Proof Of Loss (Mobile Home) (Spanish)
A legal form documenting a claimant's property loss involving a mobile home.
PDF (67KB)
Forms Property & Casualty
Proof Of Loss (Burglary) (Spanish)
A sworn statement by a policyholder on a theft claim which lists the items stolen and their values. Filled out and notarized, this is a formal request by the insured for payment from the insurance company.
PDF (94KB)
Forms Property & Casualty
Claim Acknowledgement Letter (Spanish)
A basic MS Word template letter sent as a best practice for the protection of all parties involved. The letter acknowledges receipt of the claim and requests contact with the insured or claimant.
DOC (51KB)
Letters
Customer's Claim & Affidavit (Spanish)
Damage to customer's property is included under a commercial general liability policy; this form describes items lost, seller, purchase date and depreciation. The claim amount is submitted with signature of customer and adjuster.
PDF (61KB)
Forms Property & Casualty
Schedule Of Contents (Spanish)
A contents inventory form, with columns to itemize place and date of purchase, cost, condition, actual value and amount claimed.
PDF (40KB)
Forms Property & Casualty
BEQ-3B (2020) Basic Earthquake Policy - Homeowners
A sample California Earthquake Authority (CEA) policy which provides upgraded earthquake coverage for homeowners. Sold and serviced by participating insurance companies.
PDF (364.666KB)
Policy Forms
BEQ-4B (2020) Basic Earthquake Policy - Renters
A California Earthquake Authority (CEA) sample policy which provides basic earthquake coverage for renters. Sold and serviced by participating insurance companies.
PDF (352.785KB)
Policy Forms
BEQ-6B (2020) Basic Earthquake Policy - Condo Unit Policy
A California Earthquake Authority (CEA) policy which provides basic earthquake coverage for condominium owners. Sold and serviced by participating insurance companies.
PDF (509.474KB)
Policy Forms
Reservation Of Rights Letter (Spanish)
The reservation of rights letter notifies the policyholder that the insurer reserves the right to deny coverage of a claim, in whole or part, pending outcome of a claims investigation.
DOC (57KB)
Letters
Release & Authorization Of Payment (Spanish)
Used as a general release form which is signed by insureds and specifies payment to settle a claim. The release contains a statement that, as a condition of the settlement, prevents any further claim or legal action against the insurer for the loss event.
PDF (40KB)
Forms Property & Casualty
Proof Of Loss (Aircraft) (Spanish)
A Proof of Loss form for an insurance claim involving an aircraft.
PDF (41KB)
Forms Property & Casualty
Reservation Of Rights Agreement (Spanish)
A reservation of insurer's rights to discovery, settlement, or defense in denial of a claim for loss and damages, agreed to by insured.
PDF (92KB)
Forms Property & Casualty
