Claims Pages
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Accident Scene Diagram - Roundabout

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 roundabout.
  DOC (2155KB) Diagrams

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

Request For Contact (Spanish)

Form letter requesting claimant to contact adjuster.
  DOC (90KB) Letters



Prescription Abbreviations

A list of medical abbreviations commonly found on prescriptions.
  PDF (20KB) Medical Reference

Subrogation Letter To Individual/Business (Spanish)

A subrogation letter sent to an at-fault party requests reimbursement for automobile losses paid to insured.
  DOC (25KB) Letters

Human Internal Organ Chart

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

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

Notice Under Subrogation Rights

Claim form used to notify an individual of subrogation rights of an insurer for an auto insurance loss.
  PDF (13KB) 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 (221KB) Diagrams

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

Daily Time Sheet

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

PIP Wage & Salary Verification

This form is used to verify wage and salary information of a person who has applied for personl injury protection (PIP) benefits after an automobile accident.
  PDF (33KB) Forms Property & Casualty

Receipt & Release Medical Payments Coverage

This form is signed by those who qualify as insureds under a policy when collecting medical payments coverage. Used as both a receipt and a release.
  PDF (21KB) Forms Property & Casualty
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