<div class="um um-password um-um_password_id">
	<div class="um-form">
		<form method="post" action="">
			
				<input type="hidden" name="_um_password_reset" id="_um_password_reset" value="1" />

									<div class="um-field um-field-block um-field-type_block">
						<div class="um-field-block">
							<div style="text-align:center;">
								To reset your password, please enter your email address or username below.							</div>
						</div>
					</div>
				<div id="um_field_0_username_b" class="um-field um-field-text um-field-username_b um-field-text um-field-type_text" data-key="username_b"><div class="um-field-area"><input autocomplete="off" class="um-form-field valid " type="text" name="username_b" id="username_b" value="" placeholder="Enter your username or email" data-validate="" data-key="username_b" aria-invalid="false" />

						</div></div>
				<div class="um-col-alt um-col-alt-b">

					<div class="um-center">
						<input type="submit" value="Reset password" class="um-button" id="um-submit-btn" />
					</div>

					<div class="um-clear"></div>

				</div>

					<input type="hidden" name="form_id" id="form_id_um_password_id" value="um_password_id" />
		<p class="um_request_name">
		<label for="um_request_um_password_id">Only fill in if you are not human</label>
		<input type="hidden" name="um_request" id="um_request_um_password_id" class="input" value="" size="25" autocomplete="off" />
	</p>
			</form>
	</div>
</div>
<style>
			.um-um_password_id.um {
			max-width: 450px;
		}
		</style>