Claims Pages
claimspages

Denial - No Coverage (Spanish)

This form letter identifies the claimant, insurer, adjuster and date of loss; it is a claim denial for lack of coverage under the insured's policy.
  DOC (45 KB) Letters

Request For Copy Of Tax Return IRS Form 4506 (7/17)

IRS Form 4506 Request for Copy of Tax Return
  PDF (43 KB) 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 (50 KB) Forms Property & Casualty

Customer's Claim & Affidavit (Spanish)

Damage to customer's property is included under a commercial general liability policy; this form describes items lost, seller, purchase date and depreciation. The claim amount is submitted with signature of customer and adjuster.
  PDF (61 KB) Forms Property & Casualty

Standard Flood Insurance Policy (FEMA Form F-122, 2015)

The Standard Flood Insurance Dwelling Policy Form is issued to homeowners, residential renters and condominium unit-owners or owners of residential buildings containing two to four units.
  PDF (331 KB) Policy Forms

Excavation-One Call Centers Nationwide

A resource for excavation professionals or anyone who has to dig, includes the One-Call Center directory for utility locating services in all of the United States.
  PDF (545 KB) Legal Reference

National Flood Insurance Program - Adjuster Claims Manual - Part I

NFIP Adjuster Claims Manual Part 1
  PDF (748 KB) 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 (541 KB) Forms Flood

Insured's Statement In Burglary Loss (Spanish)

A written statement by the insured detailing a burglary loss claim involving a residence or automobile.
  PDF (55 KB) Forms Property & Casualty

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 (300 KB) White Papers

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.
  PDF (612 KB) Forms Flood



Metric Conversion Table

Conversion table for Metric to English units of measurement.
  PDF (15 KB) General Reference

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.
  PDF (401 KB) Forms Flood