Claims Pages
claimspages

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

Release & Subrogation Receipt

A legal form signed by an insured acknowledging receipt of settlement and release of all subrogation rights to the insurer.
  PDF (29KB) Forms Property & Casualty

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

Acknowledgement Of Representation

This is an MS Word template letter to acknowledge notification of legal representation of a claimant. Most commonly used in PIP or bodily injury claims, where there is a potential for coverage dispute litigation.
  DOC (17KB) Letters

ACORD Forms

A list of ACORD forms used by insurance agents, with a link to purchase documents including personal property applications, schedules, loss notices, workers compensation forms, excess and surplus lines sections, and policy change requests.
  PDF (0KB) 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

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 & 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

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

Digital Photo Sheet 2

Form for digital photo documentation for an adjuster's file.
  DOC (28KB) Forms Property & Casualty

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

Adjuster Status Report

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

Recorded Statement Analysis

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

Request For Contact

Form letter requesting claimant to contact adjuster.
  DOC (17KB) Letters
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