Subrogation Templates Details

Subrogation is the process of one insurance company stepping into the shoes of another insurance company to pursue damages from a third party. This can be an advantageous process for policyholders when their insurance company is unsuccessful in recovering losses from a third party. A subrogation form outlines the specific procedures and requirements for pursuing damages through this process. Today we'll take a look at a sample of subrogation form so you can get a better understanding of how it works.

Here is some information that might be handy in case you're trying to learn just how long it will require you to complete sample of subrogation form and what number of PDF pages it contains.

QuestionAnswer
Form NameSample Of Subrogation Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other nameswaiver of subrogation form, waiver of subrogation form pdf fillable, cg 2404 05 09 waiver of transfer fillable, waiver of subrogation acord form pdf

Form Preview Example

POLICY NUMBER:

COMMERCIAL GENERAL LIABILITY

 

CG 24 04 05 09

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

AGAINST OTHERS TO US

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

SCHEDULE

Name Of Person Or Organization:

PER WRITTEN CONTRACT

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

The following is added to Paragraph 8. Transfer Of

Rights Of Recovery Against Others To Us of

Section IV – Conditions:

We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products- completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above.

CG 24 04 05 09

© Insurance Services Office, Inc., 2008

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