Georgia - Uniform Vehicle Accident Report Overlay: DOT-523 Overlay
Code sheet used to decipher the Vehicle Accident Report for Georgia.
PDF (48 KB)
Crash Reports
New Jersey - Police Crash Investigation Report: NJTR-1 (4/10)
These are all of the crash investigation report forms used in New Jersey, including the code overlay sheets. The report and codes detail driver/persons involved, location, roadway conditions, traffic control, pre-accident actions, safety equipment, vehicle types, collision type, vehicle damage, injuries, and contributing circumstances. A crash diagram is included.
PDF (94 KB)
Crash Reports
Denial - No Coverage (Spanish)
This form letter identifies the claimant, insurer, adjuster and date of loss; it is a claim denial for lack of coverage under the insured's policy.
DOC (45 KB)
Letters
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
Drivers Statement (Spanish)
A driver's written statement of sequence of events and collision information.
PDF (71 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
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
Request For Copy Of Tax Return IRS Form 4506 (7/17)
IRS Form 4506 Request for Copy of Tax Return
PDF (43 KB)
Forms Property & Casualty
Excavation-One Call Centers Nationwide
A resource for excavation professionals or anyone who has to dig, includes the One-Call Center directory for utility locating services in all of the United States.
PDF (545 KB)
Legal Reference
Excavation Law - State Directory
One-Call Center directory has phone numbers and websites for all of the United States and Canada , and is a useful resource for utility location and damage prevention when excavation is needed.
PDF (759 KB)
Legal Reference
Kentucky - Traffic Collision Report Codes
The code sheet is used to decipher the motor vehicle accident report from the state of Kentucky, and details circumstances and contributing factors.
PDF (245 KB)
Crash Reports
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
Claim Acknowledgement Letter (Spanish)
A basic MS Word template letter sent as a best practice for the protection of all parties involved. The letter acknowledges receipt of the claim and requests contact with the insured or claimant.
DOC (51 KB)
Letters
Release & Trust Agreement (UM/UIM BI) (Spanish)
A release form signed by an insured when making an uninsured motorist or underinsured motorist claim. Requires the insured to cooperate in the recovery of funds from the responsible party.
PDF (65 KB)
Forms Property & Casualty
