diff --git a/integrations/evaluations/app/actions/manage/actions.ts b/integrations/evaluations/app/actions/manage/actions.ts
index 08dfdf8379..2d021ffd7b 100644
--- a/integrations/evaluations/app/actions/manage/actions.ts
+++ b/integrations/evaluations/app/actions/manage/actions.ts
@@ -6,8 +6,9 @@ import { findInstance } from "~/lib/instance";
 import { makePubFromDoi, makePubFromTitle, makePubFromUrl } from "~/lib/metadata";
 import { client } from "~/lib/pubpub";
 
-export const manage = async (instanceId: string) => {
+export const manage = async (instanceId: string, pubId: string, email: Create<typeof client>) => {
 	try {
+		console.log(`Instance: ${instanceId}, pubId: ${pubId}, email: ${email}`);
 		return {};
 	} catch (error) {
 		return { error: error.message };
diff --git a/integrations/evaluations/app/actions/manage/emailForm.tsx b/integrations/evaluations/app/actions/manage/emailForm.tsx
new file mode 100644
index 0000000000..c79bdae60c
--- /dev/null
+++ b/integrations/evaluations/app/actions/manage/emailForm.tsx
@@ -0,0 +1,130 @@
+"use client";
+
+import { zodResolver } from "@hookform/resolvers/zod";
+import { useEffect } from "react";
+import { useForm } from "react-hook-form";
+import {
+	Button,
+	Card,
+	CardContent,
+	CardDescription,
+	CardFooter,
+	CardHeader,
+	CardTitle,
+	Form,
+	FormControl,
+	FormDescription,
+	FormField,
+	FormItem,
+	FormLabel,
+	FormMessage,
+	Icon,
+	Input,
+	Textarea,
+	useLocalStorage,
+	useToast,
+} from "ui";
+import { cn } from "utils";
+import * as z from "zod";
+import { manage } from "./actions";
+
+type Props = {
+	instanceId: string;
+	pubId: string;
+};
+
+// TODO: generate fields using instance's configured PubType
+const schema = z.object({
+	Email: z.string().email("Enter a valid email address"),
+});
+
+export function EmailForm(props: Props) {
+	const { pubId } = props;
+	const { toast } = useToast();
+	const form = useForm<z.infer<typeof schema>>({
+		mode: "onChange",
+		reValidateMode: "onChange",
+		// TODO: generate fields using instance's configured PubType
+		resolver: zodResolver(schema),
+		defaultValues: {
+			Email: "",
+		},
+	});
+	const [persistedValues, persist] = useLocalStorage<z.infer<typeof schema>>(props.instanceId);
+
+	const onSubmit = async (email: z.infer<typeof schema>) => {
+		const result = await manage(props.instanceId, props.pubId, email);
+		if ("error" in result && typeof result.error === "string") {
+			toast({
+				title: "Error",
+				description: result.error,
+				variant: "destructive",
+			});
+		} else {
+			toast({
+				title: "Success",
+				description: "The email was sent successfully",
+			});
+			form.reset();
+		}
+	};
+
+	// Load the persisted values.
+	const { reset } = form;
+	useEffect(() => {
+		// `keepDefaultValues` is set to true to prevent the form from
+		// validating fields that were not filled during the previous session.
+		reset(persistedValues, { keepDefaultValues: true });
+	}, [reset]);
+
+	// Persist form values to local storage. This operation is debounced by
+	// the timeout passed to <LocalStorageProvider>.
+	const values = form.watch();
+	useEffect(() => {
+		persist(values);
+	}, [values]);
+
+	return (
+		<Form {...form}>
+			<form onSubmit={form.handleSubmit(onSubmit)}>
+				<Card>
+					<CardContent className={cn("flex flex-col column gap-4")}>
+						<FormField
+							control={form.control}
+							name="Email"
+							render={({ field }) => (
+								<FormItem>
+									<FormLabel>Email Address</FormLabel>
+									<FormControl>
+										<Input {...field} />
+									</FormControl>
+									<FormDescription>
+										The email of the evaluator you'd like to invite.
+									</FormDescription>
+									<FormMessage />
+								</FormItem>
+							)}
+						/>
+					</CardContent>
+					<CardFooter className={cn("flex justify-between")}>
+						<Button
+							variant="outline"
+							onClick={(e) => {
+								e.preventDefault();
+								window.history.back();
+							}}
+						>
+							Go Back
+						</Button>
+						<Button type="submit" disabled={!form.formState.isValid}>
+							{form.formState.isSubmitting && (
+								<Icon.Loader2 className="h-4 w-4 mr-2 animate-spin" />
+							)}
+							Invite
+						</Button>
+					</CardFooter>
+				</Card>
+			</form>
+		</Form>
+	);
+}
diff --git a/integrations/evaluations/app/actions/manage/page.tsx b/integrations/evaluations/app/actions/manage/page.tsx
index 04afb22792..86c7812e0d 100644
--- a/integrations/evaluations/app/actions/manage/page.tsx
+++ b/integrations/evaluations/app/actions/manage/page.tsx
@@ -1,10 +1,18 @@
+import { EmailForm } from "./emailForm";
+
 type Props = {
 	searchParams: {
 		instanceId: string;
+		pubId: any;
 	};
 };
 
 export default async function Page(props: Props) {
-	const { instanceId } = props.searchParams;
-	return <h1>Evaluation Integration</h1>;
+	const { instanceId, pubId } = props.searchParams;
+	return (
+		<>
+			<h1>Evaluation Integration</h1>
+			<EmailForm instanceId={instanceId} pubId={pubId} />
+		</>
+	);
 }