Schedule Of Contents (Spanish)
A contents inventory form, with columns to itemize place and date of purchase, cost, condition, actual value and amount claimed.
PDF (40 KB)
Forms Property & Casualty
Receipt & Release Medical Payments Coverage
This form is signed by those who qualify as insureds under a policy when collecting medical payments coverage. Used as both a receipt and a release.
PDF (21 KB)
Forms Property & Casualty
Nebraska WC Forms
A collection of workers' compensation forms which are authorized to be used in the state of Nebraska.
PDF (0 KB)
Forms Property & Casualty
Guidelines and Requested Data for Electrical Systems at Fire Scenes
A guide for fire scene investigation of electrical systems.
PDF (21 KB)
Forms Property & Casualty
Automobile Accident/Loss Notice (Spanish)
A loss report form filled out by insureds and/or agents when reporting an automobile accident. Includes information on occupants, injuries, damages, accident description and witnesses.
PDF (78 KB)
Forms Property & Casualty
Covenant Not To Sue
Thus is an agreement by an injured party to not pursue a lawsuit against another party in exchange for a settlement.
PDF (21 KB)
Forms Property & Casualty
Claimant's Report Of Accident (Spanish)
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 (87 KB)
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 (45 KB)
Forms Property & Casualty
Customer's Claim & Affidavit (Spanish)
Damage to customer's property is included under a commercial general liability policy; this form describes items lost, seller, purchase date and depreciation. The claim amount is submitted with signature of customer and adjuster.
PDF (61 KB)
Forms Property & Casualty
Certificate Of Satisfaction (Spanish)
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 (22 KB)
Forms Property & Casualty
Proof Of Loss (Medical Expense)
A declaration by an insured person that he/she was not being transported for a fee at the time of the accident, and otherwise qualifies for medical expense coverage under the policy.
PDF (32 KB)
Forms Property & Casualty
Arizona Workers' Compensation Forms
A collection of workers' compensation forms which are authorized to be used in the state of Arizona.
PDF (0 KB)
Forms Property & Casualty
Report Of Public Liability Accident
This report form provides notice and details of a public premise accident.
PDF (40 KB)
Forms Property & Casualty