Ontario Automobile Policy O.A.P. 1 (6/16)
The Ontario Automobile Policy provides liability and property damages coverages for automobile owners. It details liability coverage, accident benefits, uninsured automobile coverage, direct compensation, optional loss or damage coverages, and statutory conditions.
PDF (574KB)
Policy Forms
South Carolina - Traffic Collision Report Form: TR-310 (1/01)
The traffic accident report form used by the South Carolina Department of Motor Vehicles describes persons, vehicles and circumstances involved, and includes a crash diagram and contributing factors.
PDF (728KB)
Crash Reports
Witness Statement (Spanish)
This written statement is prepared by an accident witness. It documents all details they can recall about the accident scene, including any statements made by parties involved.
PDF (95KB)
Forms Property & Casualty
Automobile Accident Report - NY (Spanish)
Report form, customized for New York, that is given to vehicle owners and drivers to capture the details of an accident. Includes occupants, injuries, property damages, crash diagram, driver's account of accident, and witnesses.
PDF (55KB)
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)
Crash Reports
Accident Scene Diagram - Railroad 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 railroad intersection.
DOC (2152KB)
Diagrams
Ontario (Canada) - Motor Vehicle Accident Codes
This code sheet is used to decipher the motor vehicle accident report from Ontario, Canada. Codes detail location, roadway surface condition, environmental conditions, traffic control, pre-accident actions, type of accident, safety equipment used, vehicle type, damage, and injuries.
PDF (360KB)
Crash Reports
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)
Forms Property & Casualty
Certificate Of Satisfaction (Spanish)
The insured signs this form which certfies his/her satisfaction with damage repairs performed, directs claim payment to that service provider, and closes the claim.
PDF (22KB)
Forms Property & Casualty
Passengers Statement (Spanish)
A passenger's statement describes persons, vehicles, injuries, driver actions and circumstances of a crash.
PDF (85KB)
Forms Property & Casualty
Automobile Turn Signal Diagram
Technical diagram showing the operation of a standard turn signal on an automobile
PDF (21KB)
General Reference
Adjuster Assignment Form - Fax
Generic fax form sent to an independent adjuster with details of a claim assignment. It allows for a full or limited assignment and lists specific actions required by the adjuster, such as loss verification, photos, scene diagram, statements, subrogation investigation, vehicle appraisals, and settlements.
DOC (33KB)
Forms Property & Casualty
Texas Limited POA For Eligible Motor Vehicle Transactions VTR-271 (8/17)
This document gives the insurance company legal authority to transfer title of a vehicle that has been declared a total loss, and sell it for salvage.
PDF (24KB)
Forms Property & Casualty
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)
Forms Property & Casualty
Report Of Public Liability Accident
This report form provides notice and details of a public premise accident.
PDF (40KB)
Forms Property & Casualty
