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 (46 KB)
Forms Property & Casualty
Auto Theft Loss Checklist
Similar to form number 9221F, this checklist lists the steps that an adjuster should take when handling an auto theft claim.
PDF (25 KB)
General Reference
Notice Under Subrogation Rights
Claim form used to notify an individual of subrogation rights of an insurer for an auto insurance loss.
PDF (13 KB)
Forms Property & Casualty
Accident Scene Diagram - 3-Lane Highway Intersection
This Microsoft Word template allows users to sketch an accident scene by adding and resizing a variety of objects including roadways, vehicles, traffic signs and other symbols in a 3-lane highway intersection.
DOC (221 KB)
Diagrams
Certificate Of Satisfaction
The insured signs this form which certfies his/her satisfaction with damage repairs performed, directs claim payment to that service provider, and closes the claim.
PDF (25 KB)
Forms Property & Casualty
Auto Repossessions Checklist
List of steps to take when handling a claim that includes automobile repossession by a lienholder who reports damage to the vehicle.
PDF (25 KB)
General Reference
Daily Time Sheet
A daily time sheet to record claims work, hours, mileage and expenses.
PDF (91 KB)
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 (79 KB)
Forms Property & Casualty
Blood Alcohol Content Chart
Reference chart showing what a person's blood alcohol content may be, based on the number of drinks consumed within an hour. Includes a person's weight as a factor.
PDF (14 KB)
General Reference
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 (70 KB)
Forms Property & Casualty
Request For Contact (Spanish)
Form letter requesting claimant to contact adjuster.
DOC (90 KB)
Letters
State Minimum Liability Limits
Minimum car insurance liability requirements per state.
PDF (13 KB)
Legal Reference
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
