Claims Pages
claimspages

Claim Acknowledgement Letter

A basic MS Word template letter sent as a best practice for the protection of all parties involved. The letter acknowledges receipt of the claim and requests contact with the insured or claimant.
  DOC (17KB) Auto Liability Property Letters

Digital Photo Sheet 2

Form for digital photo documentation for an adjuster's file.
  DOC (28KB) Auto Liability Property Workers' Compensation Forms Property & Casualty

Driver’s Statement

This form provides all the details of an accident per the driver’s written and signed account of the incident.
  PDF (112.742KB) Auto Liability Forms Property & Casualty

Memorandum For Appraisal

Memorandum for Appraisal is used in property damage situations where insured and insurer disagree on actual cash value, and is binding on the parties as to the amount of loss.
  PDF (35KB) Auto Property Forms Property & Casualty

Affidavit Of Salvage Retention

Acknowledgment by the current owner that his vehicle has been declared a total loss, and that he/she has elected to retain the vehicle instead of receiving payment of salvage value. Towing and storage charges and who is responsible for paying them is included in this notarized form.
  PDF (20KB) Auto Salvage Forms Property & Casualty

Deductible Reimbursement Laws In All 50 States

A summary of the laws and regulations in each state with regard to whether there is a duty or obligation on the part of a subrogated carrier to reimburse any or all of its insured’s deductible to its insured before it can successfully subrogate or seek reimbursement of its claim payments.
  PDF (93KB) Auto Ocean Marine Property Legal Reference

Adjuster Status Report

Short form for reporting the current status of a claim. Typically used by an independent adjuster.
  PDF (30KB) Auto Liability Property Workers' Compensation Forms Property & Casualty

ACORD Forms

A list of ACORD forms used by insurance agents, with a link to purchase documents including personal property applications, schedules, loss notices, workers compensation forms, excess and surplus lines sections, and policy change requests.
  PDF (0KB) Auto Liability Property Workers' Compensation Forms Property & Casualty

Acknowledgement Of Representation

This is an MS Word template letter to acknowledge notification of legal representation of a claimant. Most commonly used in PIP or bodily injury claims, where there is a potential for coverage dispute litigation.
  DOC (17KB) Auto Liability Property Workers' Compensation Letters


Request For Contact

Form letter requesting claimant to contact adjuster.
  DOC (17KB) Auto Liability Property Workers' Compensation Letters

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) Auto Property Subrogation Forms Property & Casualty

Accident Scene Diagram - City Street / Highway Intersection

This Microsoft Word template allows users to sketch an accident scene in a street or highway intersection by adding and resizing a variety of objects including vehicles, traffic signs and other symbols.
  DOC (222KB) Auto Liability Diagrams

Subrogation Letter To Individual/Business

A subrogation letter sent to an at-fault party requests reimbursement for automobile losses paid to insured.
  DOC (18KB) Auto Liability Ocean Marine Letters

Recorded Statement Analysis

A written observation describing behavior of a person making a recorded statement.
  PDF (54KB) Auto Liability Property Workers' Compensation Forms Property & Casualty
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