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
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
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
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
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
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
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
Request For Contact
Form letter requesting claimant to contact adjuster.
DOC (17KB)
Auto
Liability
Property
Workers' Compensation
Letters
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
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
Automobile Accident Report
Report form that is given to vehicle owners and drivers to capture the details of an accident. Includes occupants, injuries, property damages and witnesses.
PDF (70KB)
Auto
Liability
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
Release & Authorization Of Payment
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 (26KB)
Auto
Liability
Property
Forms Property & Casualty
