Claims Pages
claimspages

Complete Release Of All Claims (Spanish)

A full release and indemnity agreement which is signed by claimants and releases insurer from bodily injury and property damage liability which arose out of an accident, casualty or event. The release form identifies all parties to a claim, states the date and location of the event, and details the terms of settlement of a claim. The release contains a statement that, as a condition of the settlement, prevents any further claim or legal action against the insurer, or any other parties, for the event, and against the release.
  PDF (95KB) Forms Property & Casualty

Assignment Sheet

Generic form for assigning an automobile claim to an independent adjuster for investigation and handling. The form lists the insurance company, insured, claimant, endorsements, vehicle details, date and description of loss, and contact information for all parties involved.
  PDF (47KB) Forms Property & Casualty

Automobile Accident Promissory Note

Customized automobile subrogation promissory note which allows the insurance company to notify DMV/BMV in case of default by the tortfeasor.
  PDF (17KB) Forms Property & Casualty

Living/Family Room Diagram

This Microsoft Word template allows users to add and resize a variety of objects including walls, windows, couches, chairs, and tables.
  DOC (68KB) Diagrams

Release With Medical Agreement

This is a contract that releases an insurer from any legal and financial responsibility for injury and liability claims after a specified time period and medical expense settlement amount is agreed upon.
  PDF (28KB) Forms Property & Casualty

Alabama - Uniform Traffic Crash Report: AST-27 (6/08)

The Alabama Traffic Uniform traffic crash report describes the persons, vehicles and circumstances involved, and contains a crash diagram. It includes a code legend and a Truck/Bus Supplement sheet.
  PDF (240KB) Crash Reports

Vehicle Bill Of Sale

The vehicle bill of sale is a document that records transaction between buyer and seller. Bill of sale includes vehicle type, make, year, vehicle identification number (VIN) and purchase price.
  PDF (20KB) Forms Property & Casualty

4 Column Adjuster Worksheet

Financial worksheet for calculating a repair estimate, with one column to itemize losses, and 4 columns for replacement cost, quantity or age, depreciation, and actual cash value.
  PDF (79KB) Forms Property & Casualty

Adjuster's File Invoice

An invoice form used by independent adjusting firms that lists claims investigation expenses billable to the client insurance company.
  PDF (48KB) Forms Property & Casualty

Snow/Ice Slip And Fall - Witness

Statement guideline for interviewing a witness to a slip and fall claim involving snow/ice. Includes initial questions and follow up questions based on responses given.
  PDF (16KB) Statement Guides

Claim Register Sheet

Basic registry form for logging when claims are received and closed.
  PDF (83KB) Forms Property & Casualty

Speed Distance Chart

Chart of feet traveled per second relative to speed (mph).
  PDF (14KB) General Reference

State Drunk Driving Laws Illegal Blood Alcohol Content

Illegal blood alcohol content per state drunk driving laws.
  PDF (13KB) Legal Reference

Automobile VIN Decoding Chart

A unique code of numbers and letters comprise a motor vehicle's Vehicle Identification Number. The VIN indicates the country of origin, manufacturer, plant, vehicle type, make and model, year, engine size, overall dimensions, trim package, brakes and tires, warranty and safety restraints.
  PDF (16KB) General Reference

Monty Fire Investigations LLCKelmar GlobalWeller Salvage