Claims Pages
claimspages

Release & Authorization Of Payment (Spanish)

Used as a general release form which is signed by insureds and specifies payment to settle a claim. The release contains a statement that, as a condition of the settlement, prevents any further claim or legal action against the insurer for the loss event.
  PDF (40KB) Forms Property & Casualty

Automobile Accident Report - NY (Spanish)

Report form, customized for New York, that is given to vehicle owners and drivers to capture the details of an accident. Includes occupants, injuries, property damages, crash diagram, driver's account of accident, and witnesses.
  PDF (55KB) Forms Property & Casualty

Witness Statement (Spanish)

This written statement is prepared by an accident witness. It documents all details they can recall about the accident scene, including any statements made by parties involved.
  PDF (95KB) Forms Property & Casualty


Covenant Not To Sue (Spanish)

Thus is an agreement by an injured party to not pursue a lawsuit against another party in exchange for a settlement.
  PDF (40KB) Forms Property & Casualty


Report Of Public Liability Accident (Spanish)

This report form provides notice and details of a public premise accident.
  PDF (70KB) Forms Property & Casualty

Texas WC Forms

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

Parent/Guardian Release (Spanish)

This legal form for Parent/Guardian releases an insurer from any liability or indemnity claim for damages or injuries resulting from an accident involving a minor in exchange for a monetary settlement.
  PDF (85KB) 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) Forms Property & Casualty

Witness Report Of Accident (Spanish)

Witness statement describing an accident in detail.
  PDF (63KB) 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) Forms Property & Casualty
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