Capture damage and roof details
Required: address, roof age, roof material (asphalt / metal / tile), issue (leak / storm damage / replacement / inspection). Insurance-claim flag is the most important field.
Form template · Roofing inspection / quote
Roofing leads split between insurance-claim work (storm damage, hail) and replacement shoppers. Same crew, completely different sales cycle. The form needs to flag which kind walked in.
This template is one of our free HTML form templates. See more form templates by industry.
Every template is free and fully editable in the drag-drop builder — swap fields, colors, and the button label before you publish.
No server, API route, or SDK — your Roofing Contact Form posts straight to one endpoint.
Every submission is emailed to you and saved to a searchable dashboard — spam filtered before it reaches you.
It's plain HTML you own — paste the Roofing Contact Form snippet, swap in your access key, and ship.
Copy and ship
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 roofing quote request">
<label for="name">Full name *</label>
<input id="name" type="text" name="name" placeholder="Marie Dubois" 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">Property 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>Inspection only</option>
<option>Repair</option>
<option>Full replacement</option>
<option>New install (new build)</option>
<option>Storm damage / insurance claim</option>
</select>
<label for="material">Roof material</label>
<select id="material" name="material">
<option value="">Choose…</option>
<option>Asphalt shingle</option>
<option>Metal</option>
<option>Tile</option>
<option>Flat / TPO / EPDM</option>
<option>Slate</option>
<option>Not sure</option>
</select>
<label for="age">Roof age</label>
<select id="age" name="age">
<option value="">Choose…</option>
<option>Under 5 years</option>
<option>5–10 years</option>
<option>10–20 years</option>
<option>20+ years</option>
<option>Not sure</option>
</select>
<label for="details">Describe the issue *</label>
<textarea id="details" name="details" placeholder="Leaks, missing shingles, storm damage, age concern…" 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
To add a Roofing 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.
Required: address, roof age, roof material (asphalt / metal / tile), issue (leak / storm damage / replacement / inspection). Insurance-claim flag is the most important field.
Use the file-upload variant — available on paid plans. Customers snap the damage from the ground; you get an idea of severity before the truck rolls. Saves dozens of unbillable inspections per month.
Webhook with a router rule: insurance leads go to the supplement specialist; cash quotes go to the residential sales rep. Different scripts, different urgency.
What's included
Roofing has two distinct sales cycles. Insurance-claim work (post-hail or storm) closes fast — adjuster sets the price, customer just needs a contractor. Replacement shoppers compare three quotes over weeks and pick on warranty and aesthetics. The form needs to ask 'is this an insurance claim?' up front because the entire follow-up sequence differs. Roof age, material, and stories determine whether you send a sales rep or a tarp-and-inspection truck. Photo upload is non-negotiable — adjusters and remote estimators need to see the damage. Photo upload on paid plans · webhooks into Roofr / JobNimbus / AccuLynx.

Where 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.

How SplitForms works
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.

Point your form to your unique SplitForms endpoint. That's it.

We instantly capture and organize every submission in your inbox.

Send data to email, spreadsheets, CRMs, webhooks, and 7,000+ apps.

No credit card required. Set up in under 60 seconds.
Connect & automate
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.

Questions
Yes — paid plans unlock file uploads. Customers attach photos from the ground, you triage before sending a truck. Reduces no-bid inspections by 30-40% in our roofing customers' data.
Add a 'when did this start?' question. Damage that appeared after a known local hailstorm date is a likely insurance claim. Damage that's been there 'for years' is a cash-pay replacement. Different lead, different sales cycle.
Free inspections are the standard hook. The form schedules them; the inspection turns into a quote. Make sure your form captures preferred week, not just 'someone will call' — pre-scheduled inspections close at 2-3x the rate.
splitforms webhooks the submission with address. Pipe that into a Zapier flow that triggers a Hover or EagleView measurement, then the rep arrives with the report in hand. Big efficiency win.
Simple pricing
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.
For side projects and indie devs.
Every paid feature, for agencies and growing products.
Every Pro feature with triple the volume — $0.27 per 1,000 at full use.
No credit card required on Free • Cancel anytime • Full pricing and FAQ