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
File Reassignment Letter
Form letter used to notify insured of reassignment of a claims handler.
PDF (26.939KB)
Letters
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
Economic Loss Doctrine In All 50 States
The Economic Loss Doctrine explained as it has been applied in all 50 states, an educational reference for subrogation professionals.
PDF (97KB)
Legal Reference
Subrogation Letter To Individual/Business (Spanish)
A subrogation letter sent to an at-fault party requests reimbursement for automobile losses paid to insured.
DOC (25KB)
Letters
Statement Of Loss With Enclosures
An adjuster's statement of a loss using Schedules A, B & C, that includes enclosures.
PDF (61KB)
Forms Property & Casualty
Prescription Abbreviations
A list of medical abbreviations commonly found on prescriptions.
PDF (20KB)
Medical Reference
Auto Theft Loss Checklist
Similar to form number 9221F, this checklist lists the steps that an adjuster should take when handling an auto theft claim.
PDF (25KB)
General Reference
Request For Contact (Spanish)
Form letter requesting claimant to contact adjuster.
DOC (90KB)
Letters
Human Internal Organ Chart
A visual chart showing the placement of the stomach, intestines, lungs, heart, galbladder and other human internal organs.
PDF (290KB)
Medical Reference
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 (47KB)
Forms Property & Casualty
