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    Billing inquiry form

Billing inquiry form

Free form template to collect customer billing inquiries. Gather details like inquiry type, contact info, account and invoice numbers, and allow uploading documents. Get notified of new inquiries via email, or configure this form to create a ticket in Zendesk, or a case in Salesforce.

Live preview ↗ Use this template →
10 downloads
9 fields
'Billing inquiry form' form with various input fields and a submit button
  • Secure
  • GDPR-compliant
  • Mobile-friendly
  • WCAG2-compliant
  • Blazing fast
  • Customizable

What is a billing inquiry form?

A billing inquiry form allows customers to report issues or ask questions about their bills, such as incorrect charges, payment discrepancies, or refund requests. This inquiry form (like this template) can contain fields dependent on other fields, and allow uploading documents.

Some use-cases

Here are some use-cases for this template:

  1. Healthcare SVG illustration
    Healthcare:

    Allow patients to submit hospital bill inquiries. Ask questions about their insurance.

  2. Retail SVG illustration
    Retail:

    Use for customer billing issues.

  3. Education SVG illustration
    Education:

    Resolve student tuition queries. Require student identification, and major.

Form workflows

Use workflows to send email notifications to admins, or send data to third-party services:

  • Email icon
    Email:

    Notify the refunds department if inquiry type is Refund

  • Zendesk icon
    Zendesk:

    Create a ticket in Zendesk on new inquiries

  • Freshdesk icon
    Freshdesk:

    Create a ticket in Freshdesk on new inquiries

Inquiry type analysis

Field analytics help businesses track which inquiry types get selected most. This data shows patterns in billing issues. Knowing which issues are frequent lets businesses focus on those areas, and work to reduce the support requests.

Horizontal bar chart showing the distribution of responses for the multiple choice field 'Inquiry Type'
Field analysis

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  • Secure
  • GDPR-compliant
  • Mobile-friendly
  • WCAG2-compliant
  • Blazing fast
  • Customizable
Minimal, fast, and powerful. Try now.
Formcrafts - a form and survey platform for Salesforce, HubSpot, etc

Subtle Web Inc,
225 Railway St E,
T4C 2C3, Cochrane AB

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