This form is used by adjusters to list potentially substantial danaged structures in preparation for possible ICC claims. NOTE: This form is currently under review at the Office of Management and Budget (OMB) and has expired effective April 30, 2017. However, OMB has authorized the continued use of the existing form, until the review process is complete. Upon OMB approval, FEMA will update this record with the new form.
Short form for reporting the current status of a claim. Typically used by an independent adjuster.
An invoice form used by independent adjusting firms that lists claims investigation expenses billable to the client insurance company.
Daily log to document adjuster activity on a specific claim.
This form is used to recommend to the insurer the amount of payment for a loss, and apportionment when a property is covered by two or more insurance companies.
The Adjusters Report/Certification documents the insured property's location, date and type of loss, and summarizes replacement cost and A.C.V. for buildings, structural, contents and additional living expense, with line item detail.
Acknowledgment by the current owner that his vehicle has been declared a total loss, and that he/she has elected to retain the vehicle instead of receiving payment of salvage value. Towing and storage charges and who is responsible for paying them is included in this notarized form.
Acknowledgment by the current owner that his vehicle has been declared a total loss, and that he/she has elected to retain the salvage for a specific sum of monies. Towing and storage charges are also specified.
This legal form must be filled out by the insured and notarized. Includes information on vehicle ownership, description & condition, financing, as well as details regarding the theft and police report.
This legal form must be filled out by the insured and notarized. Includes information on vehicle ownership, description & condition, financing, as well as details regarding the theft and police report.
