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
Insurance Designation List
A list of accreditations associated with the insurance industry.
PDF (54KB)
Auto
Education & Training
Liability
Litigation
Management & Underwriting
General Reference
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)
Auto
Liability
Property
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
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
Claimant's Report Of Accident
This report form is given to claimants to record the details of an accident. Includes accident location, property damage, vehicle occupants, witnesses and an accident diagram.
PDF (76KB)
Auto
Liability
Forms Property & Casualty
Reaction And Braking Distance Table
Basic reference table displaying reaction and braking distances for vehicles traveling at a specific speed.
PDF (11KB)
Auto
Liability
General Reference
Witness Report Of Accident
Witness statement describing an accident in detail.
PDF (42KB)
Auto
Liability
Forms Property & Casualty
4 Column Adjuster Worksheet
Financial worksheet for calculating a repair estimate, with one column to itemize losses, and 4 columns for replacement cost, quantity or age, depreciation, and actual cash value.
PDF (79KB)
Auto
Management & Underwriting
Property
Forms Property & Casualty
Car Evaluation Analysis
Appraisal form used to determine a vehicle's value after a total loss by considering the book value and local market value (dealer quotes). Add or deduct value using a comparable vehicle model, noting trim, paint, glass, tires, power options, mechanical condition and cleanliness.
PDF (126KB)
Auto
Forms Property & Casualty
Non-Waiver Agreement / Reservation Of Rights
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 (36KB)
Auto
Liability
Property
Workers' Compensation
Forms Property & Casualty
Accident Scene Diagram - T - Intersection
This Microsoft Word template allows users to sketch an accident scene by adding and resizing a variety of objects including roads, vehicles, traffic signs, road signals and other symbols and figures in a T-intersection.
DOC (2286KB)
Auto
Liability
Diagrams
