Notice Of Loss Burglary-Robbery-Theft
A loss report form filled out by an insured when reporting a theft claim to an insurance company. Includes circumstances of the theft, and a list of items claimed as stolen with declared values.
PDF (47KB)
Forms Property & Casualty
FP-1 (11/11) - Dwelling Policy - Basic Form
The Basic Dwelling Policy contains coverages, perils, exclusions and conditions.
PDF (84KB)
Policy Forms
Proof Of Loss (Burglary)
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 (46KB)
Forms Property & Casualty
National Flood Insurance Program - Adjuster Claims Manual - Part IV
The NFIP Adjuster Claims Manual Part IV contains claims forms.
PDF (4354KB)
Forms Flood
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
National Flood Insurance Program - Adjuster Claims Manual - Part II
NFIP Adjuster Claims Manual Part II
PDF (8908KB)
Forms Flood
Property Arbitration Contentions Sheet
A property subrogation arbitration form.
DOC (28KB)
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
Request For Contact (Spanish)
Form letter requesting claimant to contact adjuster.
DOC (90KB)
Letters
Statement Of Loss With Enclosures
An adjuster's statement of a loss using Schedules A, B & C, that includes enclosures.
PDF (61KB)
Forms Property & Casualty
Adjusters Report/Certification
The Adjusters Report/Certification documents the insured property's location, date and type of loss, and summarizes replacement cost and A.C.V. for buildings, structural, contents and additional living expense, with line item detail.
PDF (47KB)
Forms Property & Casualty
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
