Claims Pages
claimspages

Employment, Wage & Med. Authorization (Spanish)

An employee authorization form allowing release of employment, wage and medical information to another party.
  PDF (85KB) Forms Property & Casualty

Reservation Of Rights Agreement (Spanish)

A reservation of insurer's rights to discovery, settlement, or defense in denial of a claim for loss and damages, agreed to by insured.
  PDF (92KB) Forms Property & Casualty

Employment-Wage Authorization (Spanish)

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

General Authorization (Spanish)

This form authorizes release of information, and requires a notary signature.
  PDF (85KB) Forms Property & Casualty

New York WC Forms

A collection of workers' compensation forms which are authorized to be used in the state of New York.
  PDF (0KB) Forms Property & Casualty

Ohio WC Forms

A collection of workers' compensation forms which are authorized to be used in the state of Ohio.
  PDF (0KB) Forms Property & Casualty

Release & Authorization Of Payment (Spanish)

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) Forms Property & Casualty


Texas WC Forms

A collection of workers' compensation forms which are authorized to be used in the state of Texas.
  PDF (0KB) Forms Property & Casualty

Employee Leasing Subrogation Laws In All 50 States

Application of exclusive remedy rule to cases involving employee leasing companies and temporary employees for all 50 states.
  PDF (39KB) Legal Reference

Reservation Of Rights Letter (Spanish)

The reservation of rights letter notifies the policyholder that the insurer reserves the right to deny coverage of a claim, in whole or part, pending outcome of a claims investigation.
  DOC (57KB) Letters

Wisconsin WC Forms

A collection of workers' compensation forms which are authorized to be used in the state of Wisconsin.
  PDF (0KB) Forms Property & Casualty

Wyoming WC Forms

A collection of workers' compensation forms which are authorized to be used in the state of Wyoming.
  PDF (0KB) Forms Property & Casualty

Utah WC Forms

A collection of workers' compensation forms which are authorized to be used in the state of Utah.
  PDF (0KB) Forms Property & Casualty

Virginia WC Forms

A collection of workers' compensation forms which are authorized to be used in the state of Virginia.
  PDF (0KB) Forms Property & Casualty
Monty Fire Investigations LLCU.S. ForensicHancock Claims Consultants