Adjuster Preliminary Damage Assessment (FEMA Form 086-0-20, 4/14)

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.

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Preliminary Report (FEMA Form 086-0-13, 4/14)

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

Diminution In Value Cases In All 50 States

Diminution in value is claimed when the value of a damaged, but repaired, item is less than the value before the loss. Subrogation professionals should be aware of when and how the laws of each state deal with diminution of value. This chart is a summary of how the first-party issue is treated in all 50 states.

Increased Cost of Compliance Adjuster Report (FEMA Form 086-0-19, 4/14)

This form is used by adjusters to list the information required to qualify for an ICC claim and documents the mitigation option and cost. 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.

NFIP Adjuster Certification Application (FEMA Form 086-0-21, 4/14)

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

CG 00 01 (12 07) Commercial General Liability Coverage Form

The Commercial General Liability (CGL) form provides property damage and bodily injury liability coverage arising out of business operations and is usually a part of a commercial package policy (CPP). It specifically excludes coverages that would be found in companion policies, such as automobile-related claims which are covered under a business auto policy.

Cause of Loss and Subrogation Report FEMA Form 086-0-16 (04/14)

The adjuster uses this form to identify potentially responsible third parties and their actions that may have caused worsened flood damage. This includes looking at foundation grading and adequacy of sewer lines. 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.

NFIP Narrative Report (FEMA Form 086-0-15, 4/14)

The adjuster uses this form to report information in narrative format that is necessary to document th claim that's not provided in the Preliminary or Final Report. 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.

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