Liability Insurance Claims Documents (Page 10)

Release Of All Claims (Spanish)

A full release form which is signed by claimants and releases insureds 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.

PDF (80KB) Forms Property & Casualty

Swimming Pool Injury - Witness

Statement guideline for interviewing a witness to a swimming pool injury. Includes initial questions and follow up questions based on responses given.

PDF (17KB) Statement Guides

Event Data Recorders - Vehicle List

This list of vehicles equipped with crash data recorders is current through 2014.

PDF (46KB) General Reference

Automobile Accident/Loss Notice

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 (65KB) Forms Property & Casualty

PIP Application - Florida No Fault (Spanish)

Application form for Florida personal injury protection (PIP) No Fault benefits.

PDF (45KB) Forms Property & Casualty

Automobile Accident Report (Spanish)

Report form that is given to vehicle owners and drivers to capture the details of an accident. Includes occupants, injuries, property damages and witnesses.

PDF (97KB) Forms Property & Casualty

Model Minimum Uniform Crash Criteria (MMUCC) - 2012

The Model Minimum Uniform Crash Criteria Guideline (MMUCC) is a minimum, standardized data set for describing motor vehicle crashes and the vehicles, persons and environment involved. The Guideline is designed to generate the information necessary to improve highway safety within each state and nationally.

PDF (523KB) Crash Reports