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
Adjuster's Log Sheet
Daily log to document adjuster activity on a specific claim.
PDF (26 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
Timeline Template - Horizontal
Create your own time line using this Microsoft Excel template. Just enter dates and labels.
XLS (57 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
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
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
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
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
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
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
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
A 14 Point Red Flag Checklist For Staged Collisions
The Red Flag checklist helps determine whether a rear-end collision may have been a staged accident; this maneuver is referred to as a swoop and squat crash by the Coalition Against Insurance Fraud. Claims with numerous red flags may need to be referred to the special investigations unit (SIU).
PDF (58 KB)
General Reference
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
Insurance Designation List
A list of accreditations associated with the insurance industry.
PDF (54 KB)
General Reference
