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
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
Inquiry Form - Index System
This inquiry form requests claim details for a third party using an Index System.
PDF (16 KB)
Forms Property & Casualty
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
Workers' Compensation Accident - Employer
Statement guideline for interviewing the employer in a claim for workers' compensaton. Includes initial questions and follow up questions based on responses given.
PDF (16 KB)
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 (17 KB)
Statement Guides
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
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
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
Reaction And Braking Distance Table
Basic reference table displaying reaction and braking distances for vehicles traveling at a specific speed.
PDF (11 KB)
General Reference
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
