FIGR / UI TEMPLATE
Guide policyholders through incident details, affected property, supporting evidence, witnesses, and payout information when filing a claim.
This form reference covers insurance & claims. Its sample screen includes Incident details and Damage assessment and the Submit claim action. Adapt its workflow to your product and design system.

BUILD ON THIS
Explore this screen, then bring in your own product and design system to shape the next version.
Form
Submit claim
Claims submission
Default, loading, empty, error, permission, success
Adaptable product UI theme
The claims submission screen supports “Submit claim” while keeping incident and damage in view. It should show the current state even when data is missing or access is restricted.
Incident → Damage → Submit claim → Review result
Claims submission, Incident, Damage, permission handling, error recovery
State input requirements before the user submits the form
In this example, Incident details 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
Design a claims submission screen for an existing insurance & claims product. Use our actual design system, components, and content rules. Cover Incident and Damage, include believable records such as Incident details, and make "Submit claim" easy to find. Map empty, loading, error, permission, and success states. Keep the result editable in Figma.
KEEP EXPLORING
Browse other product UI examples, compare patterns, and pick the direction that suits your product.