Missouri - Uniform Accident Report - Narrative/Statements: SHP-220
Missouri Uniform Crash Report Narrative / Statements Continuation / Supplement (SHP-220) is used when more space is
needed to complete Section 11 - Narrative / Statements or when additional narrative information is acquired after the original report has been submitted.
PDF (105KB)
Crash Reports
Drivers Statement (Spanish)
A driver's written statement of sequence of events and collision information.
PDF (71KB)
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)
Forms Property & Casualty
Affidavit Of Vehicle Theft (Spanish)
This legal form must be filled out by the insured and notarized. Includes information on vehicle ownership, description & condition, financing, as well as details regarding the theft and police report.
PDF (85KB)
Forms Property & Casualty
Ontario (Canada) - Motor Vehicle Accident Codes
This code sheet is used to decipher the motor vehicle accident report from Ontario, Canada. Codes detail location, roadway surface condition, environmental conditions, traffic control, pre-accident actions, type of accident, safety equipment used, vehicle type, damage, and injuries.
PDF (360KB)
Crash Reports
Release And Trust Agreement (UM/UIM PD)
A release form signed by an insured when making an uninsured motorist or underinsured motorist claim involving property damage.
PDF (24KB)
Forms Property & Casualty
Hold Harmless Agreement (Spanish)
This is a contract that releases one party from any legal and financial responsibility for all loss or damage or future claims by the other party in exchange for a settlement.
PDF (82KB)
Forms Property & Casualty
Texas - Peace Officer's Crash Report: CR-3 (1/12)
The Texas Peace Officer's crash report describes persons, vehicles and circumstances involved, and includes a crash narrative and diagram.
PDF (212KB)
Crash Reports
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)
Letters
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)
Crash Reports
New Jersey - Police Crash Investigation Report: NJTR-1 (4/10)
These are all of the crash investigation report forms used in New Jersey, including the code overlay sheets. The report and codes detail driver/persons involved, location, roadway conditions, traffic control, pre-accident actions, safety equipment, vehicle types, collision type, vehicle damage, injuries, and contributing circumstances. A crash diagram is included.
PDF (94KB)
Crash Reports
Automobile Accident Promissory Note (Spanish)
Customized automobile subrogation promissory note which allows the insurance company to notify DMV/BMV in case of default by the tortfeasor.
PDF (56KB)
Forms Property & Casualty
Georgia - Uniform Vehicle Accident Report Overlay: DOT-523 Overlay
Code sheet used to decipher the Vehicle Accident Report for Georgia.
PDF (48KB)
Crash Reports
Release & Trust Agreement (UM/UIM BI) (Spanish)
A release form signed by an insured when making an uninsured motorist or underinsured motorist claim. Requires the insured to cooperate in the recovery of funds from the responsible party.
PDF (65KB)
Forms Property & Casualty
Claimant's Report Of Accident (Spanish)
This report form is given to claimants to record the details of an accident. Includes accident location, property damage, vehicle occupants, witnesses and an accident diagram.
PDF (87KB)
Forms Property & Casualty
