Length Of Injury Table
Estimates of length of disability time for different types of injuries over a range of severities.
PDF (28KB)
Liability
Workers' Compensation
Medical Reference
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)
Auto
Salvage
Forms Property & Casualty
Accident Scene Diagram - Modular Diagram (Build your own)
This Microsoft Word template allows users to sketch an accident scene by adding and resizing a variety of objects including roadways, vehicles, traffic signs, traffic signals and other symbols and figures.
DOC (2194KB)
Auto
Liability
Diagrams
Automobile Accident Report
Report form that is given to vehicle owners and drivers to capture the details of an accident. Includes occupants, injuries, property damages and witnesses.
PDF (70KB)
Auto
Liability
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)
Auto
Liability
Property
Workers' Compensation
Letters
Adjuster Status Report
Short form for reporting the current status of a claim. Typically used by an independent adjuster.
PDF (30KB)
Auto
Liability
Property
Workers' Compensation
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 (58KB)
Property
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 (0KB)
Auto
Liability
Property
Workers' Compensation
Forms Property & Casualty
Building Terminology Chart
Dozens of common building terms and their definitions.
PDF (34KB)
Property
General Reference
Dog Bite Injury - Witness
Statement guideline for interviewing a witness to a dog bite injury. Includes initial questions and follow up questions based on responses given.
PDF (16KB)
Liability
Statement Guides
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)
Auto
Liability
Forms Property & Casualty
Vehicle Accident - Investigating Officer
Statement guideline for interviewing the investigating officer in a vehicle accident claim. Includes initial questions and follow up questions based on responses given.
PDF (17KB)
Auto
Liability
Statement Guides
Request For Contact
Form letter requesting claimant to contact adjuster.
DOC (17KB)
Auto
Liability
Property
Workers' Compensation
Letters
Parent/Guardian Release
This legal form for Parent/Guardian releases an insurer from any liability or indemnity claim for damages or injuries resulting from an accident involving a minor in exchange for a monetary settlement.
PDF (25KB)
Liability
Forms Property & Casualty
