File Reassignment Letter
Form letter used to notify insured of reassignment of a claims handler.
PDF (26.939 KB)
Letters
State Drunk Driving Laws Illegal Blood Alcohol Content
Illegal blood alcohol content per state drunk driving laws.
PDF (13 KB)
Legal Reference
Employment-Wage Authorization
A person uses this form to authorize an employer to release his or her employment and wage records to a third party.
PDF (12 KB)
Forms Property & Casualty
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 (26 KB)
Forms Property & Casualty
Proof Of Loss Medical Payment
A declaration by an insured person that itemizes payments made for medical services after an accident which qualify for medical expense coverage under the policy.
PDF (24 KB)
Forms Property & Casualty
Event Data Recorders - Vehicle List
This list of vehicles equipped with crash data recorders is current through 2014.
PDF (46 KB)
General Reference
Adjuster Assignment Form - Fax
Generic fax form sent to an independent adjuster with details of a claim assignment. It allows for a full or limited assignment and lists specific actions required by the adjuster, such as loss verification, photos, scene diagram, statements, subrogation investigation, vehicle appraisals, and settlements.
DOC (33 KB)
Forms Property & Casualty
New York City - Police Accident Report (NYC): MV-104AN (7/01)
The New York Police accident report describes the persons, vehicles and circumstances involved, and includes damages, injuries and an accident diagram.
PDF (1640 KB)
Crash Reports
Accident Scene Diagram - Highway Overpass
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 highway overpass.
DOC (702 KB)
Diagrams
New York - Police Accident Report Codes MV-104COV (11/13)
Decipher motor vehicle accident reports in New York with ease using the MV-104COV (11/13) code sheet, a vital resource for claims adjusters and legal professionals. This document lays out crucial codes for assessing accident locations, conditions, vehicle types, damages, and injuries, streamlining the analysis of complex accident reports for efficient claims resolution.
PDF (188 KB)
Crash Reports
Subrogation Letter To Individual/Business (Spanish)
A subrogation letter sent to an at-fault party requests reimbursement for automobile losses paid to insured.
DOC (25 KB)
Letters