Claims Pages
claimspages

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




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

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

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

Witness Report Of Accident

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

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

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



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

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

Med Pay / PIP Subrogation in All 50 States

This chart provides an overview of subrogation rights for PIP and/or Med Pay-type benefits paid under the automobile insurance laws of all 50 states.
  PDF (40KB) Legal Reference
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