Claims Pages
claimspages

Adjuster's Log Sheet

Daily log to document adjuster activity on a specific claim.
  PDF (26KB) Forms Property & Casualty

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) 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) Forms Property & Casualty

Auto Investigation Checklist

Maximize the effectiveness of your automobile accident investigations with our Auto Investigation Checklist. Designed for adjusters, this checklist provides a structured approach to gathering crucial statements, photographs, and appraisals, along with accident scene diagrams and police reports. Ensure no detail is overlooked in your comprehensive assessment of the incident, leading to precise and informed claims processing.
  PDF (49KB) Checklists

Subrogation Letter To Insurer

A subrogation letter sent to an at-fault party's insurer requests reimbursement for automobile damages paid to an insured.
  DOC (18KB) Letters

Timeline Template - Horizontal

Create your own time line using this Microsoft Excel template. Just enter dates and labels.
  XLS (57KB) Forms Property & Casualty

Vehicle Fire - Insured

Statement guideline for interviewing the insured in a vehicle fire claim. Includes initial questions and follow up questions based on responses given.
  PDF (22KB) Statement Guides

Dog Bite Injury - Insured

Statement guideline for interviewing the insured in a dog bite injury claim. Includes initial questions and follow up questions based on responses given.
  PDF (15KB) Statement Guides

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) Forms Property & Casualty

Claim Activity Log

This MS Word form is used to document activity on an individual claim.
  DOC (39KB) 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) Letters

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

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) 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) Letters
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