Insurance Claims Documents (Page 20)

BEQ-3B (2020) Basic Earthquake Policy - Homeowners

A sample California Earthquake Authority (CEA) policy which provides upgraded earthquake coverage for homeowners. Sold and serviced by participating insurance companies.

PDF (364.666 KB) Policy Forms

California Earthquake Authority - Claim Manual 08-01-2020

The California Earthquake Authority (CEA) claim manual is designed to assist claim representatives in the investigation and settlement of earthquake claims.

PDF (1839.379 KB) General Reference

Standard Flood Insurance Policy (FEMA Form F-122, 2015)

The Standard Flood Insurance Dwelling Policy Form is issued to homeowners, residential renters and condominium unit-owners or owners of residential buildings containing two to four units.

PDF (331 KB) Policy Forms

New Jersey - Police Crash Investigation Report: NJTR-1 (4/10)

These are all of the crash investigation report forms used in New Jersey, including the code overlay sheets. The report and codes detail driver/persons involved, location, roadway conditions, traffic control, pre-accident actions, safety equipment, vehicle types, collision type, vehicle damage, injuries, and contributing circumstances. A crash diagram is included.

PDF (94 KB) Crash Reports

Worker's Compensation Subrogation In Construction For All 50 States

This article will present a quick overview of current workers’ compensation subrogation in construction settings.

PDF (83 KB) Legal Reference

Drivers Statement (Spanish)

A driver's written statement of sequence of events and collision information.

PDF (71 KB) Forms Property & Casualty

Denial - No Coverage (Spanish)

This form letter identifies the claimant, insurer, adjuster and date of loss; it is a claim denial for lack of coverage under the insured's policy.

DOC (45 KB) Letters

Hold Harmless Agreement (Spanish)

This is a contract that releases one party from any legal and financial responsibility for all loss or damage or future claims by the other party in exchange for a settlement.

PDF (82 KB) Forms Property & Casualty

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 (513 KB) Crash Reports

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 (340 KB) Crash Reports

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 (87 KB) Forms Property & Casualty