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Insurance claim form template

What happened, when, what it cost and the photos to show it, with a section for each kind of claim.

Use this templateFree · no credit card
  • 16 questions
  • 4 pages
  • 6 min to fill in
  • Legal and finance
formkit.app/you/insurance-claim
Insurance claim form

Make a claim

About five minutes. Have your policy number and any photos to hand.

16 questions · 4 pages
Try a theme

This is the real template. Fill it in, then make it yours.

The claimant picks car, home or something else, and the form jumps to that section only: car claims ask about the other driver, home claims ask what was damaged and why, and a crime reference only appears after a theft. Everyone ends on what happened, photos and a signature.

Who it’s for

Insurers, brokers and claims handlers who want the first notice of a claim in one tidy record. On Pro, AI insights read each claim for urgency and tone, so the hard ones are seen first.

Page by page

Every question in this template

The pages as a respondent meets them. Pick any question to open it in the live preview above.

  1. Page 1Questions6 questions
  2. Page 2Car3 questions
  3. Page 3Home or contents3 questions
  4. Page 4What happened4 questions
  5. ThenYour claim is in

    A claims handler will contact you within two working days with a reference and the next steps.

    Conditional logic is already set up
What comes back

Every answer, in one place

Each response lands in your inbox as a card like this one, with an email to you if you want it. People who stop part-way are kept too, with the answers they gave.

  • Partial answers and drop-off by question, on every plan
  • CSV, JSON and PDF on every plan, Excel on Pro
  • Sheets, Slack, Notion, Airtable, HubSpot and webhooks on Pro
Maya OkaforInsurance claim form · just nowNew
Your name
Maya Okafor
Your email
maya@northstar.co
Your phone number
+44 20 7946 0321
Your policy number
Their answer, in their own words
What are you claiming for?
Car
When did it happen?
12 March 2027

and 10 more answers

From template to live form

Three steps, a couple of minutes

  1. Use this template1Make it your own copyIt becomes a draft in your account. Nothing you change touches the original.
  2. Reword, reorder, re-theme2Change anythingQuestions, pages, logic, theme and logo. It is an ordinary form from here on.
  3. formkit.app/you/insurance-claim3Publish and shareYour own link, a QR code or an embed. Every answer lands in one inbox.
Make more of it

What this form can also do

Conditional and AI logicLogic that reads like a sentence, and AI that reads the answer.Explore AI insightsKnow what your responses are telling you.Explore File uploadsCollect documents, photos and recordings with the answers.Explore

Questions about this template

Can I keep the form private?

Yes. Any form can have a password, so only the people you send it to can open it. Answers travel over HTTPS, and you can delete responses whenever you need to.

Does the reply tell people whether they're covered?

No. The AI reply, on Pro, only confirms the claim and the next steps, and every reply waits for a handler to approve it.

How big can photos be?

Up to 20 MB on Free, 150 MB on Pro and 250 MB on Business.

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