Claims Pages
claimspages

Notice Under Subrogation Rights

Claim form used to notify an individual of subrogation rights of an insurer for an auto insurance loss.
  PDF (13 KB) Forms Property & Casualty

Accident Scene Diagram - 3-Lane Highway Intersection

This Microsoft Word template allows users to sketch an accident scene by adding and resizing a variety of objects including roadways, vehicles, traffic signs and other symbols in a 3-lane highway intersection.
  DOC (221 KB) Diagrams


Prescription Abbreviations

A list of medical abbreviations commonly found on prescriptions.
  PDF (20 KB) Medical 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 (46 KB) Forms Property & Casualty

Swimming Pool Injury - Claimant

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


Special Arbitration Filing Form

The special arbitration form identifies the parties and allegations involved in a dispute, and lists supporting evidence.
  DOC (52 KB) Forms Property & Casualty

Snow/Ice Slip And Fall - Witness

Statement guideline for interviewing a witness to a slip and fall claim involving snow/ice. Includes initial questions and follow up questions based on responses given.
  PDF (16 KB) Statement Guides


Acknowledgement Of Assignment

Generic form used by independent adjusters to acknowledge receipt of a property insurance claim, and provide a preliminary report to the insurance company.
  PDF (23 KB) Forms Property & Casualty


Daily Time Sheet

A daily time sheet to record claims work, hours, mileage and expenses.
  PDF (91 KB) Forms Property & Casualty

General Release (Husband & Wife)

A legal form that absolves an insurer from any further liability for a claim upon acceptance of a settlement amount by a married couple.
  PDF (26 KB) Forms Property & Casualty

Human Internal Organ Chart

A visual chart showing the placement of the stomach, intestines, lungs, heart, galbladder and other human internal organs.
  PDF (290 KB) Medical Reference