Claims Pages
claimspages


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 (76KB) 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 (93KB) Legal Reference

Statement As To Replacement Cost Coverage

A legal form stating the values used to calculate cost coverage for repair or replacement of a property loss.
  PDF (26KB) Forms Property & Casualty

Witness Report Of Accident

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

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

Hold Harmless Agreement

This is a contract that releases one party from any legal and financial responsibility for all loss or damage or future claims by the other party in exchange for a settlement.
  PDF (20KB) 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 (60KB) Legal Reference

Customer's Claim & Affidavit

Damage to customer's property is included under a commercial general liability policy; this form describes items lost, seller, purchase date and depreciation. The claim amount is submitted with signature of customer and adjuster.
  PDF (59KB) 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 (16KB) 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) Statement Guides

Reaction And Braking Distance Table

Basic reference table displaying reaction and braking distances for vehicles traveling at a specific speed.
  PDF (11KB) General Reference

Monty Fire Investigations LLCWeller SalvageU.S. Forensic