Workers' Compensation Accident - Witness
Statement guideline for interviewing a witness to a workers' compensaton injury. Includes initial questions and follow up questions based on responses given.
PDF (17KB)
Workers' Compensation
Statement Guides
File Reassignment Letter
Form letter used to notify insured of reassignment of a claims handler.
PDF (26.939KB)
Auto
Liability
Property
Workers' Compensation
Letters
Prescription Abbreviations
A list of medical abbreviations commonly found on prescriptions.
PDF (20KB)
Liability
Workers' Compensation
Medical Reference
Acknowledgement Of Assignment
Generic form used by independent adjusters to acknowledge receipt of a property insurance claim, and provide a preliminary report to the insurance company.
PDF (23KB)
Auto
Liability
Property
Workers' Compensation
Forms Property & Casualty
Medical Authorization (HIPAA Compliant) (Spanish)
Authorization form for disclosure of medical records, in compliance with HIPAA requirements.
PDF (76KB)
Liability
Spanish
Workers' Compensation
Forms Property & Casualty
Request For Contact (Spanish)
Form letter requesting claimant to contact adjuster.
DOC (90KB)
Auto
Liability
Property
Spanish
Workers' Compensation
Letters
Attending Physician's Report
A physician treating a person seeking medical benefits under an automobile insurance policy must complete this report.
PDF (55KB)
Liability
Workers' Compensation
Forms Property & Casualty
Daily Time Sheet
A daily time sheet to record claims work, hours, mileage and expenses.
PDF (91KB)
Auto
Liability
Property
Workers' Compensation
Forms Property & Casualty
Human Internal Organ Chart
A visual chart showing the placement of the stomach, intestines, lungs, heart, galbladder and other human internal organs.
PDF (290KB)
Liability
Workers' Compensation
Medical Reference
Recent Claims News
Insurance Industry
Liability
Risk Management
Fraud
Liability
Life & Health
Recent Provider Listings
Serving the US
National
Adjusters
Emergency Disaster Response Services