What is JotForm?
JotForm is a free online form builder which helps you create online forms without writing a single line of code. No sign-up required.

At JotForm, we want to make sure that you’re getting the online form builder help that you need. Our friendly customer support team is available 24/7.

We believe that if one user has a question, there could be more users who may have the same question. This is why many of our support forum threads are public and available to be searched and viewed. If you’d like help immediately, feel free to search for a similar question, or submit your question or concern.

  • Profile Image

    How to create a contact form

    Asked by Angel Castro  on February 24, 2016 at 02:56 AM

    Need to add a Contact Form to our website but need it customized with several fields

    Can you help ?

    Something like this:

    Workers Compensation Insurance Quote Request

    1. Contact Name:

    2. Legal Name of your Entity:

    3. Address:

    4. Phone #

    5. E-mail:

    6. Your line of business (type of work you do):

    7. # of employees:

    8. Estimated Annual Payroll per Job Categories (indicate below)

    a. Your Lines of Business:

    b. Clerical (confined to an office):

    c. Outside Sales:

    c. Drivers:


    Page URL:

  • Profile Image
    JotForm Support

    Answered by beril on February 24, 2016 at 09:10 AM

    You can create your form easily with JotForm. I will show you how to do it. You can drag and drop your fields easily as you see below:

    In addition to that, you can use form templates that are ready-to use forms. You can also modify these form templates.

    I've created a demo form. Feel free to clone it.


    Here is your form:


    If you have any question or issues, please do not hesitate contacting us. We will be glad to assist you.