Basic registry form for logging when claims are received and closed.

Authorization form for disclosure of medical records, in compliance with HIPAA requirements.

The release form identifies all parties to a claim, states the date of the occurrence, 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 action against the insurer for the claim event in question.

Use this worksheet to inventory property and content losses, and obtain an estimate of replacement costs. It contains columns to factor in age, original cost, replacement cost and depreciation to calculate ACV (actual cash value).

A legal form signed by an insured acknowledging receipt of settlement and release of all subrogation rights to the insurer.

An adjuster's statement of a loss using Schedules A, B & C, that includes enclosures.

Non- auto liability accident notice form details personal injuries and accident circumstances.

This MS Word form is used to document activity on an individual claim.

A collection of workers' compensation forms which are authorized to be used in the state of Nevada.

A collection of workers' compensation forms which are authorized to be used in the state of South Dakota.

This application form to obtain personal injury protection benefits requests information regarding claimant's employment, income, injury, treatment dates and medical bills received, plus any loss of wages due to the accident.

IRS Form 4506 Request for Copy of Tax Return

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.

Authorization form for disclosure of medical records, in compliance with HIPAA requirements.

Non- auto liability accident notice form details personal injuries and accident circumstances.