Snow/Ice Slip And Fall - Insured
Statement guideline for interviewing the insured in a slip and fall claim on snow/ice. Includes initial questions and follow up questions based on responses given.
PDF (16 KB)
Statement Guides
Witness Report Of Accident
Witness statement describing an accident in detail.
PDF (42 KB)
Forms Property & Casualty
Non-Waiver Agreement / Reservation Of Rights
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 (36 KB)
Forms Property & Casualty
Product Liability - Witness
Statement guideline for interviewing a witness to a products liablity claim. Includes initial questions and follow up questions based on responses given.
PDF (15 KB)
Statement Guides
Complete Release Of All Claims (Spanish)
A full release and indemnity agreement which is signed by claimants and releases insurer 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, and against the release.
PDF (95 KB)
Forms Property & Casualty
Adjuster's File Invoice
An invoice form used by independent adjusting firms that lists claims investigation expenses billable to the client insurance company.
PDF (48 KB)
Forms Property & Casualty
Automobile Accident Promissory Note
Customized automobile subrogation promissory note which allows the insurance company to notify DMV/BMV in case of default by the tortfeasor.
PDF (17 KB)
Forms Property & Casualty
Assignment Sheet
Generic form for assigning an automobile claim to an independent adjuster for investigation and handling. The form lists the insurance company, insured, claimant, endorsements, vehicle details, date and description of loss, and contact information for all parties involved.
PDF (47 KB)
Forms Property & Casualty
Claim Register Sheet
Basic registry form for logging when claims are received and closed.
PDF (83 KB)
Forms Property & Casualty
General Authorization
This form authorizes release of information, and requires a notary signature.
PDF (17 KB)
Forms Property & Casualty
Arbitration Contentions Sheet
The Arbitration Contentions form lists supporting evidence and damage amount in dispute, and is used by both the filing applicant and the respondent.
DOC (28 KB)
Forms Property & Casualty
Speed Distance Chart
Chart of feet traveled per second relative to speed (mph).
PDF (14 KB)
General Reference
