Capture system age and symptom
Required: system type (central AC / heat pump / furnace / mini-split), age in years, current symptom. Optional: brand and model. Replacement-shoppers vs repair-shoppers split on age alone.
Form template · HVAC / AC repair request
HVAC Contact Form Template
HVAC tickets are seasonal and shaped like a hockey stick — first 90F day, every AC in town breaks. The form needs to triage by system age and current symptom or your dispatch board melts down.
- 500 free total
- No PHP · no SDK
- One POST endpoint
Live template preview
HVAC / AC repair request
Full name *Hans Becker
Email *[email protected]
Phone *+1 555 0142
Service address *1247 Valencia St
What do you need? *AC not cooling
+ 3 more fields in the builder
Send
This template is one of our free HTML form templates. See more form templates by industry.
Pick your hvac contact form — one click to use it
Every template is free and fully editable in the drag-drop builder — swap fields, colors, and the button label before you publish.
Best matchUse this template
HVAC / AC repair request
Full name *Hans Becker
Email *[email protected]
Phone *+1 555 0142
+ 5 more fields in the builder
Send
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Email *[email protected]
Phone *+1 555 0142
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Full name *Anna Lopez
Email *[email protected]
Phone *+1 555 0142
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No backend code
No server, API route, or SDK — your HVAC Contact Form posts straight to one endpoint.
Straight to your inbox
Every submission is emailed to you and saved to a searchable dashboard — spam filtered before it reaches you.
Copy-paste ready
It's plain HTML you own — paste the HVAC Contact Form snippet, swap in your access key, and ship.
Copy and ship
Your HVAC Contact Form, ready to paste.
HTML by default — the same field set also renders as React, Next.js, PHP, and cURL in your dashboard. Every variant posts to the same /api/submit endpoint. Replace YOUR_ACCESS_KEY with the key from your dashboard; that's the only edit.
<form action="https://splitforms.com/api/submit" method="POST">
<input type="hidden" name="access_key" value="YOUR_ACCESS_KEY">
<input type="hidden" name="subject" value="New HVAC service request">
<label for="name">Full name *</label>
<input id="name" type="text" name="name" placeholder="Hans Becker" required>
<label for="email">Email *</label>
<input id="email" type="email" name="email" placeholder="[email protected]" required>
<label for="phone">Phone *</label>
<input id="phone" type="tel" name="phone" placeholder="+1 555 0142" required>
<label for="address">Service address *</label>
<input id="address" type="text" name="address" placeholder="1247 Valencia St" required>
<label for="service">What do you need? *</label>
<select id="service" name="service" required>
<option value="">Choose…</option>
<option>AC not cooling</option>
<option>Heat not working</option>
<option>New install / replacement</option>
<option>Maintenance / tune-up</option>
<option>Duct cleaning</option>
<option>Quote for new system</option>
</select>
<label for="system">System type</label>
<select id="system" name="system">
<option value="">Choose…</option>
<option>Central AC</option>
<option>Heat pump</option>
<option>Furnace</option>
<option>Mini-split</option>
<option>Boiler</option>
<option>Not sure</option>
</select>
<label for="age">How old is the system?</label>
<select id="age" name="age">
<option value="">Choose…</option>
<option>Under 5 years</option>
<option>5–10 years</option>
<option>10–15 years</option>
<option>15+ years</option>
<option>Not sure</option>
</select>
<label for="details">Describe the issue *</label>
<textarea id="details" name="details" placeholder="When it started, error codes, recent changes…" required></textarea>
<!-- honeypot — bots fill every field -->
<input type="checkbox" name="botcheck" style="display:none" tabindex="-1" autocomplete="off">
<button type="submit">Send</button>
</form><p class="splitforms-attribution" style="margin-top:12px;font-size:11px;color:#888;text-align:right">
Powered by <a href="https://splitforms.com" style="color:#888;text-decoration:none" target="_blank" rel="sponsored noopener">splitforms</a>
</p>
<!-- drop-off analytics + partial leads (the form works without it) -->
<script src="https://splitforms.com/embed.js" async></script>How to add it
How to add a HVAC Contact Form to your site.
To add a HVAC Contact Form to your site you need three things: a free splitforms access key, the HTML snippet above, and your key pasted into it. No backend, database, or CAPTCHA library — the form posts to one URL and every submission lands in your inbox and dashboard.
Tier urgency by season
In summer, 'no cooling' is a same-day callout. In winter, 'no heat' is the same. Tune-ups and quotes can wait a week. The dropdown shapes dispatch's morning queue.
Webhook to ServiceTitan / Jobber
splitforms posts the structured submission to your field-service platform with the system age, symptom, and address. Tech arrives with the right replacement options pre-loaded on the iPad.
What's included
What's in this HVAC Contact Form template?
HVAC has the most predictable lead-volume swings of any trade — first heat wave or first cold snap and your phones don't stop. The form needs system-age and symptom fields up front because they determine whether you're selling a $200 capacitor swap or a $12,000 system replacement. A 14-year-old AC blowing warm air is a replacement conversation; a 4-year-old unit is a repair. Knowing which before the truck rolls is the difference between a profitable day and a lost one. Built for shops on ServiceTitan / Housecall Pro / Jobber — webhook in 10 minutes.
- HVAC / AC repair request — 8 ready-made fields
- HTML, JS, React, PHP, and cURL outputs
- One POST endpoint, no SDK — honeypot and spam scoring, no CAPTCHA
Where submissions go
Where do your HVAC Contact Form submissions go?
Reply-to is wired to the visitor's email, so one tap on Reply answers them directly — while the built-in honeypot and automatic spam scoring filter out bots before they reach you. Every submission is emailed to your inbox and can forward to a webhook or Slack the moment a visitor hits send.
- Reply-to wired to the visitor's email — reply straight from your inbox
- Honeypot and automatic spam scoring filter bots, no CAPTCHA friction
- Live dashboard, CSV export, and signed webhooks on paid plans
How SplitForms works
What happens after someone submits your form?
splitforms receives the submission, filters spam, saves it to your dashboard and emails you — then, on paid plans, sends it on to your webhooks and integrations. No backend infrastructure to build.
Add your endpoint
Point your form to your unique SplitForms endpoint. That's it.
Receive submissions
We instantly capture and organize every submission in your inbox.
Route anywhere
Send data to email, spreadsheets, CRMs, webhooks, and 7,000+ apps.
No credit card required. Set up in under 60 seconds.
Connect & automate
Where can submissions go besides email?
On paid plans, submissions can also go to Slack, Discord, Google Sheets, Notion, Airtable, Zapier or any signed webhook — and splitforms works on the platforms you build on, from WordPress and Shopify to Next.js. With Stripe connected, your forms can take payments too.
NewTake payments on your formsDeposits, bookings, order forms — submitters check out through Stripe and the money goes straight to your Stripe account. Included on every paid plan.See plans →Questions
HVAC Contact Form questions.
View all FAQsHow do I handle the seasonal volume swings?
Use the urgency field plus a 'preferred week' selector. In peak season, no-cool / no-heat goes to the top; tune-ups slide to the next available week. The form sorts itself when dispatch sorts the inbox by those columns.
Can I quote replacement systems from the form alone?
Not accurately — full system swap quotes need a load calculation and ductwork inspection on-site. But the form's age + symptom + square footage fields tell you whether to roll a salesperson alongside the tech, which is the actual decision.
What about maintenance plan signups?
Add a 'I'd like to hear about your maintenance plan' checkbox. Half your repeat revenue comes from those plans. Webhook to a separate inbox or CRM tag if checked.
Should I integrate Google LSA leads here too?
LSAs come in via Google's own pipeline — usually a phone call. Your splitforms-driven form captures organic search and your own paid landing pages. Most shops run both; the form costs you $0 per lead.
Simple pricing
How much does splitforms cost?
Free gives you 500 submissions for $0 — no card, no time limit. Pro is $5/month for 5,000 submissions a month, and Annual is $49/year for 15,000 a month with every Pro feature.
Free
$0— 500 submissions
For side projects and indie devs.
- 500 free submissions
- Unlimited forms
- Email notifications included
- Smart spam filtering
- Submissions dashboard
- Redirect after submit
- MCP server included
Recommended
Pro
$5/ month
Billed monthly
Every paid feature, for agencies and growing products.
- 5,000 submissions / mo
- Unlimited forms
- Webhooks and integrations
- CC/BCC, auto-replies and routing
- File uploads with 500 MB storage
- Stripe payments on your forms
- 3 team seats
- Cancel anytime
Annual
$49/ year
About $4.08/mo, billed yearly
Every Pro feature with triple the volume — $0.27 per 1,000 at full use.
- 15,000 submissions / mo
- Unlimited forms
- Everything in Pro
- File uploads with 5 GB storage
- 3 team seats
- Priority email support
No credit card required on Free • Cancel anytime • Full pricing and FAQ