Auto Insurance Claim — shared by the community
Yusuf E. shared this 27-question build with 4 conditional rules already wired up. Test it below, then take a copy.
A ready-to-use insurance form for small teams who need a reliable intake process: 27 questions, 2 pages, 4 conditional rules.
- Shared by
- Yusuf E. · Recruitment partner
- Questions
- 27
- Replies
- 9
- Copies taken
- 198
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Live preview and test console
This is the real form. Answer it to test the flow — nothing is sent or stored.
Page 1 of 2 — Policy and vehicle
This template runs as a straight sequence — no branching rules.
Works for you? Take Yusuf E.'s copy into your own workspace — questions, rules and settings included.
Who this template is for
Auto Insurance Claim is built for small teams who need a reliable intake process who need to collect the same complete information from everyone.
- Small teams who need a reliable intake process working in insurance.
- Teams who need to collect the same complete information from everyone without writing code or paying for a custom build.
- Anyone replacing chasing missing details over email with one structured record per enquiry.
- Respondents are the people you send it to — the form asks them 27 questions across 2 screens.
- Mobile-heavy audiences, thanks to the one-question-per-screen card layout.
Why this form is useful
It removes the cost of chasing missing details over email and turns each submission into a record your team can act on immediately.
- 18 questions are required, so submissions arrive complete instead of needing a follow-up email.
- It collects a verified email address so replies and confirmations land.
- It captures a phone number for urgent follow-up.
- It accepts a document or photo upload as evidence.
- It pins the request to a specific date.
- It allows multiple selections without free text.
- It captures a numeric value you can filter and sort on.
- Conditional logic hides 4 questions until they are relevant — shorter forms convert better than long ones.
How to use this template
From copy to live form is a few minutes of work, and every step is reversible.
- 1Press “Use this template” — a fresh copy of Auto Insurance Claim lands in your workspace, ready to edit.
- 2Rename or delete any question, and change what is required. Nothing here is fixed.
- 3Open Notifications and add the email addresses that should be alerted on each submission; add an auto-reply to the respondent if the form collects an email address.
- 4Check the upload limits on the file question so respondents can attach what you actually need.
- 5Publish it, then either share the link directly or paste the embed snippet into your site — the embedded form resizes to fit and loads no marketing or advertising trackers.
- 6Watch responses land in Submissions, where you can filter, label and export them to CSV or PDF.
Logic and conditions blueprint
Exactly how this form behaves as it is answered — 4 conditional rules ship with it.
- Features conditional validation: if “Was the driver a named driver on the policy?” is No, “Who was driving, and why were they using the vehicle?” becomes mandatory before the form can be sent.
- Features conditional validation: if “Is the vehicle drivable?” is No, “Where is the vehicle now?” becomes mandatory before the form can be sent.
- Features conditional validation: if “Was anyone injured?” is Yes, “Who was injured, and were they treated?” becomes mandatory before the form can be sent.
- Features conditional validation: if “Did the police attend?” is Yes, “Police reference number” becomes mandatory before the form can be sent.
- All 4 rules are editable in the Logic tab, and the built-in checker warns about rules that contradict each other.
What this form asks
Page 1 — Policy and vehicle
- Policy numberrequired
- Policyholder namerequired
- Contact numberrequired
- Email addressrequired
- Vehicle registrationrequired
- Make and modelrequired
- Year of manufacture
- Was the driver a named driver on the policy?required
- Who was driving, and why were they using the vehicle?
- Approximate mileage
Page 2 — What happened
- Date of the incidentrequired
- Time of the incidentrequired
- Where did it happen?required
- What were the conditions?required
- Describe what happened in your own wordsrequired
- Where did the impact land on your vehicle?required
- What damage can you see?required
- Is the vehicle drivable?required
- Where is the vehicle now?
- Was anyone injured?required
- Who was injured, and were they treated?
- Other vehicle registration, driver name and insurer
- Did the police attend?required
- Police reference number
- Do you have dashcam footage?required
- Witness names and contact details
- Upload photos of the damage and the scene
Conditional logic in this build
- When “Was the driver a named driver on the policy?” is No, require “Who was driving, and why were they using the vehicle?”.
- When “Is the vehicle drivable?” is No, require “Where is the vehicle now?”.
- When “Was anyone injured?” is Yes, require “Who was injured, and were they treated?”.
- When “Did the police attend?” is Yes, require “Police reference number”.
Questions about this shared form
How is this different from the general claim submission?
Insurance Claim Submission works for any policy type. This one carries the motor-specific fields — registration, make and model, driver, impact point, drivability and the other vehicle.
Does submitting it mean the claim is accepted?
No. It is a notification. Whether anything is payable depends on the policy wording and the insurer's assessment, and the form does not decide either.
Should the form ask who was at fault?
It asks what happened instead. Fault is an assessment, and a form that asks for it tends to collect an argument rather than the facts a handler needs.
What if the policyholder was not driving?
Answer no to the named-driver question and the form asks who was driving and why, which is exactly the detail a handler would otherwise chase.
Is the Auto Insurance Claim template free to use?
Yes. You can preview and test Auto Insurance Claim on this page without an account, and take a copy into your own HelloForms workspace on the free plan. There is nothing to install and no card required to publish it.
What does the Auto Insurance Claim template ask for?
It asks 27 questions across 2 pages, 18 of which are required. Every question is listed in full further down this page, and each one can be renamed, reordered, made optional or deleted after you copy the template.
Can I edit the Auto Insurance Claim form after copying it?
Yes — the copy is entirely yours. Change wording, add or remove questions, switch between the classic and card layouts, restyle it to match your brand, and set who gets notified on each submission.
How does the conditional logic in this insurance form work?
4 conditional rules ship with the template: Features conditional validation: if “Was the driver a named driver on the policy?” is No, “Who was driving, and why were they using the vehicle?” becomes mandatory before the form can be sent. Features conditional validation: if “Is the vehicle drivable?” is No, “Where is the vehicle now?” becomes mandatory before the form can be sent. Features conditional validation: if “Was anyone injured?” is Yes, “Who was injured, and were they treated?” becomes mandatory before the form can be sent. All rules are editable in the Logic tab.
Where do responses to the Auto Insurance Claim form go?
Submissions land in your workspace under Submissions, where you can search, filter, label and export them to CSV or PDF. You can also email a notification to your team on every submission and send the respondent an auto-reply.
Can I embed the Auto Insurance Claim form on my own website?
Yes. Publish the form and paste the embed snippet into any page or share the direct link. The embedded form resizes to fit its container and loads no advertising or marketing trackers inside the iframe.
Can respondents upload files?
Yes. This template includes a file upload question, so respondents can attach documents or photos with their answers. You can adjust the accepted file types and size limits on that question.
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