diff --git a/src/components/step.tsx b/src/components/step.tsx
index 3f322a7..d2b416e 100644
--- a/src/components/step.tsx
+++ b/src/components/step.tsx
@@ -29,19 +29,18 @@ export const Step = (props: StepProps) => {
             { label }
             <Box>
                 { state && <Typography variant="subtitle2" display="inline">{ state }</Typography> }
+                { (notBefore || until) && <Typography variant="subtitle2" display="inline" color="textSecondary"> • </Typography> }
                 { notBefore &&
                     <Typography variant="subtitle2" color="textSecondary" display="inline">
                         { t('not-before', { date: notBefore }) }
                     </Typography> }
-                { until && <>
-                    <Typography variant="subtitle2" display="inline" color="textSecondary"> • </Typography>
+                { until &&
                     <Typography variant="subtitle2" color="textSecondary" display="inline">
                         { t('until', { date: until }) }
                         { isLate && <Typography color="error" display="inline"
                                                 variant="body2"> - { t('late', { by: moment.duration(now.diff(until)) }) }</Typography> }
                         { !isLate && !completed && <Typography display="inline" variant="body2"> - { t('left', { left: left }) }</Typography> }
-                    </Typography>
-                </> }
+                    </Typography> }
             </Box>
         </StepLabel>
         { children && <StepContent>{ children }</StepContent> }
diff --git a/src/data/report.ts b/src/data/report.ts
new file mode 100644
index 0000000..d399ce8
--- /dev/null
+++ b/src/data/report.ts
@@ -0,0 +1,37 @@
+import { Multilingual } from "@/data/common";
+
+interface PredefinedChoices {
+    choices: Multilingual<string>[];
+}
+
+export interface BaseField {
+    name: string;
+    description: Multilingual<string>;
+    label: Multilingual<string>;
+}
+
+export interface TextField extends BaseField {
+    type: "text";
+    value: string | null;
+}
+
+export interface MultiChoiceField extends BaseField, PredefinedChoices {
+    type: "multi-choice";
+    value: Multilingual<string>[] | null;
+}
+
+export interface SingleChoiceField extends BaseField, PredefinedChoices {
+    type: "single-choice";
+    value: Multilingual<string> | null
+}
+
+export interface SelectField extends BaseField, PredefinedChoices {
+    type: "select";
+    value: Multilingual<string> | null
+}
+
+export type ReportField = TextField | MultiChoiceField | SingleChoiceField | SelectField;
+
+export interface Report {
+    fields: ReportField[];
+}
diff --git a/src/forms/report.tsx b/src/forms/report.tsx
new file mode 100644
index 0000000..a4936bf
--- /dev/null
+++ b/src/forms/report.tsx
@@ -0,0 +1,136 @@
+import React from "react";
+import { emptyReport } from "@/provider/dummy/report";
+import {
+    Button,
+    FormControl,
+    FormLabel,
+    Grid,
+    Typography,
+    FormGroup,
+    FormControlLabel,
+    Checkbox,
+    Radio,
+    InputLabel,
+    Select,
+    MenuItem
+} from "@material-ui/core";
+import { Actions } from "@/components";
+import { Link as RouterLink } from "react-router-dom";
+import { route } from "@/routing";
+import { useTranslation } from "react-i18next";
+import { MultiChoiceField, Report, ReportField, SelectField, SingleChoiceField } from "@/data/report";
+import { TextField as TextFieldFormik } from "formik-material-ui";
+import { Field, Form, Formik, useFormik, useFormikContext } from "formik";
+import { Multilingual } from "@/data";
+import { Transformer } from "@/serialization";
+
+export type ReportFieldProps<TField = ReportField> = {
+    field: TField;
+}
+
+const CustomField = ({ field, ...props }: ReportFieldProps) => {
+    switch (field.type) {
+        case "text":
+            return <CustomField.Text {...props} field={ field } />
+        case "single-choice":
+        case "multi-choice":
+            return <CustomField.Choice {...props} field={ field }/>
+        case "select":
+            return <CustomField.Select {...props} field={ field }/>
+    }
+}
+
+CustomField.Text = ({ field }: ReportFieldProps) => {
+    return <>
+        <Field label={ field.label.pl } name={ field.name } fullWidth component={ TextFieldFormik }/>
+        <Typography variant="caption" color="textSecondary" dangerouslySetInnerHTML={{ __html: field.description.pl }}/>
+    </>
+}
+
+CustomField.Select = ({ field }: ReportFieldProps<SelectField>) => {
+    const { t } = useTranslation();
+    const id = `custom-field-${field.name}`;
+    const { values, setFieldValue } = useFormikContext<any>();
+
+    const value = values[field.name];
+
+    return <FormControl variant="outlined">
+        <InputLabel htmlFor={id}>{ field.label.pl }</InputLabel>
+        <Select label={ field.label.pl } name={ field.name } id={id} value={ value } onChange={ ({ target }) => setFieldValue(field.name, target.value, false) }>
+            { field.choices.map(choice => <MenuItem value={ choice as any }>{ choice.pl }</MenuItem>) }
+        </Select>
+        <Typography variant="caption" color="textSecondary" dangerouslySetInnerHTML={{ __html: field.description.pl }}/>
+    </FormControl>
+}
+
+CustomField.Choice = ({ field }: ReportFieldProps<SingleChoiceField | MultiChoiceField>) => {
+    const { t } = useTranslation();
+    const { values, setFieldValue } = useFormikContext<any>();
+
+    const value = values[field.name];
+
+    const isSelected = field.type == 'single-choice'
+        ? (checked: Multilingual<string>) => value == checked
+        : (checked: Multilingual<string>) => (value || []).includes(checked)
+
+    const handleChange = field.type == 'single-choice'
+        ? (choice: Multilingual<string>) => () => setFieldValue(field.name, choice, false)
+        : (choice: Multilingual<string>) => () => {
+            const current = value || [];
+            setFieldValue(field.name, !current.includes(choice) ? [ ...current, choice ] : current.filter((c: Multilingual<string>) => c != choice), false);
+        }
+
+    const Component = field.type == 'single-choice' ? Radio : Checkbox;
+
+    return <FormControl component="fieldset">
+        <FormLabel component="legend">{ field.label.pl }</FormLabel>
+        <FormGroup>
+            { field.choices.map(choice => <FormControlLabel
+                control={ <Component checked={ isSelected(choice) } onChange={ handleChange(choice) }/> }
+                label={ choice.pl }
+            />) }
+        </FormGroup>
+        <Typography variant="caption" color="textSecondary" dangerouslySetInnerHTML={{ __html: field.description.pl }}/>
+    </FormControl>
+}
+
+export type ReportFormValues = { [field: string]: any };
+
+const reportToFormValuesTransformer: Transformer<Report, ReportFormValues, { report: Report }> = {
+    reverseTransform(subject: ReportFormValues, context: { report: Report }): Report {
+        return { ...context.report };
+    },
+    transform(subject: Report, context: undefined): ReportFormValues {
+        return Object.fromEntries(subject.fields.map(field => [ field.name, field.value ]));
+    }
+}
+
+export default function ReportForm() {
+    const report = emptyReport;
+    const { t } = useTranslation();
+
+    const handleSubmit = async () => {};
+
+    return <Formik initialValues={ reportToFormValuesTransformer.transform(report) } onSubmit={ handleSubmit }>
+        { ({ submitForm }) => <Form>
+            <Grid container>
+                <Grid item xs={12}>
+                    <Typography variant="body1" component="p">{ t('forms.report.instructions') }</Typography>
+                </Grid>
+                { report.fields.map(field => <Grid item xs={12}><CustomField field={ field }/></Grid>) }
+                <Grid item xs={12}>
+                    <Actions>
+                        <Button variant="contained" color="primary" onClick={ submitForm }>
+                            { t('confirm') }
+                        </Button>
+
+                        <Button component={ RouterLink } to={ route("home") }>
+                            { t('go-back') }
+                        </Button>
+                    </Actions>
+                </Grid>
+            </Grid>
+        </Form> }
+    </Formik>
+}
+
diff --git a/src/pages/internship/report.tsx b/src/pages/internship/report.tsx
new file mode 100644
index 0000000..40af7c9
--- /dev/null
+++ b/src/pages/internship/report.tsx
@@ -0,0 +1,26 @@
+import { Page } from "@/pages/base";
+import { Container, Link, Typography } from "@material-ui/core";
+import { Link as RouterLink } from "react-router-dom";
+import { route } from "@/routing";
+import React from "react";
+import { useTranslation } from "react-i18next";
+import ReportForm from "@/forms/report";
+
+export const SubmitReportPage = () => {
+    const { t } = useTranslation();
+
+    return <Page title={ t("steps.report.submit") }>
+        <Page.Header maxWidth="md">
+            <Page.Breadcrumbs>
+                <Link component={ RouterLink } to={ route("home") }>{ t('pages.my-internship.header') }</Link>
+                <Typography color="textPrimary">{ t("steps.report.submit") }</Typography>
+            </Page.Breadcrumbs>
+            <Page.Title>{ t("steps.report.submit") }</Page.Title>
+        </Page.Header>
+        <Container maxWidth={ "md" }>
+            <ReportForm/>
+        </Container>
+    </Page>
+}
+
+export default SubmitReportPage;
diff --git a/src/pages/main.tsx b/src/pages/main.tsx
index 761a47c..fee4de1 100644
--- a/src/pages/main.tsx
+++ b/src/pages/main.tsx
@@ -18,6 +18,7 @@ import api from "@/api";
 import { AppDispatch, InternshipPlanActions, InternshipProposalActions, useDispatch } from "@/state/actions";
 import { internshipRegistrationDtoTransformer } from "@/api/dto/internship-registration";
 import { UploadType } from "@/api/upload";
+import { ReportStep } from "@/pages/steps/report";
 
 export const updateInternshipInfo = async (dispatch: AppDispatch) => {
     const internship = await api.internship.get();
@@ -48,10 +49,8 @@ export const MainPage = () => {
 
     const student = useSelector<AppState, Student | null>(state => state.student);
 
-    const deadlines = useDeadlines();
     const insurance = useSelector<AppState, InsuranceState>(root => root.insurance);
     const dispatch = useDispatch();
-    const edition = useCurrentEdition();
 
     useEffect(() => {
         dispatch(updateInternshipInfo);
@@ -69,7 +68,7 @@ export const MainPage = () => {
         if (insurance.required)
             yield <InsuranceStep key="insurance"/>;
 
-        yield <Step label={ t('steps.report.header') } until={ deadlines.report } notBefore={ edition?.reportingStart } key="report"/>
+        yield <ReportStep key="report"/>;
         yield <Step label={ t('steps.grade.header') } key="grade"/>
     }
 
diff --git a/src/pages/steps/report.tsx b/src/pages/steps/report.tsx
new file mode 100644
index 0000000..083021f
--- /dev/null
+++ b/src/pages/steps/report.tsx
@@ -0,0 +1,85 @@
+import { useSelector } from "react-redux";
+import { AppState } from "@/state/reducer";
+import { getSubmissionStatus, SubmissionState, SubmissionStatus } from "@/state/reducer/submission";
+import { useTranslation } from "react-i18next";
+import { Box, Button, ButtonProps, StepProps } from "@material-ui/core";
+import { FileUploadOutline } from "mdi-material-ui/index";
+import { route } from "@/routing";
+import { Link as RouterLink } from "react-router-dom";
+import { Actions, Step } from "@/components";
+import React, { HTMLProps } from "react";
+import { Alert, AlertTitle } from "@material-ui/lab";
+import { ContactButton, Status } from "@/pages/steps/common";
+import { useCurrentEdition, useDeadlines } from "@/hooks";
+import { useSpacing } from "@/styles";
+
+const ReportActions = () => {
+    const status = useSelector<AppState, SubmissionStatus>(state => getSubmissionStatus(state.report));
+
+    const { t } = useTranslation();
+
+    const FormAction = ({ children = t('steps.report.submit'), ...props }: ButtonProps) =>
+        <Button to={ route("internship_report") } variant="contained" color="primary" component={ RouterLink } startIcon={ <FileUploadOutline /> } { ...props as any }>
+            { children }
+        </Button>
+
+    switch (status) {
+        case "awaiting":
+            return <Actions>
+            </Actions>
+        case "accepted":
+            return <Actions>
+                <FormAction variant="outlined" color="secondary">{ t('send-again') }</FormAction>
+            </Actions>
+        case "declined":
+            return <Actions>
+                <FormAction>{ t('send-again') }</FormAction>
+                <ContactButton/>
+            </Actions>
+        case "draft":
+            return <Actions>
+                <FormAction />
+            </Actions>
+
+        default:
+            return <Actions/>
+    }
+}
+
+export const PlanComment = (props: HTMLProps<HTMLDivElement>) => {
+    const { comment, declined } = useSelector<AppState, SubmissionState>(state => state.plan);
+    const { t } = useTranslation();
+
+    return comment ? <Alert severity={ declined ? "error" : "warning" } { ...props as any }>
+        <AlertTitle>{ t('comments') }</AlertTitle>
+        { comment }
+    </Alert> : null
+}
+
+export const ReportStep = (props: StepProps) => {
+    const { t } = useTranslation();
+
+    const submission = useSelector<AppState, SubmissionState>(state => state.report);
+    const spacing = useSpacing(2);
+    const edition = useCurrentEdition();
+
+    const status = getSubmissionStatus(submission);
+    const deadlines = useDeadlines();
+
+    const { sent, declined, comment } = submission;
+
+    return <Step { ...props }
+                 label={ t('steps.report.header') }
+                 active={ true } completed={ sent } declined={ declined } waiting={ status == "awaiting" }
+                 until={ deadlines.report }
+                 notBefore={ edition?.reportingStart }
+                 state={ <Status submission={ submission } /> }>
+        <div className={ spacing.vertical }>
+            <p>{ t(`steps.report.info.${ status }`) }</p>
+
+            { comment && <Box pb={ 2 }><PlanComment/></Box> }
+
+            <ReportActions/>
+        </div>
+    </Step>;
+}
diff --git a/src/provider/dummy/report.ts b/src/provider/dummy/report.ts
new file mode 100644
index 0000000..ad77aad
--- /dev/null
+++ b/src/provider/dummy/report.ts
@@ -0,0 +1,66 @@
+import { Report } from "@/data/report";
+
+const choices = [1, 2, 3, 4, 5].map(n => ({
+    pl: `Wybór ${n}`,
+    en: `Choice ${n}`
+}))
+
+export const emptyReport: Report = {
+    fields: [
+        {
+            type: "text",
+            name: "text",
+            description: {
+                en: "Text field, with <strong>HTML</strong> description",
+                pl: "Pole tekstowe, z opisem w formacie <strong>HTML</strong>"
+            },
+            value: null,
+            label: {
+                en: "Text Field",
+                pl: "Pole tekstowe",
+            },
+        },
+        {
+            type: "single-choice",
+            name: "single",
+            description: {
+                en: "single choice field, with <strong>HTML</strong> description",
+                pl: "Pole jednokrotnego wyboru, z opisem w formacie <strong>HTML</strong>"
+            },
+            value: null,
+            choices,
+            label: {
+                en: "Single choice field",
+                pl: "Pole jednokrotnego wyboru",
+            },
+        },
+        {
+            type: "select",
+            name: "select",
+            description: {
+                en: "select field, with <strong>HTML</strong> description",
+                pl: "Pole jednokrotnego wyboru z selectboxem, z opisem w formacie <strong>HTML</strong>"
+            },
+            value: choices[2],
+            choices,
+            label: {
+                en: "Select field",
+                pl: "Pole jednokrotnego wyboru (selectbox)",
+            },
+        },
+        {
+            name: "multi",
+            type: "multi-choice",
+            description: {
+                en: "Multiple choice field, with <strong>HTML</strong> description",
+                pl: "Pole wielokrotnego wyboru, z opisem w formacie <strong>HTML</strong>"
+            },
+            value: [ choices[0], choices[3] ],
+            choices,
+            label: {
+                en: "Multi choice field",
+                pl: "Pole wielokrotnego wyboru",
+            },
+        },
+    ]
+}
diff --git a/src/routing.tsx b/src/routing.tsx
index a88566b..9fcdb47 100644
--- a/src/routing.tsx
+++ b/src/routing.tsx
@@ -11,6 +11,7 @@ import { isLoggedInMiddleware, isReadyMiddleware } from "@/middleware";
 import UserFillPage from "@/pages/user/fill";
 import UserProfilePage from "@/pages/user/profile";
 import { managementRoutes } from "@/management/routing";
+import SubmitReportPage from "@/pages/internship/report";
 
 export type Route = {
     name?: string;
@@ -44,6 +45,7 @@ export const routes: Route[] = [
     { name: "internship_proposal", path: "/internship/proposal", exact: true, content: () => <InternshipProposalFormPage/>, middlewares: [ isReadyMiddleware ] },
     { name: "internship_proposal_preview", path: "/internship/preview/proposal", exact: true, content: () => <InternshipProposalPreviewPage/>, middlewares: [ isReadyMiddleware ] },
     { name: "internship_plan", path: "/internship/plan", exact: true, content: () => <SubmitPlanPage/>, middlewares: [ isReadyMiddleware ] },
+    { name: "internship_report", path: "/internship/report", exact: true, content: () => <SubmitReportPage/>, middlewares: [ isReadyMiddleware ] },
 
     // user
     { name: "user_login", path: "/user/login", content: () => <UserLoginPage/> },
diff --git a/src/serialization/report.ts b/src/serialization/report.ts
new file mode 100644
index 0000000..32f8238
--- /dev/null
+++ b/src/serialization/report.ts
@@ -0,0 +1,4 @@
+import { identityTransformer, Serializable, Transformer } from "@/serialization/types";
+import { Report } from "@/data/report";
+
+export const reportSerializationTransformer: Transformer<Report, Serializable<Report>> = identityTransformer;
diff --git a/src/state/actions/index.ts b/src/state/actions/index.ts
index 0fc0534..626d47c 100644
--- a/src/state/actions/index.ts
+++ b/src/state/actions/index.ts
@@ -9,6 +9,7 @@ import { UserAction, UserActions } from "@/state/actions/user";
 import { ThunkDispatch } from "redux-thunk";
 import { AppState } from "@/state/reducer";
 import { StudentAction, StudentActions } from "@/state/actions/student";
+import { InternshipReportAction, InternshipReportActions } from "@/state/actions/report";
 
 export * from "./base"
 export * from "./edition"
@@ -17,6 +18,7 @@ export * from "./proposal"
 export * from "./plan"
 export * from "./user"
 export * from "./student"
+export * from "./report"
 
 export type Action
     = UserAction
@@ -25,6 +27,7 @@ export type Action
     | InternshipProposalAction
     | StudentAction
     | InternshipPlanAction
+    | InternshipReportAction
     | InsuranceAction;
 
 export const Actions = {
@@ -35,6 +38,7 @@ export const Actions = {
     ...InternshipPlanActions,
     ...InsuranceActions,
     ...StudentActions,
+    ...InternshipReportActions,
 }
 export type Actions = typeof Actions;
 export type AppDispatch = ThunkDispatch<AppState, any, Action>;
diff --git a/src/state/actions/report.ts b/src/state/actions/report.ts
new file mode 100644
index 0000000..c98aa7b
--- /dev/null
+++ b/src/state/actions/report.ts
@@ -0,0 +1,43 @@
+import { Internship } from "@/data";
+import {
+    ReceiveSubmissionApproveAction,
+    ReceiveSubmissionDeclineAction,
+    ReceiveSubmissionUpdateAction,
+    SaveSubmissionAction,
+    SendSubmissionAction
+} from "@/state/actions/submission";
+import { SubmissionState } from "@/api/dto/internship-registration";
+import { Report } from "@/data/report";
+
+export enum InternshipReportActions {
+    Send = "SEND_REPORT",
+    Save = "SAVE_REPORT",
+    Approve = "RECEIVE_REPORT_APPROVE",
+    Decline = "RECEIVE_REPORT_DECLINE",
+    Receive = "RECEIVE_REPORT_STATE",
+}
+
+export interface SendReportAction extends SendSubmissionAction<InternshipReportActions.Send> {
+}
+
+export interface ReceiveReportApproveAction extends ReceiveSubmissionApproveAction<InternshipReportActions.Approve> {
+}
+
+export interface ReceiveReportDeclineAction extends ReceiveSubmissionDeclineAction<InternshipReportActions.Decline> {
+}
+
+export interface ReceiveReportUpdateAction extends ReceiveSubmissionUpdateAction<InternshipReportActions.Receive> {
+    report: Report;
+    state: SubmissionState,
+}
+
+export interface SaveReportAction extends SaveSubmissionAction<InternshipReportActions.Save> {
+    report: Report;
+}
+
+export type InternshipReportAction
+    = SendReportAction
+    | SaveReportAction
+    | ReceiveReportApproveAction
+    | ReceiveReportDeclineAction
+    | ReceiveReportUpdateAction;
diff --git a/src/state/reducer/index.ts b/src/state/reducer/index.ts
index d57303b..91d4521 100644
--- a/src/state/reducer/index.ts
+++ b/src/state/reducer/index.ts
@@ -7,6 +7,7 @@ import internshipProposalReducer from "@/state/reducer/proposal";
 import internshipPlanReducer from "@/state/reducer/plan";
 import insuranceReducer from "@/state/reducer/insurance";
 import userReducer from "@/state/reducer/user";
+import internshipReportReducer from "@/state/reducer/report";
 
 const rootReducer = combineReducers({
     student: studentReducer,
@@ -16,6 +17,7 @@ const rootReducer = combineReducers({
     plan: internshipPlanReducer,
     insurance: insuranceReducer,
     user: userReducer,
+    report: internshipReportReducer,
 })
 
 export type AppState = ReturnType<typeof rootReducer>;
diff --git a/src/state/reducer/report.ts b/src/state/reducer/report.ts
new file mode 100644
index 0000000..81fb5ac
--- /dev/null
+++ b/src/state/reducer/report.ts
@@ -0,0 +1,66 @@
+import { InternshipReportAction, InternshipReportActions } from "@/state/actions";
+import { Serializable } from "@/serialization/types";
+import {
+    createSubmissionReducer,
+    defaultDeanApprovalsState,
+    defaultSubmissionState,
+    SubmissionState
+} from "@/state/reducer/submission";
+import { Reducer } from "react";
+import { SubmissionAction } from "@/state/actions/submission";
+import { SubmissionState as ApiSubmissionState } from "@/api/dto/internship-registration";
+import { Report } from "@/data/report";
+import { reportSerializationTransformer } from "@/serialization/report";
+
+export type InternshipReportState = SubmissionState & {
+    report: Serializable<Report> | null;
+}
+
+const defaultInternshipReportState: InternshipReportState = {
+    ...defaultDeanApprovalsState,
+    ...defaultSubmissionState,
+    report: null,
+}
+
+export const getInternshipReport = ({ report }: InternshipReportState): Report | null =>
+    report && reportSerializationTransformer.reverseTransform(report);
+
+const internshipReportSubmissionReducer: Reducer<InternshipReportState, InternshipReportAction> = createSubmissionReducer({
+    [InternshipReportActions.Approve]: SubmissionAction.Approve,
+    [InternshipReportActions.Decline]: SubmissionAction.Decline,
+    [InternshipReportActions.Receive]: SubmissionAction.Receive,
+    [InternshipReportActions.Save]: SubmissionAction.Save,
+    [InternshipReportActions.Send]: SubmissionAction.Send,
+})
+
+const internshipReportReducer = (state: InternshipReportState = defaultInternshipReportState, action: InternshipReportAction): InternshipReportState => {
+    state = internshipReportSubmissionReducer(state, action);
+
+    switch (action.type) {
+        case InternshipReportActions.Save:
+        case InternshipReportActions.Send:
+            return {
+                ...state,
+            }
+        case InternshipReportActions.Receive:
+            if (state.overwritten) {
+                return state;
+            }
+
+            return {
+                ...state,
+                accepted: action.state === ApiSubmissionState.Accepted,
+                declined: action.state === ApiSubmissionState.Rejected,
+                sent: [
+                    ApiSubmissionState.Accepted,
+                    ApiSubmissionState.Rejected,
+                    ApiSubmissionState.Submitted
+                ].includes(action.state),
+                report: reportSerializationTransformer.transform(action.report),
+            }
+        default:
+            return state;
+    }
+}
+
+export default internshipReportReducer;