<form id="form-resource-server" name="form-resource-server">
    <div class="form-group">
        <label class="control-label" for="host">Host&nbsp;<span class="glyphicon glyphicon-info-sign accordion-toggle" aria-hidden="true" title=""></span></label>
        <input type="text" class="form-control" name="host" id="host">
    </div>
    <div class="form-group">
        <label class="control-label" for="friendly_name">Friendly Name&nbsp;<span class="glyphicon glyphicon-info-sign accordion-toggle" aria-hidden="true" title=""></span></label>
        <input type="text" class="form-control" name="friendly_name" id="friendly_name">
    </div>

    <div class="form-group">
        <label class="control-label" for="ip">IP Address&nbsp;<span class="glyphicon glyphicon-info-sign accordion-toggle" aria-hidden="true" title=""></span></label>
        <input type="text" class="form-control" name="ip" id="ip">
    </div>
    <div class="checkbox">
        <label>
            <input type="checkbox" id="active" name="active">&nbsp;Active
        </label>
    </div>
</form>