diff --git a/test-forms/deltamath_reset_password.html b/test-forms/deltamath_reset_password.html
new file mode 100644
index 000000000..4bccf09d7
--- /dev/null
+++ b/test-forms/deltamath_reset_password.html
@@ -0,0 +1,32 @@
+<form class="update-password-form container">
+   <div class="row">
+      <div class="column">
+         <div class="rmd-text-field-container rmd-text-field-container--outline rmd-text-field-container--hoverable rmd-text-field-container--label">
+            <label class="rmd-label rmd-floating-label" for="new-password-text-field">New Password</label>
+            <input id="new-password-text-field" name="newPasswordTextField" type="password" class="rmd-text-field rmd-text-field--floating" data-manual-scoring="password.new">
+         </div>
+      </div>
+   </div>
+   <div class="row">
+      <div class="column">
+         <div class="rmd-text-field-container rmd-text-field-container--outline rmd-text-field-container--hoverable rmd-text-field-container--label">
+            <label class="rmd-label rmd-floating-label" for="confirm-password-text-field">Confirm Password</label>
+            <input id="confirm-password-text-field" name="confirmPasswordTextField" type="password" class="rmd-text-field rmd-text-field--floating" data-manual-scoring="password.new">
+         </div>
+      </div>
+   </div>
+   <div class="error-row">
+      <div class="column"></div>
+   </div>
+   <div class="row submit-row">
+      <div class="column">
+         <button type="submit" class="rmd-button rmd-button--text rmd-button--disabled form-submit-btn" data-manual-submit>
+            Reset Password
+            <span class="rmd-ripple-container"></span>
+         </button>
+      </div>
+   </div>
+   <div class="row">
+      <div class="column"></div>
+   </div>
+</form>
diff --git a/test-forms/index.json b/test-forms/index.json
index 02daabde9..f4d44c5cc 100644
--- a/test-forms/index.json
+++ b/test-forms/index.json
@@ -547,5 +547,6 @@
   { "html": "camelcamelcamel_login.html" },
   { "html": "accounts_oneplus_login.html"},
   { "html": "google_password_manager_search.html"},
-  { "html": "paperlesspost_login.html"}
+  { "html": "paperlesspost_login.html"},
+  { "html": "deltamath_reset_password.html"}
 ]