Claims Pages
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Notice Of Loss - Inland Marine (Spanish)

The inland marine notice of loss form describes the circumstances and amount of loss, and is prepared by an adjuster and presented to the insurer.
  PDF (35KB) 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) Forms Property & Casualty

Livestock Proof Of Loss (Spanish)

A livestock Proof of Loss and settlement document.
  PDF (62KB) Forms Property & Casualty

Proof Of Loss (Mobile Home) (Spanish)

A legal form documenting a claimant's property loss involving a mobile home.
  PDF (67KB) Forms Property & Casualty

Proof Of Loss (Burglary) (Spanish)

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 (94KB) Forms Property & Casualty

Statement Of Loss W/O Enclosures (Spanish)

An adjuster's statement of a loss using Schedules A, B & C.
  PDF (55KB) Forms Property & Casualty

Inland Marine Proof Of Loss (Spanish)

Inland Marine Proof of Loss form is a legal document to be completed by an insured in support of a claim.
  PDF (50KB) Forms Property & Casualty

Denial - Less Than Deductible (Spanish)

A denial letter used when the value of a claim submitted is determined to be less than the insured's deductible.
  DOC (55KB) Letters


Insured's Release (Spanish)

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) Forms Property & Casualty

Proof Of Loss (Aircraft) (Spanish)

A Proof of Loss form for an insurance claim involving an aircraft.
  PDF (41KB) Forms Property & Casualty

Emergency / Temporary Work Repair Summary (Spanish)

An emergency/temporary repair work order, including cost, provided in support of a property claim.
  PDF (35KB) 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) Forms Property & Casualty

Notice Of Plate Glass Loss (Spanish)

The notice of plate glass loss details the circumstances and description of loss. Included is an estimate for lowest replacement cost by a glazier.
  PDF (59KB) Forms Property & Casualty

Statement As To Replacement Cost Coverage (Spanish)

A legal form stating the values used to calculate cost coverage for repair or replacement of a property loss.
  PDF (35KB) Forms Property & Casualty
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