The release form identifies all parties to a claim, states the date of the occurrence, 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 action against the insurer for the claim event in question.
The Utah traffic crash report describes the persons, vehicles and circumstances involved, and includes the code overlays used to decipher the details of the incident.
The Connecticut accident report includes motor vehicle identification and ownership, driver identification, crash location, conditions, contributing circumstances, driver actions, crash diagram and narrative, property damage, injuries and witness identification.
This application form to obtain personal injury protection benefits requests information regarding claimant's employment, income, injury, treatment dates and medical bills received, plus any loss of wages due to the accident.
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.