1. Notify Us. Complete our Beneficiary Statement form and have the beneficiary sign it. You will also need to provide a signed beneficiary statement in addition to any other requirements stated in your Nassau Claims Packet.Contact us to schedule a consultation to discuss how an attorney from our firm can assist in the planning and prosecution of insurance subrogation actions. Subrogation occurs when your insurance company pays for an accident, then works to recoup expenses from the at-fault driver's insurer. What is subrogation? Why am I being asked to waive it? Common Forms and Documents Find benefit summaries, claim forms, and more. KNOW ALL MEN BY THESE PRESENTS: The undersigned, NASSAU COUNTY BOARD OF COUNTY COMMISSIONERS. Partners from initial investigation through final recovery to ensure appropriate claim resolution and pursuit of alternative recovery sources (e.g. Flood and water damage insurance exclusions: A variety of issues may come up surrounding flood insurance.