Property Insurance Claims Documents (Page 6)

A sworn statement by a policyholder on a theft claim which lists the items stolen and their values. Filled out and notarized, this is a formal request by the insured for payment from the insurance company.

PDF (46KB) Forms Property & Casualty

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 (47KB) Forms Property & Casualty

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

Daily Time Sheet

A daily time sheet to record claims work, hours, mileage and expenses.

PDF (91KB) 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 (56KB) Diagrams

Property Arbitration Filing Form

A property subrogation arbitration form.

DOC (55KB) Forms Property & Casualty

National Flood Insurance Program - Adjuster Claims Manual - Part IV

The NFIP Adjuster Claims Manual Part IV contains claims forms.

PDF (4354KB) Forms Flood

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 (23KB) Forms Property & Casualty