Claim Register Sheet

Basic registry form for logging when claims are received and closed.
  PDF (83KB) Auto Liability Property Workers' Compensation Forms Property & Casualty

Adjuster's File Invoice

An invoice form used by independent adjusting firms that lists claims investigation expenses billable to the client insurance company.
  PDF (48KB) Auto Liability Property Workers' Compensation Forms Property & Casualty

Automobile Accident Promissory Note

Customized automobile subrogation promissory note which allows the insurance company to notify DMV/BMV in case of default by the tortfeasor.
  PDF (17KB) Auto Liability Subrogation Forms Property & Casualty

Subrogation Receipt

A subrogation receipt is signed by the insured upon payment of a claim, and assigns the insurer to the right to recovery for the loss.
  PDF (27KB) Auto Liability Ocean Marine Property Forms Property & Casualty

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) Auto Liability Property Workers' Compensation Forms Property & Casualty

Assignment Sheet

Generic form for assigning an automobile claim to an independent adjuster for investigation and handling. The form lists the insurance company, insured, claimant, endorsements, vehicle details, date and description of loss, and contact information for all parties involved.
  PDF (47KB) Auto Liability Forms Property & Casualty

Automobile Proof Of Loss

A policyholder must provide this sworn statement in support of an automobile claim. The notarized form documents the date and cause of loss, vehicle identification, settlement amount, and reserves subrogation and other rights of the insurer.
  PDF (46KB) Auto Liability Forms Property & Casualty

Vehicle Bill Of Sale

The vehicle bill of sale is a document that records transaction between buyer and seller. Bill of sale includes vehicle type, make, year, vehicle identification number (VIN) and purchase price.
  PDF (20KB) Auto Salvage 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 (97KB) Auto Liability Spanish Forms Property & Casualty

Certificate Of Satisfaction

The insured signs this form which certfies his/her satisfaction with damage repairs performed, directs claim payment to that service provider, and closes the claim.
  PDF (25KB) Auto Property Forms Property & Casualty

Daily Time Sheet

A daily time sheet to record claims work, hours, mileage and expenses.
  PDF (91KB) Auto Liability Property Workers' Compensation Forms Property & Casualty

Automobile Arbitration Contentions Sheet

An Arbitration Forums, Inc. form which is used by insurance companies when submitting an automobile claim for subrogation. The contentions sheet sets forth the legal argument that the claim is owed, and lists the evidence supporting that argument.
  DOC (28KB) Auto Subrogation Forms Property & Casualty

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