Claims Pages
claimspages

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) 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 (126KB) Forms Property & Casualty

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) 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) Statement Guides




Staircase Slip And Fall - Insured

Statement guideline for interviewing the insured in a staircase slip and fall claim. Includes initial questions and follow up questions based on responses given.
  PDF (15KB) Statement Guides

Witness Report Of Accident

Witness statement describing an accident in detail.
  PDF (42KB) Forms Property & Casualty

Inquiry Form - Index System

This inquiry form requests claim details for a third party using an Index System.
  PDF (16KB) Forms Property & Casualty

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 (58KB) General Reference

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 (60KB) Legal Reference
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