Adjusters Report/Certification

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.

BROWSE RELATED DOCUMENT LISTINGS

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.

Adjuster's Loss Certification and Apportionment of 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.

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.

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.

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.

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.

Worksheet-Building FEMA Form 086-0-7 (4/17)

This form is used by adjusters and policyholders to list and assess the scope of flood damaged building property.

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