Claims Pages
claimspages

Non-Waiver Agreement

The non-waiver agreement is signed by the policyholder; its purpose is to protect the insurer. Insurer reserves all of its rights under the policy to investigate and defend a claim without admission of any liability for loss.
  PDF (21KB) Auto Liability Property Forms Property & Casualty

Timeline Template - Horizontal

Create your own time line using this Microsoft Excel template. Just enter dates and labels.
  XLS (57KB) Auto Liability Property Special Investigations Workers' Compensation Forms Property & Casualty

Digital Photo Sheet 1

Form for digital photo documentation for an adjuster's file.
  DOC (25KB) Auto Liability Property Workers' Compensation Forms Property & Casualty

Personal Property Summary Chart

The personal property summary itemizes rooms and areas in a house, with columns to calculate repair cost, actual cash value and replacement cost.
  PDF (79KB) Property Forms Property & Casualty

Home Contents Inventory Worksheet

An itemized list detailing a homeowners possessions, useful when filing a claim or obtaining adequate coverage. Description should include make and model or serial number, purchase date and price.
  PDF (84KB) Property Forms Property & Casualty

Claim Activity Log

This MS Word form is used to document activity on an individual claim.
  DOC (39KB) Auto Liability Property Workers' Compensation Forms Property & Casualty

Residency Investigation Checklist

Ensure the integrity of your policyholder's residency claims with our 'Residency Investigation Checklist.' Designed for insurance professionals, this detailed checklist provides a robust framework for verifying the authenticity of residency information. From analyzing public records to conducting field investigations, leverage this guide to uncover accurate and comprehensive insights into your policyholder's residency status, bolstering your due diligence process and policy compliance.
  PDF (9KB) Auto Property Checklists

Denial - Less Than Deductible

A denial letter used when the value of a claim submitted is determined to be less than the insured's deductible.
  DOC (17KB) Auto Property Letters

Insured's Release

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.
  PDF (23KB) Auto Liability Property 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) 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

Structural Fire - Investigating Officer

Statement guideline for interviewing the investigating officer in a structural fire claim. Includes initial questions and follow up questions based on responses given.
  PDF (17KB) Property Statement Guides

Affidavit-Lightning Losses

This affidavit is filled out by a service provider who inspects a property and certifies lightning damage as the sole source of the loss. A notorized signature and witnesses are required.
  PDF (26KB) Property Forms Property & Casualty

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
Monty Fire Investigations LLCU.S. ForensicNationwide Overspray