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) Property 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) Property Forms Property & Casualty

Adjuster Status Report

Short form for reporting the current status of a claim. Typically used by an independent adjuster.
  PDF (30KB) Auto Liability Property Workers' Compensation Forms Property & Casualty

Statement Of Loss W/O Enclosures

An adjuster's statement of a loss using Schedules A, B & C.
  PDF (51KB) Property Forms Property & Casualty

Memorandum For Appraisal

Memorandum for Appraisal is used in property damage situations where insured and insurer disagree on actual cash value, and is binding on the parties as to the amount of loss.
  PDF (35KB) Auto Property Forms Property & Casualty

Building Repair Estimate

Form used to calculate building repair costs, which includes replacement and actual cash value appraisal of the damaged property, and an itemized list of building materials, quantities, and labor.
  PDF (83KB) Catastrophe Property 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) Auto Management & Underwriting Property Forms Property & Casualty

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) Auto Liability Property Workers' Compensation Forms Property & Casualty

Property Loss Worksheet (Spanish)

Use this worksheet to inventory property and content losses, and obtain an estimate of replacement costs. It contains columns to factor in age, original cost, replacement cost and depreciation to calculate ACV (actual cash value).
  PDF (91KB) Property Forms Property & Casualty

Recorded Statement Analysis

A written observation describing behavior of a person making a recorded statement.
  PDF (54KB) Auto Liability Property Workers' Compensation Forms Property & Casualty

Claim Register Sheet

Basic registry form for logging when claims are received and closed.
  PDF (83KB) Auto Liability Property Workers' Compensation 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) Auto Property Subrogation Forms Property & Casualty

Inland Marine Proof Of Loss

Inland Marine Proof of Loss form is a legal document to be completed by an insured in support of a claim.
  PDF (33KB) Property Forms Property & Casualty

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) Auto Liability Property Workers' Compensation Forms Property & Casualty

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