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 (45KB)
Letters
State/Local Sales Tax Rate Chart
A list of state/local retail sales tax rates as identified by the Federation of Tax Administrators, updated January 1, 2018.
PDF (13KB)
General Reference
Non-Waiver Agreement / Reservation Of Rights (Spanish)
The non-waiver agreement is signed by the policyholder; its purpose is to protect the insurer. Insurer reserves all of its rights under the policy to investigate and defend a claim without admission of any liability for loss.
PDF (65KB)
Forms Property & Casualty
California Earthquake Authority - Claim Manual 08-01-2020
The California Earthquake Authority (CEA) claim manual is designed to assist claim representatives in the investigation and settlement of earthquake claims.
PDF (1839.379KB)
General Reference
Flood Zone Classification Chart
Definitions of flood zone classifications.
PDF (14KB)
General Reference
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
National Flood Insurance Program - Adjuster Claims Manual - Part I
NFIP Adjuster Claims Manual Part 1
PDF (748KB)
Forms Flood
Proof Of Loss (Aircraft)
A Proof of Loss form for an insurance claim involving an aircraft.
PDF (43KB)
Forms Property & Casualty
Denial - Less Than Deductible (Spanish)
A denial letter used when the value of a claim submitted is determined to be less than the insured's deductible.
DOC (55KB)
Letters
Property Loss Worksheet (Spanish)
Use this worksheet to inventory property and content losses, and obtain an estimate of replacement costs. It contains columns to factor in age, original cost, replacement cost and depreciation to calculate ACV (actual cash value).
PDF (91KB)
Forms Property & Casualty
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.
PDF (185KB)
Forms Flood
BEQ-4B (2020) Basic Earthquake Policy - Renters
A California Earthquake Authority (CEA) sample policy which provides basic earthquake coverage for renters. Sold and serviced by participating insurance companies.
PDF (352.785KB)
Policy Forms
Worksheet-Building FEMA Form 086-0-7 (4/17)
This form is used by adjusters and policyholders to list and assess the scope of flood damaged building property.
PDF (383KB)
Forms Flood
Insurance Fraud Legislation Update 2017
Status report on state legislation for insurance fraud bills.
PDF (60KB)
Legal Reference
