lemur/static/app/angular/domains/domain/domain.tpl.html

<div class="modal-header">
    <button type="button" class="close" ng-click="cancel()" aria-label="Close"><span aria-hidden="true">&times;</span></button>
    <h3><span ng-show="!domain.fromServer">Create</span><span ng-show="domain.fromServer">Edit</span> Destination <span class="text-muted"><small>oh the places you will go!</small></span></h3>
</div>
<div class="modal-body">
  <form name="createForm" class="form-horizontal" role="form" novalidate>
    <div class="form-group"
         ng-class="{'has-error': createForm.label.$invalid, 'has-success': !createForm.label.$invalid&&createForm.label.$dirty}">
      <label class="control-label col-sm-2">
        Name
      </label>
      <div class="col-sm-10">
        <input name="label" ng-model="domain.name" placeholder="Label" class="form-control" required/>
        <p ng-show="createForm.label.$invalid && !createForm.label.$pristine" class="help-block">You must enter an domain name</p>
      </div>
    </div>
    <div class="form-group">
      <label class="control-label col-sm-2">
        Sensitive
      </label>
      <div class="col-sm-10">
        <input type="checkbox" name="sensitive" ng-model="domain.sensitive" class="form-control">
      </div>
    </div>
  </form>
</div>
<div class="modal-footer">
  <button ng-click="save(domain)" type="submit" ng-disabled="createForm.$invalid" class="btn btn-primary">Save</button>
  <button ng-click="cancel()" class="btn btn-danger">Cancel</button>
</div>