Claims Pages
claimspages

Release & Subrogation Receipt

A legal form signed by an insured acknowledging receipt of settlement and release of all subrogation rights to the insurer.
  PDF (29KB) Forms Property & Casualty

Release & Trust Agreement (UM/UIM BI)

A release form signed by an insured when making an uninsured motorist or underinsured motorist claim. Requires the insured to cooperate in the recovery of funds from the responsible party.
  PDF (24KB) Forms Property & Casualty

Sworn Statement In Proof Of Loss (w/Subrogation)

A notarized statement of the money claimed for a loss under a property coverage policy, which includes giving insurer the right to recovery.
  PDF (94KB) Forms Property & Casualty

Med Pay / PIP Subrogation in All 50 States

This chart provides an overview of subrogation rights for PIP and/or Med Pay-type benefits paid under the automobile insurance laws of all 50 states.
  PDF (40KB) Legal Reference

Automobile Accident Promissory Note

Customized automobile subrogation promissory note which allows the insurance company to notify DMV/BMV in case of default by the tortfeasor.
  PDF (17KB) Forms Property & Casualty

Laws On Recording Conversations In All 50 States

State by state telephone call recording laws.
  PDF (77KB) Legal Reference

Property Arbitration Contentions Sheet

A property subrogation arbitration form.
  DOC (28KB) Forms Property & Casualty


Automobile Arbitration Contentions Sheet

An Arbitration Forums, Inc. form which is used by insurance companies when submitting an automobile claim for subrogation. The contentions sheet sets forth the legal argument that the claim is owed, and lists the evidence supporting that argument.
  DOC (28KB) Forms Property & Casualty

Speed Distance Chart

Chart of feet traveled per second relative to speed (mph).
  PDF (14KB) General Reference

Subrogation Letter To Individual/Business (Spanish)

A subrogation letter sent to an at-fault party requests reimbursement for automobile losses paid to insured.
  DOC (25KB) Letters

Landlord/Tenant Subrogation in All 50 States (9/16)

The ability of a landlord’s property insurer to subrogate against a tenant for property damage caused by the negligence of the tenant depends on which state the loss occurs in and the nature and language of the lease involved. Understanding when, where, and why such subrogation actions by a landlord’s insurer against a tenant are permitted or prohibited is critical to maximizing property subrogation recoveries and is the focus of this chart.
  PDF (42KB) Legal Reference

Special Arbitration Filing Form

The special arbitration form identifies the parties and allegations involved in a dispute, and lists supporting evidence.
  DOC (52KB) Forms Property & Casualty

Notice Under Subrogation Rights

Claim form used to notify an individual of subrogation rights of an insurer for an auto insurance loss.
  PDF (13KB) Forms Property & Casualty

Property Arbitration Filing Form

A property subrogation arbitration form.
  DOC (55KB) Forms Property & Casualty
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