Reservation Of Rights Agreement
A reservation of insurer's rights to discovery, settlement, or defense in denial of a claim for loss and damages, agreed to by insured.
PDF (19KB)
Auto
Liability
Property
Special Investigations
Workers' Compensation
Forms Property & Casualty
Report Of Public Liability Accident
This report form provides notice and details of a public premise accident.
PDF (40KB)
Auto
Liability
Forms Property & Casualty
South Carolina - Traffic Collision Report Form: TR-310 (1/01)
The traffic accident report form used by the South Carolina Department of Motor Vehicles describes persons, vehicles and circumstances involved, and includes a crash diagram and contributing factors.
PDF (728KB)
Auto
Liability
Crash Reports
Texas - Peace Officer's Crash Report: CR-3 (1/12)
The Texas Peace Officer's crash report describes persons, vehicles and circumstances involved, and includes a crash narrative and diagram.
PDF (212KB)
Auto
Liability
Crash Reports
Adjuster's Loss Certification and Apportionment of Claim
This form is used to recommend to the insurer the amount of payment for a loss, and apportionment when a property is covered by two or more insurance companies.
PDF (21KB)
Liability
Property
Forms Property & Casualty
Automobile Accident Report - NY
Report form, customized for New York, that is given to vehicle owners and drivers to capture the details of an accident. Includes occupants, injuries, property damages, crash diagram, driver's account of accident, and witnesses.
PDF (71KB)
Auto
Liability
Forms Property & Casualty
Tropical Storm / Hurricane Classification Chart
Hurricane classification chart based on wind speed and and central storm pressure.
PDF (11KB)
Catastrophe
Property
General Reference
Model Insurance Fraud Act
This legislation establishes insurance fraud as a specific crime and as a felony in felony cases. It attacks insurance fraud at the source and can be used as a framework for additional laws, such as creating an insurance fraud bureau. The model addresses all forms of insurance fraud, including claims fraud, underwriting fraud, deceptive sales practices and scams by insurance operators.
PDF (75KB)
Special Investigations
White Papers
Drivers Statement (Spanish)
A driver's written statement of sequence of events and collision information.
PDF (71KB)
Auto
Liability
Spanish
Forms Property & Casualty
Release & Trust Agreement (UM/UIM BI) (Spanish)
A release form signed by an insured when making an uninsured motorist or underinsured motorist claim. Requires the insured to cooperate in the recovery of funds from the responsible party.
PDF (65KB)
Auto
Liability
Spanish
Subrogation
Forms Property & Casualty
Proof Of Loss Medical Payment (Spanish)
A declaration by an insured person that itemizes payments made for medical services after an accident which qualify for medical expense coverage under the policy.
PDF (34KB)
Liability
Spanish
Forms Property & Casualty
Missouri - Uniform Accident Report: SHP 2Q (1/12)
The Missouri Uniform Crash Report identifies drivers and vehicles involved, and includes all crash circumstances, a collision diagram and crash narrative.
PDF (340KB)
Auto
Liability
Crash Reports
Missouri - Uniform Accident Report - Narrative/Statements: SHP-220
Missouri Uniform Crash Report Narrative / Statements Continuation / Supplement (SHP-220) is used when more space is
needed to complete Section 11 - Narrative / Statements or when additional narrative information is acquired after the original report has been submitted.
PDF (105KB)
Auto
Liability
Crash Reports
