Claims Pages
claimspages

Digital Photo Sheet 1

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

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 (0 KB) Forms Property & Casualty

Length Of Injury Table

Estimates of length of disability time for different types of injuries over a range of severities.
  PDF (28 KB) Medical Reference

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 (21 KB) Forms Property & Casualty

Subrogation Letter To Individual/Business

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

Snow/Ice Slip And Fall - Claimant

Statement guideline for interviewing the claimant in a slip and fall claim involving snow/ice. Includes initial questions and follow up questions based on responses given.
  PDF (17 KB) Statement Guides

Release & Trust Agreement (UM/UIM BI)

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 (24 KB) Forms Property & Casualty

Medical Terminology Chart

A chart of common medical terms and their meanings.
  PDF (20 KB) Medical Reference

Request For Medical Docs/Bills From Dr.

A form letter requesting medical documents and bills from a physician providing treatment to a claimant, sent with a medical authorization.
  DOC (17 KB) Letters

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 (17 KB) Letters

Accident Scene Diagram - Parking Lot

This Microsoft Word template allows users to sketch an accident scene by adding and resizing a variety of objects including vehicles, traffic signs, and other symbols and figures in a parking lot.
  DOC (186 KB) Diagrams

Driver’s Statement

This form provides all the details of an accident per the driver’s written and signed account of the incident.
  PDF (112.742 KB) 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 (16 KB) Statement Guides

Timeline Template - Horizontal

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

Adjuster Status Report

Short form for reporting the current status of a claim. Typically used by an independent adjuster.
  PDF (30 KB) Forms Property & Casualty