Warranty Claim Form
Structured claims with fault description, purchase date and evidence, routed by warranty status.
A ready-to-use e-commerce & payments form for online shops, makers and subscription brands: 12 questions, 3 pages, 3 conditional rules.
- Questions
- 12
- Pages
- 3
- Layouts
- classic · card
- Conditional rules
- 3
- Typical time
- 5 min
Searches this template answers
Live preview and test console
This is the real form. Answer it to test the 3 conditional rules — nothing is sent or stored.
Page 1 of 3 — Product and purchase details
Every question on this page is currently visible.
What happens after submit: nothing is stored in this preview. On your own copy, every response triggers an instant email notification and lands in your response dashboard, ready to export or forward.
Happy with it? Take a copy into your workspace — every question, rule and setting comes with it.
Who this template is for
Warranty Claim Form is built for online shops, makers and subscription brands who need to take an order, a deposit or a recurring payment without a checkout build.
- Online shops, makers and subscription brands working in e-commerce & payments.
- Teams who need to take an order, a deposit or a recurring payment without a checkout build without writing code or paying for a custom build.
- Anyone replacing orders arriving as half-finished emails with no payment attached with one structured record per enquiry.
- Respondents are shoppers and repeat customers — the form asks them 12 questions across 3 screens.
- Mobile-heavy audiences, thanks to the one-question-per-screen card layout.
Why this form is useful
It removes the cost of orders arriving as half-finished emails with no payment attached and turns each submission into a record your team can act on immediately.
- 8 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 accepts a document or photo upload as evidence.
- It pins the request to a specific date.
- Conditional logic hides 3 questions until they are relevant — shorter forms convert better than long ones.
- Splitting the form across 3 pages keeps each screen short and shows respondents how much is left.
- Every response is stored, searchable and exportable, so nothing depends on one person's inbox.
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 Warranty Claim Form 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 — 3 conditional rules ship with it.
- Features advanced show logic: if “Purchase date” is more than 12 months ago, the form dynamically exposes “Are you willing to pay for an out-of-warranty repair estimate?”. Otherwise that question never appears.
- Features advanced show logic: if “Are you willing to pay for an out-of-warranty repair estimate?” is Yes, the form dynamically exposes “Preferred repair location”. Otherwise that question never appears.
- Features advanced show logic: if “Repair or replacement preference” is Replacement, the form dynamically exposes “Shipping address for replacement”. Otherwise that question never appears.
- All 3 rules are editable in the Logic tab, and the built-in checker warns about rules that contradict each other.
About this template
A warranty claim needs to answer one question quickly — is this product actually still covered — before anything else can happen, so this form is built around that decision. It asks for the purchase date up front, which drives whether the claim routes down an in-warranty or out-of-warranty path; an out-of-warranty answer reveals a paid-repair-estimate question instead of continuing straight into a covered-claim flow. The fault description is a required long-text field paired with a photo or video upload, since evidence resolves ambiguous cases far faster than a written description alone and cuts down on back-and-forth requests for more detail. A dropdown captures how the fault shows up — won't power on, physical damage, performance issue and so on — which helps route the claim to the right technician before anyone even reads the free-text description. Customers are also asked whether they'd prefer a repair or a replacement if the claim is approved, which matters because stock availability and repair turnaround can differ a lot by product, and knowing the preference up front avoids a second round-trip once the claim is reviewed. A serial number field ties the claim back to the original registration record when one exists.
What this form asks
Every question is editable — rename it, make it optional, or delete it entirely.
Page 1 — Product and purchase details
- Full namerequired
- Email addressrequired
- Product model or serial numberrequired
- Purchase daterequired
- Proof of purchase
Page 2 — Describe the fault
- Type of faultrequired
- Describe what's happeningrequired
- Photo or video of the faultrequired
Page 3 — Resolution
- Are you willing to pay for an out-of-warranty repair estimate?
- Preferred repair location
- Repair or replacement preferencerequired
- Shipping address for replacement
12 questions in total.
How the form changes as it's filled in
This template ships with 3 conditional rules, grouped into 3 behaviours driven by 3 questions. Everything below is already set up — edit or delete any rule once the template is in your workspace.
Driven by “Purchase date”
- Reveals questions
If “Purchase date” is more than 12 months ago, the form reveals “Are you willing to pay for an out-of-warranty repair estimate?”.
Driven by “Are you willing to pay for an out-of-warranty repair estimate?”
- Reveals questions
If “Are you willing to pay for an out-of-warranty repair estimate?” is Yes, the form reveals “Preferred repair location”.
Driven by “Repair or replacement preference”
- Reveals questions
If “Repair or replacement preference” is Replacement, the form reveals “Shipping address for replacement”.
Set it up step by step
- 1
Route on warranty status first
Split in-warranty and out-of-warranty claims into separate queues the moment the purchase date is submitted.
- 2
Sort by fault type before assigning a technician
Use the fault-type dropdown to send claims straight to the specialist team without reading the full description first.
- 3
Confirm the repair-or-replace preference early
Check stock for the customer's stated preference before starting the approval process, not after.
- 4
Cross-check the serial number against registration records
Pull up any matching product registration to confirm purchase date and ownership faster.
Mistakes to avoid
- Not asking for the purchase date up front, which means warranty eligibility isn't checked until far too late in the process.
- Requiring photo evidence for every claim type when some faults, like a missing part, don't need it.
- Ignoring the repair-or-replace preference and defaulting to whichever is easiest for the business.
What it pairs with
Most teams don't run this form on its own. These are the forms and systems it sits next to.
What to do with the responses
Check the claim against warranty status immediately, assign it to the right technician by fault type, and confirm the repair or replacement decision with the customer.
Works in both layouts
Forms that overlap this one
These pages cover the same subject ground as the warranty claim form, matched on the words people actually search for.
Product Registration & Warranty Form
administratorcheckoutcustomerinvoicemanager
Refund Request Form
checkoutcoordinatorcustomerinvoicemanager
Return & Refund Request Form
checkoutcoordinatorcustomerevidenceinvoice
Product Return Form
checkoutcoordinatorcustomerinvoiceorder
Appliance Repair Request
managerrepairrequestservicestatu
Subscription Upgrade
checkoutcoordinatorcustomerinvoicemanager
Frequently asked questions
How is this different from the Product Registration form?
Registration happens right after purchase to establish coverage; this form is filed later when something actually goes wrong.
What happens if the product is out of warranty?
The form reveals a question about paying for a repair estimate instead of continuing down the standard covered-claim path.
Do I need a serial number to file a claim?
It speeds things up if the customer registered the product, but you can still process a claim using proof of purchase alone.
Can I require video instead of photo evidence?
Yes — swap the file upload's help text to specify video for faults that are easier to demonstrate in motion, like intermittent power issues.
Is the Warranty Claim Form template free to use?
Yes. You can preview and test Warranty Claim Form 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 Warranty Claim Form template ask for?
It asks 12 questions across 3 pages, 8 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 Warranty Claim Form 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 e-commerce & payments form work?
3 conditional rules ship with the template: Features advanced show logic: if “Purchase date” is more than 12 months ago, the form dynamically exposes “Are you willing to pay for an out-of-warranty repair estimate?”. Otherwise that question never appears. Features advanced show logic: if “Are you willing to pay for an out-of-warranty repair estimate?” is Yes, the form dynamically exposes “Preferred repair location”. Otherwise that question never appears. Features advanced show logic: if “Repair or replacement preference” is Replacement, the form dynamically exposes “Shipping address for replacement”. Otherwise that question never appears. All rules are editable in the Logic tab.
Where do responses to the Warranty Claim Form 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 Warranty Claim Form 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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