Claims Pages
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Montana WC Forms

A collection of workers' compensation forms which are authorized to be used in the state of Montana.
  DOC (0 KB) Forms Property & Casualty

North Carolina WC Forms

A collection of workers' compensation forms which are authorized to be used in the state of North Carolina.
  PDF (0 KB) Forms Property & Casualty

New Hampshire WC Forms

A collection of workers' compensation forms which are authorized to be used in the state of New Hampshire.
  PDF (0 KB) Forms Property & Casualty

Employment, Wage & Med. Authorization (Spanish)

An employee authorization form allowing release of employment, wage and medical information to another party.
  PDF (85 KB) Forms Property & Casualty

Proof Of Loss (Aircraft) (Spanish)

A Proof of Loss form for an insurance claim involving an aircraft.
  PDF (41 KB) 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 (85 KB) Forms Property & Casualty

Guarantee Of Title (Spanish)

For a case involving a total loss or theft of a financed motor vehicle or boat, this is an agreement that the lien holder will provide a lien free Certificate of Title to the insurance company upon receipt of a claim payment.
  PDF (20 KB) Forms Property & Casualty

Customer's Claim & Affidavit (Spanish)

Damage to customer's property is included under a commercial general liability policy; this form describes items lost, seller, purchase date and depreciation. The claim amount is submitted with signature of customer and adjuster.
  PDF (61 KB) Forms Property & Casualty

Non-Auto Liability Accident Notice (Spanish)

Non- auto liability accident notice form details personal injuries and accident circumstances.
  PDF (88 KB) Forms Property & Casualty

Employment-Wage Authorization (Spanish)

A person uses this form to authorize an employer to release his or her employment and wage records to a third party.
  PDF (86 KB) Forms Property & Casualty

General Authorization (Spanish)

This form authorizes release of information, and requires a notary signature.
  PDF (85 KB) Forms Property & Casualty


Release And Trust Agreement (UM/UIM PD) (Spanish)

A release form signed by an insured when making an uninsured motorist or underinsured motorist claim involving property damage.
  PDF (75 KB) 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 (86 KB) Forms Property & Casualty

PIP Attending Physician's Report (Spanish)

The attending physician report form is used by an insurer to determine if a person is due benefits under personal injury protection (PIP) law.
  PDF (55 KB) Forms Property & Casualty