Claims Pages
claimspages

Proof Of Loss (Mobile Home) (Spanish)

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


General Release (Husband & Wife) (Spanish)

A legal form that absolves an insurer from any further liability for a claim upon acceptance of a settlement amount by a married couple.
  PDF (105KB) Forms Property & Casualty


Non-Auto Liability Accident Notice (Spanish)

Non- auto liability accident notice form details personal injuries and accident circumstances.
  PDF (88KB) Forms Property & Casualty

Livestock Proof Of Loss (Spanish)

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

Passengers Statement (Spanish)

A passenger's statement describes persons, vehicles, injuries, driver actions and circumstances of a crash.
  PDF (85KB) 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

Affidavit-Lightning Losses (Spanish)

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 (50KB) Forms Property & Casualty

Claim Acknowledgement Letter (Spanish)

A basic MS Word template letter sent as a best practice for the protection of all parties involved. The letter acknowledges receipt of the claim and requests contact with the insured or claimant.
  DOC (51KB) Letters

Attending Physician's Report (Spanish)

A form which is filled out by the attending physician in order to qualify for medical benefits under an automobile insurance policy. (Spanish version of English form 3160F)
  PDF (80KB) 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) Forms Property & Casualty

Receipt & Release Medical Payments Coverage (Spanish)

This form is signed by those who qualify as insureds under a policy when collecting medical payments coverage. Used as both a receipt and a release.
  PDF (25KB) Forms Property & Casualty

Witness Report Of Accident (Spanish)

Witness statement describing an accident in detail.
  PDF (63KB) Forms Property & Casualty
Monty Fire Investigations LLCHancock Claims ConsultantsNationwide OversprayNationwide Overspray