Automobile Accident/Loss Notice (Spanish)
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 (78 KB)
Forms Property & Casualty
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 (75 KB)
Legal Reference
Request For Copy Of Tax Return IRS Form 4506 (7/17)
IRS Form 4506 Request for Copy of Tax Return
PDF (43 KB)
Forms Property & Casualty
Adjuster Preliminary Flood Damage Assessment FEMA Form 086-0-20 (4/17)
This form is used by adjusters to list potentially substantial damaged structures in preparation for possible ICC claims.
PDF (229 KB)
Forms Flood
Pacific Hurricane Tracking Map
A tracking map for tropical storms and hurricanes impacting the West Coast of the United States from the Pacific Ocean.
PDF (1193 KB)
Maps
Manufactured (Mobile) Home/Travel Trailer Worksheet (Continued) FEMA Form 086-0-18 (4/17)
This form is a continuation of the Manufactured (Mobile) Home/Travel Trailer Worksheet and is used by the adjuster to record information to determine the replacement cost and actual cash value of a manufactured (mobile) home.
PDF (541 KB)
Forms Flood
BEQ-3C (2020) Basic Earthquake Policy - Homeowners Choice
A sample California Earthquake Authority (CEA) policy which provides upgraded earthquake coverage for homeowners. Sold and serviced by participating insurance companies.
PDF (381.473 KB)
Policy Forms
Statement as to Full Cost of Repair or Replacement FEMA Form 086-0-12 (4/14)
This form is used to document the full repair or replacement cost of an insured property.
PDF (388 KB)
Forms Flood
Excavation-One Call Centers Nationwide
A resource for excavation professionals or anyone who has to dig, includes the One-Call Center directory for utility locating services in all of the United States.
PDF (545 KB)
Legal Reference
Excavation Law - State Directory
One-Call Center directory has phone numbers and websites for all of the United States and Canada , and is a useful resource for utility location and damage prevention when excavation is needed.
PDF (759 KB)
Legal Reference
