Release And Trust Agreement (UM/UIM PD)
A release form signed by an insured when making an uninsured motorist or underinsured motorist claim involving property damage.
PDF (24KB)
Auto
Liability
Subrogation
Forms Property & Casualty
Affidavit Of Vehicle Theft (Spanish)
This legal form must be filled out by the insured and notarized. Includes information on vehicle ownership, description & condition, financing, as well as details regarding the theft and police report.
PDF (85KB)
Auto
Spanish
Forms Property & Casualty
Affidavit Of Salvage Retention (Spanish)
Acknowledgment by the current owner that his vehicle has been declared a total loss, and that he/she has elected to retain the salvage for a specific sum of monies. Towing and storage charges are also specified.
PDF (68KB)
Auto
Salvage
Spanish
Forms Property & Casualty
Insured's Release (Spanish)
The release form identifies all parties to a claim, states the date of the occurrence, 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 action against the insurer for the claim event in question.
PDF (95KB)
Auto
Property
Spanish
Forms Property & Casualty
Georgia - Uniform Vehicle Accident Report Overlay: DOT-523 Overlay
Code sheet used to decipher the Vehicle Accident Report for Georgia.
PDF (48KB)
Auto
Liability
Crash Reports
The Port Authority of NY & NJ - Motor Vehicle Crash Report Code Sheet (08-09)
This code sheet is used to decipher the motor vehicle accident report from the Port Authority of New York and New Jersey.
PDF (140KB)
Auto
Liability
Crash Reports
Hold Harmless Agreement (Spanish)
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 (82KB)
Auto
Liability
Property
Spanish
Workers' Compensation
Forms Property & Casualty
Non-Waiver Agreement (Spanish)
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 (82KB)
Auto
Liability
Property
Forms Property & Casualty
California - Traffic Collision Report: CHP555 (4-11)
Standard traffic collision report form used by the California Highway Patrol.
PDF (496KB)
Auto
Liability
Crash Reports
Wyoming - Investigator's Traffic Crash Report: PR902 (11/14)
The Wyoming crash report describes the persons, vehicles and circumstances involved, and includes a crash diagram, narrative and codes used to decipher the report.
PDF (178KB)
Auto
Liability
Crash Reports
New York City - Police Accident Report (NYC): MV-104AN (7/01)
The New York Police accident report describes the persons, vehicles and circumstances involved, and includes damages, injuries and an accident diagram.
PDF (1640KB)
Auto
Liability
Crash Reports
Insurance Fraud Legislation Update 2017
Status report on state legislation for insurance fraud bills.
PDF (60KB)
Auto
Liability
Property
Special Investigations
Workers' Compensation
Legal Reference
Subrogation Receipt (Spanish)
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 (28KB)
Auto
Liability
Ocean Marine
Property
Forms Property & Casualty
Virginia - Police Crash Report: FR300-P (7/07)
The Virginia crash report describes the persons, vehicles and circumstances involved, and includes a crash diagram and commercial motor vehicle section.
PDF (36KB)
Auto
Liability
Crash Reports
Montana - Accident Investigator's Report HQ1599
The traffic accident report used in Montana identifies drivers, vehicles and environment involved, including contributing circumstances. It contains accident report codes and a commercial vehicle/fatal accident supplement.
PDF (153KB)
Auto
Liability
Crash Reports
