Claims Pages
claimspages

Automobile VIN Decoding Chart

A unique code of numbers and letters comprise a motor vehicle's Vehicle Identification Number. The VIN indicates the country of origin, manufacturer, plant, vehicle type, make and model, year, engine size, overall dimensions, trim package, brakes and tires, warranty and safety restraints.
  PDF (16 KB) General Reference

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 (17 KB) Statement Guides

State Drunk Driving Laws Illegal Blood Alcohol Content

Illegal blood alcohol content per state drunk driving laws.
  PDF (13 KB) Legal Reference

The Port Authority of NY & NJ - Motor Vehicle Crash Report Code Sheet (08-09)

This code sheet is used to decipher the motor vehicle accident report from the Port Authority of New York and New Jersey.
  PDF (140 KB) Crash Reports

Subrogation Letter To Individual/Business (Spanish)

A subrogation letter sent to an at-fault party requests reimbursement for automobile losses paid to insured.
  DOC (25 KB) Letters

Affidavit Of Salvage Retention (Spanish)

Acknowledgment by the current owner that his vehicle has been declared a total loss, and that he/she has elected to retain the salvage for a specific sum of monies. Towing and storage charges are also specified.
  PDF (68 KB) Forms Property & Casualty

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 (97 KB) Forms Property & Casualty

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 (188 KB) Crash Reports

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 (26 KB) Forms Property & Casualty

Automobile Turn Signal Diagram

Technical diagram showing the operation of a standard turn signal on an automobile
  PDF (21 KB) General Reference

Request For Accident Report

Form letter used by an adjuster requesting an accident report.
  DOC (17 KB) Letters

Automobile Arbitration Filing Form

An Arbitration Forums, Inc. form which is used by insurance companies when submitting an automobile claim for subrogation. Shows the Applicant and Respondent information, and includes a list of contentions setting forth the legal argument that the claim is owed with supporting evidence.
  DOC (91 KB) Forms Property & Casualty

New York - Report Of Motor Vehicle Accident: MV-104 (7/05)

Driver's self-report form for an accident in New York.
  PDF (66 KB) Crash Reports

Adjuster Assignment Form - Fax

Generic fax form sent to an independent adjuster with details of a claim assignment. It allows for a full or limited assignment and lists specific actions required by the adjuster, such as loss verification, photos, scene diagram, statements, subrogation investigation, vehicle appraisals, and settlements.
  DOC (33 KB) Forms Property & Casualty

New York City - Police Accident Report (NYC): MV-104AN (7/01)

The New York Police accident report describes the persons, vehicles and circumstances involved, and includes damages, injuries and an accident diagram.
  PDF (1640 KB) Crash Reports