Certificate Of Satisfaction

The insured signs this form which certfies his/her satisfaction with damage repairs performed, directs claim payment to that service provider, and closes the claim.
  PDF (25KB) Auto Property Forms Property & Casualty

Emergency / Temporary Work Repair Summary

An emergency/temporary repair work order, including cost, provided in support of a property claim.
  PDF (17KB) Property Forms Property & Casualty

Automobile Accident Report - NY

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 (71KB) Auto Liability Forms Property & Casualty

Passengers Statement (Spanish)

A passenger's statement describes persons, vehicles, injuries, driver actions and circumstances of a crash.
  PDF (85KB) Auto Liability Spanish Forms Property & Casualty

Affidavit Of Salvage Retention (Spanish)

Acknowledgment by the current owner that his vehicle has been declared a total loss, and that he/she has elected to retain the salvage for a specific sum of monies. Towing and storage charges are also specified.
  PDF (68KB) Auto Salvage Spanish Forms Property & Casualty

PIP Application For Benefits (Spanish)

This application form to obtain personal injury protection benefits requests information regarding claimant's employment, income, injury, treatment dates and medical bills received, plus any loss of wages due to the accident.
  PDF (45KB) Liability Spanish Forms Property & Casualty

Drivers Statement (Spanish)

A driver's written statement of sequence of events and collision information.
  PDF (71KB) Auto Liability Spanish Forms Property & Casualty

Special Arbitration Filing Form

The special arbitration form identifies the parties and allegations involved in a dispute, and lists supporting evidence.
  DOC (52KB) Liability Subrogation Forms Property & Casualty

Nevada WC Forms

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

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