Free Refund Request Form Template Template

Give customers one clean place to request a refund instead of scattered emails and DMs. This template captures the order number, reason, amount and contact details so your team can verify the purchase and process the refund quickly.

Build your free Refund Request Form Template How it works

Free · no code · ready in seconds with AI

Best for

Used by online stores, Shopify sellers, and customer support teams to intake and track refund and return requests from buyers.

Build it in seconds — describe it or start from this template
On-brand design, not a plain grey form
Responses in one inbox + CSV export
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Refund Request Form Template

Template preview — 8 fields

Full Name *

Your answer…

Email Address *

you@example.com

Order Number *

Your answer…

Purchase Date

Select a date

Reason for Refund *

Item Damaged or Defective ▾

Refund Amount Requested (USD) *

Additional Details

Your answer…

Upload a Photo (optional)

⬆ Upload a file

Submit

Refund Request Form Template template — questions

How do I use this Refund Request Form Template?

Describe the refund form you want to OneSol's AI or start from this template, then publish it in one click. Share the link or embed it on your store's returns page, and every request lands in your inbox with an email alert — free, and no code needed.

Can customers attach a photo of a damaged item?

Yes. The template includes an optional file upload so buyers can attach a photo of a damaged or incorrect item, which helps your team verify the issue and approve the refund faster.

Is the Refund Request Form Template free?

Yes, it's completely free — no watermark, no code, and no credit card required to publish it and start collecting refund requests.

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