Displaying 1 - 10 of 355
Displaying 1 - 10 of 355

New York - Police Accident Report Codes MV-104COV (11/13)

This code sheet is used to decipher the New York motor vehicle accident report. Codes detail location, roadway conditions, traffic control, pre-accident actions, safety equipment, vehicle type and damage, injuries, and county hospitals.

Property Damage Release

The release form identifies all parties to a claim, states the date and location of the insured 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 for the insured event.

Complete Release Of All Claims

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.

Vehicle Accident - Insured Driver

This is an interview format to take, with permission, a recorded statement from the insured driver involved in a vehicle accident. The interview will document driver's identification, history of prior accidents, employment, and date and location of accident. Specific details of vehicles, passengers and witnesses involved, weather and road conditions, sequence of events before and after the collision, vehicle damage, police investigation, injuries and lost wages are included.

Auto Investigation Checklist

A checklist of items that an adjuster would routinely collect during the investigation of an automobile accident.

Vehicle Accident - Claimant Driver

This is an interview format to take, with permission, a recorded statement from a claimant involved in a vehicle accident. The interview will document claimant's identification, history of prior accidents, employment, date and location of accident. Specific details of vehicles, passengers and witnesses involved, weather and road conditions, and sequence of events before and after the collision, vehicle damage, police investigation, injuries and lost wages are included.

Accident Scene Diagram - 4 Lane Highway

This Microsoft Word template allows users to sketch an accident scene on a four lane highway by adding and resizing a variety of objects including vehicles, traffic signs and other symbols.

Floor Slip And Fall - Claimant

This is an interview format to take, with permission, a recorded statement from a claimant involved in a slip and fall. The interview will document claimant's identification, employment, date and location of accident. Specific details of weather and surface conditions, physical condition, witnesses, police investigation, injuries and lost wages are included.

Digital Photo Sheet 1

Form for digital photo documentation for an adjuster's file.

Request For Medical Docs/Bills From Dr.

A form letter requesting medical documents and bills from a physician providing treatment to a claimant, sent with a medical authorization.

Displaying 1 - 10 of 355
Displaying 1 - 10 of 355