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
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
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
Vehicle Inspection Report
Auto Examiner or Adjuster's vehicle inspection report form.
PDF (22KB)
Forms Property & Casualty
Speed Distance Chart
Chart of feet traveled per second relative to speed (mph).
PDF (14KB)
General Reference
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
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
Business Interruption Handbook - Cerro Grande Fire
This Business Interruption Handbook was developed by the Federal Emergency Management Agency and by Pricewaterhouse Coopers' Business Interruption specialists to guide a claimant through the process of preparing and filing a business interruption claim under the Cerro Grande Fire Assistance Act. Useful in handling all non-Cerro Grande business interruption claims as well.
PDF (279KB)
White Papers
Claim Register Sheet
Basic registry form for logging when claims are received and closed.
PDF (83KB)
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
Swimming Pool Injury - Claimant
Statement guideline for interviewing a claimant in a swimming pool injury claim. Includes initial questions and follow up questions based on responses given.
PDF (17KB)
Statement Guides
