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

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

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) Auto Spanish Forms Property & Casualty

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) Auto Liability Subrogation 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

Subrogation Receipt (Spanish)

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 (28KB) Auto Liability Ocean Marine Property Forms Property & Casualty

Automobile Accident/Loss Notice (Spanish)

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 (78KB) Auto Liability Spanish Forms Property & Casualty

Uninsured Motorist Arbitration Filing Form

An arbitration request form for a disagreement involving an uninsured motorist that includes allegations, contentions and supporting evidence.
  DOC (37KB) Auto Liability Subrogation Forms Property & Casualty

South Carolina - Accident and Insurance Inquiry Forms (Financial Responsibility)

South Carolina Department of Motor Vehicles Accident and Insurance Inquiry forms relating to Financial Responsibility.
  PDF (251KB) Auto Liability Forms Property & Casualty

Automobile Proof Of Loss (Spanish)

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 (86KB) Auto Liability Spanish Forms Property & Casualty

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) Auto Liability Spanish Subrogation Forms Property & Casualty

Release & Authorization Of Payment (Spanish)

Used as a general release form which is signed by insureds and specifies payment to settle a claim. The release contains a statement that, as a condition of the settlement, prevents any further claim or legal action against the insurer for the loss event.
  PDF (40KB) Auto Liability Property Spanish Workers' Compensation Forms Property & Casualty

Automobile Accident Report - NY (Spanish)

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 (55KB) Auto Liability Spanish Forms Property & Casualty

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