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diff --git a/app/assets/javascripts/google_cloud/components/service_accounts_form.vue b/app/assets/javascripts/google_cloud/components/service_accounts_form.vue
new file mode 100644
index 00000000000..e7a09668473
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+++ b/app/assets/javascripts/google_cloud/components/service_accounts_form.vue
@@ -0,0 +1,70 @@
+<script>
+import { GlButton, GlFormGroup, GlFormSelect } from '@gitlab/ui';
+import { __ } from '~/locale';
+
+export default {
+  components: { GlButton, GlFormGroup, GlFormSelect },
+  props: {
+    gcpProjects: { required: true, type: Array },
+    environments: { required: true, type: Array },
+    cancelPath: { required: true, type: String },
+  },
+  i18n: {
+    title: __('Create service account'),
+    gcpProjectLabel: __('Google Cloud project'),
+    gcpProjectDescription: __(
+      'New service account is generated for the selected Google Cloud project',
+    ),
+    environmentLabel: __('Environment'),
+    environmentDescription: __('Generated service account is linked to the selected environment'),
+    submitLabel: __('Create service account'),
+    cancelLabel: __('Cancel'),
+  },
+};
+</script>
+
+<template>
+  <div>
+    <header class="gl-my-5 gl-border-b-1 gl-border-b-gray-100 gl-border-b-solid">
+      <h2 class="gl-font-size-h1">{{ $options.i18n.title }}</h2>
+    </header>
+    <gl-form-group
+      label-for="gcp_project"
+      :label="$options.i18n.gcpProjectLabel"
+      :description="$options.i18n.gcpProjectDescription"
+    >
+      <gl-form-select id="gcp_project" name="gcp_project" required>
+        <option
+          v-for="gcpProject in gcpProjects"
+          :key="gcpProject.project_id"
+          :value="gcpProject.project_id"
+        >
+          {{ gcpProject.name }}
+        </option>
+      </gl-form-select>
+    </gl-form-group>
+    <gl-form-group
+      label-for="environment"
+      :label="$options.i18n.environmentLabel"
+      :description="$options.i18n.environmentDescription"
+    >
+      <gl-form-select id="environment" name="environment" required>
+        <option value="*">{{ __('All') }}</option>
+        <option
+          v-for="environment in environments"
+          :key="environment.name"
+          :value="environment.name"
+        >
+          {{ environment.name }}
+        </option>
+      </gl-form-select>
+    </gl-form-group>
+
+    <div class="form-actions row">
+      <gl-button type="submit" category="primary" variant="confirm">
+        {{ $options.i18n.submitLabel }}
+      </gl-button>
+      <gl-button class="gl-ml-1" :href="cancelPath">{{ $options.i18n.cancelLabel }}</gl-button>
+    </div>
+  </div>
+</template>