File Reassignment Letter
Form letter used to notify insured of reassignment of a claims handler.
PDF (26.939KB)
Letters
Speed Distance Chart
Chart of feet traveled per second relative to speed (mph).
PDF (14KB)
General Reference
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
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
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
Claim Register Sheet
Basic registry form for logging when claims are received and closed.
PDF (83KB)
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
Landlord/Tenant Subrogation in All 50 States (9/16)
The ability of a landlord’s property insurer to subrogate against a tenant for property damage caused by the negligence of the tenant depends on which state the loss occurs in and the nature and language of the lease involved. Understanding when, where, and why such subrogation actions by a landlord’s insurer against a tenant are permitted or prohibited is critical to maximizing property subrogation recoveries and is the focus of this chart.
PDF (42KB)
Legal Reference
Blood Alcohol Content Chart
Reference chart showing what a person's blood alcohol content may be, based on the number of drinks consumed within an hour. Includes a person's weight as a factor.
PDF (14KB)
General Reference
PIP Application - Florida No Fault
Application form for Florida personal injury protection (PIP) No Fault benefits.
PDF (38KB)
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
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
Maine - Crash Report: 13:20 (1/10)
The crash report form used in Maine identifies people and vehicles involved, and contains contributing circumstances, a crash narrative and diagram. Also included is a commercial vehicle supplement and crash report coding guide.
PDF (513KB)
Crash Reports
