Claims Pages
claimspages

Non-Waiver Agreement / Reservation Of Rights

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 (36KB) Forms Property & Casualty

Certificate Of Satisfaction

The insured signs this form which certfies his/her satisfaction with damage repairs performed, directs claim payment to that service provider, and closes the claim.
  PDF (25KB) Forms Property & Casualty

Business Interruption Handbook - Cerro Grande Fire

This Business Interruption Handbook was developed by the Federal Emergency Management Agency and by Pricewaterhouse Coopers' Business Interruption specialists to guide a claimant through the process of preparing and filing a business interruption claim under the Cerro Grande Fire Assistance Act. Useful in handling all non-Cerro Grande business interruption claims as well.
  PDF (279KB) White Papers

Claim Register Sheet

Basic registry form for logging when claims are received and closed.
  PDF (83KB) Forms Property & Casualty


4 Column Adjuster Worksheet

Financial worksheet for calculating a repair estimate, with one column to itemize losses, and 4 columns for replacement cost, quantity or age, depreciation, and actual cash value.
  PDF (79KB) Forms Property & Casualty

Adjuster's File Invoice

An invoice form used by independent adjusting firms that lists claims investigation expenses billable to the client insurance company.
  PDF (48KB) Forms Property & Casualty

File Reassignment Letter

Form letter used to notify insured of reassignment of a claims handler.
  PDF (26.939KB) Letters

FP-1 (11/11) - Dwelling Policy - Basic Form

The Basic Dwelling Policy contains coverages, perils, exclusions and conditions.
  PDF (84KB) Policy Forms


Homeowner Theft - Investigating Officer

Statement guideline for interviewing the investigating officer in a residential theft claim. Includes initial questions and follow up questions based on responses given.
  PDF (15KB) Statement Guides

Commercial Property Theft - Investigating Officer

Statement guideline for interviewing the investigating officer in a commercial property theft claim. Includes initial questions and follow up questions based on responses given.
  PDF (15KB) Statement Guides

Property Arbitration Filing Form

A property subrogation arbitration form.
  DOC (55KB) Forms Property & Casualty

Request For Contact (Spanish)

Form letter requesting claimant to contact adjuster.
  DOC (90KB) Letters

Kitchen Diagram

This Microsoft Word template allows users to add and resize a variety of objects including walls, windows, refrigerators, stoves, dishwashers, and tables.
  DOC (56KB) Diagrams
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