Receipt & Release Medical Payments Coverage
This form is signed by those who qualify as insureds under a policy when collecting medical payments coverage. Used as both a receipt and a release.
PDF (21KB)
Forms Property & Casualty
Death Claims Investigation Checklist
A checklist helpful for establishing whether an insured is dead or alive, with research techniques to identify motives in possible cases of life insurance fraud.
PDF (51KB)
General Reference
PIP Wage & Salary Verification
This form is used to verify wage and salary information of a person who has applied for personl injury protection (PIP) benefits after an automobile accident.
PDF (33KB)
Forms Property & Casualty
Blood Alcohol Content Chart
Reference chart showing what a person's blood alcohol content may be, based on the number of drinks consumed within an hour. Includes a person's weight as a factor.
PDF (14KB)
General Reference
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 (42KB)
Legal Reference
Civil Immunity Laws Governing Anti-Fraud Activities
This table provides a review of state-specific immunity for reporting insurance fraud insurer to insurer, law enforcement, fraud bureau, NICB and NAIC.
PDF (65KB)
Legal Reference
Acknowledgement Of Assignment
Generic form used by independent adjusters to acknowledge receipt of a property insurance claim, and provide a preliminary report to the insurance company.
PDF (23KB)
Forms Property & Casualty
Swimming Pool Injury - Insured
Statement guideline for interviewing an insured in a swimming pool injury claim. Includes initial questions and follow up questions based on responses given.
PDF (16KB)
Statement Guides
Square Foot Conversion Chart
Table lists square footage calculations based upon linear measurements of up to thirty feet.
PDF (15KB)
General Reference
Vehicle Bill Of Sale (Spanish)
The vehicle bill of sale is a document that records transaction between buyer and seller, identified by name and address. Bill of sale includes vehicle type, make, model, year, odometer reading, vehicle identification number (VIN) and purchase price.
PDF (26KB)
Forms Property & Casualty
Request For Accident Report
Form letter used by an adjuster requesting an accident report.
DOC (17KB)
Letters
