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

Insured's Release (Spanish)

The release form identifies all parties to a claim, states the date of the occurrence, and details the terms of settlement of a claim. The release contains a statement that, as a condition of the settlement, prevents any further claim or action against the insurer for the claim event in question.
  PDF (95KB) Auto Property Spanish Forms Property & Casualty

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 (68KB) Auto Salvage Spanish Forms Property & Casualty

Drivers Statement (Spanish)

A driver's written statement of sequence of events and collision information.
  PDF (71KB) Auto Liability Spanish 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

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

Massachusetts - Motor Vehicle Crash Report Codes

Codes used to decipher the Commonwealth of Massachusetts motor vehicle crash report.
  PDF (488KB) Auto Liability Crash Reports

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

Kentucky - Uniform Police Traffic Collision Report: KSP 74 (1/00)

The Kentucky Uniform Police Traffic Collision Report includes vehicle and driver information, collision circumstances, a crash diagram and crash narrative.
  PDF (705KB) Auto Liability Crash Reports

Accident Scene Diagram - Railroad 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 railroad intersection.
  DOC (2152KB) Auto Liability Diagrams

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 (240KB) Auto Liability Crash Reports

Vehicle Repair Order

Agreement and authorization between insured and automotive shop to repair a damaged vehicle within the estimated dollar amount.
  PDF (15KB) Auto Forms Property & Casualty

Report Of Public Liability Accident

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

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 (33KB) Auto Liability Forms Property & Casualty

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