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 (83KB)
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 (279KB)
White Papers
National Flood Insurance Program - Adjuster Claims Manual - Part IV
The NFIP Adjuster Claims Manual Part IV contains claims forms.
PDF (4354KB)
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 (471KB)
Forms Flood
National Flood Insurance Program - Adjuster Claims Manual - Part II
NFIP Adjuster Claims Manual Part II
PDF (8908KB)
Forms Flood
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 (453KB)
Forms Flood
Standard Flood Insurance Policy (FEMA Form F-122, 2015)
The Standard Flood Insurance Dwelling Policy Form is issued to homeowners, residential renters and condominium unit-owners or owners of residential buildings containing two to four units.
PDF (331KB)
Policy Forms
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 (475KB)
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 (229KB)
Forms Flood
Statement as to Full Cost of Repair or Replacement FEMA Form 086-0-12 (4/14)
This form is used to document the full repair or replacement cost of an insured property.
PDF (388KB)
Forms Flood
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.
PDF (512KB)
Forms Flood
Increased Cost of Compliance Proof of Loss FEMA Form 086-0-10 (4/17)
This form is used by the policyholder to make their statement of the amount for an Increased Cost of Compliance claim with sworn details of loss.
PDF (185KB)
Forms Flood
National Flood Insurance Program - Adjuster Claims Manual - Part I
NFIP Adjuster Claims Manual Part 1
PDF (748KB)
Forms Flood
