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) Auto Liability Spanish Forms Property & Casualty

Automobile Accident/Loss Notice

A loss report form filled out by insureds and/or agents when reporting an automobile accident. Includes information on occupants, injuries, damages, accident description and witnesses.
  PDF (65KB) Auto Liability Forms Property & Casualty

Notice Under Subrogation Rights

Claim form used to notify an individual of subrogation rights of an insurer for an auto insurance loss.
  PDF (13KB) Auto Liability Subrogation Forms Property & Casualty

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) Auto Liability Spanish Subrogation Forms Property & Casualty

Reservation Of Rights Agreement

A reservation of insurer's rights to discovery, settlement, or defense in denial of a claim for loss and damages, agreed to by insured.
  PDF (19KB) Auto Liability Property Special Investigations Workers' Compensation Forms Property & Casualty

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

Automobile Accident Report - NY

Report form, customized for New York, that is given to vehicle owners and drivers to capture the details of an accident. Includes occupants, injuries, property damages, crash diagram, driver's account of accident, and witnesses.
  PDF (71KB) Auto Liability Forms Property & Casualty

Passengers Statement (Spanish)

A passenger's statement describes persons, vehicles, injuries, driver actions and circumstances of a crash.
  PDF (85KB) Auto Liability 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

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

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

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

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

Monty Fire Investigations LLCWeller SalvageHouston Auto Appraisers

  Recent Provider Listings

Serving the US
National Contents Inventory And Valuation Services Emergency Disaster Response Services Engineers Forensic Consultants
Serving Florida Statewide - CLM Member
Florida Attorneys & Law Firms
Serving Nevada Statewide
Nevada Bathroom Remodeling Biohazardous Cleanup Contractors General