Emergency / Temporary Work Repair Summary
An emergency/temporary repair work order, including cost, provided in support of a property claim.
PDF (17KB)
Property
Forms Property & Casualty
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)
Auto
Liability
Crash Reports
Excavation Law - Summary Of State Laws & Provisions
Summary of excavation laws and provisions per state in a simple table format.
PDF (96KB)
Liability
Property
Legal Reference
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)
Auto
Liability
Diagrams
Maine - Crash Report: 13:20 (1/10)
The crash report form used in Maine identifies people and vehicles involved, and contains contributing circumstances, a crash narrative and diagram. Also included is a commercial vehicle supplement and crash report coding guide.
PDF (513KB)
Auto
Liability
Crash Reports
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)
Liability
Forms Property & Casualty
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)
Auto
General Reference
Automobile Accident/Loss Notice
A loss report form filled out by insureds and/or agents when reporting an automobile accident. Includes information on occupants, injuries, damages, accident description and witnesses.
PDF (65KB)
Auto
Liability
Forms Property & Casualty
Claimant's Report Of Accident (Spanish)
This report form is given to claimants to record the details of an accident. Includes accident location, property damage, vehicle occupants, witnesses and an accident diagram.
PDF (87KB)
Auto
Liability
Spanish
Forms Property & Casualty
Property Loss Worksheet (Spanish)
Use this worksheet to inventory property and content losses, and obtain an estimate of replacement costs. It contains columns to factor in age, original cost, replacement cost and depreciation to calculate ACV (actual cash value).
PDF (91KB)
Property
Forms Property & Casualty
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)
Auto
Salvage
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)
Auto
Property
Forms Property & Casualty
