Vehicle Inspection Report

Auto Examiner or Adjuster's vehicle inspection report form.
  PDF (22KB) Auto Forms Property & Casualty

Claimant's Report Of Accident

This report form is given to claimants to record the details of an accident. Includes accident location, property damage, vehicle occupants, witnesses and an accident diagram.
  PDF (76KB) Auto Liability Forms Property & Casualty

Employment, Wage & Med. Authorization

An employee authorization form allowing release of employment, wage and medical information to another party.
  PDF (17KB) Liability Workers' Compensation Forms Property & Casualty

Adjuster's File Invoice

An invoice form used by independent adjusting firms that lists claims investigation expenses billable to the client insurance company.
  PDF (48KB) Auto Liability Property Workers' Compensation Forms Property & Casualty

Inquiry Form - Index System

This inquiry form requests claim details for a third party using an Index System.
  PDF (16KB) Liability Forms Property & Casualty

PIP Wage & Salary Verification

This form is used to verify wage and salary information of a person who has applied for personl injury protection (PIP) benefits after an automobile accident.
  PDF (33KB) Liability Forms Property & Casualty

Complete Release Of All Claims (Spanish)

A full release and indemnity agreement which is signed by claimants and releases insurer from bodily injury and property damage liability which arose out of an accident, casualty or event. The release form identifies all parties to a claim, states the date and location of the event, 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 legal action against the insurer, or any other parties, for the event, and against the release.
  PDF (95KB) Liability Spanish Forms Property & Casualty

Hold Harmless Agreement

This is a contract that releases one party from any legal and financial responsibility for all loss or damage or future claims by the other party in exchange for a settlement.
  PDF (20KB) Liability Property Forms Property & Casualty

Automobile Accident Promissory Note

Customized automobile subrogation promissory note which allows the insurance company to notify DMV/BMV in case of default by the tortfeasor.
  PDF (17KB) Auto Liability Subrogation Forms Property & Casualty

Sworn Statement In Proof Of Loss (w/Subrogation)

A notarized statement of the money claimed for a loss under a property coverage policy, which includes giving insurer the right to recovery.
  PDF (94KB) Ocean Marine Property Subrogation Forms Property & Casualty

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