Free Insurance Claim Forms and Templates

This statement may be sent by an individual who has suffered a physical injury to an organization or person responsible for this harm with a request for financial compensation.

This Form is used for reporting automobile accidents in the state of Florida. It allows individuals involved in a car accident to provide necessary information about the incident for insurance and legal purposes.

This is a formal statement prepared by a taxpayer who wants to confirm their right to receive a tax deduction upon property damage or loss they sustained if the reason for it was a casualty or theft.

This form is used for submitting health insurance claims. It is commonly used by individuals to request reimbursement for medical expenses.

This Form is used for authorizing someone to handle the settlement of an insurance claim on your behalf in Montana.

The purpose of this document is to take inventory and summarize data about the contents of an individual's house and estimate its financial value.

This type of document is generally prepared by an insurance policyholder and sent to their insurance provider to receive compensation for funds they have spent on damages covered by their insurance policy.

Fill out this template to request an amount of money from your insurance company to compensate you for the shift in the value of your car after an accident and subsequent repairs.

This Form is used for filing a fire report and making a claim in New York.

This form is used for submitting healthcare claims to the State Health Plan in South Carolina.

This form is used for reporting the first injury in South Dakota.

This Form is used for Local Governments in Tennessee to request insurance reimbursement.

This Form is used for filing a life insurance claim in South Carolina.

This document is used for filing a claim in Oklahoma that doesn't involve property damage or bodily injury. It is for situations where you are seeking compensation for other types of losses or expenses.

This document is used for filing a bodily injury claim in the state of Oklahoma. It helps individuals seek compensation for injuries sustained in accidents or incidents.

This form is used for filing an insurance settlement affidavit in the state of Kansas. It is a legal document that verifies the details of a settlement reached with an insurance company.

This document is used for recording an employee's statement regarding an accident that occurred in Alabama. It helps to gather information about the incident for investigation purposes and potential insurance claims.

This Form is used for reporting vehicle glass repair or replacement losses in the state of Louisiana.

This form is used for reporting general liability claims in Louisiana.

This form is used for filing an unpaid insurance claim affidavit in the state of Kansas.

This is a document that can be used by individuals when they would like to request that their insurance provider pay for certain claims.

Individuals may use this type of document as a reference when they would like to request their insurance company to review the denial of their insurance claim.

Individuals may use this type of document as a reference to dispute an unsatisfactory ruling of an insurance company regarding a long-term disability.

An employee who was denied proper insurance coverage to protect their financial standing during a temporary inability to do their job as a result of injury or illness may use this sample as a reference.

This is a formal notification composed by an individual who was hurt in a road accident and wants to resolve the issue with the offender by bringing the claim directly to them.

An individual may use this document as a reference when they want to offer the person responsible for a road accident to resolve the issue outside of court and without insurance.

This is a formal demand prepared by an individual who will miss work hours because of an injury or illness caused by a road accident and sent to the person responsible.

The purpose of this type of letter is to sort out the consequences of a car accident between its participants.

Insurance companies can use this type of letter when they would like to notify their policyholders that the services they requested are not covered by their insurance policy.

An insurance policyholder may send a letter such as this to an insurance company to inform the latter about an unacceptable settlement offer they have made.