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 (14KB)
General Reference
Model Minimum Uniform Crash Criteria (MMUCC) - 2012
The Model Minimum Uniform Crash Criteria Guideline (MMUCC) is a minimum, standardized data set for describing motor vehicle crashes and the vehicles, persons and environment involved. The Guideline is designed to generate the information necessary to improve highway safety within each state and nationally.
PDF (523KB)
Crash Reports
Request For Accident Report
Form letter used by an adjuster requesting an accident report.
DOC (17KB)
Letters
Vehicle Bill Of Sale (Spanish)
The vehicle bill of sale is a document that records transaction between buyer and seller, identified by name and address. Bill of sale includes vehicle type, make, model, year, odometer reading, vehicle identification number (VIN) and purchase price.
PDF (26KB)
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 (2155KB)
Diagrams
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 (25KB)
General Reference
Automobile Accident Report (Spanish)
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 (97KB)
Forms Property & Casualty
Maine - Crash Report: 13:20 (1/10)
The crash report form used in Maine identifies people and vehicles involved, and contains contributing circumstances, a crash narrative and diagram. Also included is a commercial vehicle supplement and crash report coding guide.
PDF (513KB)
Crash Reports
New York - Police Accident Report Codes MV-104COV (11/13)
Decipher motor vehicle accident reports in New York with ease using the MV-104COV (11/13) code sheet, a vital resource for claims adjusters and legal professionals. This document lays out crucial codes for assessing accident locations, conditions, vehicle types, damages, and injuries, streamlining the analysis of complex accident reports for efficient claims resolution.
PDF (188KB)
Crash Reports
Vehicle Theft - Investigating Officer
Statement guideline for interviewing the investigating officer in a vehicle theft claim. Includes initial questions and follow up questions based on responses given.
PDF (14KB)
Statement Guides
Acknowledgement Of Assignment
Generic form used by independent adjusters to acknowledge receipt of a property insurance claim, and provide a preliminary report to the insurance company.
PDF (23KB)
Forms Property & Casualty
Automobile Accident/Loss Notice
A loss report form filled out by insureds and/or agents when reporting an automobile accident. Includes information on occupants, injuries, damages, accident description and witnesses.
PDF (65KB)
Forms Property & Casualty
Accident Scene Diagram - Freeway/Highway Onramp
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 freeway/highway onramp.
DOC (2175KB)
Diagrams
Daily Time Sheet
A daily time sheet to record claims work, hours, mileage and expenses.
PDF (91KB)
Forms Property & Casualty
