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Explore all the solutions you can create with Paperform: surveys, quizzes, tests, payment forms, scheduling forms, and a whole lot more.
See all solutions
Connect with over 2,000 popular apps and software to improve productivity and automate workflows
See all integrations
For insurance brokers, agents, and business partners, managing commercial insurance referrals efficiently is key to growing your revenue and serving clients effectively. This Commercial Insurance Broker Referral Form is designed specifically for insurance professionals who need a structured, professional way to capture qualified leads with all the essential information upfront.
Whether you're an independent broker, work with a network of referral partners, or manage an agency team, this template helps you collect comprehensive business details, coverage requirements, and risk factors in one streamlined form. The template includes fields for business classification, employee counts, revenue ranges, current coverage details, and specific risk assessment questions—ensuring you have everything needed to provide accurate quotes and recommendations.
The form uses conditional logic to adapt questions based on business type and coverage needs, making it relevant for prospects across industries—from retail and professional services to construction and manufacturing. Premium calculations and commission structures can be clearly communicated, helping referral partners understand the value of quality leads.
Take your referral program further by connecting this form to Stepper, Paperform's AI-native workflow automation platform. When a referral is submitted, automatically route it to the right underwriter or agent, log it in your CRM, send follow-up emails to the prospect, notify your referral partner, and track commission eligibility—all without manual data entry.
Paperform's built-in payment integrations let you collect application fees or deposits right in the form, while Stepper can help you track and manage commission payouts to referral partners based on closed policies. Everything stays connected and transparent, building trust with your referral network.
With SOC 2 Type II compliance, customizable branding, and powerful integrations with CRMs like HubSpot and Salesforce, Paperform gives insurance professionals the security and flexibility they need. Create a referral experience that reflects your brand, captures quality leads, and turns partners into your best source of new business.
Start using this template today to build a referral program that drives consistent, qualified commercial insurance opportunities.