An adjuster's statement of a loss using Schedules A, B & C, that includes enclosures.
  PDF (50KB) Property Spanish Forms Property & Casualty

This report form is given to claimants to record the details of an accident. Includes accident location, property damage, vehicle occupants, witnesses and an accident diagram.
  PDF (87KB) Auto Liability Spanish Forms Property & Casualty

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

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

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

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

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) Auto Property Spanish Forms Property & Casualty

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