Claims Pages
claimspages

Personal Property Summary Chart

The personal property summary itemizes rooms and areas in a house, with columns to calculate repair cost, actual cash value and replacement cost.
  PDF (79KB) Forms Property & Casualty

Non-Waiver Agreement

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 (21KB) Forms Property & Casualty

Timeline Template - Horizontal

Create your own time line using this Microsoft Excel template. Just enter dates and labels.
  XLS (57KB) Forms Property & Casualty

Claim Activity Log

This MS Word form is used to document activity on an individual claim.
  DOC (39KB) Forms Property & Casualty

Acknowledgement Of Representation

This is an MS Word template letter to acknowledge notification of legal representation of a claimant. Most commonly used in PIP or bodily injury claims, where there is a potential for coverage dispute litigation.
  DOC (17KB) Letters

Insured's Release

The release form identifies all parties to a claim, states the date of the occurrence, 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 action against the insurer for the claim event in question.
  PDF (23KB) Forms Property & Casualty

Adjuster's Log Sheet

Daily log to document adjuster activity on a specific claim.
  PDF (26KB) Forms Property & Casualty

Digital Photo Sheet 1

Form for digital photo documentation for an adjuster's file.
  DOC (25KB) Forms Property & Casualty

Release & Subrogation Receipt

A legal form signed by an insured acknowledging receipt of settlement and release of all subrogation rights to the insurer.
  PDF (29KB) Forms Property & Casualty

Claim Acknowledgement Letter

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 (17KB) Letters

ACORD Forms

A list of ACORD forms used by insurance agents, with a link to purchase documents including personal property applications, schedules, loss notices, workers compensation forms, excess and surplus lines sections, and policy change requests.
  PDF (0KB) Forms Property & Casualty

Schedule Of Contents

A contents inventory form, with columns to itemize place and date of purchase, cost, condition, actual value and amount claimed.
  PDF (58KB) Forms Property & Casualty


Affidavit-Lightning Losses

This affidavit is filled out by a service provider who inspects a property and certifies lightning damage as the sole source of the loss. A notorized signature and witnesses are required.
  PDF (26KB) Forms Property & Casualty

Building Terminology Chart

Dozens of common building terms and their definitions.
  PDF (34KB) General Reference
Monty Fire Investigations LLCSeekNowWeller SalvageChurchill Claims Services