diff --git a/.github/ISSUE_TEMPLATE/list-entry-submission.md b/.github/ISSUE_TEMPLATE/list-entry-submission.md
new file mode 100644
index 000000000..3693afcd0
--- /dev/null
+++ b/.github/ISSUE_TEMPLATE/list-entry-submission.md
@@ -0,0 +1,44 @@
+---
+name: List entry submission
+about: For those who wish to submit new entries to my lists
+title: ''
+labels: Submission
+assignees: ''
+
+---
+
+## Which entry/entries are you submitting?
+<!--
+The `text` code-text functionality may come in handy, if you don't want to accidentally create a link to the site that the entry is for.
+-->
+
+## Which things do they block, hide, or unbreak?
+<!--
+Screenshots are convenient but optional.
+-->
+
+## Which of my lists are you submitting it to?
+
+## Which adblocker(s) and version did you use when writing and testing the entries?
+- [ ] Nano Adblocker
+- [ ] Nano Defender
+- [ ] uBlock Origin
+- [ ] uBlock Origin Plus
+- [ ] AdBlock
+- [ ] Adblock Plus
+- [ ] AdGuard (Paid desktop version)
+- [ ] AdGuard (for browsers)
+- [ ] Blokada
+- [ ] Pi-hole
+
+Other(s): 
+
+## Which filterlists did you use?
+<!--
+If you want to save time, you can take a screenshot of your adblocker's list settings.
+-->
+
+## (Optional) Which browser(s) and version did you use?
+<!--
+If you're in doubt, check your browser's *About* page.
+-->