Claims Pages
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Automobile Arbitration Contentions Sheet

An Arbitration Forums, Inc. form which is used by insurance companies when submitting an automobile claim for subrogation. The contentions sheet sets forth the legal argument that the claim is owed, and lists the evidence supporting that argument.
  DOC (28 KB) Forms Property & Casualty

Denial - Less Than Deductible

A denial letter used when the value of a claim submitted is determined to be less than the insured's deductible.
  DOC (17 KB) Letters


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 (59 KB) 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 (15 KB) Statement Guides

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 (26 KB) Forms Property & Casualty

Daily Time Sheet

A daily time sheet to record claims work, hours, mileage and expenses.
  PDF (91 KB) Forms Property & Casualty

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 (2286 KB) 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 (20 KB) 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 (28 KB) Forms Property & Casualty

Workers' Compensation Accident - Witness

Statement guideline for interviewing a witness to a workers' compensaton injury. Includes initial questions and follow up questions based on responses given.
  PDF (17 KB) Statement Guides

Accident Scene Diagram - 4-Way Intersection

This Microsoft Word template allows users to sketch an accident scene by adding and resizing a variety of objects including roads, vehicles, road signs, road signals and other symbols and figures in a 4-way intersection.
  DOC (2382 KB) Diagrams

Vehicle Inspection Report

Auto Examiner or Adjuster's vehicle inspection report form.
  PDF (22 KB) Forms Property & Casualty

Subrogation Receipt

A subrogation receipt is signed by the insured upon payment of a claim, and assigns the insurer to the right to recovery for the loss.
  PDF (27 KB) Forms Property & Casualty