Auto Insurance Claims Documents (Page 10)

Delaware - Uniform Traffic Collision Report: 438 (1-88)

Standard motor vehicle collision report for the state of Delaware provides details of a crash. It includes driver/person and vehicle identification, injury information, and a collision diagram. Codes are used to represent roadway conditions, collision type, traffic control devices, safety equipment, and contributing circumstances.

PDF (160 KB) 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 (82 KB) Forms Property & Casualty

Short-Term Effect of a Teenage Cell Phone Restriction - IIHS

PDF (131 KB) White Papers

New Hampshire - Uniform Police Traffic Crash Report: DSMV 159 (11/07)

The police traffic accident report used in New Hampshire describes persons, vehicles and circumstances involved, and includes a crash diagram and coding guide.

PDF (297 KB) Crash Reports

Arkansas - Truck and Bus Crash Report (1/07)

This supplement to the Arkansas Motor Vehicle Collision Report must be completed when an accident involves (1) a vehicle with a gross weight rating of more than 10,000 pounds that is being used on a public highway to carry property, or displays a hazardous material placard, or is designed to transport 9 or more people. It includes carrier information, vehicle configuration, passenger seating chart and sequence of events.

PDF (291 KB) Crash Reports

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 (22 KB) Forms Property & Casualty

Uninsured Motorist Arbitration Filing Form

An arbitration request form for a disagreement involving an uninsured motorist that includes allegations, contentions and supporting evidence.

DOC (37 KB) Forms Property & Casualty

Release & Trust Agreement (UM/UIM BI) (Spanish)

A release form signed by an insured when making an uninsured motorist or underinsured motorist claim. Requires the insured to cooperate in the recovery of funds from the responsible party.

PDF (65 KB) Forms Property & Casualty

Windshield Repair and Replacement Guide

PDF (20 KB) General Reference

New Jersey - Police Accident Report: Code Overlay (4/10)

This code sheet is used to decipher the motor vehicle accident report from the state of New Jersey. These codes are used to represent all circumstances of a traffic incident. Codes detail location, roadway type and surface condition, environmental conditions, traffic control, pre-accident actions, type of accident, safety equipment used, vehicle type, vehicle damage, physical complaints and injuries of driver/pedestrian, physical status, contributing circumstances and county hospitals. It includes crash diagrams and samples of cargo vehicle types.

PDF (701 KB) Crash Reports

New Brunswick (Canada) - Report of Motor Vehicle Accident - Code Sheet

This code sheet is used to decipher the motor vehicle accident report from New Brunswick, Canada.

PDF (276 KB) Crash Reports

Illinois - Motorist Report: SR 1 350M (1/99)

This report is completed by the driver responsible for bodily injury, death or property damage resulting from a motor vehicle accident in Illinois. It includes driver and vehicle identification, diagrams to indicate vehicle damage, tow and insurance information, and description of property damage and bodily injuries. An accident diagram and narrative are required to be included.

PDF (408 KB) Crash Reports