Claims Pages
claimspages

Product Liability - Manufacturer/Distributor

Statement guideline for interviewing the manufacturer or distributor in a products liability claim. Includes initial questions and follow up questions based on responses given.
  PDF (13KB) Liability Statement Guides


Denial - Less Than Deductible

A denial letter used when the value of a claim submitted is determined to be less than the insured's deductible.
  DOC (17KB) Auto Property 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

Recorded Statement Analysis

A written observation describing behavior of a person making a recorded statement.
  PDF (54KB) Auto Liability Property Workers' Compensation 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

Structural Fire - Investigating Officer

Statement guideline for interviewing the investigating officer in a structural fire claim. Includes initial questions and follow up questions based on responses given.
  PDF (17KB) Property Statement Guides

Release & Subrogation Receipt

A legal form signed by an insured acknowledging receipt of settlement and release of all subrogation rights to the insurer.
  PDF (29KB) Auto Property Subrogation Forms Property & Casualty

Request For Contact

Form letter requesting claimant to contact adjuster.
  DOC (17KB) Auto Liability Property Workers' Compensation Letters

Accident Scene Diagram - City Street / Highway Intersection

This Microsoft Word template allows users to sketch an accident scene in a street or highway intersection by adding and resizing a variety of objects including vehicles, traffic signs and other symbols.
  DOC (222KB) Auto Liability Diagrams

Release & Authorization Of Payment

Used as a general release form which is signed by insureds and specifies payment to settle a claim. The release contains a statement that, as a condition of the settlement, prevents any further claim or legal action against the insurer for the loss event.
  PDF (26KB) Auto Liability Property Forms Property & Casualty

Subrogation Letter To Individual/Business

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

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 (83KB) Catastrophe Property Forms Property & Casualty


Employment, Wage & Med. Authorization

An employee authorization form allowing release of employment, wage and medical information to another party.
  PDF (17KB) Liability Workers' Compensation Forms Property & Casualty
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