Displaying 21 - 30 of 909
Displaying 21 - 30 of 909

ACORD Form Samples

A list of some ACORD forms, with links to sample documents including personal property applications, schedules, loss notices, workers compensation forms, excess and surplus lines sections, and policy change requests.

Adjuster Assignment Form - Fax

Generic fax form sent to an independent adjuster with details of a claim assignment. It allows for a full or limited assignment and lists specific actions required by the adjuster, such as loss verification, photos, scene diagram, statements, subrogation investigation, vehicle appraisals, and settlements.

Adjuster Preliminary Damage Assessment (FEMA Form 086-0-20, Apr 2014)

Adjusters use this form to assess substantially flood damaged buildings for potential Increased Cost of Compliance (ICC) claims for structures insured under the National Flood Insurance Program.

Adjuster Status Report

Short form for reporting the current status of a claim. Typically used by an independent adjuster.

Adjuster's File Invoice

An invoice form used by independent adjusting firms that lists claims investigation expenses billable to the client insurance company.

Adjuster's Log Sheet

Daily log to document adjuster activity on a specific claim.

Adjuster's Loss Certification and Apportionment of Claim

This form is used to recommend to the insurer the amount of payment for a loss, and apportionment when a property is covered by two or more insurance companies.

Adjusters Report/Certification

The Adjusters Report/Certification documents the insured property's location, date and type of loss, and summarizes replacement cost and A.C.V. for buildings, structural, contents and additional living expense, with line item detail.

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.

Affidavit Of Salvage Retention (Spanish)

Acknowledgment by the current owner that his vehicle has been declared a total loss, and that he/she has elected to retain the salvage for a specific sum of monies. Towing and storage charges are also specified.

Displaying 21 - 30 of 909
Displaying 21 - 30 of 909
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