Claims Pages
claimspages

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 (79 KB) Forms Property & Casualty

Certificate Of Satisfaction

The insured signs this form which certfies his/her satisfaction with damage repairs performed, directs claim payment to that service provider, and closes the claim.
  PDF (25 KB) Forms Property & Casualty

Special Arbitration Filing Form

The special arbitration form identifies the parties and allegations involved in a dispute, and lists supporting evidence.
  DOC (52 KB) Forms Property & Casualty


Newton's Three Laws Of Motion

Newton's Three laws of Motion, fundamental laws of physics.
  PDF (21 KB) General Reference

Auto Repossessions Checklist

List of steps to take when handling a claim that includes automobile repossession by a lienholder who reports damage to the vehicle.
  PDF (25 KB) General Reference


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 (16 KB) Statement Guides

Kitchen Diagram

This Microsoft Word template allows users to add and resize a variety of objects including walls, windows, refrigerators, stoves, dishwashers, and tables.
  DOC (56 KB) Diagrams

Homeowner Theft - Investigating Officer

Statement guideline for interviewing the investigating officer in a residential theft claim. Includes initial questions and follow up questions based on responses given.
  PDF (15 KB) Statement Guides

Commercial Property Theft - Investigating Officer

Statement guideline for interviewing the investigating officer in a commercial property theft claim. Includes initial questions and follow up questions based on responses given.
  PDF (15 KB) Statement Guides

Adjusters Report/Certification

The Adjusters Report/Certification documents the insured property's location, date and type of loss, and summarizes replacement cost and A.C.V. for buildings, structural, contents and additional living expense, with line item detail.
  PDF (47 KB) Forms Property & Casualty

Human Internal Organ Chart

A visual chart showing the placement of the stomach, intestines, lungs, heart, galbladder and other human internal organs.
  PDF (290 KB) Medical Reference

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 (70 KB) Forms Property & Casualty