Claims Pages
claimspages

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

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

Product Liability - Claimant

Statement guideline for interviewing the claimant in a product liability claim claim. Includes initial questions and follow up questions based on responses given.
  PDF (18 KB) Statement Guides

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

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

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

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

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

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

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

Digital Photo Sheet 1

Form for digital photo documentation for an adjuster's file.
  DOC (25 KB) Forms Property & Casualty

Timeline Template - Horizontal

Create your own time line using this Microsoft Excel template. Just enter dates and labels.
  XLS (57 KB) Forms Property & Casualty

Adjuster's Log Sheet

Daily log to document adjuster activity on a specific claim.
  PDF (26 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