The Insurance Delay Disclosure Form is a professional documentation tool designed for auto body shops and vehicle owners across all 50 states. It provides a standardized way to track, log, and report delays caused by insurance companies during the vehicle repair process.
This form includes:
Customer & Vehicle Information Fields
Claim & Repair Order Reference Sections
Detailed Repair Timeline & Insurance Response Log
Checklist of Common Insurance Delay Tactics
Sections for Customer and Shop Signatures
Whether the issue is unresponsive adjusters, delayed payments, or repeated documentation requests, this form creates a clear paper trail that can be used to escalate the issue, involve the customer, or file a formal complaint with the Department of Insurance.
Use it to:
✅ Hold carriers accountable
✅ Educate customers on the cause of delays
✅ Support DOI complaints or legal actions
✅ Justify repair interruptions or added costs