Get Subrogation Receipt

The Subrogation Receipt is an essential document for settling claims and assignments related to crop damage. This guide provides a clear and detailed overview of how to fill out the form online, ensuring you understand each section and its purpose.

Follow the steps to complete the Subrogation Receipt form online.

1. Click the ‘Get Form’ button to access the Subrogation Receipt and open it in your editing platform.
2. In the section labeled 'Received from the ___________________________________________________Insurance Company,' enter the name of the insurance company from which you are receiving payment.
3. Next, in the field for 'the sum of __________________Dollars ($________________),' input the amount you are receiving in settlement of your claims.
4. For 'loss and damage by _____________________(peril),' specify the peril that caused the loss, such as hail or flood.
5. Indicate the date of the occurrence in 'which occurred on or about __________________________ (mm/dd/yy),' using the mm/dd/yyyy format.
6. Fill in the crop name insured under 'to the __________________ (crop),' specifying the exact crop type.
7. In 'under Policy No. ______________,' write the insurance policy number relevant to this claim.
8. Provide the name of the agency in the field 'issued at the ________________________ agency of the above stated Insurance Company.'
9. Sign the form in the 'Insured Signature' section to confirm your agreement with the details provided.
10. Include the date next to your signature.
11. If applicable, have a company representative sign the 'Company Representative Signature' section and enter the date.
12. Finally, if there is a witness, they should sign in the 'Witness Signature' section and include the date.
13. Once all sections are completed, ensure to save your changes, and then you can download, print, or share the completed form.

Complete your Subrogation Receipt online today to streamline your claims process.