pouvant être organisées sous forme de télétravail ou déplacements professionnels ne pouvant être différés.</string>
+    <string name="reason_2">Déplacements pour effectuer des achats de fournitures nécessaires à l’activité professionnelle et des achats de première nécessité dans des établissements dont les activités demeurent autorisées</string>
+    <string name="reason_3">Consultations et soins ne pouvant être assurés à distance et ne pouvant être différés ; consultations et soins des patients atteints d\'une affection de longue durée.</string>
+    <string name="reason_4">Déplacements pour motif familial impérieux, pour l’assistance aux personnes vulnérables ou la garde d’enfants.</string>
+    <string name="reason_5">Déplacements brefs, dans la limite d\'une heure quotidienne et dans un rayon maximal d\'un kilomètre autour du domicile, liés soit à l\'activité physique individuelle des personnes, à l\'exclusion de toute pratique sportive collective et de toute proximité avec d\'autres personnes, soit à la promenade avec les seules personnes regroupées dans un même domicile, soit aux besoins des animaux de compagnie.</string>
+    <string name="reason_6">Convocation judiciaire ou administrative.</string>
+    <string name="reason_7">Participation à des missions d’intérêt général sur demande de l’autorité administrative.</string>
 </resources>
diff --git a/app/src/main/res/values/styles.xml b/app/src/main/res/values/styles.xml
index da40ce4..3843c51 100644
--- a/app/src/main/res/values/styles.xml
+++ b/app/src/main/res/values/styles.xml
@@ -1,7 +1,7 @@
 <resources>
 
     <!-- Base application theme. -->
-    <style name="AppTheme.Light" parent="Theme.AppCompat.Light.DarkActionBar">
+    <style name="AppTheme.Light" parent="Theme.MaterialComponents.Light.DarkActionBar">
         <!-- Customize your theme here. -->
         <item name="colorPrimary">@color/colorPrimary</item>
         <item name="colorPrimaryDark">@color/colorPrimaryDark</item>
@@ -13,6 +13,28 @@
         <item name="android:windowActionBarOverlay">true</item>
         <item name="windowActionBar">false</item>
         <item name="windowNoTitle">true</item>
+        <item name="textInputStyle">@style/TextInputLayout</item>
     </style>
 
+    <style name="TextInputLayout" parent="Widget.MaterialComponents.TextInputLayout.FilledBox">
+        <item name="boxBackgroundColor">@color/itemBackground</item>
+        <item name="boxStrokeWidth">@dimen/emptySize</item>
+        <item name="boxStrokeWidthFocused">@dimen/emptySize</item>
+        <item name="android:layout_marginTop">@dimen/margin5dp</item>
+        <item name="android:layout_marginBottom">@dimen/margin5dp</item>
+        <item name="boxCornerRadiusTopStart">@dimen/textInputCornerRadius</item>
+        <item name="boxCornerRadiusTopEnd">@dimen/textInputCornerRadius</item>
+        <item name="boxCornerRadiusBottomStart">@dimen/textInputCornerRadius</item>
+        <item name="boxCornerRadiusBottomEnd">@dimen/textInputCornerRadius</item>
+    </style>
+
+    <style name="MaterialCheckBox">
+        <item name="android:layout_marginTop">@dimen/margin5dp</item>
+        <item name="android:layout_marginBottom">@dimen/margin5dp</item>
+        <item name="android:textColor">@color/colorAccent</item>
+    </style>
+
+    <dimen name="textInputCornerRadius">20dp</dimen>
+    <dimen name="margin5dp">5dp</dimen>
+    <dimen name="emptySize">0dp</dimen>
 </resources>