Subrogation is when your insurance company seeks reimbursement from your settlement. Customer: Hello, I recently received a subrogation claim in the mail for a car wreck I was at fault in last year.They say I owe 19,654.40. Case No. Name of injured person if different from case name. If problems or disagreements occur, first contact your contractor to try and work them out. Get the latest workers' compensation insurance forms for Nevada. Access common workers' comp forms Nevada, applications, guides and helpful manuals for NV. Apply to Legal Assistant, Legal Secretary, Paralegal and more! The Plaintiff, above named, complaining of Defendants, above named, alleges and says as follows: 1. For more information, you should contact an attorney licensed to practice in the State of Nevada.