Spanish Insurance Claims Documents (Page 4)

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

Automobile Accident/Loss Notice (Spanish)

A loss report form filled out by insureds and/or agents when reporting an automobile accident. Includes information on occupants, injuries, damages, accident description and witnesses.

PDF (78KB) Auto Liability Spanish 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

Automobile Accident Report - NY (Spanish)

Report form, customized for New York, that is given to vehicle owners and drivers to capture the details of an accident. Includes occupants, injuries, property damages, crash diagram, driver's account of accident, and witnesses.

PDF (55KB) Auto Liability Spanish Forms Property & Casualty

Memorandum For Appraisal (Spanish)

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 (60KB) Auto Property Spanish Forms Property & Casualty

Non-Waiver Agreement / Reservation Of Rights (Spanish)

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 (65KB) Auto Liability Property Spanish Workers' Compensation Forms Property & Casualty

Notice Under Subrogation Rights (Spanish)

Claim form used to notify an individual of subrogation rights of an insurer for an auto insurance loss.

PDF (31KB) Auto Liability Spanish Subrogation Forms Property & Casualty

Parent/Guardian Release (Spanish)

This legal form for Parent/Guardian releases an insurer from any liability or indemnity claim for damages or injuries resulting from an accident involving a minor in exchange for a monetary settlement.

PDF (85KB) Liability Spanish Forms Property & Casualty

Corporation Release (Spanish)

A release and indemnity agreement for a corporation, which releases insurer from liability which arose out of an accident, casualty or event. The release form identifies all parties to a claim, states the date and location of the event, 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 legal action against the insurer.

PDF (45KB) Liability Spanish Forms Property & Casualty

Proof Of Heirship (Spanish)

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

Report Of Public Liability Accident (Spanish)

This report form provides notice and details of a public premise accident.

PDF (70KB) Auto Liability Spanish Forms Property & Casualty

PIP Wage & Salary Verification (Spanish)

This form is used to verify wage and salary information of a person who has applied for personl injury protection (PIP) benefits after an automobile accident.

PDF (35KB) Liability Spanish Forms Property & Casualty