Notice Of Loss - Inland Marine (Spanish)
The inland marine notice of loss form describes the circumstances and amount of loss, and is prepared by an adjuster and presented to the insurer.
PDF (35 KB)
Forms Property & Casualty
Proof of Loss FEMA Form 086-0-9 (4/17)
A Proof of Loss is a policyholder’s statement of the amount of money being requested, signed to and sworn to by the policyholder with documentation to support the amount requested.
PDF (404 KB)
Forms Flood
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 (57 KB)
Letters
National Flood Insurance Program - Adjuster Claims Manual - Part III
NFIP Adjuster Claims Manual - Part III
PDF (229 KB)
Forms Flood
CEA 03A Endorsement Coverage for Exterior Masonry Veneer
A sample California Earthquake Authority (CEA) endorsement, which provides homeowners optional coverage for exterior masonry veneer, to be used with forms BEQ-3B and BEQ-3. Sold and serviced by participating insurance companies.
PDF ( KB)
Policy Forms
Livestock Proof Of Loss (Spanish)
A livestock Proof of Loss and settlement document.
PDF (62 KB)
Forms Property & Casualty
Statement Of Loss W/O Enclosures (Spanish)
An adjuster's statement of a loss using Schedules A, B & C.
PDF (55 KB)
Forms Property & Casualty
Livestock Proof Of Loss
A livestock Proof of Loss and settlement document.
PDF (50 KB)
Forms Property & Casualty
Non-Waiver Agreement (Spanish)
The non-waiver agreement is signed by the policyholder; its purpose is to protect the insurer. Insurer reserves all of its rights under the policy to investigate and defend a claim without admission of any liability for loss.
PDF (82 KB)
Forms Property & Casualty
Statement Of Loss With Enclosures (Spanish)
An adjuster's statement of a loss using Schedules A, B & C, that includes enclosures.
PDF (50 KB)
Forms Property & Casualty
Notice Of Loss Burglary-Robbery-Theft (Spanish)
A loss report form filled out by an insured when reporting a theft claim to and insurance company. Includes circumstances of the theft, and a list of items claimed as stolen with declared values.
PDF (80 KB)
Forms Property & Casualty
NFIP Flood Insurance Claims Handbook (8/14)
This claims guide was created by the Federal Emergency Management Agency (FEMA), which administers the National Flood Insurance Program, to provide policyholders tips about what to do before and after a flood, including filing a claim, and the steps involved in appealing a denied claim.
PDF (236 KB)
Forms Flood
