Forms - Property & Casualty Property Insurance Claims Documents (Page 5)

Subrogation Receipt (Spanish)

A subrogation receipt is signed by the insured upon payment of a claim, and assigns the insurer to the right to recovery for the loss.

PDF (28KB) Auto Liability Ocean Marine Property Forms Property & Casualty

Hold Harmless Agreement (Spanish)

This is a contract that releases one party from any legal and financial responsibility for all loss or damage or future claims by the other party in exchange for a settlement.

PDF (82KB) Auto Liability Property Spanish Workers' Compensation 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 (80KB) Property Spanish Forms Property & Casualty

Request For Transcript Of Tax Return IRS Form 4506-T (7/17)

IRS Form 4506-T Request for Transcript of Tax Return

PDF (44KB) Auto Liability Property Workers' Compensation Forms Property & Casualty

Certificate Of Satisfaction (Spanish)

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 (22KB) Auto Liability Property Spanish Forms Property & Casualty

Release And Trust Agreement (UM/UIM PD) (Spanish)

A release form signed by an insured when making an uninsured motorist or underinsured motorist claim involving property damage.

PDF (75KB) Liability Property Spanish Subrogation Forms Property & Casualty

Receipt For Advance Payment (Spanish)

PDF (77KB) Auto Liability Property Spanish Workers' Compensation Forms Property & Casualty

Proof Of Heirship (Spanish)

PDF (32KB) Auto Liability Property Spanish Workers' Compensation Forms Property & Casualty

Release & Subrogation Receipt (Spanish)

A legal form signed by an insured acknowledging receipt of settlement and release of all subrogation rights to the insurer.

PDF (96KB) Auto Property Spanish Subrogation Forms Property & Casualty

Schedule Of Contents (Spanish)

A contents inventory form, with columns to itemize place and date of purchase, cost, condition, actual value and amount claimed.

PDF (40KB) Property Spanish Forms Property & Casualty

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 (95KB) Auto Property Spanish Forms Property & Casualty

Customer's Claim & Affidavit (Spanish)

Damage to customer's property is included under a commercial general liability policy; this form describes items lost, seller, purchase date and depreciation. The claim amount is submitted with signature of customer and adjuster.

PDF (61KB) Liability Property Forms Property & Casualty

Release & Authorization Of Payment (Spanish)

Used as a general release form which is signed by insureds and specifies payment to settle a claim. The release contains a statement that, as a condition of the settlement, prevents any further claim or legal action against the insurer for the loss event.

PDF (40KB) Auto Liability Property Spanish Workers' Compensation Forms Property & Casualty