Claims Pages
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Statement Of Loss W/O Enclosures

An adjuster's statement of a loss using Schedules A, B & C.
  PDF (51KB) Property Forms Property & Casualty


PIP Application For Benefits

This application form to obtain personal injury protection benefits requests information regarding claimant's employment, income, injury, treatment dates and medical bills received, plus any loss of wages due to the accident.
  PDF (33KB) Liability Forms Property & Casualty

Insurance Designation List

A list of accreditations associated with the insurance industry.
  PDF (54KB) Auto Education & Training Liability Litigation Management & Underwriting General Reference

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

Commercial Property Theft - Corporate Officer/Owner

A comprehensive statement guideline for interviewing a corporate officer in a commercial property theft claim. Includes questions on personal data, employment and income, company information, loss circumstances, theft details, and additional information.
  PDF (18KB) Property Statement Guides

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

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

Dog Bite Injury - Claimant

Statement guideline for interviewing the claimant in a dog bite injury claim. Includes initial questions and follow up questions based on responses given.
  PDF (17KB) Liability Statement Guides

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

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

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) Auto Liability Subrogation Forms Property & Casualty


Medical Terminology Chart

A chart of common medical terms and their meanings.
  PDF (20KB) Liability Workers' Compensation Medical Reference

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