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Support template

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?

It arrived damaged or faultyIt's not what I expected

Could you show us?

Anything you'd like to add?

What would you like to happen?

A refundA replacement

+ 1 more question

Submit

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.

Designed to be answered

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