Claims Pages
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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

Adjuster's File Invoice

An invoice form used by independent adjusting firms that lists claims investigation expenses billable to the client insurance company.
  PDF (48 KB) Forms Property & Casualty

Acknowledgement Of Assignment

Generic form used by independent adjusters to acknowledge receipt of a property insurance claim, and provide a preliminary report to the insurance company.
  PDF (23 KB) Forms Property & Casualty

FP-1 (11/11) - Dwelling Policy - Basic Form

The Basic Dwelling Policy contains coverages, perils, exclusions and conditions.
  PDF (84 KB) Policy Forms

Claim Register Sheet

Basic registry form for logging when claims are received and closed.
  PDF (83 KB) Forms Property & Casualty


Certificate Of Satisfaction

The insured signs this form which certfies his/her satisfaction with damage repairs performed, directs claim payment to that service provider, and closes the claim.
  PDF (25 KB) Forms Property & Casualty

Homeowner Theft - Investigating Officer

Statement guideline for interviewing the investigating officer in a residential theft claim. Includes initial questions and follow up questions based on responses given.
  PDF (15 KB) Statement Guides

Commercial Property Theft - Investigating Officer

Statement guideline for interviewing the investigating officer in a commercial property theft claim. Includes initial questions and follow up questions based on responses given.
  PDF (15 KB) Statement Guides

4 Column Adjuster Worksheet

Financial worksheet for calculating a repair estimate, with one column to itemize losses, and 4 columns for replacement cost, quantity or age, depreciation, and actual cash value.
  PDF (79 KB) Forms Property & Casualty

Property Arbitration Filing Form

A property subrogation arbitration form.
  DOC (55 KB) Forms Property & Casualty

Kitchen Diagram

This Microsoft Word template allows users to add and resize a variety of objects including walls, windows, refrigerators, stoves, dishwashers, and tables.
  DOC (56 KB) Diagrams

Request For Contact (Spanish)

Form letter requesting claimant to contact adjuster.
  DOC (90 KB) Letters

Structural Fire - Investigating Officer

Statement guideline for interviewing the investigating officer in a structural fire claim. Includes initial questions and follow up questions based on responses given.
  PDF (17 KB) Statement Guides

Adjusters Report/Certification

The Adjusters Report/Certification documents the insured property's location, date and type of loss, and summarizes replacement cost and A.C.V. for buildings, structural, contents and additional living expense, with line item detail.
  PDF (47 KB) Forms Property & Casualty