Payment Request Form Template

Send the payment amount, payee, due date, and approval details.

Create a Heapform endpoint

Request Forms

How to use this template

Use this template for internal payment approvals, vendor payouts, and invoice payment requests.

1Create the endpointCreate a payment request form in Heapform and copy the form slug.
2Paste the slugReplace YOUR_FORM_SLUG in the action URL so submissions reach the right form.
3Publish and testAdd the HTML to your site, send one test submission, and confirm it appears in Heapform.

Fields included

Requester nameText
EmailEmail
Payment amountText
CurrencySelect
Invoice or reference IDText
Due dateDate
Payment purposeTextarea

Rendered HTML

FAQ

Common questions

A few practical notes before you paste this template into your site.

Ready to make it live?

Create your endpoint, paste the form code, and receive submissions in Heapform.