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.

The attending physician report form is used by an insurer to determine if a person is due benefits under personal injury protection (PIP) law.

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.

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

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.

A livestock Proof of Loss and settlement document.

A legal form documenting a claimant's property loss involving a mobile home.

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.

A denial letter used when the value of a claim submitted is determined to be less than the insured's deductible.

An adjuster's statement of a loss using Schedules A, B & C.

Inland Marine Proof of Loss form is a legal document to be completed by an insured in support of a claim.

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.

A legal form stating the values used to calculate cost coverage for repair or replacement of a property loss.