Claims Pages
claimspages

Digital Photo Sheet 1

Form for digital photo documentation for an adjuster's file.
  DOC (25KB) 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 (0KB) 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) Letters

Employment, Wage & Med. Authorization

An employee authorization form allowing release of employment, wage and medical information to another party.
  PDF (17KB) Forms Property & Casualty

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 (24KB) Forms Property & Casualty

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) 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

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) Forms Property & Casualty

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 (17KB) Statement Guides

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 (186KB) Diagrams

Adjuster Status Report

Short form for reporting the current status of a claim. Typically used by an independent adjuster.
  PDF (30KB) 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 (18KB) 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) Diagrams

Digital Photo Sheet 2

Form for digital photo documentation for an adjuster's file.
  DOC (28KB) Forms Property & Casualty

Insurance Designation List

A list of accreditations associated with the insurance industry.
  PDF (54KB) General Reference
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