Claim Register Sheet
Basic registry form for logging when claims are received and closed.
PDF (83 KB)
Forms Property & Casualty
Swimming Pool Injury - Witness
Statement guideline for interviewing a witness to a swimming pool injury. Includes initial questions and follow up questions based on responses given.
PDF (17 KB)
Statement Guides
Accident Scene Diagram - Freeway/Highway Onramp
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 freeway/highway onramp.
DOC (2175 KB)
Diagrams
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 (16 KB)
Statement Guides
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
The Port Authority of NY & NJ - Motor Vehicle Crash Report Code Sheet (08-09)
This code sheet is used to decipher the motor vehicle accident report from the Port Authority of New York and New Jersey.
PDF (140 KB)
Crash Reports
Medical Authorization (HIPAA Compliant) (Spanish)
Authorization form for disclosure of medical records, in compliance with HIPAA requirements.
PDF (76 KB)
Forms Property & Casualty
Adjuster's Loss Certification and Apportionment of Claim
This form is used to recommend to the insurer the amount of payment for a loss, and apportionment when a property is covered by two or more insurance companies.
PDF (21 KB)
Forms Property & Casualty
Automobile Accident Report (Spanish)
Report form that is given to vehicle owners and drivers to capture the details of an accident. Includes occupants, injuries, property damages and witnesses.
PDF (97 KB)
Forms Property & Casualty
State Minimum Liability Limits
Minimum car insurance liability requirements per state.
PDF (13 KB)
Legal Reference
Alabama - Uniform Traffic Crash Report: AST-27 (6/08)
The Alabama Traffic Uniform traffic crash report describes the persons, vehicles and circumstances involved, and contains a crash diagram. It includes a code legend and a Truck/Bus Supplement sheet.
PDF (240 KB)
Crash Reports
Request For Contact (Spanish)
Form letter requesting claimant to contact adjuster.
DOC (90 KB)
Letters
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