<input type="text" class="form-control" name="signature" placeholder="<?=_Signature?>">
</td>
</tr>
+ <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>
<tr>
<td colspan="4"><input class="btn btn-primary" type="submit" name="process" value="<?=_Next?>"></td>
</tr>