New Hampshire - Uniform Police Traffic Crash Report: DSMV 159 (11/07)
The police traffic accident report used in New Hampshire describes persons, vehicles and circumstances involved, and includes a crash diagram and coding guide.
PDF (297KB)
Auto
Liability
Crash Reports
North Carolina - Collision Report Form: DMV 349 (10/12)
The North Carolina collision report form describes persons, vehicles and environment involved, including contributing circumstances, crash sequence, crash diagram and narrative.
PDF (89KB)
Auto
Liability
Crash Reports
Indiana - Officer's Standard Crash Report: 23558 (2/03)
Standard crash report form for the state of Indiana.
PDF (416KB)
Auto
Liability
Crash Reports
Iowa - Investigating Officer's Report of Motor Vehicle Accident: 433003 (1/01)
The Iowa traffic accident report includes vehicle and driver information, collision circumstances, a crash diagram and crash narrative.
PDF (440KB)
Auto
Liability
Crash Reports
Kansas - Motor Vehicle Accident Report - Heavy Vehicle & HAZMAT Supplement: 852 (1/09)
Motor vehicle accident report form used in Kansas when an incident involves heavy vehicles, buses or hazardous materials.
PDF (483KB)
Auto
Liability
Crash Reports
Louisiana - Uniform Motor Vehicle Traffic Crash Report (1/05)
The uniform motor vehicle crash report for the state of Louisiana includes vehicle and driver identification, collision circumstances, contributing factors, witness/driver statement, a crash diagram and crash narrative. It also contains a railroad grade crossing crash supplement.
PDF (63KB)
Auto
Liability
Crash Reports
Schedule Of Contents (Spanish)
A contents inventory form, with columns to itemize place and date of purchase, cost, condition, actual value and amount claimed.
PDF (40KB)
Property
Spanish
Forms Property & Casualty
General Release (Husband & Wife) (Spanish)
A legal form that absolves an insurer from any further liability for a claim upon acceptance of a settlement amount by a married couple.
PDF (105KB)
Liability
Spanish
Forms Property & Casualty
Release And Trust Agreement (UM/UIM PD) (Spanish)
A release form signed by an insured when making an uninsured motorist or underinsured motorist claim involving property damage.
PDF (75KB)
Liability
Property
Spanish
Subrogation
Forms Property & Casualty
Automobile Proof Of Loss (Spanish)
A policyholder must provide this sworn statement in support of an automobile claim. The notarized form documents the date and cause of loss, vehicle identification, settlement amount, and reserves subrogation and other rights of the insurer.
PDF (86KB)
Auto
Liability
Spanish
Forms Property & Casualty
Non-Auto Liability Accident Notice (Spanish)
Non- auto liability accident notice form details personal injuries and accident circumstances.
PDF (88KB)
Liability
Spanish
Forms Property & Casualty
Employment-Wage Authorization (Spanish)
A person uses this form to authorize an employer to release his or her employment and wage records to a third party.
PDF (86KB)
Liability
Spanish
Workers' Compensation
Forms Property & Casualty
General Authorization (Spanish)
This form authorizes release of information, and requires a notary signature.
PDF (85KB)
Liability
Spanish
Special Investigations
Workers' Compensation
Forms Property & Casualty
