Claims Pages
claimspages

Coinsurance Definition And Formula

Coinsurance formula and sample calculation for a property claim where the insured did not maintain the required minimum coverage (usually 80% of value) on a structure.
  PDF (38KB) General Reference

Release Of All Claims

A full release form which is signed by claimants and releases insureds 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.
  PDF (28KB) Forms Property & Casualty

Accident Scene Diagram - T - Intersection

This Microsoft Word template allows users to sketch an accident scene by adding and resizing a variety of objects including roads, vehicles, traffic signs, road signals and other symbols and figures in a T-intersection.
  DOC (2286KB) Diagrams

Non-Waiver Agreement / Reservation Of Rights

The non-waiver agreement is signed by the policyholder; its purpose is to protect the insurer. Insurer reserves all of its rights under the policy to investigate and defend a claim without admission of any liability for loss.
  PDF (36KB) Forms Property & Casualty

Automobile Arbitration Contentions Sheet

An Arbitration Forums, Inc. form which is used by insurance companies when submitting an automobile claim for subrogation. The contentions sheet sets forth the legal argument that the claim is owed, and lists the evidence supporting that argument.
  DOC (28KB) Forms Property & Casualty

Subrogation Receipt

A subrogation receipt is signed by the insured upon payment of a claim, and assigns the insurer to the right to recovery for the loss.
  PDF (27KB) Forms Property & Casualty

Vehicle Inspection Report

Auto Examiner or Adjuster's vehicle inspection report form.
  PDF (22KB) Forms Property & Casualty


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

Property Arbitration Contentions Sheet

A property subrogation arbitration form.
  DOC (28KB) Forms Property & Casualty


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

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
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