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.

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.

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.

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.

Proof Of Loss (Aircraft)

A Proof of Loss form for an insurance claim involving an aircraft.

Proof Of Loss (Aircraft) (Spanish)

A Proof of Loss form for an insurance claim involving an aircraft.

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.

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.