Claims Pages
claimspages

Release & Authorization Of Payment

Used as a general release form which is signed by insureds and specifies payment to settle a claim. The release contains a statement that, as a condition of the settlement, prevents any further claim or legal action against the insurer for the loss event.
  PDF (26KB) Forms Property & Casualty

Insurance Designation List

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

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) Statement Guides


Request For Contact

Form letter requesting claimant to contact adjuster.
  DOC (17KB) Letters

Recorded Statement Analysis

A written observation describing behavior of a person making a recorded statement.
  PDF (54KB) Forms Property & Casualty

Medical Terminology Chart

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

Parent/Guardian Release

This legal form for Parent/Guardian releases an insurer from any liability or indemnity claim for damages or injuries resulting from an accident involving a minor in exchange for a monetary settlement.
  PDF (25KB) 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) Statement Guides

Claimant's Report Of Accident

This report form is given to claimants to record the details of an accident. Includes accident location, property damage, vehicle occupants, witnesses and an accident diagram.
  PDF (76KB) Forms Property & Casualty

Inquiry Form - Index System

This inquiry form requests claim details for a third party using an Index System.
  PDF (16KB) Forms Property & Casualty


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 (58KB) General Reference


Staircase Slip And Fall - Insured

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