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 (20KB)
Forms Property & Casualty
Bodily Injury Reserve Worksheet
A MS Word form to track bodily injury claim reserve modifications by date, showing who authorized each change, is used to project costs associated with claim settlement.
DOC (54KB)
Forms Property & Casualty
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 (700KB)
Diagrams
Affidavit-Lightning Losses
This affidavit is filled out by a service provider who inspects a property and certifies lightning damage as the sole source of the loss. A notorized signature and witnesses are required.
PDF (26KB)
Forms Property & Casualty
Diminution In Value Cases In All 50 States
Dive into the intricate world of Diminution in Value claims across the U.S. with our comprehensive state-by-state guide. Ideal for subrogation professionals, this essential document dissects first-party and third-party claim treatments, demystifying legal stances from Immediate to Inherent Diminished Value cases. Stay ahead in your field with this vital resource, ensuring you're well-equipped to navigate the complexities of varied state laws with confidence and precision.
PDF (28KB)
Legal Reference
Snow/Ice Slip And Fall - Claimant
Statement guideline for interviewing the claimant in a slip and fall claim involving snow/ice. Includes initial questions and follow up questions based on responses given.
PDF (17KB)
Statement Guides
Staircase Slip And Fall - Claimant
Statement guideline for interviewing a claimant in a staircase slip and fall claim. Includes initial questions and follow up questions based on responses given.
PDF (16KB)
Statement Guides
Employment, Wage & Med. Authorization
An employee authorization form allowing release of employment, wage and medical information to another party.
PDF (17KB)
Forms Property & Casualty
Memorandum For Appraisal
Memorandum for Appraisal is used in property damage situations where insured and insurer disagree on actual cash value, and is binding on the parties as to the amount of loss.
PDF (35KB)
Forms Property & Casualty
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 (17KB)
Letters
Schedule Of Contents
A contents inventory form, with columns to itemize place and date of purchase, cost, condition, actual value and amount claimed.
PDF (58KB)
Forms Property & Casualty
Driver’s Statement
This form provides all the details of an accident per the driver’s written and signed account of the incident.
PDF (112.742KB)
Forms Property & Casualty
Release & Trust Agreement (UM/UIM BI)
A release form signed by an insured when making an uninsured motorist or underinsured motorist claim. Requires the insured to cooperate in the recovery of funds from the responsible party.
PDF (24KB)
Forms Property & Casualty
Accident Scene Diagram - Parking Lot
This Microsoft Word template allows users to sketch an accident scene by adding and resizing a variety of objects including vehicles, traffic signs, and other symbols and figures in a parking lot.
DOC (186KB)
Diagrams
