Virginia WC Forms
A collection of workers' compensation forms which are authorized to be used in the state of Virginia.
PDF (0KB)
Workers' Compensation
Forms Property & Casualty
Vermont WC Forms
A collection of workers' compensation forms which are authorized to be used in the state of Vermont.
DOC (0KB)
Workers' Compensation
Forms Property & Casualty
Washington WC Forms
A collection of workers' compensation forms which are authorized to be used in the state of Washington.
PDF (0KB)
Workers' Compensation
Forms Property & Casualty
Proof Of Loss (Aircraft)
A Proof of Loss form for an insurance claim involving an aircraft.
PDF (43KB)
Property
Forms Property & Casualty
Notice Of Plate Glass Loss (Spanish)
The notice of plate glass loss details the circumstances and description of loss. Included is an estimate for lowest replacement cost by a glazier.
PDF (59KB)
Property
Spanish
Forms Property & Casualty
Proof Of Loss (Aircraft) (Spanish)
A Proof of Loss form for an insurance claim involving an aircraft.
PDF (41KB)
Property
Spanish
Forms Property & Casualty
Emergency / Temporary Work Repair Summary (Spanish)
An emergency/temporary repair work order, including cost, provided in support of a property claim.
PDF (35KB)
Property
Spanish
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
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
Employer Occupational Injury And Disease Report
Basic reporting form used by an employer to record an employee's injury or illness on the job.
PDF (66KB)
Workers' Compensation
Forms Property & Casualty
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
