Vehicle Inspection Report
Auto Examiner or Adjuster's vehicle inspection report form.
PDF (22KB)
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
Notice Of Loss Burglary-Robbery-Theft
A loss report form filled out by an insured when reporting a theft claim to an insurance company. Includes circumstances of the theft, and a list of items claimed as stolen with declared values.
PDF (47KB)
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
Automobile Proof Of Loss
A policyholder must provide this sworn statement in support of an automobile claim. The notarized form documents the date and cause of loss, vehicle identification, settlement amount, and reserves subrogation and other rights of the insurer.
PDF (46KB)
Forms Property & Casualty
FP-1 (11/11) - Dwelling Policy - Basic Form
The Basic Dwelling Policy contains coverages, perils, exclusions and conditions.
PDF (84KB)
Policy Forms
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
Speed Distance Chart
Chart of feet traveled per second relative to speed (mph).
PDF (14KB)
General Reference
No-Fault Automobile Accident Liability States
Currently 12 states and Puerto Rico have no-fault auto insurance laws. Florida, Michigan, New Jersey, New York and Pennsylvania have verbal thresholds. Hawaii, Kansas, Kentucky, Massachusetts, Minnesota, North Dakota and Utah use a monetary threshold.
PDF (13KB)
General Reference
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
Proof Of Loss (Burglary)
A sworn statement by a policyholder on a theft claim which lists the items stolen and their values. Filled out and notarized, this is a formal request by the insured for payment from the insurance company.
PDF (46KB)
Forms Property & Casualty
