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
Iowa - Investigating Officer's Report of Motor Vehicle Accident: 433003 (1/01)
The Iowa traffic accident report includes vehicle and driver information, collision circumstances, a crash diagram and crash narrative.
PDF (440 KB)
Crash Reports
Vehicle Repair Order
Agreement and authorization between insured and automotive shop to repair a damaged vehicle within the estimated dollar amount.
PDF (15 KB)
Forms Property & Casualty
Claim Acknowledgement Letter (Spanish)
A basic MS Word template letter sent as a best practice for the protection of all parties involved. The letter acknowledges receipt of the claim and requests contact with the insured or claimant.
DOC (51 KB)
Letters
Louisiana - Uniform Motor Vehicle Traffic Crash Report (1/05)
The uniform motor vehicle crash report for the state of Louisiana includes vehicle and driver identification, collision circumstances, contributing factors, witness/driver statement, a crash diagram and crash narrative. It also contains a railroad grade crossing crash supplement.
PDF (63 KB)
Crash Reports
Release & Authorization Of Payment (Spanish)
Used as a general release form which is signed by insureds and specifies payment to settle a claim. The release contains a statement that, as a condition of the settlement, prevents any further claim or legal action against the insurer for the loss event.
PDF (40 KB)
Forms Property & Casualty
Georgia - Motor Vehicle Accident Report: DOT-523 (12/03)
The standard traffic accident report used in the state of Georgia, which includes driver, passenger and vehicle identification, and an accident diagram.
PDF (54 KB)
Crash Reports
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 (46 KB)
Crash Reports
Iowa - Investigating Officer's Report of Motor Vehicle Accident - Code Sheet: 433014 (11/13)
This code sheet is used to decipher the motor vehicle accident report from the state of Iowa.
PDF (493 KB)
Crash Reports
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 (24 KB)
Forms Property & Casualty
Florida - Traffic Crash Report: HSMV-90010S (6/13)
A Long Form report (HSMV 90010S) in its entirety must include a Narrative/Diagram when the following criteria are met:
- Resulted in death of, personal injury to, or any indication of complaints of pain or discomfort by any of the
parties or passengers involved in the crash;
- Leaving the scene involving damage to attended vehicles or property (F.S. 316.061(1));
- Driving while under the influence (F.S. 316.193);
- Rendered a vehicle inoperable to a degree that required a wrecker to remove it from the scene of the crash; or
- Involved a commercial motor vehicle. The Short Form (HSMV 90010S) designation is used to report other types of traffic crashes.
PDF (370 KB)
Crash Reports
California - Traffic Collision Report (4/11)
Standard 4-page motor vehicle collision report for the state of California details all circumstances of an accident. It includes driver and vehicle identification, injuries, witnesses and passengers, accident diagram. Codes are used to represent roadway conditions, collision type, traffic control devices, safety equipment, contributing factors and pre-collision actions.
PDF (1370 KB)
Crash Reports
Model Minimum Uniform Crash Criteria (MMUCC) - 2012
The Model Minimum Uniform Crash Criteria Guideline (MMUCC) is a minimum, standardized data set for describing motor vehicle crashes and the vehicles, persons and environment involved. The Guideline is designed to generate the information necessary to improve highway safety within each state and nationally.
PDF (523 KB)
Crash Reports
