Digital Photo Sheet 2
Form for digital photo documentation for an adjuster's file.
DOC (28KB)
Auto
Liability
Property
Workers' Compensation
Forms Property & Casualty
Deductible Reimbursement Laws In All 50 States
A summary of the laws and regulations in each state with regard to whether there is a duty or obligation on the part
of a subrogated carrier to reimburse any or all of its insured’s deductible to its insured before it can successfully subrogate or seek reimbursement of its claim payments.
PDF (93KB)
Auto
Ocean Marine
Property
Legal Reference
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)
Auto
Property
Forms Property & Casualty
Claim Acknowledgement Letter
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 (17KB)
Auto
Liability
Property
Letters
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)
Auto
Salvage
Forms Property & Casualty
Accident Scene Diagram - Modular Diagram (Build your own)
This Microsoft Word template allows users to sketch an accident scene by adding and resizing a variety of objects including roadways, vehicles, traffic signs, traffic signals and other symbols and figures.
DOC (2194KB)
Auto
Liability
Diagrams
Automobile Accident Report
Report form that is given to vehicle owners and drivers to capture the details of an accident. Includes occupants, injuries, property damages and witnesses.
PDF (70KB)
Auto
Liability
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)
Auto
Liability
Property
Workers' Compensation
Letters
Adjuster Status Report
Short form for reporting the current status of a claim. Typically used by an independent adjuster.
PDF (30KB)
Auto
Liability
Property
Workers' Compensation
Forms Property & Casualty
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)
Auto
Liability
Property
Workers' Compensation
Forms Property & Casualty
Vehicle Accident - Investigating Officer
Statement guideline for interviewing the investigating officer in a vehicle accident claim. Includes initial questions and follow up questions based on responses given.
PDF (17KB)
Auto
Liability
Statement Guides
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)
Auto
Liability
Forms Property & Casualty
Request For Contact
Form letter requesting claimant to contact adjuster.
DOC (17KB)
Auto
Liability
Property
Workers' Compensation
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)
Auto
Liability
Subrogation
Forms Property & Casualty
Recorded Statement Analysis
A written observation describing behavior of a person making a recorded statement.
PDF (54KB)
Auto
Liability
Property
Workers' Compensation
Forms Property & Casualty
