Bodily Injury Reserve Worksheet
A MS Word form to track bodily injury claim reserve modifications by date, showing who authorized each change, is used to project costs associated with claim settlement.
DOC (54KB)
Liability
Forms Property & Casualty
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)
Auto
Liability
Property
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)
Auto
Liability
Ocean Marine
Letters
Length Of Injury Table
Estimates of length of disability time for different types of injuries over a range of severities.
PDF (28KB)
Liability
Workers' Compensation
Medical Reference
Digital Photo Sheet 2
Form for digital photo documentation for an adjuster's file.
DOC (28KB)
Auto
Liability
Property
Workers' Compensation
Forms Property & Casualty
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)
Auto
Liability
Property
Letters
Driver’s Statement
This form provides all the details of an accident per the driver’s written and signed account of the incident.
PDF (112.742KB)
Auto
Liability
Forms Property & Casualty
Adjuster Status Report
Short form for reporting the current status of a claim. Typically used by an independent adjuster.
PDF (30KB)
Auto
Liability
Property
Workers' Compensation
Forms Property & Casualty
Product Liability - Manufacturer/Distributor
Statement guideline for interviewing the manufacturer or distributor in a products liability claim. Includes initial questions and follow up questions based on responses given.
PDF (13KB)
Liability
Statement Guides
ACORD Forms
A list of ACORD forms used by insurance agents, with a link to purchase documents including personal property applications, schedules, loss notices, workers compensation forms, excess and surplus lines sections, and policy change requests.
PDF (0KB)
Auto
Liability
Property
Workers' Compensation
Forms Property & Casualty
Staircase Slip And Fall - Claimant
Statement guideline for interviewing a claimant in a staircase slip and fall claim. Includes initial questions and follow up questions based on responses given.
PDF (16KB)
Liability
Statement Guides
Request For Contact
Form letter requesting claimant to contact adjuster.
DOC (17KB)
Auto
Liability
Property
Workers' Compensation
Letters
Acknowledgement Of Representation
This is an MS Word template letter to acknowledge notification of legal representation of a claimant. Most commonly used in PIP or bodily injury claims, where there is a potential for coverage dispute litigation.
DOC (17KB)
Auto
Liability
Property
Workers' Compensation
Letters
Accident Scene Diagram - City Street / Highway Intersection
This Microsoft Word template allows users to sketch an accident scene in a street or highway intersection by adding and resizing a variety of objects including vehicles, traffic signs and other symbols.
DOC (222KB)
Auto
Liability
Diagrams
