Adjuster's Log Sheet
Daily log to document adjuster activity on a specific claim.
PDF (26KB)
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)
Forms Property & Casualty
Digital Photo Sheet 1
Form for digital photo documentation for an adjuster's file.
DOC (25KB)
Forms Property & Casualty
PIP Application For Benefits
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.
PDF (33KB)
Forms Property & Casualty
Release & Trust Agreement (UM/UIM BI)
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.
PDF (24KB)
Forms Property & Casualty
Bodily Injury Reserve Worksheet
A MS Word form to track bodily injury claim reserve modifications by date, showing who authorized each change, is used to project costs associated with claim settlement.
DOC (54KB)
Forms Property & Casualty
Employment, Wage & Med. Authorization
An employee authorization form allowing release of employment, wage and medical information to another party.
PDF (17KB)
Forms Property & Casualty
Power Of Attorney (Auto)
Streamline your vehicle-related legal processes with our 'Power Of Attorney (Auto)' document. Tailor-made for vehicle owners, this form simplifies title transfers and registration tasks by empowering a trusted attorney in fact to act on your behalf. Ensuring a seamless transition of legal responsibilities, this document is indispensable for managing your automotive affairs with ease and security.
PDF (20KB)
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)
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)
Forms Property & Casualty
Schedule Of Contents
A contents inventory form, with columns to itemize place and date of purchase, cost, condition, actual value and amount claimed.
PDF (58KB)
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)
Forms Property & Casualty
Building Repair Estimate
Form used to calculate building repair costs, which includes replacement and actual cash value appraisal of the damaged property, and an itemized list of building materials, quantities, and labor.
PDF (83KB)
Forms Property & Casualty
Sworn Statement In Proof Of Loss (w/Subrogation)
A notarized statement of the money claimed for a loss under a property coverage policy, which includes giving insurer the right to recovery.
PDF (94KB)
Forms Property & Casualty
