Declarations verified
Dates, listed vehicles, coverages, limits, premiums, deductibles, and endorsement numbers shown on the declarations.
Coverage worksheet
Source review July 16, 2026
A printable worksheet for identifying every possible policy, separating verified documents from assumptions, and flagging the coverage questions that require the complete policy and legal review.
25 / 50 / 25
Ordinary Oklahoma minimum
Issued contract
Coverage text to review
60 days
Settlement-protection window
Printable working tool
Use one row for every policy that might respond. Mark only what the file actually proves.
Addison Law Firm · General-information worksheet
Primary-source review: July 16, 2026. Confirm the issued policy, endorsements, signed forms, policy history, applicable law, and loss facts before reaching a coverage conclusion.
Client / matter: ____________________ Loss date: ____________________ Claimant: ____________________
Driver: ____________________________ Vehicle / identification number: ______________________________
Part 1
Dates, listed vehicles, coverages, limits, premiums, deductibles, and endorsement numbers shown on the declarations.
The actual signed selection, rejection, or exclusion—not a later summary of what the file supposedly contains.
Definitions, insuring agreement, exclusions, conditions, endorsements, and other-insurance language remain unresolved.
Residence, permission, ownership, use, work purpose, app status, policy history, or another factual issue controls the analysis.
Policy construction, statutory compliance, priority, stacking, subrogation, settlement protection, or another legal issue remains.
Use a continuation copy if more than six personal, household, employer, fleet, rental, platform, umbrella, excess, or other policies may apply.
Loss date: __________________
Claimant: __________________
Driver: ____________________
Vehicle identification number: ______
Owner: _____________________
Household: _________________
Employer / use: ____________
Platform phase: ____________
Part 2 · Third-party coverage
Verified from: __________________________
Missing / follow-up: _____________________
Part 3 · First-party bodily-injury coverage
Verified from: __________________________
Missing / follow-up: _____________________
Part 4 · Optional first-party medical coverage
Verified from: __________________________
Missing / follow-up: _____________________
Part 5 · Work and business use
Verified from: __________________________
Missing / follow-up: _____________________
Part 6 · Time-sensitive use phase
Verified from: __________________________
Missing / follow-up: _____________________
Part 7 · Multiple policies
Verified from: __________________________
Missing / follow-up: _____________________
Part 8 · Protect the claim
Verified from: __________________________
Missing / follow-up: _____________________
Final collection pass
Listed limits are not automatically available limits. Coverage can depend on insured status, the loss date, policy status, definitions, exclusions, use, priority, stacking, offsets, settlement-protection steps, and the facts. Keep lien and reimbursement issues separate from the policy-limit map.
This worksheet provides general information, not legal advice. Using it does not create an attorney-client relationship.
Map the coverage before the release
A complete Oklahoma auto-insurance review may involve several policies, signed forms, endorsements, household or work facts, and settlement-protection steps.
Free initial consultation. No obligation.