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
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
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
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
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
Medical Terminology Chart
A chart of common medical terms and their meanings.
PDF (20KB)
Liability
Workers' Compensation
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 (24KB)
Auto
Liability
Subrogation
Forms Property & Casualty
Statement Of Loss W/O Enclosures
An adjuster's statement of a loss using Schedules A, B & C.
PDF (51KB)
Property
Forms Property & Casualty
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
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
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
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
