Reservation Of Rights Letter

The reservation of rights letter notifies the policyholder that the insurer reserves the right to deny coverage of a claim, in whole or part, pending outcome of a claims investigation.
  DOC (19KB) Auto Liability Property Special Investigations Workers' Compensation Letters

Adjuster's Log Sheet

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

Medical Authorization (HIPAA Compliant)

Authorization form for disclosure of medical records, in compliance with HIPAA requirements.
  PDF (16KB) Liability 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

Law Digest Guides

The Insurance Law Digest is a series of PDF files that provide summaries of insurance laws for each U.S. state and the Canadian province.
  PDF (KB) Auto Legislation & Regulation Liability Property Workers' Compensation General Reference

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

Workers' Compensation Accident - Employee

Statement guideline for interviewing the employee/claimant in a workers' compensation claim. Includes initial questions and follow up questions based on responses given.
  PDF (15KB) Workers' Compensation Statement Guides

Request For Medical Docs/Bills From Dr.

A form letter requesting medical documents and bills from a physician providing treatment to a claimant, sent with a medical authorization.
  DOC (17KB) Liability Workers' Compensation Letters

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

Length Of Injury Table

Estimates of length of disability time for different types of injuries over a range of severities.
  PDF (28KB) Liability Workers' Compensation Medical 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

Monty Fire Investigations LLCWeller SalvageNationwide Overspray

  Recent Provider Listings

Serving West Virginia Statewide - CLM Member
West Virginia Attorneys & Law Firms
Serving the US
National Commercial Large Loss Restoration Contractors General Engineers Forensic Consultants
Serving Etowah County
Alabama Recreational Vehicles Rv Parts & Service