Request For Medical Docs/Bills From Dr. (Spanish)
A form letter requesting medical documents and bills from a physician providing treatment to a claimant, sent with a medical authorization.
DOC (45 KB)
Letters
PIP Wage & Salary Verification (Spanish)
This form is used to verify wage and salary information of a person who has applied for personl injury protection (PIP) benefits after an automobile accident.
PDF (35 KB)
Forms Property & Casualty
Insurance Fraud Legislation Update 2017
Status report on state legislation for insurance fraud bills.
PDF (60 KB)
Legal Reference
Subrogation Receipt (Spanish)
A subrogation receipt is signed by the insured upon payment of a claim, and assigns the insurer to the right to recovery for the loss.
PDF (28 KB)
Forms Property & Casualty
Corporation Release (Spanish)
A release and indemnity agreement for a corporation, which releases insurer from 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.
PDF (45 KB)
Forms Property & Casualty
Passengers Statement (Spanish)
A passenger's statement describes persons, vehicles, injuries, driver actions and circumstances of a crash.
PDF (85 KB)
Forms Property & Casualty
Reservation Of Rights Agreement (Spanish)
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 (92 KB)
Forms Property & Casualty
Casualty Specialty Updates 2016
The latest reports, market news, and industry intelligence on litigation, regulation, emerging risks, natural catastrophes and reinsurance issues as they relate to casualty claims worldwide.
PDF (785 KB)
White Papers
Michigan - Traffic Crash Report: UD-10 (9/15)
The Michigan State Police traffic crash report details driver and vehicle information, injuries, damages, circumstances of the accident, and also includes a crash diagram.
PDF (170 KB)
Crash Reports
Kentucky - Uniform Police Traffic Collision Report: KSP 74 (1/00)
The Kentucky Uniform Police Traffic Collision Report includes vehicle and driver information, collision circumstances, a crash diagram and crash narrative.
PDF (705 KB)
Crash Reports
