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)
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
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
Structural Fire - Witness
Statement guideline for interviewing a witness to a structural fire. Includes initial questions and follow up questions based on responses given.
PDF (19KB)
Property
Statement Guides
Reaction And Braking Distance Table
Basic reference table displaying reaction and braking distances for vehicles traveling at a specific speed.
PDF (11KB)
Auto
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
Inquiry Form - Index System
This inquiry form requests claim details for a third party using an Index System.
PDF (16KB)
Liability
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)
Liability
Litigation
Ocean Marine
Subrogation
Legal 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 (76KB)
Auto
Liability
Forms Property & Casualty
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)
Liability
Property
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
4 Column Adjuster Worksheet
Financial worksheet for calculating a repair estimate, with one column to itemize losses, and 4 columns for replacement cost, quantity or age, depreciation, and actual cash value.
PDF (79KB)
Auto
Management & Underwriting
Property
Forms Property & Casualty
Release Of All Claims
A full release form which is signed by claimants and releases insureds from bodily injury and property damage liability which arose out of an accident, casualty or event. The release form identifies all parties to a claim, states the date and location of the event, and details the terms of settlement of a claim. The release contains a statement that, as a condition of the settlement, prevents any further claim or legal action against the insurer, or any other parties, for the event.
PDF (28KB)
Liability
Forms Property & Casualty
