First notice of loss (FNOL) template
Report a claim, then work it through to a decision.
The policy on the first page, the loss on the second, so a policyholder is never faced with everything at once. Loss type and policy number are indexed for triage, and the workflow runs from reported to a decision — with a way back from declined, because the commonest thing that happens to a declined claim is new evidence.
Free on every plan. Opens in the builder as an editable draft — nothing is published until you say so.
Used for insurance claims intake — Claims from policyholders and brokers, with calculated estimates, approvals and a trail that survives a dispute.
What’s in the form
12 fields, over 2 steps — every one editable once the template is yours.
The policy
- Policyholder name *
- Policy number *
- Email *
- Phone *
The loss
- Type of loss *
- Date of loss *
- Rough estimate
- Where did it happen? *
- What happened? *
- Police or fire report made? *
- Report number, if any
- Photos and documents
Included workflow
What happens after someone submits
A submission lands in the first state and moves through the rest — each move is a named, permissioned act, and every one of these states and moves is editable.
- Acknowledge — Reported → Acknowledged
- Assign adjuster — Acknowledged → With an adjuster
- Approve — With an adjuster → Approved
- Decline — With an adjuster → Declined
- Reopen — Declined → With an adjuster
Questions
The first notice of loss (FNOL) template, answered
What picking this template does and does not commit you to.
Is the first notice of loss (FNOL) template free?
Yes — free on every plan. It opens in the builder as an editable draft in your own account, and nothing is published until you choose to publish it.
Can I change the fields in the first notice of loss (FNOL) template?
All of them. The template is an ordinary draft form: add, remove or reword any of its 12 fields across 2 steps, then publish when it reads right.
What does the included workflow do?
A submission lands in “Reported” and moves through the included states — Reported, Acknowledged, With an adjuster, Approved, Declined. Every state and move is editable before you publish.
How do people fill it in?
Publish the form and share its public link — submitters need no account and are never a paid seat. Rotate the link at any time to revoke it.
More templates
Each one opens the same way: an editable draft in your own account, free on any plan.
Make the first notice of loss (FNOL) form yours
One click loads it into the builder as a draft in your own account — edit anything, then publish a public link when it reads right.
No card required.