Submit expenses for reimbursement.
Exactly what visitors will see on your site
Every field in this template, ready to use out of the box.
Name
text · required
email · required
Date
date · required
Category
select · required
Amount
text · required
Description
textarea · required
Receipt
file · required
Choose HTML for static sites or React for component-based apps. Replace YOUR_FORM_ID with your Flowqen endpoint ID.
<formaction="https://flowqen.com/api/f/YOUR_FORM_ID"method="POST"class="max-w-xl mx-auto rounded-[30px] border border-stone-200 bg-white px-6 py-7 shadow-[0_24px_80px_rgba(43,31,25,0.08)] sm:px-8"><h2 class="text-2xl font-semibold tracking-tight text-stone-900 mb-6">Expense Report</h2><div class="space-y-4"><div><label class="mb-1.5 block text-sm font-medium text-stone-700">Name</label><input type="text" name="employeeName" class="w-full rounded-2xl border border-stone-300 bg-stone-50 px-4 py-3 text-sm text-stone-900 outline-none transition focus:border-[#E14E3A] focus:ring-4 focus:ring-[#E14E3A]/12" placeholder="John Doe" required /></div><div><label class="mb-1.5 block text-sm font-medium text-stone-700">Email</label><input type="email" name="email" class="w-full rounded-2xl border border-stone-300 bg-stone-50 px-4 py-3 text-sm text-stone-900 outline-none transition focus:border-[#E14E3A] focus:ring-4 focus:ring-[#E14E3A]/12" placeholder="john@company.com" required /></div><div><label class="mb-1.5 block text-sm font-medium text-stone-700">Date</label><input type="date" name="expenseDate" class="w-full rounded-2xl border border-stone-300 bg-stone-50 px-4 py-3 text-sm text-stone-900 outline-none transition focus:border-[#E14E3A] focus:ring-4 focus:ring-[#E14E3A]/12" required /></div><div><label class="mb-1.5 block text-sm font-medium text-stone-700">Category</label><select name="category" class="w-full rounded-2xl border border-stone-300 bg-stone-50 px-4 py-3 text-sm text-stone-900 outline-none transition focus:border-[#E14E3A] focus:ring-4 focus:ring-[#E14E3A]/12" required><option value="">Select...</option><option value="Travel">Travel</option><option value="Meals">Meals</option><option value="Office Supplies">Office Supplies</option><option value="Software">Software</option><option value="Other">Other</option></select></div><div><label class="mb-1.5 block text-sm font-medium text-stone-700">Amount</label><input type="text" name="amount" class="w-full rounded-2xl border border-stone-300 bg-stone-50 px-4 py-3 text-sm text-stone-900 outline-none transition focus:border-[#E14E3A] focus:ring-4 focus:ring-[#E14E3A]/12" placeholder="$150.00" required /></div><div><label class="mb-1.5 block text-sm font-medium text-stone-700">Description</label><textarea name="description" rows="4" class="w-full rounded-2xl border border-stone-300 bg-stone-50 px-4 py-3 text-sm text-stone-900 outline-none transition focus:border-[#E14E3A] focus:ring-4 focus:ring-[#E14E3A]/12 resize-none" placeholder="Brief description..." required></textarea></div><div><label class="mb-1.5 block text-sm font-medium text-stone-700">Receipt</label><input type="file" name="receipt" class="w-full rounded-2xl border border-stone-300 bg-stone-50 px-4 py-3 text-sm text-stone-900 outline-none transition focus:border-[#E14E3A] focus:ring-4 focus:ring-[#E14E3A]/12" required /></div></div><!-- Honeypot (spam protection) --><div style="display:none"><input type="text" name="_gotcha" style="display:none" /></div><button type="submit" class="mt-6 w-full rounded-2xl bg-[#E14E3A] py-3 text-sm font-semibold text-white transition hover:bg-[#c9432f]">Submit</button></form>
An expense reimbursement form with receipt upload, category, and amount.
Common questions about hr form templates.
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