diff --git a/sigi/apps/servicos/models.py b/sigi/apps/servicos/models.py
index cdd44c5..7e4b688 100644
--- a/sigi/apps/servicos/models.py
+++ b/sigi/apps/servicos/models.py
@@ -185,4 +185,20 @@ class CasaAtendida(CasaLegislativa):
         for servico in self.servico_set.all():
             result.append(unicode(servico))
             
-        return ", ".join(result)
\ No newline at end of file
+        return ", ".join(result)
+
+class CasaManifesta(models.Model):
+    casa_legislativa = models.OneToOneField(CasaLegislativa)
+    data_manifestacao = models.DateTimeField(auto_now_add=True)
+    data_atualizacao = models.DateTimeField(auto_now=True)
+    informante = models.CharField(u'Nome do informante', max_length=100)
+    cargo = models.CharField(u'Cargo do informante', max_length=100)
+    
+class ServicoManifesto(models.Model):
+    casa_manifesta = models.ForeignKey(CasaManifesta)
+    servico = models.ForeignKey(TipoServico)
+    url = models.URLField(blank=True)
+    hospedagem_interlegis = models.BooleanField(u'Hospedagem no Interlegis?')
+    
+    class Meta:
+        unique_together = ('casa_manifesta', 'servico')
\ No newline at end of file
diff --git a/sigi/apps/servicos/views.py b/sigi/apps/servicos/views.py
index 73129f0..83edc73 100644
--- a/sigi/apps/servicos/views.py
+++ b/sigi/apps/servicos/views.py
@@ -1,8 +1,18 @@
 # -*- coding: utf-8 -*-
+from django import forms
 from django.http import HttpResponse
 from django.utils import simplejson
+from django.shortcuts import render_to_response, get_object_or_404
 from django.db.models import Q
-from sigi.apps.servicos.models import CasaAtendida
+from sigi.apps.servicos.models import TipoServico, CasaAtendida, CasaManifesta, ServicoManifesto 
+from sigi.apps.contatos.models import UnidadeFederativa
+from sigi.apps.casas.models import CasaLegislativa
+from django.template.context import RequestContext
+from django.utils.encoding import force_unicode
+from django.forms.forms import BoundField
+from django.utils.html import conditional_escape
+from django.utils.safestring import mark_safe
+from django.contrib.admin.helpers import AdminForm
 
 def municipios_atendidos(self, servico):
     municipios = []
@@ -25,4 +35,113 @@ def municipios_atendidos(self, servico):
                          'servicos': "<ul><li>" + "</li><li>".join([s.tipo_servico.nome for s in casa.servico_set.filter(query)]) + "</li></ul>",}
             municipios.append(municipio)
 
-    return HttpResponse(simplejson.dumps(municipios), mimetype="application/json")
\ No newline at end of file
+    return HttpResponse(simplejson.dumps(municipios), mimetype="application/json")
+
+class CasaManifestaProtoForm(forms.Form):
+    fieldsets = None
+    informante = forms.CharField(max_length=100, required=False)
+    cargo = forms.CharField(max_length=100, required=False)
+    
+    def set_fieldsets(self, fieldsets):
+        result = []
+        for name, lines in fieldsets:
+            field_lines = []
+            for line in lines:
+                if isinstance(line, str):
+                    line = (line,)
+                field_line = []
+                for field_name in line:
+                    field = self.fields[field_name]
+                    bf = BoundField(self, field, field_name)
+                    field_line.append(bf)
+                field_lines.append(field_line)
+            result.append({'name': name, 'lines': field_lines},)
+        self.fieldsets = result  
+
+def casa_manifesta_view(request):
+    if 'casa_id' in request.GET:
+        casa_id = request.GET.get('casa_id')
+        casa = get_object_or_404(CasaLegislativa, pk=casa_id)
+        
+        # Criar um formulário dinâmico
+        
+        campos = {}
+        fieldsets = ((None, ('informante', 'cargo'),),)
+        
+        for ts in TipoServico.objects.all():
+            campos['possui_%s' % ts.pk] = forms.BooleanField(label='Possui o serviço de %s' % ts.nome, required=False)
+            campos['url_%s' % ts.pk] = forms.URLField(label='Informe a URL', required=False)
+            campos['hospedagem_interlegis_%s' % ts.pk] = forms.BooleanField(label=u'Serviço está hospedado no Interlegis', required=False)
+            fieldsets += ((ts.nome, ('possui_%s' % ts.pk, 'url_%s' % ts.pk, 'hospedagem_interlegis_%s' % ts.pk )),)
+            
+        CasaManifestaForm = type('', (CasaManifestaProtoForm,), campos)
+        
+        if request.method == 'POST':
+            cmf = CasaManifestaForm(request.POST)
+            if cmf.is_valid():
+                thanks = []
+                cm, created = CasaManifesta.objects.get_or_create(casa_legislativa=casa)
+                cm.informante = cmf.cleaned_data['informante']
+                cm.cargo = cmf.cleaned_data['cargo']
+                cm.save()
+                thanks.append(('Informante', cmf.cleaned_data['informante']))
+                thanks.append(('Cargo', cmf.cleaned_data['cargo']))
+                for ts in TipoServico.objects.all():
+                    if cmf.cleaned_data['possui_%s' % ts.pk]:
+                        sm, created = ServicoManifesto.objects.get_or_create(casa_manifesta=cm, servico=ts)
+                        sm.url = cmf.cleaned_data['url_%s' % ts.pk]
+                        sm.hospedagem_interlegis = cmf.cleaned_data['hospedagem_interlegis_%s' % ts.pk]
+                        sm.save()
+                        thanks.append((ts.nome, 'Possui o serviço acessível em %s %s' % (sm.url, 'hospedado no Interlegis' if
+                                                                                         sm.hospedagem_interlegis else '')))
+                    else:
+                        ServicoManifesto.objects.filter(casa_manifesta=cm, servico=ts).delete()
+                        thanks.append((ts.nome, 'Não possui'))
+                extra_context = {'casa': casa, 'thanks': thanks}
+            else:
+                extra_context = {'casa': casa, 'cmf': cmf}
+        else:
+            try:
+                cm = casa.casamanifesta
+                values = {
+                    'informante': cm.informante,
+                    'cargo': cm.cargo,
+                }
+                for sm in cm.servicomanifesto_set.all():
+                    values['possui_%s' % sm.servico.pk] = True 
+                    values['url_%s' % sm.servico.pk] = sm.url
+                    values['hospedagem_interlegis_%s' % sm.servico.pk] = sm.hospedagem_interlegis
+                cmf = CasaManifestaForm(values)
+            except:
+                cmf = CasaManifestaForm()
+    
+            cmf.set_fieldsets(fieldsets)
+    
+            extra_context = {'casa': casa, 'cmf': cmf}
+    elif 'uf' in request.GET:
+        uf = request.GET.get('uf')
+        extra_context = {'casa_list': CasaLegislativa.objects.filter(municipio__uf__sigla=uf)}
+    else:
+        extra_context = {'uf_list': UnidadeFederativa.objects.all()}
+
+    return render_to_response('servicos/casa_manifesta.html', extra_context, context_instance=RequestContext(request))
+        
+    # Monta formulário dinâmico dos serviços
+#    campos = {}
+#    for ts in TipoServico.objects.all():
+#        campos['possui_%s' % ts.pk] = forms.BooleanField(label=ts.nome)
+#        campos['url_%s' % ts.pk] = forms.URLField(label='URL do %s' % ts.nome)
+#        campos['hospedagem_interlegis_%s' % ts.pk] = forms.BooleanField(label=u'Hospedado no Interlegis')
+#    ServicoManifestoForm = type('', (forms.Form,), campos)
+#    
+#    if request.method == 'POST':
+#        cm_form = CasaManifestaForm(request.POST)
+#        sm_form = ServicoManifestoForm(request.POST)
+#        
+#        if cm_form.is_valid() and sm_form.is_valid():
+#            return render_to_response('servicos/casa_manifesta.html', {'cm_form': cm_form, 'sm_form': sm_form},
+#                                      context_instance=RequestContext(request))
+#    else:
+#        cm_form = CasaManifestaForm()
+#        sm_form = ServicoManifestoForm()
+    return render_to_response('casa_manifesta.html', {'cm_form': cm_form, 'sm_form': sm_form})
\ No newline at end of file
diff --git a/sigi/templates/servicos/casa_manifesta.html b/sigi/templates/servicos/casa_manifesta.html
new file mode 100644
index 0000000..c0fbea5
--- /dev/null
+++ b/sigi/templates/servicos/casa_manifesta.html
@@ -0,0 +1,156 @@
+{% extends "admin/change_form.html" %}
+{% load i18n admin_modify adminmedia %}
+
+{% block extrahead %}{{ block.super }}
+{% url admin:jsi18n as jsi18nurl %}
+<script type="text/javascript" src="{{ jsi18nurl|default:"../../../jsi18n/" }}"></script>
+<style type="text/css">
+  div.breadcrumbs {
+      display: inherit;
+  }
+</style>
+{{ media }}
+{% endblock %}
+
+{% block coltype %}colMS{% endblock %}
+{% block bodyclass %}casa-manifesta change-form{% endblock %}
+
+{% block nav-global %}
+<div id="nav-global">
+</div>
+{% endblock %}
+
+{% block breadcrumbs %}
+<div class="breadcrumbs">
+{% if casa_list %}
+  <a href="./">Unidade da Federação</a> &rsaquo; Casa legislativa
+{% else %}
+  {% if casa %}
+    <a href="./">Unidade da Federação</a> &rsaquo;
+    <a href="./?uf={{ casa.municipio.uf.sigla }}">Casa legislativa</a> &rsaquo;
+    {{ casa.nome }}
+  {% else %}
+    Unidade da Federação
+  {% endif %}
+{% endif %}
+</div>
+{% endblock %}
+
+{% block content %}
+<div id="content-main">
+{% if uf_list %}
+  <h3>1. Informe a Unidade da Federação onde se localiza sua Casa Legislativa</h3>
+  <ul>
+  {% for uf in uf_list %}
+    <li><a href="./?uf={{ uf.sigla }}">{{ uf.nome }}</a></li>
+  {% endfor %}
+  </ul>
+{% endif %}
+
+{% if casa_list %}
+  <h3>2. Identifique sua Casa Legislativa</h3>
+  <br/>
+  <ul>
+  {% for casa in casa_list %}
+    <li><a href="./?casa_id={{ casa.pk }}">{{ casa.nome }}</a></li>
+  {% endfor %}
+  </ul>
+{% endif %}
+
+{% if cmf %}
+  <h3>3. Informe os dados para a {{ casa.nome }} - {{ casa.municipio.uf }}</h3>
+  <form action="" method="post" id="manifesta_form">{% csrf_token %}
+  {% for fieldset in cmf.fieldsets %}
+  {% comment %}
+  <fieldset class="module aligned {{ fieldset.classes }}">
+    {% if fieldset.name %}<h2>{{ fieldset.name }}</h2>{% endif %}
+    {% for line in fieldset.lines %}
+        <div class="form-row">
+            {% for field in line %}
+                <div class="field-box{% if not field.is_readonly and field.errors %} errors{% endif %}">
+                    {% if not field.is_readonly %}{{ field.errors }}{% endif %}
+                    {% if field.is_checkbox %}
+                        {{ field }}{{ field.label_tag }}
+                    {% else %}
+                        {{ field.label_tag }}
+                        {% if field.is_readonly %}
+                            <p>{{ field.contents }}</p>
+                        {% else %}
+                            {{ field }}
+                        {% endif %}
+                    {% endif %}
+                    {% if field.field.help_text %}
+                        <p class="help">{{ field.field.help_text|safe }}</p>
+                    {% endif %}
+                </div>
+            {% endfor %}
+        </div>
+    {% endfor %}
+  </fieldset>
+  {% endcomment %}
+  {% if forloop.first %}
+    <fieldset class="module aligned {{ fieldset.classes }}">
+      {% if fieldset.name %}<h2>{{ fieldset.name }}</h2>{% endif %}
+      {% for line in fieldset.lines %}
+          <div class="form-row">
+              {% for field in line %}
+                  <div class="field-box{% if not field.is_readonly and field.errors %} errors{% endif %}">
+                      {% if not field.is_readonly %}{{ field.errors }}{% endif %}
+                      {% if field.is_checkbox %}
+                          {{ field }}{{ field.label_tag }}
+                      {% else %}
+                          {{ field.label_tag }}
+                          {% if field.is_readonly %}
+                              <p>{{ field.contents }}</p>
+                          {% else %}
+                              {{ field }}
+                          {% endif %}
+                      {% endif %}
+                      {% if field.field.help_text %}
+                          <p class="help">{{ field.field.help_text|safe }}</p>
+                      {% endif %}
+                  </div>
+              {% endfor %}
+          </div>
+      {% endfor %}
+    </fieldset>
+    <fieldset class="module aligned {{ fieldset.classes }}">
+      <h2>Serviços e produtos Interlegis</h2>
+      <table>
+        <tr>
+          <th>Nome do serviço ou produto</th>
+          <th>Marque se a Casa utiliza este serviço ou produto</th>
+          <th>Informe a URL onde se localiza o serviço ou produto</th>
+          <th>Marque se o serviço ou produto está hospedado no Interlegis</th>
+        </tr>
+  {% else %}
+    <tr>
+      <th>{{ fieldset.name }}</th>
+      {% for line in fieldset.lines %}
+        {% for field in line %}
+          <td>{{ field }}</td>
+        {% endfor %}
+      {% endfor %}
+    </tr>
+  {% endif %}
+  {% endfor %}
+      </table>
+  </fieldset>
+  <div class="submit-row">
+    <input type="submit" value="{% trans 'Save' %}" class="default" name="_save"/>
+  </div>
+  </form>
+{% endif %}
+
+{% if thanks %}
+  <h1>Obrigado por responder à nossa pesquisa!</h1>
+  <h3>Quadro resumo das informações prestadas:</h3>
+  <table>
+    {% for row in thanks %}
+      <tr><th>{{ row.0 }}</th><td>{{ row.1|default:"Não informado" }}</td></tr>
+    {% endfor %}
+  </table>
+  <p>Se desejar, você poderá alterar esses dados repetindo o processo</p>
+{% endif %}
+
+{% endblock %}