Inland Marine Proof Of Loss
Inland Marine Proof of Loss form is a legal document to be completed by an insured in support of a claim.
PDF (33 KB)
Forms Property & Casualty
Auto Theft Checklist
Details the steps that an adjuster should take when handling an auto theft claim. It also contains links to other related forms such as a reservation of rights letter, a non-waiver agreement, and an investigating officer statement guideline.
PDF (12 KB)
Checklists
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 (18 KB)
Statement Guides
A 14 Point Red Flag Checklist For Staged Collisions
The Red Flag checklist helps determine whether a rear-end collision may have been a staged accident; this maneuver is referred to as a swoop and squat crash by the Coalition Against Insurance Fraud. Claims with numerous red flags may need to be referred to the special investigations unit (SIU).
PDF (58 KB)
General Reference
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 (26 KB)
Forms Property & Casualty
Deductible Reimbursement Laws In All 50 States
A summary of the laws and regulations in each state with regard to whether there is a duty or obligation on the part
of a subrogated carrier to reimburse any or all of its insured’s deductible to its insured before it can successfully subrogate or seek reimbursement of its claim payments.
PDF (93 KB)
Legal Reference
Car Evaluation Analysis
Appraisal form used to determine a vehicle's value after a total loss by considering the book value and local market value (dealer quotes). Add or deduct value using a comparable vehicle model, noting trim, paint, glass, tires, power options, mechanical condition and cleanliness.
PDF (126 KB)
Forms Property & Casualty
Digital Photo Sheet 2
Form for digital photo documentation for an adjuster's file.
DOC (28 KB)
Forms Property & Casualty
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 (25 KB)
Forms Property & Casualty
Claimant's Report Of Accident
This report form is given to claimants to record the details of an accident. Includes accident location, property damage, vehicle occupants, witnesses and an accident diagram.
PDF (76 KB)
Forms Property & Casualty
Recorded Statement Analysis
A written observation describing behavior of a person making a recorded statement.
PDF (54 KB)
Forms Property & Casualty
Memorandum For Appraisal
Memorandum for Appraisal is used in property damage situations where insured and insurer disagree on actual cash value, and is binding on the parties as to the amount of loss.
PDF (35 KB)
Forms Property & Casualty
Joint And Several Liability And Contribution Laws in All 50 States (2017)
This chart concerns contribution among joint tortfeasors, which applies subrogation principles, and is sometimes referred to as “reimbursement by subrogation.” Joint and Several Liability and Contribution laws are shown for all states.
PDF (60 KB)
Legal Reference
