FIGR / UI TEMPLATE

Benefits Application

Apply for public benefits with household, income, expenses, eligibility evidence, documents, interview needs, declarations, and submission review.

This form reference covers public services. Its sample screen includes Applicant and household and Income and expenses and the Submit application action. Adapt its workflow to your product and design system.

Benefits Application

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At a glance

Screen

Form

Primary action

Submit application

Pattern

Benefits Application form

State

Default, loading, empty, error, permission, success

Design system

Adaptable product UI theme

What this screen helps with

The benefits application screen supports “Submit application” while keeping household and income in view. It should show the current state even when data is missing or access is restricted.

What to look for

  • Primary action: Submit application
  • Main area: Household brings the user to the relevant workflow
  • Related area: Income keeps nearby context accessible
  • Sections: 6 in the sample screen
  • Documents: 7 in the sample screen
  • Example 1: Applicant and household
  • Example 2: Income and expenses
  • Input: Program

States to consider

  • Default: Show the main workflow and its available next step
  • Loading: Disable duplicate submits while keeping entered values visible
  • Empty: Show required inputs and help people start without a blank form
  • Error: Keep filled fields and identify the exact problem to fix
  • Access: Show which actions require a role or permission
  • Success: Confirm the result after Submit application and say what happens next

Where it fits

Household → Income → Submit application → Review result

Patterns in this screen

Benefits Application form, Household, Income, permission handling, error recovery

UX choices to review

State input requirements before the user submits the form

In this example, Applicant and household is one of the records worth checking. Keep the sample data clearly separate from a live system.

Keep progress and entered values when people move between steps

Show clear permission, validation, and recovery states near the affected control

Try a similar screen in Figr

Design a benefits application screen for an existing public services product. Use our actual design system, components, and content rules. Cover Household and Income, include believable records such as Applicant and household, and make "Submit application" easy to find. Map empty, loading, error, permission, and success states. Keep the result editable in Figma.

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