This legal form must be filled out by the insured and notarized. Includes information on vehicle ownership, description & condition, financing, as well as details regarding the theft and police report.
Authorization form for disclosure of medical records, in compliance with HIPAA requirements.
The non-waiver agreement is signed by the policyholder; its purpose is to protect the insurer. Insurer reserves all of its rights under the policy to investigate and defend a claim without admission of any liability for loss.
Financial worksheet for calculating a repair estimate, with one column to itemize losses, and 4 columns for replacement cost, quantity or age, depreciation, and actual cash value.
Basic registry form for logging when claims are received and closed.
A collection of workers' compensation forms which are authorized to be used in the state of Nevada.
An adjuster's statement of a loss using Schedules A, B & C, that includes enclosures.
A collection of workers' compensation forms which are authorized to be used in the state of South Dakota.
Non- auto liability accident notice form details personal injuries and accident circumstances.
