diff --git a/src/app/pages/settings/chains/chain-form/chain-form.html b/src/app/pages/settings/chains/chain-form/chain-form.html
new file mode 100644
index 0000000..5b91906
--- /dev/null
+++ b/src/app/pages/settings/chains/chain-form/chain-form.html
@@ -0,0 +1,8 @@
+@let form = this.form();
+<form [formGroup]="form">
+  <mat-form-field appearance="outline" class="full-width">
+    <mat-label>{{'common.name'|translate|upperfirst}}</mat-label>
+    <input matInput formControlName="name"/>
+  </mat-form-field>
+  <app-image-uploader (file)="updateFileImage($event)" [fileIn]="file"></app-image-uploader>
+</form>
\ No newline at end of file
diff --git a/src/app/pages/settings/chains/chain-form/chain-form.spec.ts b/src/app/pages/settings/chains/chain-form/chain-form.spec.ts
new file mode 100644
index 0000000..03a0eb0
--- /dev/null
+++ b/src/app/pages/settings/chains/chain-form/chain-form.spec.ts
@@ -0,0 +1,49 @@
+import { ComponentFixture, TestBed } from '@angular/core/testing';
+
+import { ChainForm } from './chain-form';
+import { provideTranslateService } from '@ngx-translate/core';
+import { Component } from '@angular/core';
+import { ImageUploader } from '../../../../components/image-uploader/image-uploader';
+import { By } from '@angular/platform-browser';
+
+@Component({
+  template: ``
+})
+class ImageUploaderMock extends ImageUploader {
+
+}
+
+describe('ChainForm', () => {
+  let component: ChainForm;
+  let fixture: ComponentFixture<ChainForm>;
+
+  beforeEach(async () => {
+    TestBed.overrideComponent(ImageUploader, {
+      remove: { imports: [ImageUploader] },
+      add: { imports: [ImageUploaderMock] },
+    });
+    
+    await TestBed.configureTestingModule({
+      imports: [ChainForm],
+      providers: [provideTranslateService()]
+    })
+    .compileComponents();
+
+    fixture = TestBed.createComponent(ChainForm);
+    component = fixture.componentInstance;
+    await fixture.whenStable();
+  });
+
+  it('should create', () => {
+    expect(component).toBeTruthy();
+  });
+
+  it('should populate form with emitted files', async () => {
+    const FILE_MOCK = new File([], 'mock');
+    const patchValueSpy = vi.spyOn(component.form().controls.image, 'patchValue');
+    const imageUploaderComp: ImageUploaderMock = fixture.debugElement.query(By.css('app-image-uploader')).componentInstance;
+    imageUploaderComp.file.emit(FILE_MOCK);
+    await fixture.whenStable();
+    expect(patchValueSpy).toHaveBeenCalledExactlyOnceWith(FILE_MOCK);
+  });
+});
diff --git a/src/app/pages/settings/chains/chain-form/chain-form.ts b/src/app/pages/settings/chains/chain-form/chain-form.ts
new file mode 100644
index 0000000..d369b74
--- /dev/null
+++ b/src/app/pages/settings/chains/chain-form/chain-form.ts
@@ -0,0 +1,28 @@
+import { Component, input } from '@angular/core';
+import { MatFormFieldModule } from '@angular/material/form-field';
+import { MatInputModule } from '@angular/material/input';
+import { ImageUploader } from '../../../../components/image-uploader/image-uploader';
+import { ReactiveFormsModule } from '@angular/forms';
+import { ChainFormGroup } from '../chain-formgroup';
+import { TranslatePipe } from '@ngx-translate/core';
+import { UpperfirstPipe } from "../../../../pipes/upperfirst-pipe";
+
+@Component({
+  selector: 'app-chain-form',
+  imports: [MatFormFieldModule, MatInputModule, ImageUploader, ReactiveFormsModule, TranslatePipe, UpperfirstPipe],
+  templateUrl: './chain-form.html',
+  styles: ``,
+})
+export class ChainForm {
+  form = input(new ChainFormGroup())
+  
+  get file() {
+    return this.form().controls.image.value;
+  }
+  
+  updateFileImage(file: File) {
+    const form = this.form();
+    form.controls.image.patchValue(file);
+    form.controls.image.markAsDirty();
+  }
+}