Claims Pages
claimspages

Medical Terminology Chart

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

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 (222 KB) Diagrams

Inquiry Form - Index System

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

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

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 (76 KB) Forms Property & Casualty

Digital Photo Sheet 2

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

Request For Contact

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

Dog Bite Injury - Claimant

Statement guideline for interviewing the claimant in a dog bite injury claim. Includes initial questions and follow up questions based on responses given.
  PDF (17 KB) Statement Guides

Joint And Several Liability And Contribution Laws in All 50 States (2017)

This chart concerns contribution among joint tortfeasors, which applies subrogation principles, and is sometimes referred to as “reimbursement by subrogation.” Joint and Several Liability and Contribution laws are shown for all states.
  PDF (60 KB) Legal 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 (25 KB) Forms Property & Casualty

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 (26 KB) Forms Property & Casualty

Reaction And Braking Distance Table

Basic reference table displaying reaction and braking distances for vehicles traveling at a specific speed.
  PDF (11 KB) General Reference

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 (13 KB) Statement Guides