Claims Pages
claimspages

General Authorization

This form authorizes release of information, and requires a notary signature.
  PDF (17KB) Forms Property & Casualty

Accident Scene Diagram - Roundabout

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 roundabout.
  DOC (2155KB) Diagrams

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

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

FP-1 (11/11) - Dwelling Policy - Basic Form

The Basic Dwelling Policy contains coverages, perils, exclusions and conditions.
  PDF (84KB) Policy Forms

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 (15KB) Statement Guides

Special Arbitration Filing Form

The special arbitration form identifies the parties and allegations involved in a dispute, and lists supporting evidence.
  DOC (52KB) 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 (25KB) Forms Property & Casualty

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

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 (15KB) Statement Guides

Staircase Slip And Fall - Witness

Statement guideline for interviewing a witness to a staircase slip and fall. Includes initial questions and follow up questions based on responses given.
  PDF (15KB) Statement Guides


Accident Scene Diagram - 3-Lane Highway Intersection

This Microsoft Word template allows users to sketch an accident scene by adding and resizing a variety of objects including roadways, vehicles, traffic signs and other symbols in a 3-lane highway intersection.
  DOC (221KB) Diagrams

Vehicle Fire - Witness

Statement guideline for interviewing a witness to a vehicle fire. Includes initial questions and follow up questions based on responses given.
  PDF (17KB) Statement Guides

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