BEQ-3C (2020) Basic Earthquake Policy - Homeowners Choice
A sample California Earthquake Authority (CEA) policy which provides upgraded earthquake coverage for homeowners. Sold and serviced by participating insurance companies.
PDF (381.473KB)
Policy Forms
CEA 04A Endorsement Coverage for Breakables
A sample California Earthquake Authority (CEA) endorsement which provides a optional coverage to forms BEQ-3B, BEQ-3C, BEQ-6B, and BEQ-4B. Sold and serviced by participating insurance companies.
PDF (657.99KB)
Policy Forms
CEA 03A Endorsement Coverage for Exterior Masonry Veneer
A sample California Earthquake Authority (CEA) endorsement, which provides homeowners optional coverage for exterior masonry veneer, to be used with forms BEQ-3B and BEQ-3. Sold and serviced by participating insurance companies.
PDF (KB)
Policy Forms
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.
PDF (404KB)
Forms Flood
Manufactured (Mobile) Home/Travel Trailer Worksheet FEMA Form 086-0-17 (4/17)
This form is used by the adjuster to record information to determine the replacement cost and actual cash value of a manufactured (mobile) home.
PDF (394KB)
Forms Flood
Manufactured (Mobile) Home/Travel Trailer Worksheet (Continued) FEMA Form 086-0-18 (4/17)
This form is a continuation of the Manufactured (Mobile) Home/Travel Trailer Worksheet and is used by the adjuster to record information to determine the replacement cost and actual cash value of a manufactured (mobile) home.
PDF (541KB)
Forms Flood
Sinkholes - A Link Between Surface Water And Ground Water
A review of sinkholes in West-Central Florida. Identifies the different types of sinkholes that exist and the science behind their formation.
PDF (300KB)
White Papers
Notice Of Loss - Inland Marine (Spanish)
The inland marine notice of loss form describes the circumstances and amount of loss, and is prepared by an adjuster and presented to the insurer.
PDF (35KB)
Forms Property & Casualty
The Enhanced Fujita Tornado Classification Chart
The Fujita Scale rates the intensity of the tornado (mean wind speed) by the amount of ground damage that is created.
PDF (16KB)
General Reference
Release And Trust Agreement (UM/UIM PD) (Spanish)
A release form signed by an insured when making an uninsured motorist or underinsured motorist claim involving property damage.
PDF (75KB)
Forms Property & Casualty
Insured's Release (Spanish)
The release form identifies all parties to a claim, states the date of the occurrence, and details the terms of settlement of a claim. The release contains a statement that, as a condition of the settlement, prevents any further claim or action against the insurer for the claim event in question.
PDF (95KB)
Forms Property & Casualty
Statement Of Loss W/O Enclosures (Spanish)
An adjuster's statement of a loss using Schedules A, B & C.
PDF (55KB)
Forms Property & Casualty
Inland Marine Proof Of Loss (Spanish)
Inland Marine Proof of Loss form is a legal document to be completed by an insured in support of a claim.
PDF (50KB)
Forms Property & Casualty
Livestock Proof Of Loss (Spanish)
A livestock Proof of Loss and settlement document.
PDF (62KB)
Forms Property & Casualty
Proof Of Loss (Mobile Home) (Spanish)
A legal form documenting a claimant's property loss involving a mobile home.
PDF (67KB)
Forms Property & Casualty
