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 (27KB)
Forms Property & Casualty
Automobile Accident Promissory Note
Customized automobile subrogation promissory note which allows the insurance company to notify DMV/BMV in case of default by the tortfeasor.
PDF (17KB)
Forms Property & Casualty
Structural Fire - Investigating Officer
Statement guideline for interviewing the investigating officer in a structural fire claim. Includes initial questions and follow up questions based on responses given.
PDF (17KB)
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)
Diagrams
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 (28KB)
Forms Property & Casualty
Coinsurance Definition And Formula
Coinsurance formula and sample calculation for a property claim where the insured did not maintain the required minimum coverage (usually 80% of value) on a structure.
PDF (38KB)
General Reference
Vehicle Inspection Report
Auto Examiner or Adjuster's vehicle inspection report form.
PDF (22KB)
Forms Property & Casualty
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 (95KB)
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 (16KB)
Statement Guides
Adjuster's File Invoice
An invoice form used by independent adjusting firms that lists claims investigation expenses billable to the client insurance company.
PDF (48KB)
Forms Property & Casualty
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)
Forms Property & Casualty
Property Arbitration Contentions Sheet
A property subrogation arbitration form.
DOC (28KB)
Forms Property & Casualty
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 (16KB)
Statement Guides
