Free Product Repair Request Form Template
Let customers submit repair requests online instead of calling, emailing, or waiting in line.
When a product needs repair, customers want to report it quickly and know what happens next. A phone call that puts them on hold or an email that disappears into a support queue creates frustration before you've even looked at the problem.
An online repair request form gives customers a clear, fast way to tell you what's wrong. Typeform's template uses conditional logic to gather the right details based on the product type and issue — so someone with a hardware failure sees different follow-up questions than someone dealing with cosmetic damage. Every submission creates a structured record that your repair team can act on immediately, and you can connect the form to your ticketing system so nothing falls through the cracks.
Add your product catalog, set up routing to the right repair team, and give customers a confirmation email the moment they submit. The whole setup takes under an hour.
A product repair request form is an online form that lets customers submit information about a product that needs service or repair. It captures the product details, the nature of the issue, proof of purchase, and contact information — giving your team everything they need to process the request efficiently.
It standardizes your intake process. Instead of getting repair requests in fragments across email, phone, and in-person, you get complete, consistent information in one place. That means faster triage, fewer follow-up questions, and a better customer experience from the first interaction.
A repair request form typically needs:
- Product name and model number
- Date of purchase and proof of purchase
- Description of the issue
- When the issue started
- Photos of the damage or defect (if applicable)
- Customer contact information
- Preferred contact method and availability
Add a field for the customer to enter their order number or serial number, and connect the form to your order management system to flag whether the product is within warranty automatically. You can configure different follow-up paths for in-warranty vs. out-of-warranty requests so customers know upfront what the repair process looks like.
Yes. A repair type question early in the form lets you branch the flow — mail-in customers can provide shipping details, while in-store customers can select a drop-off location and preferred time. Conditional logic keeps both paths clean without creating 2 separate forms.
Get inspired by relevant templates and categories
3200+ Templates, 300+ Integrations
With Typeform, you can 
customize everything
Change text, colors, and even logos to match the look and feel of your brand. Then embed forms smoothly onto web and email.
Make forms feel effortless to fill out. Pace questions, call people by their name, and adapt the flow based on the data they share.
Stay efficient by connecting forms to your workflow. Typeform integrates with 300+ tools including Slack, Zapier, and HubSpot.
