diff --git a/atst/forms/edit_user.py b/atst/forms/edit_user.py
new file mode 100644
index 00000000..36dc206f
--- /dev/null
+++ b/atst/forms/edit_user.py
@@ -0,0 +1,68 @@
+import pendulum
+from wtforms.fields.html5 import DateField, EmailField, TelField
+from wtforms.fields import RadioField, StringField
+from wtforms.validators import Email, Required
+
+from .fields import SelectField
+from .forms import ValidatedForm
+from .data import (
+    SERVICE_BRANCHES,
+)
+
+from .validators import Alphabet, DateRange, PhoneNumber
+
+
+class EditUserForm(ValidatedForm):
+
+    fname = StringField("First Name", validators=[Required(), Alphabet()])
+
+    lname = StringField("Last Name", validators=[Required(), Alphabet()])
+
+    email = EmailField("E-mail Address", validators=[Required(), Email()])
+
+    phone_number = TelField(
+        "Phone Number",
+        description="Enter a 10-digit phone number",
+        validators=[Required(), PhoneNumber()],
+    )
+
+    service_branch = SelectField(
+        "Service Branch or Agency",
+        description="Which service or organization do you belong to within the DoD?",
+        choices=SERVICE_BRANCHES,
+    )
+
+    citizenship = RadioField(
+        description="What is your citizenship status?",
+        choices=[
+            ("United States", "United States"),
+            ("Foreign National", "Foreign National"),
+            ("Other", "Other"),
+        ],
+        validators=[Required()],
+    )
+
+    designation = RadioField(
+        "Designation of Person",
+        description="What is your designation within the DoD?",
+        choices=[
+            ("military", "Military"),
+            ("civilian", "Civilian"),
+            ("contractor", "Contractor"),
+        ],
+        validators=[Required()],
+    )
+
+    date_latest_training = DateField(
+        "Latest Information Assurance (IA) Training Completion Date",
+        description='To complete the training, you can find it in <a class="icon-link" href="https://iatraining.disa.mil/eta/disa_cac2018/launchPage.htm" target="_blank">Information Assurance Cyber Awareness Challange</a> website.',
+        validators=[
+            Required(),
+            DateRange(
+                lower_bound=pendulum.duration(years=1),
+                upper_bound=pendulum.duration(days=0),
+                message="Must be a date within the last year.",
+            ),
+        ],
+        format="%m/%d/%Y",
+    )