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Building Repair Estimate
Building Repair Estimate
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Form used when preparing a repair estimate on a building loss. Includes labor and material calculations.
EMERGENCY / TEMPORARY WORK REPAIR SUMMARY Form 2002F © 2004 Nationwide Publishing Company, Inc. Company Name: Claim Number: Type of Loss: Address to be Repaired: Type of Repairs Needed: Address Contact: Contact Phone Number: Day Contact Made: Name of Repair Company: Address of Repair Company:...
Form 1120F © 2003 Nationwide Publishing Company, Inc. Claim Number Policy Number VEHICLE REPAIR ORDER I hereby authorize as my chosen repair facility to repair my vehicle, which is described below, and in accordance with the estimate which was prepared by the repair facility. Year: Make: Model:...
Dozens of common building terms and their definitions.
Razón social de la compañía: Número de reclamación: Tipo de siniestro: Dirección del lugar de las reparaciones: Tipo de reparaciones requeridas: Dirección del contacto: Teléfono del contacto: Día que se efectuó el contacto: Nombre de la compañía a cargo de la reparación: Dirección de la compañía a cargo de la reparación: Teléfono...
Indicators Of Property Repair Fraud
Número de reclamación Número de póliza ORDEN DE REPARACIÓN DE VEHÍCULO Por la presente autorizo a que como el taller de mi elección, repare mi vehículo, el cual se describe a continuación, de acuerdo con el presupuesto del taller. Año: Marca: Modelo: Nº de identificación vehicular (VIN): Matrícula: En cumplimiento...
WINDSHIELD REPAIR & REPLACEMENT Form 1009D © 2004 Nationwide Publishing Company, Inc. Repairing A Windshield Many windshields can be repaired if the damaged area is less than an inch in diameter (about the size of a quarter). To perform the repair, a glass technician will put a bridge and injector assembly...
An affidavit which is filled out by the local service provider who inspected the property and certified that the damage resulted from lightning. A notorized signature and witnesses are required.
A loss report form filled out by insureds and/or agents when reporting an automobile accident. Includes information on occupants, injuries, damages and witnesses.
Similar to Automobile Accident Report (1160F), this form is given to claimants to capture the details of an accident. Includes damages, occupants and witnesses.
Form 2300F © 2004 Nationwide Publishing Company, Inc. PROPERTY LOSS WORKSHEET Claim Number: Insured: Claimant: Adjuster: Preliminary Estimate: $ Final Estimate: $ 1 2 3 4 5 6 7 8 9 ITEM DESCRIPTION QUANTITY UNITS PRICE COST AGE ORG. COST REP.COST DEPREC. A.C.V. LOSS -DAMAGE INSTRUCTIONS-Columns 4-9, unshaded...
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