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.

BROWSE RELATED DOCUMENT LISTINGS

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.

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.

Proof of Loss FEMA Form 086-0-9 (4/17)

A Proof of Loss is a policyholder’s statement of the amount of money being requested, signed to and sworn to by the policyholder with documentation to support the amount requested.

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'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.

NFIP Narrative Report FEMA Form 086-0-15 (4/17)

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

Texas - Peace Officer's Crash Report: CR-3 Alternate (7/11)

The alternate Texas peace Officer's crash report includes a commercial motor carrier form.