Witness Statement (Spanish)

This written statement is prepared by an accident witness. It documents all details they can recall about the accident scene, including any statements made by parties involved.
  PDF (95KB) Auto Liability Forms Property & Casualty



Florida - Traffic Crash Report - Update/Continuation: HSMV-90004 (1/02)

Update/Continuation form is used with the long form crash report when four or more vehicles or persons are involved in the crash, or the officer needs to update the original report.
  PDF (296KB) Auto Liability Crash Reports


Report Of Public Liability Accident

This report form provides notice and details of a public premise accident.
  PDF (40KB) Auto Liability Forms Property & Casualty

Power Of Attorney (Auto) (Spanish)

This is a limited power of attorney which grants the insurer permission to transfer title for a specific vehicle on the owner's behalf.
  PDF (65KB) Auto Salvage Spanish Forms Property & Casualty


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) Auto Salvage Forms Property & Casualty

Reservation Of Rights Letter (Spanish)

The reservation of rights letter notifies the policyholder that the insurer reserves the right to deny coverage of a claim, in whole or part, pending outcome of a claims investigation.
  DOC (57KB) Auto Liability Property Spanish Special Investigations Letters

Denial - No Coverage (Spanish)

This form letter identifies the claimant, insurer, adjuster and date of loss; it is a claim denial for lack of coverage under the insured's policy.
  DOC (45KB) Auto Liability Property Spanish Letters

New Jersey - Police Accident Report: Code Overlay (4/10)

This code sheet is used to decipher the motor vehicle accident report from the state of New Jersey. These codes are used to represent all circumstances of a traffic incident. Codes detail location, roadway type and surface condition, environmental conditions, traffic control, pre-accident actions, type of accident, safety equipment used, vehicle type, vehicle damage, physical complaints and injuries of driver/pedestrian, physical status, contributing circumstances and county hospitals. It includes crash diagrams and samples of cargo vehicle types.
  PDF (701KB) Auto Liability Crash Reports

Mississippi - Uniform Crash Report (10/09)

The Mississippi Uniform Crash Report provides driver and vehicle identification, accident circumstances, witness(es), collision diagram and collision narrative.
  PDF (96KB) Auto Liability Crash Reports

Request For Accident Report (Spanish)

Form letter used by an adjuster requesting an accident report.
  DOC (39KB) Auto Liability Spanish Letters
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