Missouri - Uniform Accident Report - Narrative/Statements: SHP-220

Missouri Uniform Crash Report Narrative / Statements Continuation / Supplement (SHP-220) is used when more space is needed to complete Section 11 - Narrative / Statements or when additional narrative information is acquired after the original report has been submitted.
  PDF (105KB) Auto Liability Crash Reports

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 (297KB) Auto Liability Crash Reports

Automobile Proof Of Loss (Spanish)

A policyholder must provide this sworn statement in support of an automobile claim. The notarized form documents the date and cause of loss, vehicle identification, settlement amount, and reserves subrogation and other rights of the insurer.
  PDF (86KB) Auto Liability Spanish 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 (51KB) Auto Liability Property Spanish Workers' Compensation Letters

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

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) Auto Liability Property 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

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 (82KB) Auto Liability Property Spanish Workers' Compensation 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

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

North Carolina - Collision Report Form: DMV 349 (10/12)

The North Carolina collision report form describes persons, vehicles and environment involved, including contributing circumstances, crash sequence, crash diagram and narrative.
  PDF (89KB) Auto Liability Crash Reports

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 (63KB) Auto Liability Crash Reports

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