Insurance Loss Notice

  • ACORD 1 Property Loss Notice
  • ACORD 2 Automobile Loss Notice
  • ACORD 3 General Liability Notice of Occurrence or Claim
  • ACORD 4 Workers Compensation First Report of Illness or Injury

With the CapDat Claims forms, you can…

  • Fill in the ACORD Claims forms on screen.
  • Print the completed forms.
  • Save the completed forms on our secure CapDat Servers.
  • You can access the blank forms and all your saved claims forms from any PC with Internet access.

You can…

  • Retrieve a previously saved claims form.
  • Make changes.
  • Print with the changes.
  • Save under a new name or the same name.

If you post a link on your web site, or put the link in an e-mail, CapDat does the following can…

  • Allows your users to fill in the information on the claims form and submit the completed form to you for handling.
  • E-mails you a notice that a claims form has been submitted.
  • Saves all submitted claims forms for later use.



For $47.00 you get one year of access or 500 saved Loss Notices – whichever comes first. If you need to save more than 500 Loss Notices you can buy additional blocks of 500 anytime.

Make your work easier and your customers work easier with the Online Claims Forms solution from Simply-Easier-ACORD-Forms.



To Order this option you must call us at 1-800-768-0907 between 8:30 AM and 5:00 PM East Coast Time (USA).

We will take your credit card payment and have you set up and running in a matter of minutes.