diff --git a/awx/ui/src/screens/Instances/InstanceAdd/InstanceAdd.js b/awx/ui/src/screens/Instances/InstanceAdd/InstanceAdd.js
new file mode 100644
index 0000000000..0fa6f1c630
--- /dev/null
+++ b/awx/ui/src/screens/Instances/InstanceAdd/InstanceAdd.js
@@ -0,0 +1,45 @@
+import React, { useState } from 'react';
+import { useHistory } from 'react-router-dom';
+import { Card, PageSection } from '@patternfly/react-core';
+import { InstancesAPI } from 'api';
+import InstanceForm from '../Shared/InstanceForm';
+
+function InstanceAdd() {
+  const history = useHistory();
+  const [formError, setFormError] = useState();
+  const handleSubmit = async (values) => {
+    const { instanceGroups, executionEnvironment } = values;
+    values.execution_environment = executionEnvironment?.id;
+
+    try {
+      const {
+        data: { id },
+      } = await InstancesAPI.create();
+
+      for (const group of instanceGroups) {
+        await InstancesAPI.associateInstanceGroup(id, group.id);
+      }
+      history.push(`/instances/${id}/details`);
+    } catch (err) {
+      setFormError(err);
+    }
+  };
+
+  const handleCancel = () => {
+    history.push('/instances');
+  };
+
+  return (
+    <PageSection>
+      <Card>
+        <InstanceForm
+          submitError={formError}
+          handleSubmit={handleSubmit}
+          handleCancel={handleCancel}
+        />
+      </Card>
+    </PageSection>
+  );
+}
+
+export default InstanceAdd;
diff --git a/awx/ui/src/screens/Instances/InstanceAdd/index.js b/awx/ui/src/screens/Instances/InstanceAdd/index.js
new file mode 100644
index 0000000000..c6ddcff5bc
--- /dev/null
+++ b/awx/ui/src/screens/Instances/InstanceAdd/index.js
@@ -0,0 +1 @@
+export { default } from './InstanceAdd';
diff --git a/awx/ui/src/screens/Instances/Shared/InstanceForm.js b/awx/ui/src/screens/Instances/Shared/InstanceForm.js
new file mode 100644
index 0000000000..6d706b39cf
--- /dev/null
+++ b/awx/ui/src/screens/Instances/Shared/InstanceForm.js
@@ -0,0 +1,130 @@
+import React from 'react';
+import { t } from '@lingui/macro';
+import { Formik, useField } from 'formik';
+import { Form, FormGroup, CardBody } from '@patternfly/react-core';
+import { FormColumnLayout } from 'components/FormLayout';
+import FormField, { FormSubmitError } from 'components/FormField';
+import FormActionGroup from 'components/FormActionGroup';
+import { required } from 'util/validators';
+import AnsibleSelect from 'components/AnsibleSelect';
+import {
+  ExecutionEnvironmentLookup,
+  InstanceGroupsLookup,
+} from 'components/Lookup';
+
+// This is hard coded because the API does not have the ability to send us a list that contains
+// only the types of instances that can be added.  Control and Hybrid instances cannot be added.
+
+const INSTANCE_TYPES = [
+  { id: 2, name: t`Execution`, value: 'execution' },
+  { id: 3, name: t`Hop`, value: 'hop' },
+];
+
+function InstanceFormFields() {
+  const [instanceType, , instanceTypeHelpers] = useField('type');
+  const [instanceGroupsField, , instanceGroupsHelpers] =
+    useField('instanceGroups');
+  const [
+    executionEnvironmentField,
+    executionEnvironmentMeta,
+    executionEnvironmentHelpers,
+  ] = useField('executionEnvironment');
+  return (
+    <>
+      <FormField
+        id="instance-name"
+        label={t`Name`}
+        name="name"
+        type="text"
+        validate={required(null)}
+        isRequired
+      />
+      <FormField
+        id="instance-description"
+        label={t`Description`}
+        name="description"
+        type="text"
+      />
+      <FormGroup
+        fieldId="instanceType"
+        label={t`Instance Type`}
+        name="type"
+        isRequired
+        validated={required(null)}
+      >
+        <AnsibleSelect
+          {...instanceType}
+          id="instanceType-select"
+          data={INSTANCE_TYPES.map((type) => ({
+            key: type.id,
+            value: type.value,
+            label: type.name,
+            isDisabled: false,
+          }))}
+          value={instanceType.value}
+          onChange={(e, opt) => {
+            instanceTypeHelpers.setValue(opt);
+          }}
+        />
+      </FormGroup>
+      <InstanceGroupsLookup
+        value={instanceGroupsField.value}
+        onChange={(value) => {
+          instanceGroupsHelpers.setValue(value);
+        }}
+        fieldName="instanceGroups"
+      />
+      <ExecutionEnvironmentLookup
+        helperTextInvalid={executionEnvironmentMeta.error}
+        isValid={
+          !executionEnvironmentMeta.touched || !executionEnvironmentMeta.error
+        }
+        fieldName={executionEnvironmentField.name}
+        onBlur={() => executionEnvironmentHelpers.setTouched()}
+        value={executionEnvironmentField.value}
+        onChange={(value) => {
+          executionEnvironmentHelpers.setValue(value);
+        }}
+      />
+    </>
+  );
+}
+
+function InstanceForm({
+  instance = {},
+  submitError,
+  handleCancel,
+  handleSubmit,
+}) {
+  return (
+    <CardBody>
+      <Formik
+        initialValues={{
+          name: instance.name || '',
+          description: instance.description || '',
+          type: instance.type || 'execution',
+          instanceGroups: instance.instance_groups || [],
+          executionEnvironment: instance.execution_environment || null,
+        }}
+        onSubmit={(values) => {
+          handleSubmit(values);
+        }}
+      >
+        {(formik) => (
+          <Form autoComplete="off" onSubmit={formik.handleSubmit}>
+            <FormColumnLayout>
+              <InstanceFormFields instance={instance} />
+              <FormSubmitError error={submitError} />
+              <FormActionGroup
+                onCancel={handleCancel}
+                onSubmit={formik.handleSubmit}
+              />
+            </FormColumnLayout>
+          </Form>
+        )}
+      </Formik>
+    </CardBody>
+  );
+}
+
+export default InstanceForm;