Claims Pages
claimspages

Hold Harmless Agreement

This is a contract that releases one party from any legal and financial responsibility for all loss or damage or future claims by the other party in exchange for a settlement.
  PDF (20 KB) Forms Property & Casualty

Recorded Statement Analysis

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



Vehicle Accident - Investigating Officer

Statement guideline for interviewing the investigating officer in a vehicle accident claim. Includes initial questions and follow up questions based on responses given.
  PDF (17 KB) Statement Guides

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 (15 KB) Statement Guides

Accident Scene Diagram - 4-Way Intersection

This Microsoft Word template allows users to sketch an accident scene by adding and resizing a variety of objects including roads, vehicles, road signs, road signals and other symbols and figures in a 4-way intersection.
  DOC (2382 KB) Diagrams

Med Pay / PIP Subrogation in All 50 States

This chart provides an overview of subrogation rights for PIP and/or Med Pay-type benefits paid under the automobile insurance laws of all 50 states.
  PDF (40 KB) Legal Reference

Customer's Claim & Affidavit

Damage to customer's property is included under a commercial general liability policy; this form describes items lost, seller, purchase date and depreciation. The claim amount is submitted with signature of customer and adjuster.
  PDF (59 KB) Forms Property & Casualty

Accident Scene Diagram - T - Intersection

This Microsoft Word template allows users to sketch an accident scene by adding and resizing a variety of objects including roads, vehicles, traffic signs, road signals and other symbols and figures in a T-intersection.
  DOC (2286 KB) Diagrams

Release Of All Claims

A full release form which is signed by claimants and releases insureds from bodily injury and property damage liability which arose out of an accident, casualty or event. The release form identifies all parties to a claim, states the date and location of the event, and details the terms of settlement of a claim. The release contains a statement that, as a condition of the settlement, prevents any further claim or legal action against the insurer, or any other parties, for the event.
  PDF (28 KB) Forms Property & Casualty

Accident Scene Diagram - Roundabout

This Microsoft Word template allows users to sketch an accident scene by adding and resizing a variety of objects including roads, vehicles, traffic signs, road signals and other symbols and figures in a roundabout.
  DOC (2155 KB) Diagrams


Subrogation Receipt

A subrogation receipt is signed by the insured upon payment of a claim, and assigns the insurer to the right to recovery for the loss.
  PDF (27 KB) Forms Property & Casualty

Dog Bite Injury - Witness

Statement guideline for interviewing a witness to a dog bite injury. Includes initial questions and follow up questions based on responses given.
  PDF (16 KB) Statement Guides