Claims Pages
claimspages

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 (2286 KB) Diagrams

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 (17 KB) Forms Property & Casualty

Vehicle Bill Of Sale

The vehicle bill of sale is a document that records transaction between buyer and seller. Bill of sale includes vehicle type, make, year, vehicle identification number (VIN) and purchase price.
  PDF (20 KB) Forms Property & Casualty

Witness Report Of Accident

Witness statement describing an accident in detail.
  PDF (42 KB) Forms Property & Casualty

Adjuster's File Invoice

An invoice form used by independent adjusting firms that lists claims investigation expenses billable to the client insurance company.
  PDF (48 KB) Forms Property & Casualty

Automobile Arbitration Contentions Sheet

An Arbitration Forums, Inc. form which is used by insurance companies when submitting an automobile claim for subrogation. The contentions sheet sets forth the legal argument that the claim is owed, and lists the evidence supporting that argument.
  DOC (28 KB) Forms Property & Casualty

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 (27 KB) 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 (36 KB) Forms Property & Casualty

Accident Scene Diagram - Roundabout

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 roundabout.
  DOC (2155 KB) Diagrams


Vehicle Inspection Report

Auto Examiner or Adjuster's vehicle inspection report form.
  PDF (22 KB) Forms Property & Casualty


Alabama - Uniform Traffic Crash Report: AST-27 (6/08)

The Alabama Traffic Uniform traffic crash report describes the persons, vehicles and circumstances involved, and contains a crash diagram. It includes a code legend and a Truck/Bus Supplement sheet.
  PDF (240 KB) Crash Reports

Assignment Sheet

Generic form for assigning an automobile claim to an independent adjuster for investigation and handling. The form lists the insurance company, insured, claimant, endorsements, vehicle details, date and description of loss, and contact information for all parties involved.
  PDF (47 KB) Forms Property & Casualty

Claim Register Sheet

Basic registry form for logging when claims are received and closed.
  PDF (83 KB) Forms Property & Casualty