Claims Pages
claimspages

Reservation Of Rights Agreement

A reservation of insurer's rights to discovery, settlement, or defense in denial of a claim for loss and damages, agreed to by insured.
  PDF (19 KB) Forms Property & Casualty

Model Of The Human Brain

A schematic drawing of the different parts of the human brain.
  PDF (38 KB) Medical Reference



Florida - Traffic Crash Report - Update/Continuation: HSMV-90004 (1/02)

Update/Continuation form is used with the long form crash report when four or more vehicles or persons are involved in the crash, or the officer needs to update the original report.
  PDF (296 KB) Crash Reports

Illinois - Traffic Crash Report: SR-1050 (2013)

The traffic crash report form for Illinois includes driver and vehicle identification, tow and insurance information, and description of property damage and bodily injuries. An accident diagram and narrative are included.
  PDF (368 KB) Crash Reports

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

New Hampshire - Motor Carrier Accident Report: DSMV 161 (7/07)

Commercial motor carrier accident report used in New Hampshire identifies vehicle and carrier, and sequence of events.
  PDF (266 KB) Crash Reports

Non-Auto Liability Accident Notice

Non- auto liability accident notice form details personal injuries and accident circumstances.
  PDF (40 KB) Forms Property & Casualty

Texas - Peace Officer's Crash Report: CR-3 (1/12)

The Texas Peace Officer's crash report describes persons, vehicles and circumstances involved, and includes a crash narrative and diagram.
  PDF (212 KB) Crash Reports

Missouri - Uniform Accident Report: SHP 2Q (1/12)

The Missouri Uniform Crash Report identifies drivers and vehicles involved, and includes all crash circumstances, a collision diagram and crash narrative.
  PDF (340 KB) Crash Reports


Accident Scene Diagram - Railroad Intersection

This Microsoft Word template allows users to sketch an accident scene by adding and resizing a variety of objects including roads, vehicles, traffic signs, road signals and other symbols and figures in a railroad intersection.
  DOC (2152 KB) Diagrams

Ontario (Canada) - Motor Vehicle Accident Codes

This code sheet is used to decipher the motor vehicle accident report from Ontario, Canada. Codes detail location, roadway surface condition, environmental conditions, traffic control, pre-accident actions, type of accident, safety equipment used, vehicle type, damage, and injuries.
  PDF (360 KB) Crash Reports

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