Claims Pages
claimspages

Memorandum For Appraisal

Memorandum for Appraisal is used in property damage situations where insured and insurer disagree on actual cash value, and is binding on the parties as to the amount of loss.
  PDF (35KB) Forms Property & Casualty

Medical Terminology Chart

A chart of common medical terms and their meanings.
  PDF (20KB) Medical Reference

Parent/Guardian Release

This legal form for Parent/Guardian releases an insurer from any liability or indemnity claim for damages or injuries resulting from an accident involving a minor in exchange for a monetary settlement.
  PDF (25KB) Forms Property & Casualty

Inland Marine Proof Of Loss

Inland Marine Proof of Loss form is a legal document to be completed by an insured in support of a claim.
  PDF (33KB) Forms Property & Casualty


Car Evaluation Analysis

Appraisal form used to determine a vehicle's value after a total loss by considering the book value and local market value (dealer quotes). Add or deduct value using a comparable vehicle model, noting trim, paint, glass, tires, power options, mechanical condition and cleanliness.
  PDF (126KB) Forms Property & Casualty

Product Liability - Manufacturer/Distributor

Statement guideline for interviewing the manufacturer or distributor in a products liability claim. Includes initial questions and follow up questions based on responses given.
  PDF (13KB) Statement Guides

Commercial Property Theft - Corporate Officer/Owner

A comprehensive statement guideline for interviewing a corporate officer in a commercial property theft claim. Includes questions on personal data, employment and income, company information, loss circumstances, theft details, and additional information.
  PDF (18KB) Statement Guides



Deductible Reimbursement Laws In All 50 States

A summary of the laws and regulations in each state with regard to whether there is a duty or obligation on the part of a subrogated carrier to reimburse any or all of its insured’s deductible to its insured before it can successfully subrogate or seek reimbursement of its claim payments.
  PDF (93KB) Legal Reference

Auto Theft Checklist

Details the steps that an adjuster should take when handling an auto theft claim. It also contains links to other related forms such as a reservation of rights letter, a non-waiver agreement, and an investigating officer statement guideline.
  PDF (12KB) Checklists


Claimant's Report Of Accident

This report form is given to claimants to record the details of an accident. Includes accident location, property damage, vehicle occupants, witnesses and an accident diagram.
  PDF (76KB) Forms Property & Casualty
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