A support ticket form with priority levels and troubleshooting context.
Choose HTML for static sites or React for component-based apps. Replace YOUR_FORM_ID with your Rowen endpoint ID.
<formaction="https://rowen.in/api/f/YOUR_FORM_ID"method="POST"class="max-w-lg mx-auto bg-white rounded-2xl shadow-sm border border-gray-200 p-8"><h2 class="text-xl font-bold text-gray-900 mb-6">Support Request</h2><div class="space-y-4"><div><label class="block text-sm font-medium text-gray-700 mb-1">Name</label><input type="text" name="name" class="w-full border border-gray-300 rounded-lg px-4 py-2.5 text-sm focus:outline-none focus:ring-2 focus:ring-[#E14E3A]/20 focus:border-[#E14E3A]" placeholder="Jane Doe" required /></div><div><label class="block text-sm font-medium text-gray-700 mb-1">Email</label><input type="email" name="email" class="w-full border border-gray-300 rounded-lg px-4 py-2.5 text-sm focus:outline-none focus:ring-2 focus:ring-[#E14E3A]/20 focus:border-[#E14E3A]" placeholder="jane@example.com" required /></div><div><label class="block text-sm font-medium text-gray-700 mb-1">Subject</label><input type="text" name="subject" class="w-full border border-gray-300 rounded-lg px-4 py-2.5 text-sm focus:outline-none focus:ring-2 focus:ring-[#E14E3A]/20 focus:border-[#E14E3A]" placeholder="Brief description of your issue" required /></div><div><label class="block text-sm font-medium text-gray-700 mb-1">Priority</label><select name="priority" class="w-full border border-gray-300 rounded-lg px-4 py-2.5 text-sm focus:outline-none focus:ring-2 focus:ring-[#E14E3A]/20 focus:border-[#E14E3A]" required><option value="">Select...</option><option value="Low">Low</option><option value="Medium">Medium</option><option value="High">High</option><option value="Urgent">Urgent</option></select></div><div><label class="block text-sm font-medium text-gray-700 mb-1">Description</label><textarea name="description" rows="4" class="w-full border border-gray-300 rounded-lg px-4 py-2.5 text-sm focus:outline-none focus:ring-2 focus:ring-[#E14E3A]/20 focus:border-[#E14E3A] resize-none" placeholder="Describe the issue in detail..." required></textarea></div><div><label class="block text-sm font-medium text-gray-700 mb-1">Steps Already Tried</label><textarea name="steps_tried" rows="4" class="w-full border border-gray-300 rounded-lg px-4 py-2.5 text-sm focus:outline-none focus:ring-2 focus:ring-[#E14E3A]/20 focus:border-[#E14E3A] resize-none" placeholder="What have you tried so far?"></textarea></div></div><!-- Honeypot (spam protection) --><div style="display:none"><input type="text" name="_gotcha" style="display:none" /></div><button type="submit" class="w-full bg-[#E14E3A] text-white py-3 rounded-lg font-semibold hover:bg-[#c9432f] transition mt-6">Submit Request</button></form>
A support request form template gives your customers a structured way to submit help tickets. With priority levels, detailed descriptions, and a field for steps already tried, this HTML form helps your support team respond faster and with better context. Essential for any product or service with customer support.
Common questions about request form templates.
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