Vehicle Fire - Insured
Statement guideline for interviewing the insured in a vehicle fire claim. Includes initial questions and follow up questions based on responses given.
PDF (22 KB)
Statement Guides
Insured's Release
The release form identifies all parties to a claim, states the date of the occurrence, 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 action against the insurer for the claim event in question.
PDF (23 KB)
Forms Property & Casualty
Claim Activity Log
This MS Word form is used to document activity on an individual claim.
DOC (39 KB)
Forms Property & Casualty
Personal Property Summary Chart
The personal property summary itemizes rooms and areas in a house, with columns to calculate repair cost, actual cash value and replacement cost.
PDF (79 KB)
Forms Property & Casualty
PIP Application For Benefits
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 (33 KB)
Forms Property & Casualty
Auto Investigation Checklist
Maximize the effectiveness of your automobile accident investigations with our Auto Investigation Checklist. Designed for adjusters, this checklist provides a structured approach to gathering crucial statements, photographs, and appraisals, along with accident scene diagrams and police reports. Ensure no detail is overlooked in your comprehensive assessment of the incident, leading to precise and informed claims processing.
PDF (49 KB)
Checklists
Guarantee Of Title
For a case involving a total loss or theft of a financed motor vehicle or boat, this is an agreement that the lien holder will provide a lien free Certificate of Title to the insurance company upon receipt of a claim payment.
PDF (18 KB)
Letters
Accident Scene Diagram - 4 Lane Highway
Craft precise accident scene diagrams with our 'Accident Scene Diagram - 4 Lane Highway' template. Designed for Microsoft Word, this tool enables you to visualize and document vehicular accidents with ease. From detailed road layouts to customizable vehicle icons, transform complex scenes into clear, comprehensive diagrams. Ideal for insurance claims, legal cases, and safety assessments, ensure accuracy and clarity in every report. Dive into a user-friendly experience that brings your accident scene analysis to the next level.
DOC (700 KB)
Diagrams
Release & Subrogation Receipt
A legal form signed by an insured acknowledging receipt of settlement and release of all subrogation rights to the insurer.
PDF (29 KB)
Forms Property & Casualty
Dog Bite Injury - Insured
Statement guideline for interviewing the insured in a dog bite injury claim. Includes initial questions and follow up questions based on responses given.
PDF (15 KB)
Statement Guides
Acknowledgement Of Representation
This is an MS Word template letter to acknowledge notification of legal representation of a claimant. Most commonly used in PIP or bodily injury claims, where there is a potential for coverage dispute litigation.
DOC (17 KB)
Letters
Timeline Template - Horizontal
Create your own time line using this Microsoft Excel template. Just enter dates and labels.
XLS (57 KB)
Forms Property & Casualty
Digital Photo Sheet 1
Form for digital photo documentation for an adjuster's file.
DOC (25 KB)
Forms Property & Casualty
Employment, Wage & Med. Authorization
An employee authorization form allowing release of employment, wage and medical information to another party.
PDF (17 KB)
Forms Property & Casualty
Affidavit Of Salvage Retention
Acknowledgment by the current owner that his vehicle has been declared a total loss, and that he/she has elected to retain the vehicle instead of receiving payment of salvage value. Towing and storage charges and who is responsible for paying them is included in this notarized form.
PDF (20 KB)
Forms Property & Casualty
