Home Insurance Claim — shared by the community
Yusuf E. shared this 22-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: 22 questions, 2 pages, 4 conditional rules.
- Shared by
- Yusuf E. · Recruitment partner
- Questions
- 22
- Replies
- 9
- Copies taken
- 162
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Live preview and test console
This is the real form. Answer it to test the 1 conditional rule — nothing is sent or stored.
Page 1 of 2 — Policy and property
1 question is hidden by conditional logic right now — change an answer above to reveal it.
Works for you? Take Yusuf E.'s copy into your own workspace — questions, rules and settings included.
Who this template is for
Home 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 22 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.
- 15 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 captures a full postal address.
- It allows multiple selections without free text.
- It captures a numeric value you can filter and sort on.
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 Home 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 “What caused the damage?” is Theft or attempted break-in, “Crime reference number” becomes mandatory before the form can be sent.
- Features conditional validation: if “Is the property still habitable?” is No, “Where are you staying now?” becomes mandatory before the form can be sent.
- Features conditional validation: if “Has any emergency work been done already?” is Yes, “Who did the work, and what did it cost?” becomes mandatory before the form can be sent.
- Features advanced show logic: if “Is the property owned or rented?” is Rented, the form dynamically exposes “Landlord or agent name”. Otherwise that question never appears.
- 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 property
- Policy numberrequired
- Policyholder namerequired
- Contact numberrequired
- Email addressrequired
- Property address
- Is the property owned or rented?required
- Landlord or agent name
- What does your cover include?required
- When did the damage happen?required
- When did you discover it?required
Page 2 — The damage
- What caused the damage?required
- Describe what happenedrequired
- Which rooms are affected?required
- Is the property still habitable?required
- Where are you staying now?
- Has any emergency work been done already?required
- Who did the work, and what did it cost?
- List the damaged items, with rough age and valuerequired
- Roughly what do you think the total loss is?
- Crime reference number
- Are the doors and windows secure now?required
- Upload photos, receipts or a contractor quote
Conditional logic in this build
- When “What caused the damage?” is Theft or attempted break-in, require “Crime reference number”.
- When “Is the property still habitable?” is No, require “Where are you staying now?”.
- When “Has any emergency work been done already?” is Yes, require “Who did the work, and what did it cost?”.
- When “Is the property owned or rented?” is Rented, show “Landlord or agent name”.
Questions about this shared form
How is this different from the generic claim form?
Insurance Claim Submission covers any policy. This form carries the property-specific fields: the address, buildings or contents cover, rooms affected, habitability and an item inventory.
Does the form say what is covered?
No. Cover, excesses and exclusions live in the policy wording. The form gathers what happened and what was lost so the insurer can assess it.
Should someone list every small item?
Ask for the significant ones on day one. A handler can request a fuller schedule later, and an overlong first list often delays the acknowledgement.
What if the tenant is claiming rather than the owner?
Answer rented and the form asks for the landlord or agent, because contents and buildings claims usually run through different policies.
Is the Home Insurance Claim template free to use?
Yes. You can preview and test Home 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 Home Insurance Claim template ask for?
It asks 22 questions across 2 pages, 15 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 Home 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 “What caused the damage?” is Theft or attempted break-in, “Crime reference number” becomes mandatory before the form can be sent. Features conditional validation: if “Is the property still habitable?” is No, “Where are you staying now?” becomes mandatory before the form can be sent. Features conditional validation: if “Has any emergency work been done already?” is Yes, “Who did the work, and what did it cost?” becomes mandatory before the form can be sent. All rules are editable in the Logic tab.
Where do responses to the Home 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 Home 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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