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
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 (68 KB)
Diagrams
Dog Bite Injury - Witness
Statement guideline for interviewing a witness to a dog bite injury. Includes initial questions and follow up questions based on responses given.
PDF (16 KB)
Statement Guides
Complete Release Of All Claims (Spanish)
A full release and indemnity agreement which is signed by claimants and releases insurer 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, and against the release.
PDF (95 KB)
Forms Property & Casualty
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
Vehicle Bill Of Sale
The vehicle bill of sale is a document that records transaction between buyer and seller. Bill of sale includes vehicle type, make, year, vehicle identification number (VIN) and purchase price.
PDF (20 KB)
Forms Property & Casualty
Vehicle Inspection Report
Auto Examiner or Adjuster's vehicle inspection report form.
PDF (22 KB)
Forms Property & Casualty
Witness Report Of Accident
Witness statement describing an accident in detail.
PDF (42 KB)
Forms Property & Casualty
Assignment Sheet
Generic form for assigning an automobile claim to an independent adjuster for investigation and handling. The form lists the insurance company, insured, claimant, endorsements, vehicle details, date and description of loss, and contact information for all parties involved.
PDF (47 KB)
Forms Property & Casualty
Claim Register Sheet
Basic registry form for logging when claims are received and closed.
PDF (83 KB)
Forms Property & Casualty
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 (16 KB)
Statement Guides
