A 14 Point Red Flag Checklist For Staged Collisions
The Red Flag checklist helps determine whether a rear-end collision may have been a staged accident; this maneuver is referred to as a swoop and squat crash by the Coalition Against Insurance Fraud. Claims with numerous red flags may need to be referred to the special investigations unit (SIU).
PDF (58KB)
Auto
Liability
Special Investigations
General Reference
Automobile Accident Promissory Note
Customized automobile subrogation promissory note which allows the insurance company to notify DMV/BMV in case of default by the tortfeasor.
PDF (17KB)
Auto
Liability
Subrogation
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
State Minimum Liability Limits
Minimum car insurance liability requirements per state.
PDF (13KB)
Auto
Liability
Legal Reference
File Reassignment Letter
Form letter used to notify insured of reassignment of a claims handler.
PDF (26.939KB)
Auto
Liability
Property
Workers' Compensation
Letters
Accident Scene Diagram - 4-Way Intersection
This Microsoft Word template allows users to sketch an accident scene by adding and resizing a variety of objects including roads, vehicles, road signs, road signals and other symbols and figures in a 4-way intersection.
DOC (2382KB)
Auto
Liability
Diagrams
Subrogation Receipt
A subrogation receipt is signed by the insured upon payment of a claim, and assigns the insurer to the right to recovery for the loss.
PDF (27KB)
Auto
Liability
Ocean Marine
Property
Forms Property & Casualty
Vehicle Fire - Witness
Statement guideline for interviewing a witness to a vehicle fire. Includes initial questions and follow up questions based on responses given.
PDF (17KB)
Auto
Statement Guides
State Drunk Driving Laws Illegal Blood Alcohol Content
Illegal blood alcohol content per state drunk driving laws.
PDF (13KB)
Auto
Liability
Legal Reference
Auto Theft Checklist
Details the steps that an adjuster should take when handling an auto theft claim. It also contains links to other related forms such as a reservation of rights letter, a non-waiver agreement, and an investigating officer statement guideline.
PDF (12KB)
Auto
Checklists
Automobile Proof Of Loss
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 (46KB)
Auto
Liability
Forms Property & Casualty
Vehicle Inspection Report
Auto Examiner or Adjuster's vehicle inspection report form.
PDF (22KB)
Auto
Forms Property & Casualty
