PIP Application - Florida No Fault (Spanish)
Application form for Florida personal injury protection (PIP) No Fault benefits.
PDF (45 KB)
Forms Property & Casualty
Hold Harmless Agreement (Spanish)
This is a contract that releases one party from any legal and financial responsibility for all loss or damage or future claims by the other party in exchange for a settlement.
PDF (82 KB)
Forms Property & Casualty
New Jersey - Police Accident Report: Code Overlay (4/10)
This code sheet is used to decipher the motor vehicle accident report from the state of New Jersey. These codes are used to represent all circumstances of a traffic incident. Codes detail location, roadway type and surface condition, environmental conditions, traffic control, pre-accident actions, type of accident, safety equipment used, vehicle type, vehicle damage, physical complaints and injuries of driver/pedestrian, physical status, contributing circumstances and county hospitals. It includes crash diagrams and samples of cargo vehicle types.
PDF (701 KB)
Crash Reports
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
Alaska - Motor Vehicle Crash Form: 12-209
This form is Alaska driver's self-report form for a motor vehicle crash where the damage is less than $500. It describes the persons, vehicles and circumstances involved, and includes a crash diagram.
PDF (1024 KB)
Crash Reports
New Brunswick (Canada) - Report of Motor Vehicle Accident - Code Sheet
This code sheet is used to decipher the motor vehicle accident report from New Brunswick, Canada.
PDF (276 KB)
Crash Reports
United States Death Statistics 2014
This report presents final 2014 data on U.S. deaths, death rates, life expectancy, infant mortality, and trends, by
selected characteristics such as age, sex, Hispanic origin, race, state of residence, and cause of death.
PDF (3034 KB)
Medical Reference
Michigan - Traffic Crash Report Guide (10/15)
Use this code guide to decipher the Michigan traffic crash report.
PDF (348 KB)
Crash Reports
Iowa - Investigating Officer's Report of Motor Vehicle Accident: 433003 (1/01)
The Iowa traffic accident report includes vehicle and driver information, collision circumstances, a crash diagram and crash narrative.
PDF (440 KB)
Crash Reports
Louisiana - Uniform Motor Vehicle Traffic Crash Report (1/05)
The uniform motor vehicle crash report for the state of Louisiana includes vehicle and driver identification, collision circumstances, contributing factors, witness/driver statement, a crash diagram and crash narrative. It also contains a railroad grade crossing crash supplement.
PDF (63 KB)
Crash Reports
New Hampshire - Uniform Police Traffic Crash Report: DSMV 159 (11/07)
The police traffic accident report used in New Hampshire describes persons, vehicles and circumstances involved, and includes a crash diagram and coding guide.
PDF (297 KB)
Crash Reports
District of Columbia - Traffic Crash Report: PD 10 (12/08)
The traffic crash report for the District of Columbia includes driver/passenger/witness information, location and collision type, vehicle identification, contributing circumstances, injury and damage details, crash diagram and narrative.
PDF (69 KB)
Crash Reports
