diff --git a/.idea/misc.xml b/.idea/misc.xml
index e07490c..212c621 100644
--- a/.idea/misc.xml
+++ b/.idea/misc.xml
@@ -5,6 +5,7 @@
       <map>
         <entry key="..\:/Users/Jacob/AndroidStudioProjects/FreeWays/app/src/main/res/drawable-v24/ic_launcher_foreground.xml" value="0.155" />
         <entry key="..\:/Users/Jacob/AndroidStudioProjects/FreeWays/app/src/main/res/drawable/ic_launcher_background.xml" value="0.155" />
+        <entry key="..\:/Users/Jacob/AndroidStudioProjects/FreeWays/app/src/main/res/layout/activity_report_incident.xml" value="0.33" />
         <entry key="..\:/Users/Jacob/AndroidStudioProjects/FreeWays/app/src/main/res/menu/main.xml" value="0.25" />
       </map>
     </option>
diff --git a/app/build.gradle b/app/build.gradle
index 11295c5..c3cba96 100644
--- a/app/build.gradle
+++ b/app/build.gradle
@@ -54,6 +54,9 @@ dependencies {
     implementation "androidx.compose.ui:ui-tooling-preview:$compose_version"
     implementation 'androidx.lifecycle:lifecycle-runtime-ktx:2.4.0'
     implementation 'androidx.activity:activity-compose:1.4.0'
+    implementation 'androidx.appcompat:appcompat:1.4.1'
+    implementation 'com.google.android.material:material:1.5.0'
+    implementation 'androidx.constraintlayout:constraintlayout:2.1.3'
     testImplementation 'junit:junit:4.+'
     androidTestImplementation 'androidx.test.ext:junit:1.1.3'
     androidTestImplementation 'androidx.test.espresso:espresso-core:3.4.0'
diff --git a/app/src/main/AndroidManifest.xml b/app/src/main/AndroidManifest.xml
index bd9e319..e6a8c41 100644
--- a/app/src/main/AndroidManifest.xml
+++ b/app/src/main/AndroidManifest.xml
@@ -2,7 +2,7 @@
 <manifest xmlns:android="http://schemas.android.com/apk/res/android"
     package="com.ucmobiledevelopment.freeways">
 
-    <uses-permission android:name="android.permission.INTERNET"></uses-permission>
+    <uses-permission android:name="android.permission.INTERNET" />
 
     <application
         android:name=".IncidentApplication"
@@ -12,6 +12,9 @@
         android:roundIcon="@mipmap/ic_launcher_round"
         android:supportsRtl="true"
         android:theme="@style/Theme.FreeWays">
+        <activity
+            android:name=".ReportIncidentActivity"
+            android:exported="false" />
         <activity
             android:name=".MainActivity"
             android:exported="true"
diff --git a/app/src/main/java/com/ucmobiledevelopment/freeways/ReportIncidentActivity.kt b/app/src/main/java/com/ucmobiledevelopment/freeways/ReportIncidentActivity.kt
new file mode 100644
index 0000000..ae58ea4
--- /dev/null
+++ b/app/src/main/java/com/ucmobiledevelopment/freeways/ReportIncidentActivity.kt
@@ -0,0 +1,126 @@
+package com.ucmobiledevelopment.freeways
+
+import androidx.appcompat.app.AppCompatActivity
+import android.os.Bundle
+import android.widget.Toast
+import androidx.activity.compose.setContent
+import androidx.compose.foundation.layout.Column
+import androidx.compose.foundation.layout.fillMaxSize
+import androidx.compose.foundation.layout.fillMaxWidth
+import androidx.compose.material.*
+import androidx.compose.runtime.*
+import androidx.compose.ui.Modifier
+import androidx.compose.ui.platform.LocalContext
+import androidx.compose.ui.res.stringResource
+import androidx.compose.ui.tooling.preview.Preview
+import com.ucmobiledevelopment.freeways.ui.theme.FreeWaysTheme
+import com.ucmobiledevelopment.freeways.ui.theme.Purple200
+
+class ReportIncidentActivity : AppCompatActivity() {
+    override fun onCreate(savedInstanceState: Bundle?) {
+        super.onCreate(savedInstanceState)
+        setContent {
+            FreeWaysTheme {
+                Surface(
+                    color = Purple200,
+                    modifier = Modifier.fillMaxWidth()) {
+                        reportDataFields()
+                }
+            }
+        }
+    }
+}
+
+@Composable
+fun reportDataFields(){
+    var stateId by remember { mutableStateOf("")}
+    var StateName by remember { mutableStateOf("")}
+    var countyId by remember { mutableStateOf("")}
+    var countyName by remember { mutableStateOf("")}
+    var cityName by remember { mutableStateOf("")}
+    var latitude by remember { mutableStateOf("")}
+    var longitude by remember { mutableStateOf("")}
+    var way1 by remember { mutableStateOf("")}
+    var way2 by remember { mutableStateOf("")}
+    var vehiclesInvolved by remember { mutableStateOf("")}
+    val context = LocalContext.current
+
+    Column {
+        OutlinedTextField(
+            value = stateId,
+            onValueChange = { stateId = it },
+            label = { Text(stringResource(R.string.stateID)) },
+            modifier = Modifier.fillMaxWidth()
+        )
+        OutlinedTextField(
+            value = StateName,
+            onValueChange = { StateName = it },
+            label = { Text(stringResource(R.string.StateName)) },
+            modifier = Modifier.fillMaxWidth()
+        )
+        OutlinedTextField(
+            value = countyId,
+            onValueChange = { countyId = it },
+            label = { Text(stringResource(R.string.CountyID)) },
+            modifier = Modifier.fillMaxWidth()
+        )
+        OutlinedTextField(
+            value = countyName,
+            onValueChange = { countyName = it },
+            label = { Text(stringResource(R.string.CountyName)) },
+            modifier = Modifier.fillMaxWidth()
+        )
+        OutlinedTextField(
+            value = cityName,
+            onValueChange = { cityName = it },
+            label = { Text(stringResource(R.string.CityName)) },
+            modifier = Modifier.fillMaxWidth()
+        )
+        OutlinedTextField(
+            value = latitude,
+            onValueChange = { latitude = it },
+            label = { Text(stringResource(R.string.Latitude)) },
+            modifier = Modifier.fillMaxWidth()
+        )
+        OutlinedTextField(
+            value = longitude,
+            onValueChange = { longitude = it },
+            label = { Text(stringResource(R.string.Longitude)) },
+            modifier = Modifier.fillMaxWidth()
+        )
+        OutlinedTextField(
+            value = way1,
+            onValueChange = { way1 = it },
+            label = { Text(stringResource(R.string.Way1)) },
+            modifier = Modifier.fillMaxWidth()
+        )
+        OutlinedTextField(
+            value = way2,
+            onValueChange = { way2 = it },
+            label = { Text(stringResource(R.string.Way2)) },
+            modifier = Modifier.fillMaxWidth()
+        )
+        OutlinedTextField(
+            value = vehiclesInvolved,
+            onValueChange = { vehiclesInvolved = it },
+            label = { Text(stringResource(R.string.VehiclesInvolved)) },
+            modifier = Modifier.fillMaxWidth()
+        )
+        Button(
+            onClick = {
+                Toast.makeText(context, "$stateId $StateName $countyId $countyName $cityName $latitude $longitude $way1 $way2 $vehiclesInvolved",
+                Toast.LENGTH_LONG).show()
+            }
+        ) {
+            Text(text = "Save")
+        }
+    }
+}
+
+@Preview
+@Composable
+fun DefaultPreview2() {
+    FreeWaysTheme {
+        reportDataFields()
+    }
+}
\ No newline at end of file
diff --git a/app/src/main/res/values/strings.xml b/app/src/main/res/values/strings.xml
index 5ce55b1..04de004 100644
--- a/app/src/main/res/values/strings.xml
+++ b/app/src/main/res/values/strings.xml
@@ -1,3 +1,13 @@
 <resources>
     <string name="app_name">FreeWays</string>
+    <string name="stateID">State ID</string>
+    <string name="StateName">State Name</string>
+    <string name="CountyID">County ID</string>
+    <string name="CountyName">County Name</string>
+    <string name="CityName">City Name</string>
+    <string name="Latitude">Latitude</string>
+    <string name="Longitude">Longitude</string>
+    <string name="Way1">Way 1</string>
+    <string name="Way2">Way 2</string>
+    <string name="VehiclesInvolved">Number of Vehicles Involved</string>
 </resources>
\ No newline at end of file
diff --git a/build.gradle b/build.gradle
index f490d65..4efe0dc 100644
--- a/build.gradle
+++ b/build.gradle
@@ -12,7 +12,7 @@ buildscript {
 plugins {
     id 'com.android.application' version '7.1.0' apply false
     id 'com.android.library' version '7.1.0' apply false
-    id 'org.jetbrains.kotlin.android' version '1.5.31' apply false
+    id 'org.jetbrains.kotlin.android' version '1.6.10' apply false
 }
 
 task clean(type: Delete) {