Free unlimited HIPAA accounts for coronavirus responders

You’ve taken care of us. Now let us take care of you. Coronavirus responders can get free, unlimited JotForm accounts.

Apply for the Coronavirus Responder Program

To apply, submit your details through the application form below.

We will manually review each application and respond with instructions on how to proceed.

To apply for your discount, please fill out the form below.
In order to proceed, you should Sign-Up / Login

Disclaimer: All healthcare organizations, nonprofits, and government organizations must fill out the application form to apply for the Coronavirus Responder Program. If you’re an existing paid user and get approval for the Coronavirus Responder Program, you will continue to pay your usual fee, but your account will become unlimited at no additional charge. This offer is not available for Enterprise users. The Coronavirus Responder Program will end 1 March, 2022.

More than 10 million users have created over 15 million forms with JotForm.