Kansas Counties Map - Non Label
This document displays a blank map template of Kansas with county boundaries.
PDF (28KB)
Maps
Proof Of Loss (Medical Expense)
A declaration by an insured person that he/she was not being transported for a fee at the time of the accident, and otherwise qualifies for medical expense coverage under the policy.
PDF (32KB)
Forms Property & Casualty
Mineral Elements Chart
A chart of mineral elements, their source in human diet, and their major functions in the human body.
PDF (17KB)
General Reference
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)
Forms Property & Casualty
Drivers Statement (Spanish)
A driver's written statement of sequence of events and collision information.
PDF (71KB)
Forms Property & Casualty
PIP Application For Benefits (Spanish)
This application form to obtain personal injury protection benefits requests information regarding claimant's employment, income, injury, treatment dates and medical bills received, plus any loss of wages due to the accident.
PDF (45KB)
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 (45KB)
Letters
Casualty Specialty Updates 2016
The latest reports, market news, and industry intelligence on litigation, regulation, emerging risks, natural catastrophes and reinsurance issues as they relate to casualty claims worldwide.
PDF (785KB)
White Papers
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)
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)
Forms Property & Casualty
Employee Leasing Subrogation Laws In All 50 States
Application of exclusive remedy rule to cases involving employee leasing companies and temporary employees for all 50 states.
PDF (39KB)
Legal Reference
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 (94KB)
Crash Reports
Kentucky - Uniform Police Traffic Collision Report: KSP 74 (1/00)
The Kentucky Uniform Police Traffic Collision Report includes vehicle and driver information, collision circumstances, a crash diagram and crash narrative.
PDF (705KB)
Crash Reports
Model Of The Human Brain
A schematic drawing of the different parts of the human brain.
PDF (38KB)
Medical Reference
Uninsured Motorist Arbitration Filing Form
An arbitration request form for a disagreement involving an uninsured motorist that includes allegations, contentions and supporting evidence.
DOC (37KB)
Forms Property & Casualty
