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
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
Property Arbitration Filing Form
A property subrogation arbitration form.
DOC (55KB)
Forms Property & Casualty
Newton's Three Laws Of Motion
Newton's Three laws of Motion, fundamental laws of physics.
PDF (21KB)
General Reference
Daily Time Sheet
A daily time sheet to record claims work, hours, mileage and expenses.
PDF (91KB)
Forms Property & Casualty
Corporation Release
A release and indemnity agreement for a corporation, which releases insurer from 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.
PDF (26KB)
Forms Property & Casualty
Notice Under Subrogation Rights
Claim form used to notify an individual of subrogation rights of an insurer for an auto insurance loss.
PDF (13KB)
Forms Property & Casualty
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
Worksheet Contents Personal Property FEMA Form 086-0-6 (4/17)
The adjuster and the policyholder list and assess the inventory of flood-damaged personal property on this form.
PDF (471KB)
Forms Flood
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 (56KB)
Diagrams
Vehicle Fire - Investigating Officer
Statement guideline for interviewing the investigating officer in a vehicle fire claim. Includes initial questions and follow up questions based on responses given.
PDF (15KB)
Statement Guides
New York - Police Accident Report Codes MV-104COV (11/13)
Decipher motor vehicle accident reports in New York with ease using the MV-104COV (11/13) code sheet, a vital resource for claims adjusters and legal professionals. This document lays out crucial codes for assessing accident locations, conditions, vehicle types, damages, and injuries, streamlining the analysis of complex accident reports for efficient claims resolution.
PDF (188KB)
Crash Reports
