Claims Pages
claimspages



General Release (Husband & Wife)

A legal form that absolves an insurer from any further liability for a claim upon acceptance of a settlement amount by a married couple.
  PDF (26KB) Liability Forms Property & Casualty

NFIP Adjuster Certification Application FEMA Form 086-0-21 (4/17)

This form is used to collect information from individuals seeking to become certified flood adjusters.
  PDF (453KB) Catastrophe Property Forms Flood

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) Special Investigations Legal Reference

PIP Application - Florida No Fault

Application form for Florida personal injury protection (PIP) No Fault benefits.
  PDF (38KB) Liability Forms Property & Casualty

Daily Time Sheet

A daily time sheet to record claims work, hours, mileage and expenses.
  PDF (91KB) Auto Liability Property Workers' Compensation Forms Property & Casualty

PIP Application - Florida No Fault (Spanish)

Application form for Florida personal injury protection (PIP) No Fault benefits.
  PDF (45KB) Liability Spanish Forms Property & Casualty

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 (80KB) Liability Spanish Forms Property & Casualty

Proof Of Loss (Mobile Home)

A legal form documenting a claimant's property loss involving a mobile home.
  PDF (50KB) Property Forms Property & Casualty

Accident Scene Diagram - Freeway/Highway Onramp

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 freeway/highway onramp.
  DOC (2175KB) Auto Liability Diagrams


Massachusetts - Motor Vehicle Crash Report Codes

Codes used to decipher the Commonwealth of Massachusetts motor vehicle crash report.
  PDF (488KB) Auto Liability Crash Reports

Monty Fire Investigations LLCKelmar GlobalHancock Claims Consultants