Release With Medical Agreement (Spanish)

This is a contract that releases an insurer from any legal and financial responsibility for injury and liability claims after a specified time period and medical expense settlement amount is agreed upon.
  PDF (75KB) 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

PIP Application - Florida No Fault (Spanish)

Application form for Florida personal injury protection (PIP) No Fault benefits.
  PDF (45KB) Liability Spanish Forms Property & Casualty

Guidelines and Requested Data for Electrical Systems at Fire Scenes

A guide for fire scene investigation of electrical systems.
  PDF (21KB) Property Technology Forms Property & Casualty

Release & Subrogation Receipt (Spanish)

A legal form signed by an insured acknowledging receipt of settlement and release of all subrogation rights to the insurer.
  PDF (96KB) Auto Property Spanish Subrogation Forms Property & Casualty

Proof Of Loss Medical Payment

A declaration by an insured person that itemizes payments made for medical services after an accident which qualify for medical expense coverage under the policy.
  PDF (24KB) Liability Forms Property & Casualty

Non-Auto Liability Accident Notice (Spanish)

Non- auto liability accident notice form details personal injuries and accident circumstances.
  PDF (88KB) Liability 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

Florida WC Forms

A collection of workers' compensation forms which are authorized to be used in the state of Florida.
  PDF (0KB) Workers' Compensation 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

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