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

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


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

Automobile Accident Report

Report form that is given to vehicle owners and drivers to capture the details of an accident. Includes occupants, injuries, property damages and witnesses.
  PDF (70KB) 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

Arbitration Contentions Sheet

The Arbitration Contentions form lists supporting evidence and damage amount in dispute, and is used by both the filing applicant and the respondent.
  DOC (28KB) 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


State Minimum Liability Limits

Minimum car insurance liability requirements per state.
  PDF (13KB) Legal Reference

Claim Register Sheet

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

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
Monty Fire Investigations LLCSeekNowNationwide Overspray