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
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
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
Insurance Designation List
A list of accreditations associated with the insurance industry.
PDF (54KB)
Auto
Education & Training
Liability
Litigation
Management & Underwriting
General Reference
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
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
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
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
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
Structural Fire - Witness
Statement guideline for interviewing a witness to a structural fire. Includes initial questions and follow up questions based on responses given.
PDF (19KB)
Property
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
