Businesses offering curbside service face a coordination challenge: customers place orders online or by phone, but arrival times vary, parking spots fill up, and staff don’t always know which car to approach with the order.
When pickup logistics break down, customers wait longer, orders go to the wrong vehicles, and teams waste time managing confusion instead of fulfilling requests.
The Curbside Pickup Request Form Template from WPForms gives businesses a way to confirm pickup appointments, collect vehicle details for easy identification, and show customers exactly where to park with an embedded map.
Exploring the Curbside Pickup Request Form Template
This template fits retail stores, quick-service restaurants, grocery stores, pharmacies, libraries, or any business running curbside operations from one or more locations. Here’s what customers fill out:
- Name: Identifies who placed the order so staff can match the pickup to the right customer account.
- Email: Creates a contact channel for order-ready notifications, pickup instructions, or substitution approvals.
- Phone: Gives staff a way to reach the customer when they arrive, if there’s a delay, or if the vehicle description doesn’t match what’s in the parking lot.
- Preferred Pickup Date and Time (Date + Time): Lets customers choose when they’ll arrive so you can batch orders, schedule staff shifts, and avoid pileups during peak hours.
- Order Number / Reference (Single Line Text): Links the pickup request to the original online order, phone order, or reservation so staff can pull the right items from staging.
- Pickup Preferences (Dropdown): Captures how the customer wants to receive their order (trunk drop-off, backseat placement, hand-off at driver window, etc.) to streamline the handoff process.
- Select Nearest Location (Map Field): Shows your store or pickup locations on a map with radio buttons so customers can confirm which site they’re heading to.
- Vehicle Make (Single Line Text): Collects the car brand (Toyota, Ford, Honda) so staff scanning the parking lot can narrow down which vehicle to approach.
- Vehicle Model (Single Line Text): Adds the specific model (Camry, F-150, Civic) for more precise vehicle identification.
- Vehicle Color (Single Line Text): Provides the final detail staff need to spot the right car quickly, especially in crowded lots.
- License Plate Number (Single Line Text): Offers an additional identifier if two customers arrive in similar vehicles at the same time.
- Special Instructions for Curbside Pickup (Paragraph Text): Gives customers space to mention parking space preferences, order modifications, fragile item warnings, or contactless delivery requests.
Customizing the Map Experience (Geolocation Addon + Map Field)
The Select Nearest Location field uses the Map Field to show where customers should go for pickup. You’ll need WPForms Pro or higher and the Geolocation Addon set up with a valid Google Maps or Mapbox API key.
If the key isn’t configured, the map won’t load and autocomplete won’t work. Here’s how to configure the map field based on your setup:
- Single location: Add one address (your store, restaurant, or pickup zone) so customers can see exactly where the curbside area is located, including nearby parking or approach lanes.
- Multiple locations: If you run curbside at more than one site (downtown store, suburban branch, mall kiosk, or partnered pickup hubs), use the repeater tool to add each address.
- Turn on Show List of Locations to display names and addresses under the map.
- Enable Allow Location Selection (requires 2+ locations and the list toggle on) if you want customers to choose their preferred pickup spot. This option locks until both conditions are met.
- Custom markers: Pick an icon and color that matches your brand, or upload a marker image that highlights the curbside zone entrance or designated parking spaces.
- Zoom settings: With one location, you can set zoom manually (0–22). Add two or more locations and the map auto-fits to show all markers; the zoom control disappears.
- Simpler controls: Want a no-frills “here’s where to go” view? Hide fullscreen, map type, street view, camera controls, zoom buttons, or turn off dragging and mouse scrolling.
- Nearby location bias: Flip on “Find Nearby Location” to use the customer’s browser geolocation and suggest the closest pickup spot. This works well if you operate multiple curbside zones across a city or region.
Ready to Run Smoother Curbside Pickups?
This template keeps pickup requests organized, helps staff identify the right vehicles fast, and shows customers exactly where to pull up. Get WPForms Pro to unlock the Map field and Geolocation Addon, then adjust the pickup preferences and location markers to match how your curbside service runs.