Statement As To Replacement Cost Coverage (Spanish)

A legal form stating the values used to calculate cost coverage for repair or replacement of a property loss.
  PDF (35KB) Property Spanish Forms Property & Casualty

Affidavit-Lightning Losses (Spanish)

This affidavit is filled out by a service provider who inspects a property and certifies lightning damage as the sole source of the loss. A notorized signature and witnesses are required.
  PDF (50KB) Auto Property Spanish Forms Property & Casualty

Statement Of Loss With Enclosures (Spanish)

An adjuster's statement of a loss using Schedules A, B & C, that includes enclosures.
  PDF (50KB) Property Spanish Forms Property & Casualty

Insured's Statement In Burglary Loss (Spanish)

A written statement by the insured detailing a burglary loss claim involving a residence or automobile.
  PDF (55KB) Auto Property Forms Property & Casualty

Employer Occupational Injury And Disease Report (Spanish)

Basic reporting form used by an employer to record an employee's injury or illness on the job.
  PDF (50KB) Spanish Workers' Compensation Forms Property & Casualty

Sworn Statement In Proof Of Loss (No Subrogation) (Spanish)

A notarized statement of the money requested for a loss under a property coverage policy.
  PDF (85KB) Property Forms Property & Casualty

Non-Waiver Agreement / Reservation Of Rights (Spanish)

The non-waiver agreement is signed by the policyholder; its purpose is to protect the insurer. Insurer reserves all of its rights under the policy to investigate and defend a claim without admission of any liability for loss.
  PDF (65KB) Auto Liability Property Spanish Workers' Compensation Forms Property & Casualty

Sworn Statement In Proof Of Loss (w/Subrogation) (Spanish)

A notarized statement of the money claimed for a loss under a property coverage policy, which includes giving insurer the right to recovery.
  PDF (75KB) Ocean Marine Property Forms Property & Casualty

Louisiana WC Forms

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

Texas Limited POA For Eligible Motor Vehicle Transactions VTR-271 (8/17)

This document gives the insurance company legal authority to transfer title of a vehicle that has been declared a total loss, and sell it for salvage.
  PDF (24KB) Auto Salvage Forms Property & Casualty

Indiana WC Forms

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

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