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 (47KB)
Forms Property & Casualty
State Drunk Driving Laws Illegal Blood Alcohol Content
Illegal blood alcohol content per state drunk driving laws.
PDF (13KB)
Legal Reference
Adjuster's File Invoice
An invoice form used by independent adjusting firms that lists claims investigation expenses billable to the client insurance company.
PDF (48KB)
Forms Property & Casualty
Prescription Abbreviations
A list of medical abbreviations commonly found on prescriptions.
PDF (20KB)
Medical Reference
Economic Loss Doctrine In All 50 States
The Economic Loss Doctrine explained as it has been applied in all 50 states, an educational reference for subrogation professionals.
PDF (97KB)
Legal Reference
Automobile Proof Of Loss
A policyholder must provide this sworn statement in support of an automobile claim. The notarized form documents the date and cause of loss, vehicle identification, settlement amount, and reserves subrogation and other rights of the insurer.
PDF (46KB)
Forms Property & Casualty
General Authorization
This form authorizes release of information, and requires a notary signature.
PDF (17KB)
Forms Property & Casualty
No-Fault Automobile Accident Liability States
Currently 12 states and Puerto Rico have no-fault auto insurance laws. Florida, Michigan, New Jersey, New York and Pennsylvania have verbal thresholds. Hawaii, Kansas, Kentucky, Massachusetts, Minnesota, North Dakota and Utah use a monetary threshold.
PDF (13KB)
General Reference
Corporation Release
A release and indemnity agreement for a corporation, which releases insurer from 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.
PDF (26KB)
Forms Property & Casualty
Swimming Pool Injury - Insured
Statement guideline for interviewing an insured in a swimming pool injury claim. Includes initial questions and follow up questions based on responses given.
PDF (16KB)
Statement Guides
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 (28KB)
Forms Property & Casualty
Request For Contact (Spanish)
Form letter requesting claimant to contact adjuster.
DOC (90KB)
Letters
