Claims Pages
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Affidavit Of Salvage Retention

Acknowledgment by the current owner that his vehicle has been declared a total loss, and that he/she has elected to retain the vehicle instead of receiving payment of salvage value. Towing and storage charges and who is responsible for paying them is included in this notarized form.
  PDF (20KB) Forms Property & Casualty

Release & Trust Agreement (UM/UIM BI)

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 (24KB) Forms Property & Casualty


Driver’s Statement

This form provides all the details of an accident per the driver’s written and signed account of the incident.
  PDF (112.742KB) Forms Property & Casualty

Diminution In Value Cases In All 50 States

Dive into the intricate world of Diminution in Value claims across the U.S. with our comprehensive state-by-state guide. Ideal for subrogation professionals, this essential document dissects first-party and third-party claim treatments, demystifying legal stances from Immediate to Inherent Diminished Value cases. Stay ahead in your field with this vital resource, ensuring you're well-equipped to navigate the complexities of varied state laws with confidence and precision.
  PDF (28KB) Legal Reference

Accident Scene Diagram - Parking Lot

This Microsoft Word template allows users to sketch an accident scene by adding and resizing a variety of objects including vehicles, traffic signs, and other symbols and figures in a parking lot.
  DOC (186KB) Diagrams

Adjuster Status Report

Short form for reporting the current status of a claim. Typically used by an independent adjuster.
  PDF (30KB) Forms Property & Casualty

Residency Investigation Checklist

Ensure the integrity of your policyholder's residency claims with our 'Residency Investigation Checklist.' Designed for insurance professionals, this detailed checklist provides a robust framework for verifying the authenticity of residency information. From analyzing public records to conducting field investigations, leverage this guide to uncover accurate and comprehensive insights into your policyholder's residency status, bolstering your due diligence process and policy compliance.
  PDF (9KB) Checklists

Memorandum For Appraisal

Memorandum for Appraisal is used in property damage situations where insured and insurer disagree on actual cash value, and is binding on the parties as to the amount of loss.
  PDF (35KB) Forms Property & Casualty

Subrogation Letter To Individual/Business

A subrogation letter sent to an at-fault party requests reimbursement for automobile losses paid to insured.
  DOC (18KB) Letters

Release & Authorization Of Payment

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 (26KB) Forms Property & Casualty

Accident Scene Diagram - City Street / Highway Intersection

This Microsoft Word template allows users to sketch an accident scene in a street or highway intersection by adding and resizing a variety of objects including vehicles, traffic signs and other symbols.
  DOC (222KB) Diagrams

Recorded Statement Analysis

A written observation describing behavior of a person making a recorded statement.
  PDF (54KB) Forms Property & Casualty

Insurance Designation List

A list of accreditations associated with the insurance industry.
  PDF (54KB) General Reference

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