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

A checklist helpful for establishing whether an insured is dead or alive, with research techniques to identify motives in possible cases of life insurance fraud.
  PDF (51KB) Life & Health Spanish General Reference

This report form provides notice and details of a public premise accident.
  PDF (70KB) Auto Liability Spanish Forms Property & Casualty

A driver's written statement of sequence of events and collision information.
  PDF (71KB) Auto Liability Spanish Forms Property & Casualty

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

Basic reporting form used by an employer to record an employee's injury or illness on the job.
  PDF (50KB) Spanish Workers' Compensation Forms Property & Casualty

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) Liability Spanish Workers' Compensation Forms Property & Casualty

This form letter identifies the claimant, insurer, adjuster and date of loss; it is a claim denial for lack of coverage under the insured's policy.
  DOC (45KB) Auto Liability Property Spanish Letters

A person uses this form to authorize an employer to release his or her employment and wage records to a third party.
  PDF (86KB) Liability Spanish Workers' Compensation Forms Property & Casualty

The attending physician report form is used by an insurer to determine if a person is due benefits under personal injury protection (PIP) law.
  PDF (55KB) Liability Spanish Forms Property & Casualty

For a case involving a total loss or theft of a financed motor vehicle or boat, this is an agreement that the lien holder will provide a lien free Certificate of Title to the insurance company upon receipt of a claim payment.
  PDF (20KB) Auto Liability Spanish Forms Property & Casualty

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

Monty Fire Investigations LLCBerrett & Associates LCU.S. ForensicNationwide Overspray

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