splitforms.com

Quote Request · React

Quote Request for React

Lead-capture form for agencies, freelancers, and service businesses. Free for 500 submissions total — no backend, no SDK, no plugin.

  • 500 free total
  • 6 fields ready
  • 60-second setup
Quote Request for React — copy-paste form code

Copy-paste code

Drop into any React project.

Replace YOUR_ACCESS_KEY with your splitforms key, paste into a React page, and ship. No build-time integration required.

Get free access key
Form.tsx
'use client';

import { useEffect, useState, type FormEvent } from 'react';

export default function QuoteForm() {
  const [status, setStatus] = useState<'idle' | 'sending' | 'sent' | 'error'>('idle');

  // splitforms tracker (drop-off analytics + partial leads), loaded once. It
  // finds the form by data-sf-key and adds a hidden sf_sid field to it.
  useEffect(() => {
    const src = 'https://splitforms.com/embed.js';
    if (document.querySelector(`script[src="${src}"]`)) return;
    const script = document.createElement('script');
    script.src = src;
    script.async = true;
    document.body.appendChild(script);
  }, []);

  async function onSubmit(e: FormEvent<HTMLFormElement>) {
    e.preventDefault();
    setStatus('sending');

    // Capture the form now: React clears e.currentTarget once the handler
    // yields at the first await, so calling e.currentTarget.reset() later throws.
    const form = e.currentTarget;
    const data = new FormData(form);
    data.set('access_key', 'YOUR_ACCESS_KEY');
    data.set('subject', 'New quote request');

    const res = await fetch('https://splitforms.com/api/submit', {
      method: 'POST',
      body: data,
      headers: { Accept: 'application/json' },
    });

    const json = await res.json();
    if (json.success && json.payment_url) {
      // Payment form: finish the payment on the secure Stripe page.
      window.location.href = json.payment_url;
      return;
    }
    setStatus(json.success ? 'sent' : 'error');
    if (json.success) form.reset();
  }

  if (status === 'sent') return <p>Thanks — we&rsquo;ll be in touch.</p>;

  return (
    <form data-sf-key="YOUR_ACCESS_KEY" onSubmit={onSubmit}>
      <label htmlFor="name">Name *</label>
      <input id="name" type="text" name="name" placeholder="Jane Builder" required />
      <label htmlFor="email">Email *</label>
      <input id="email" type="email" name="email" placeholder="[email protected]" required />
      <label htmlFor="phone">Phone *</label>
      <input id="phone" type="tel" name="phone" placeholder="+1 415 555 0142" required />
      <label htmlFor="company">Company</label>
      <input id="company" type="text" name="company" placeholder="Acme Inc" />
      <label htmlFor="budget">Budget *</label>
      <select id="budget" name="budget" required>
        <option value="">Choose…</option>
        <option>&lt; $5k</option>
        <option>$5k–$15k</option>
        <option>$15k–$50k</option>
        <option>$50k+</option>
      </select>
      <label htmlFor="project">Tell us about the project *</label>
      <textarea id="project" name="project" placeholder="Goals, timeline, anything we should know." required />

      <button type="submit" disabled={status === 'sending'}>
        {status === 'sending' ? 'Sending…' : 'Send'}
      </button>

      {status === 'error' && <p>Something went wrong. Try again.</p>}
    </form>
  );
}

React + Quote Request

Built for React developers who hate operating a backend.

React ships nothing for form delivery — it's a view layer. The historical options are an Express server you stand up just for POST /api/contact, a Vercel serverless function with SMTP wiring, or a third-party library like Formik that still leaves the backend problem unsolved. The quote request on this page uses useState for submit state and a plain fetch POST to splitforms — no form library, no context provider, no wrapper component. It works in Create React App, Vite, Remix, and every React bundler because it's just standard FormData and the Fetch API.

  • 500 form submissions total, free to start
  • Unlimited forms on every plan, including Free
  • Spam protection — honeypot plus a rule-based filter
splitforms as the form backend for React

Quote Request fields

What every field actually does.

The posted payload contains name, email, phone, company, budget, tell us about the project. Required fields are name, email, phone, budget and tell us about the project. Rename, remove, or add your own — splitforms accepts any name you POST.

  • Name — Greeting + dashboard label so submissions don't all read 'anonymous'.
  • Email — Reply-to address — splitforms wires this so hitting reply goes back to the sender.
  • Phone — Faster qualification — phone leads convert ~3× higher than email-only on B2B forms.
quote request fields in the splitforms dashboard

Template playbook

The reason this quote request exists.

Independent insurance brokers compete with direct carriers (Geico, Progressive, State Farm) and lead-gen platforms (LendingTree Insurance, EverQuote) — the win is speed-to-quote and personal touch. Brokers earn 10-15% commission on auto/home premiums and 50-100%+ on life policies (year-1). The form captures line of business (auto / home / life / business / umbrella / multi-line), current carrier, renewal date, and basic data (driver count / property address / business revenue depending on line). Speed matters: quotes delivered within 4 hours of inquiry close at 35-45%, vs 10-15% for next-day quotes. Webhook into AgencyZoom / EZLynx / Applied Epic so the AMS pre-loads the quote workflow.

  • Capture line of business
  • Branch by line
  • Quote within hours
Quote Request playbook for React

Setup

Generate, embed, receive.

Three actions stand between you and your first quote request submission — no backend, no database, no CAPTCHA library.

Generate a free splitforms key

Sign in at splitforms.com — your access key is created instantly. No credit card, no setup wizard, no SDK to install.

Paste the quote request into your React project

Drop the form snippet into a React page, component, or layout. Replace YOUR_ACCESS_KEY with the key from your dashboard. The form action is a hard-coded URL — no env vars or build-time wiring needed.

Receive submissions

Dashboard updates live on Free. Free includes owner email delivery; paid plans add signed webhooks, CSV export, Slack/Discord forwarding, and BCC to your team.

How SplitForms works

What happens after someone submits your form?

splitforms receives the submission, filters spam, saves it to your dashboard and emails you — then, on paid plans, sends it on to your webhooks and integrations. No backend infrastructure to build.

A SplitForms contact form submission launching straight to your inbox

Add your endpoint

Point your form to your unique SplitForms endpoint. That's it.

HTML form pointing at a SplitForms submit endpoint

Receive submissions

We instantly capture and organize every submission in your inbox.

Submissions inbox with searchable leads and status pills

Route anywhere

Send data to email, spreadsheets, CRMs, webhooks, and 7,000+ apps.

Generic integration tiles for email, sheets, chat, CRM, automate, and webhook

No credit card required. Set up in under 60 seconds.

Connect & automate

Where can submissions go besides email?

On paid plans, submissions can also go to Slack, Discord, Google Sheets, Notion, Airtable, Zapier or any signed webhook — and splitforms works on the platforms you build on, from WordPress and Shopify to Next.js. With Stripe connected, your forms can take payments too.

Connect your SplitForms form to Slack, Google Sheets, Mailchimp, Zapier and more
NewTake payments on your formsDeposits, bookings, order forms — submitters check out through Stripe and the money goes straight to your Stripe account. Included on every paid plan.See plans →

Setup guides for the stacks you use

Common questions

Quote Request on React — answered.

View all FAQs
Does this quote request work on React?

Yes. The form is plain HTML with a single POST endpoint, so it runs on any React site without server-side code, plugins, or SDKs. Drop the snippet into a React page or component and submissions land in your splitforms dashboard.

How much does the quote request cost on React?

Free for 500 submissions — no credit card, no time limit. Pro is $5/mo for 5,000 submissions a month, and Annual is $49/year for 15,000 submissions a month. The same pricing applies regardless of which framework hosts the form.

Can I customize the fields?

Yes. The template ships with sensible defaults (name, email, phone, company…) — add, remove, or rename any of them. Splitforms accepts whatever fields you POST.

How does spam protection work on the quote request?

A hidden honeypot field catches dumb bots, and a rule-based filter scores the rest; anything that looks like spam goes to a separate Spam tab instead of your inbox. No CAPTCHA, no friction for human users — and it works the same on React as on any other framework.

Can I send the quote request submissions to Slack or Discord?

Yes. Webhooks are available on paid plans, with auto-formatted payloads for Slack, Discord, and WhatsApp (via CallMeBot). Or send raw signed JSON to any URL — Zapier, n8n, your own server. Configure in the splitforms dashboard.

Will it work on a static React site?

Yes — the form posts directly to splitforms from the browser, so no server is involved. Works on Vercel, Netlify, GitHub Pages, Cloudflare Pages, S3, or any plain Apache host.

How do I route by line of business?

The line-of-business multi-select drives the webhook branch. Auto/home (P&C) goes to one Slack channel and AMS workflow; life goes to another (often a different licensed producer); commercial / business goes to a third. Most agencies have specialists per line — the form respects that org structure.

Do I need to mention E&O on the form?

Not on the form itself, but the auto-responder and quote PDFs should reference your agency's E&O coverage and licensing. State insurance departments require disclosure of license numbers in marketing — add to the site footer at minimum, the form's thank-you page ideally.

Can I integrate with AgencyZoom / EZLynx / Applied Epic / Vertafore?

Yes — webhook the JSON. AgencyZoom and EZLynx accept inbound leads via direct webhooks; Applied Epic and Vertafore (HawkSoft) accept via Zapier or their respective AMS APIs. The quote pre-loads with line, current carrier, and renewal date — saves the producer 5-10 minutes per quote.

Simple pricing

How much does splitforms cost?

Free gives you 500 submissions for $0 — no card, no time limit. Pro is $5/month for 5,000 submissions a month, and Annual is $49/year for 15,000 a month with every Pro feature.

Free

$0— 500 submissions
 

No card, no time limit

Best for testing

For side projects and indie devs.

  • 500 free submissions
  • Unlimited forms
  • Email notifications included
  • Smart spam filtering
  • Submissions dashboard
  • Redirect after submit
  • MCP server included

Annual

$49/ year
About $4.08/mo, billed yearly
Best value

Every Pro feature with triple the volume — $0.27 per 1,000 at full use.

  • 15,000 submissions / mo
  • Unlimited forms
  • Everything in Pro
  • File uploads with 5 GB storage
  • 3 team seats
  • Priority email support

No credit card required on Free • Cancel anytime • Full pricing and FAQ