Insurance Claims Documents (Page 14)

Red Flags Of Workers' Compensation Claims

PDF (50 KB) General Reference

File Reassignment Letter

Form letter used to notify insured of reassignment of a claims handler.

PDF (26.939 KB) Letters

Landlord/Tenant Subrogation in All 50 States (9/16)

The ability of a landlord’s property insurer to subrogate against a tenant for property damage caused by the negligence of the tenant depends on which state the loss occurs in and the nature and language of the lease involved. Understanding when, where, and why such subrogation actions by a landlord’s insurer against a tenant are permitted or prohibited is critical to maximizing property subrogation recoveries and is the focus of this chart.

PDF (42 KB) Legal Reference

Release Of All Claims (Spanish)

A full release form which is signed by claimants and releases insureds 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.

PDF (80 KB) Forms Property & Casualty

Automobile Accident Report (Spanish)

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 (97 KB) Forms Property & Casualty

Medical Authorization (HIPAA Compliant) (Spanish)

Authorization form for disclosure of medical records, in compliance with HIPAA requirements.

PDF (76 KB) Forms Property & Casualty

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 (46 KB) Forms Property & Casualty