Claims Pages
claimspages

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

Schedule Of Contents

A contents inventory form, with columns to itemize place and date of purchase, cost, condition, actual value and amount claimed.
  PDF (58 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

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 (54 KB) Forms Property & Casualty

Power Of Attorney (Auto)

Streamline your vehicle-related legal processes with our 'Power Of Attorney (Auto)' document. Tailor-made for vehicle owners, this form simplifies title transfers and registration tasks by empowering a trusted attorney in fact to act on your behalf. Ensuring a seamless transition of legal responsibilities, this document is indispensable for managing your automotive affairs with ease and security.
  PDF (20 KB) Forms Property & Casualty

Building Repair Estimate

Form used to calculate building repair costs, which includes replacement and actual cash value appraisal of the damaged property, and an itemized list of building materials, quantities, and labor.
  PDF (83 KB) Forms Property & Casualty

Length Of Injury Table

Estimates of length of disability time for different types of injuries over a range of severities.
  PDF (28 KB) Medical Reference

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 (24 KB) 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 (112.742 KB) Forms Property & Casualty

ACORD Forms

A list of ACORD forms used by insurance agents, with a link to purchase documents including personal property applications, schedules, loss notices, workers compensation forms, excess and surplus lines sections, and policy change requests.
  PDF (0 KB) Forms Property & Casualty

Claim Acknowledgement Letter

A basic MS Word template letter sent as a best practice for the protection of all parties involved. The letter acknowledges receipt of the claim and requests contact with the insured or claimant.
  DOC (17 KB) Letters

Subrogation Letter To Individual/Business

A subrogation letter sent to an at-fault party requests reimbursement for automobile losses paid to insured.
  DOC (18 KB) Letters

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 (28 KB) Legal Reference

Adjuster Status Report

Short form for reporting the current status of a claim. Typically used by an independent adjuster.
  PDF (30 KB) Forms Property & Casualty

Building Terminology Chart

Dozens of common building terms and their definitions.
  PDF (34 KB) General Reference