Passengers Statement (Spanish)
A passenger's statement describes persons, vehicles, injuries, driver actions and circumstances of a crash.
PDF (85KB)
Forms Property & Casualty
Reservation Of Rights Agreement (Spanish)
A reservation of insurer's rights to discovery, settlement, or defense in denial of a claim for loss and damages, agreed to by insured.
PDF (92KB)
Forms Property & Casualty
Employment, Wage & Med. Authorization (Spanish)
An employee authorization form allowing release of employment, wage and medical information to another party.
PDF (85KB)
Forms Property & Casualty
General Release (Husband & Wife) (Spanish)
A legal form that absolves an insurer from any further liability for a claim upon acceptance of a settlement amount by a married couple.
PDF (105KB)
Forms Property & Casualty
Insured's Release (Spanish)
The release form identifies all parties to a claim, states the date of the occurrence, and details the terms of settlement of a claim. The release contains a statement that, as a condition of the settlement, prevents any further claim or action against the insurer for the claim event in question.
PDF (95KB)
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 (61KB)
Forms Property & Casualty
Attending Physician's Report (Spanish)
A form which is filled out by the attending physician in order to qualify for medical benefits under an automobile insurance policy. (Spanish version of English form 3160F)
PDF (80KB)
Forms Property & Casualty
Wyoming WC Forms
A collection of workers' compensation forms which are authorized to be used in the state of Wyoming.
PDF (0KB)
Forms Property & Casualty
Utah WC Forms
A collection of workers' compensation forms which are authorized to be used in the state of Utah.
PDF (0KB)
Forms Property & Casualty
Virginia WC Forms
A collection of workers' compensation forms which are authorized to be used in the state of Virginia.
PDF (0KB)
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)
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)
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)
Forms Property & Casualty
