Staircase Slip And Fall - Witness
Statement guideline for interviewing a witness to a staircase slip and fall. Includes initial questions and follow up questions based on responses given.
PDF (15KB)
Liability
Statement Guides
No-Fault Automobile Accident Liability States
Currently 12 states and Puerto Rico have no-fault auto insurance laws. Florida, Michigan, New Jersey, New York and Pennsylvania have verbal thresholds. Hawaii, Kansas, Kentucky, Massachusetts, Minnesota, North Dakota and Utah use a monetary threshold.
PDF (13KB)
Liability
General Reference
Snow/Ice Slip And Fall - Insured
Statement guideline for interviewing the insured in a slip and fall claim on snow/ice. Includes initial questions and follow up questions based on responses given.
PDF (16KB)
Liability
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
Property Loss Worksheet (Spanish)
Use this worksheet to inventory property and content losses, and obtain an estimate of replacement costs. It contains columns to factor in age, original cost, replacement cost and depreciation to calculate ACV (actual cash value).
PDF (91KB)
Property
Forms Property & Casualty
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
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)
Liability
Statement Guides
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
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)
Auto
Liability
Forms Property & Casualty
Employment, Wage & Med. Authorization
An employee authorization form allowing release of employment, wage and medical information to another party.
PDF (17KB)
Liability
Workers' Compensation
Forms Property & Casualty
Witness Report Of Accident
Witness statement describing an accident in detail.
PDF (42KB)
Auto
Liability
Forms Property & Casualty
Snow/Ice Slip And Fall - Witness
Statement guideline for interviewing a witness to a slip and fall claim involving snow/ice. Includes initial questions and follow up questions based on responses given.
PDF (16KB)
Liability
Statement Guides
