Life Insurance Application Form Template

Customize template

123FormBuilder is a versatile tool for building forms and surveys, trusted by users in over 185 countries. You can personalize this life insurance application form template in any way you want, without having to write a single line of code. Furthermore, you can add your own logo, change the form's theme, drag & drop additional fields, use multiple recipients, secure submissions, and more.

Publish template

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123FormBuilder's web forms are mobile-responsive and work on all devices. And you can publish your life insurance application form anywhere online with simple copy and paste. Publishing options include JavaScript, HTML or iFrame embed, as well as a variety of popup lightboxes and more.

Collect & manage data

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Streamline responses over a secure SSL connection that this life insurance application form comes with. Manage all entries in a dedicated database from where you can export your entries in CSV, PDF and Excel. Connect this life insurance application form with various third-party apps, such as Google Drive, Dropbox and MailChimp. You can also build reports with widgets and grahps that highlight valuable insights.

Optimize your flow

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Paper forms are from the past. With 123FormBuilder, you can create amazing online life insurance application forms that speed up the data collection process. Each time someone will complete your life insurance application form, you will be notified by email or SMS immediately. Get the best out of life insurance application forms with 123FormBuilder.