Adjuster Assignment Form - Fax

Generic fax form sent to an independent adjuster with details of a claim assignment. It allows for a full or limited assignment and lists specific actions required by the adjuster, such as loss verification, photos, scene diagram, statements, subrogation investigation, vehicle appraisals, and settlements.

BROWSE RELATED DOCUMENT LISTINGS

Adjuster Preliminary Flood Damage Assessment FEMA Form 086-0-20 (4/17)

This form is used by adjusters to list potentially substantial damaged structures in preparation for possible ICC claims.

Increased Cost of Compliance (ICC) Adjusters Report FEMA Form 086-0-19 (4/17)

This form provides FEMA with information regarding substantial damage, mitigation measures, repetitive loss and cost associated with compliance to floodplain management ordinances.

NFIP Adjuster Certification Application FEMA Form 086-0-21 (4/17)

This form is used to collect information from individuals seeking to become certified flood adjusters.

NFIP Adjuster's Final Report FEMA Form 086-0-14 (4/17)

This form is used by adjusters to document the overall flood damages to the insured's property and provide a detailed summary of the claims information.

NFIP Adjuster's Preliminary Report FEMA Form 086-0-13 (4/17)

The FEMA Preliminary Report form is used by an adjuster to initially document a property loss insured under the National Flood Insurance Plan.

Acknowledgement Of Assignment

Generic form used by independent adjusters to acknowledge receipt of a property insurance claim, and provide a preliminary report to the insurance company.

Assignment Sheet

Generic form for assigning an automobile claim to an independent adjuster for investigation and handling. The form lists the insurance company, insured, claimant, endorsements, vehicle details, date and description of loss, and contact information for all parties involved.