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 / mo
- No PHP · no SDK
- One POST endpoint
Live template preview
HVAC / AC repair request
Full name *Hans Becker
Email *hans@example.com
Phone *+1 555 0142
Service address *1247 Valencia St
What do you need? *AC not cooling
+ 3 more fields in the builder
Send
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 *hans@example.com
Phone *+1 555 0142
+ 5 more fields in the builder
Send
Plumbing service request
Full name *Daniel Chen
Email *daniel@example.com
Phone *+1 555 0142
+ 4 more fields in the builder
Send
Electrician service request
Full name *Anna Lopez
Email *anna@example.com
Phone *+1 555 0142
+ 4 more fields in the builder
Send
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="hans@example.com" 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>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 classifier, 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 spam classifier 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 spam classifier filter bots, no CAPTCHA friction
- Live dashboard, CSV export, and signed webhooks on paid plans
How SplitForms works
From form to workflow in 3 simple steps.
Connect your form, collect every submission, and send data where it needs to go — without building backend infrastructure.
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
Connect your favorite tools and automate everything
SplitForms works with the destinations you route to and the platforms you build on — from Slack and Sheets to WordPress, Shopify, and Next.js.
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“Point the form action at one endpoint and you're done. No SDK, no client library, no build step. This is how a form backend should feel.”
“Leads land in Slack the second someone submits, and a copy goes to Google Sheets for the sales team. I wired both up in under ten minutes.”
“I run a static Hugo site on a five-dollar VPS. splitforms gave it a real contact form without me standing up a single server.”
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
Start free. Scale when you need more.
Choose a plan that fits your workflow — from a free form endpoint to full automations, exports, and higher submission limits.
Free
$0
Free forever
For side projects and indie devs.
- 500 submissions / mo
- Unlimited forms
- Email notifications included
- Honeypot spam filtering
- Submissions dashboard
- MCP setup stays free
- No credit card required
Most Popular
Pro
$5/ month
was $15 · save 67% · new-user price
For agencies and growing products.
- 5,000 submissions / mo
- Unlimited forms
- Every paid feature included
- Priority support (under 4hr)
- 10× free submission volume
- Cancel anytime
Pre-launch · founders pricing locked in
3-Year
$59/ 36 months
was $99 · save 40% · new-user price
Pay $59. 3 years sorted.
- 15,000 submissions / mo
- Unlimited forms
- Everything in Pro
- Renews every 3 years
- Long-term discount
- Priority support included
- Vote on the roadmap
No credit card required on Free • Cancel anytime