A physician treating a person seeking medical benefits under an automobile insurance policy must complete this report.

This is a contract that releases an insurer from any legal and financial responsibility for injury and liability claims after a specified time period and medical expense settlement amount is agreed upon.

A collection of workers' compensation forms which are authorized to be used in the state of New Jersey.

A legal form signed by an insured acknowledging receipt of settlement and release of all subrogation rights to the insurer.

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.

A collection of workers' compensation forms which are authorized to be used in the state of Minnesota.

A declaration by an insured person that itemizes payments made for medical services after an accident which qualify for medical expense coverage under the policy.

A loss report form filled out by an insured when reporting a theft claim to and insurance company. Includes circumstances of the theft, and a list of items claimed as stolen with declared values.