+ <tr>
+ <td colspan="4">
+ <?=_You may provide information on how the private key was compromised to help the certificate owner prevent further key compromises. You can indicate that this information should not be sent to the certificate owner, but only be visible to ${appName} staff, by checking the checkbox below.?>
+ <p>
+ <label for="confidential"><?=_Don't send the message to the certificate owner?></label>
+ <input type='checkbox' name='confidential' id='confidential'>
+ </p>
+ <textarea class="form-control" name="message" rows="3" cols="40"></textarea>
+ </td>
+ </tr>