<div class="breadcrumb signin-email">
    <a href="<%=routes.signin%>">
        <i class="fa fa-chevron-left" aria-hidden="true"></i>
    </a>
    <span><%=title%></span>
</div>
<form action="<%=routes.forgot%>" method="post" class="form-horizontal">
    <div class="form-group">
        <div class="col-md-12">
            <div class="input-group">
                <span class="input-group-addon">@</span>
                <input type="text" name="email" data-id="email" class="form-control input-lg item-form" placeholder="E-mail">
            </div>
        </div>
    </div>

    <div class="button-group">
        <input type="submit" value="Enviar Token" style="width: 100%" class="btn btn-blue-inverse">
    </div>
</form>