Oregon - Police Traffic Crash Report: 735-46A (3/17)
The Oregon Police Traffic Crash Report describes the persons, vehicles and circumstances involved, and includes an accident sketch and narrative.
PDF (70KB)
Auto
Liability
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 (40KB)
Auto
Liability
Property
Spanish
Workers' Compensation
Forms Property & Casualty
New Jersey - Police Crash Investigation Report: NJTR-1 (4/10)
These are all of the crash investigation report forms used in New Jersey, including the code overlay sheets. The report and codes detail driver/persons involved, location, roadway conditions, traffic control, pre-accident actions, safety equipment, vehicle types, collision type, vehicle damage, injuries, and contributing circumstances. A crash diagram is included.
PDF (94KB)
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
Automobile Accident Promissory Note (Spanish)
Customized automobile subrogation promissory note which allows the insurance company to notify DMV/BMV in case of default by the tortfeasor.
PDF (56KB)
Auto
Liability
Spanish
Subrogation
Forms Property & Casualty
Missouri - Uniform Accident Report - Pedestrians / Occupants Continuation / Supplement Form: SHP-224
Pedestrians / Occupants Continuation / Supplement (SHP-224) form to the Missouri Uniform Crash Report is completed when more than one pedestrian is involved in a crash or more than six occupants (including the driver) from one vehicle are involved in a crash.
PDF (332KB)
Auto
Liability
Crash Reports
Virgin Islands - Uniform Crash Report: (5/07)
Virgin Islands crash report describes the persons, vehicles and circumstances involved, and includes a collision diagram and narrative.
PDF (106KB)
Auto
Liability
Crash Reports
Texas - Peace Officer's Crash Report: Code Sheet CR-3CS (1/17)
Numbered fields on the CR-3 Texas Peace Officer's crash report refer to the numbered lists on the code sheet.
PDF (181KB)
Auto
Liability
Crash Reports
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 (51KB)
Auto
Liability
Property
Spanish
Workers' Compensation
Letters
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
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
Witness Report Of Accident (Spanish)
Witness statement describing an accident in detail.
PDF (63KB)
Auto
Liability
Spanish
Forms Property & Casualty
Release & Subrogation Receipt (Spanish)
A legal form signed by an insured acknowledging receipt of settlement and release of all subrogation rights to the insurer.
PDF (96KB)
Auto
Property
Spanish
Subrogation
Forms Property & Casualty
Michigan - Traffic Crash Report Guide (10/15)
Use this code guide to decipher the Michigan traffic crash report.
PDF (348KB)
Auto
Liability
Crash Reports
