Claims Pages
claimspages

Product Liability - Claimant

Statement guideline for interviewing the claimant in a product liability claim claim. Includes initial questions and follow up questions based on responses given.
  PDF (18KB) Statement Guides


Adjuster's Log Sheet

Daily log to document adjuster activity on a specific claim.
  PDF (26KB) Forms Property & Casualty

Non-Waiver Agreement

The non-waiver agreement is signed by the policyholder; its purpose is to protect the insurer. Insurer reserves all of its rights under the policy to investigate and defend a claim without admission of any liability for loss.
  PDF (21KB) Forms Property & Casualty

Accident Scene Diagram - Modular Diagram (Build your own)

This Microsoft Word template allows users to sketch an accident scene by adding and resizing a variety of objects including roadways, vehicles, traffic signs, traffic signals and other symbols and figures.
  DOC (2194KB) Diagrams

Auto Investigation Checklist

Maximize the effectiveness of your automobile accident investigations with our Auto Investigation Checklist. Designed for adjusters, this checklist provides a structured approach to gathering crucial statements, photographs, and appraisals, along with accident scene diagrams and police reports. Ensure no detail is overlooked in your comprehensive assessment of the incident, leading to precise and informed claims processing.
  PDF (49KB) Checklists

Timeline Template - Horizontal

Create your own time line using this Microsoft Excel template. Just enter dates and labels.
  XLS (57KB) Forms Property & Casualty

Subrogation Letter To Insurer

A subrogation letter sent to an at-fault party's insurer requests reimbursement for automobile damages paid to an insured.
  DOC (18KB) Letters

Dog Bite Injury - Insured

Statement guideline for interviewing the insured in a dog bite injury claim. Includes initial questions and follow up questions based on responses given.
  PDF (15KB) Statement Guides

Claim Acknowledgement Letter

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 (17KB) Letters

Insured's Release

The release form identifies all parties to a claim, states the date of the occurrence, 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 action against the insurer for the claim event in question.
  PDF (23KB) Forms Property & Casualty

Claim Activity Log

This MS Word form is used to document activity on an individual claim.
  DOC (39KB) Forms Property & Casualty

Digital Photo Sheet 1

Form for digital photo documentation for an adjuster's file.
  DOC (25KB) Forms Property & Casualty

Length Of Injury Table

Estimates of length of disability time for different types of injuries over a range of severities.
  PDF (28KB) Medical Reference
Monty Fire Investigations LLCKelmar GlobalWeller Salvage