Free refund request form template
The form nobody wants to fill in, made short — one question a screen, order number first.
- 6 questions
- One question at a time
- 1 conditional
- Free, unlimited responses
Opens in your dashboard with the whole form in front of you. Nothing is created until you say so — keep it, restyle it, or pick a different one.
Request a refund
What's your order number?
What went wrong?
Could you show us?
Anything you'd like to add?
What would you like to happen?
+ 1 more question
Try it in another theme
Ships in Signal · 26 to choose from
Tap any theme to see this form wearing it.
A refund request met as a wall of eight fields reads as an obstacle course designed to make people give up — which is exactly what a lot of them are. One question per screen, starting with the order number, reads as being walked through it. The photo upload appears only for a damaged item, because that is the one case where a picture usually means approving it on the spot.
- Questions
- 6 in total — 4 required — 1 shown only when relevant
- Format
- One question at a time
- Theme
- Signal, changeable to any of the 26
- Cost
- Free, with no cap on responses
The 6 questions it asks
In order, with their field types. Edit, reorder or delete any of them once it's yours.
- 1What's your order number?Short textRequired
- 2What went wrong?Multiple choice · e.g. It arrived damaged or faultyRequired
- 3Could you show us?File uploadConditional
- 4Anything you'd like to add?Long textOptional
- 5What would you like to happen?Multiple choice · e.g. A refundRequired
- 6Where should we send the confirmation?EmailRequired
1 question is conditional. It only appears when an earlier answer calls for it — so most people answer 5, not 6.
When to reach for it
- Ecommerce returns and refunds
- Damaged or faulty item claims
- Event or booking cancellations
- Any refund where the reason shapes the answer
And once it's yours
All of it on the free plan — none of this is an upgrade prompt.
- Conditional logicShow a question only when an earlier answer calls for it.
- Sheets, Slack and webhooksSend every response where your team already works.
- 26 themes, one clickThe same form, restyled from type to field shape.
Frequently asked questions
Why one question at a time?
Because of who is filling it in. Somebody already annoyed abandons a long form; a single question with a clear end reads as help rather than an obstacle.
Does it process the refund?
No — it captures the request, the reason and what the customer wants to happen. The money moves wherever you already move it.
Can customers attach a photo?
Yes, and it is asked for only when they say the item arrived damaged or faulty.
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