Witness Report Of Accident
Witness statement describing an accident in detail.
PDF (42KB)
Auto
Liability
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)
Auto
Forms Property & Casualty
Notice Of Loss Burglary-Robbery-Theft
A loss report form filled out by an insured when reporting a theft claim to an insurance company. Includes circumstances of the theft, and a list of items claimed as stolen with declared values.
PDF (47KB)
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
Non-Waiver Agreement / Reservation Of Rights
The non-waiver agreement is signed by the policyholder; its purpose is to protect the insurer. Insurer reserves all of its rights under the policy to investigate and defend a claim without admission of any liability for loss.
PDF (36KB)
Auto
Liability
Property
Workers' Compensation
Forms Property & Casualty
Inland Marine Proof Of Loss
Inland Marine Proof of Loss form is a legal document to be completed by an insured in support of a claim.
PDF (33KB)
Property
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)
Workers' Compensation
Statement Guides
Product Liability - Witness
Statement guideline for interviewing a witness to a products liablity claim. Includes initial questions and follow up questions based on responses given.
PDF (15KB)
Liability
Statement Guides
Accident Scene Diagram - T - Intersection
This Microsoft Word template allows users to sketch an accident scene by adding and resizing a variety of objects including roads, vehicles, traffic signs, road signals and other symbols and figures in a T-intersection.
DOC (2286KB)
Auto
Liability
Diagrams
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)
Liability
Property
Forms Property & Casualty
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
Living/Family Room Diagram
This Microsoft Word template allows users to add and resize a variety of objects including walls, windows, couches, chairs, and tables.
DOC (68KB)
Property
Diagrams
