Building Repair Estimate
Form used to calculate building repair costs, which includes replacement and actual cash value appraisal of the damaged property, and an itemized list of building materials, quantities, and labor.
PDF (83 KB)
Forms Property & Casualty
Business Interruption Handbook - Cerro Grande Fire
This Business Interruption Handbook was developed by the Federal Emergency Management Agency and by Pricewaterhouse Coopers' Business Interruption specialists to guide a claimant through the process of preparing and filing a business interruption claim under the Cerro Grande Fire Assistance Act. Useful in handling all non-Cerro Grande business interruption claims as well.
PDF (279 KB)
White Papers
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.
PDF (453 KB)
Forms Flood
Cause of Loss and Subrogation Report FEMA Form 086-0-16 (04/17)
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.
PDF (475 KB)
Forms Flood
BEQ-3B (2020) Basic Earthquake Policy - Homeowners
A sample California Earthquake Authority (CEA) policy which provides upgraded earthquake coverage for homeowners. Sold and serviced by participating insurance companies.
PDF (364.666 KB)
Policy Forms
National Flood Insurance Program - Adjuster Claims Manual - Part IV
The NFIP Adjuster Claims Manual Part IV contains claims forms.
PDF (4354 KB)
Forms Flood
Worksheet Contents Personal Property FEMA Form 086-0-6 (4/17)
The adjuster and the policyholder list and assess the inventory of flood-damaged personal property on this form.
PDF (471 KB)
Forms Flood
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.
PDF (229 KB)
Forms Flood
BEQ-4B (2020) Basic Earthquake Policy - Renters
A California Earthquake Authority (CEA) sample policy which provides basic earthquake coverage for renters. Sold and serviced by participating insurance companies.
PDF (352.785 KB)
Policy Forms
California Earthquake Authority - Claim Manual 08-01-2020
The California Earthquake Authority (CEA) claim manual is designed to assist claim representatives in the investigation and settlement of earthquake claims.
PDF (1839.379 KB)
General Reference
Notice of Loss FEMA Form 086-0-11 (4/17)
This form allows insurance agents or brokers to document damages caused by flood-related hazards to structures covered by the National Flood Insurance Program.
PDF (416 KB)
Forms Flood
Pacific Hurricane Tracking Map
A tracking map for tropical storms and hurricanes impacting the West Coast of the United States from the Pacific Ocean.
PDF (1193 KB)
Maps