Claims Pages
claimspages

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

South Carolina - Accident and Insurance Inquiry Forms (Financial Responsibility)

South Carolina Department of Motor Vehicles Accident and Insurance Inquiry forms relating to Financial Responsibility.
  PDF (251KB) Auto Liability Forms Property & Casualty

Arkansas - Motor Vehicle Crash Report: (1/07)

Standard motor vehicle collision report for the state of Arkansas provides driver and vehicle identification, describes damage and includes a crash diagram and crash narrative.
  PDF (46KB) Auto Liability 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 (291KB) Auto Liability Crash Reports


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) Auto Liability Spanish Forms Property & Casualty

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

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) Auto Liability Policy Forms

Reservation Of Rights Letter (Spanish)

The reservation of rights letter notifies the policyholder that the insurer reserves the right to deny coverage of a claim, in whole or part, pending outcome of a claims investigation.
  DOC (57KB) Auto Liability Property Spanish Special Investigations Letters

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

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) Auto Liability Diagrams

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) Auto Liability Property Spanish Forms Property & Casualty

Reservation Of Rights Agreement (Spanish)

A reservation of insurer's rights to discovery, settlement, or defense in denial of a claim for loss and damages, agreed to by insured.
  PDF (92KB) Auto Liability Property Spanish Special Investigations Forms Property & Casualty

Witness Report Of Accident (Spanish)

Witness statement describing an accident in detail.
  PDF (63KB) Auto Liability Spanish Forms Property & Casualty

Guarantee Of Title (Spanish)

For a case involving a total loss or theft of a financed motor vehicle or boat, this is an agreement that the lien holder will provide a lien free Certificate of Title to the insurance company upon receipt of a claim payment.
  PDF (20KB) Auto Liability Spanish Forms Property & Casualty
Monty Fire Investigations LLCWeller SalvageKelmar Global