Statement as to Full Cost of Repair or Replacement FEMA Form 086-0-12 (4/14)

This form is used to document the full repair or replacement cost of an insured property.

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Diminution In Value Cases In All 50 States

Diminution in value is claimed when the value of a damaged, but repaired, item is less than the value before the loss. Subrogation professionals should be aware of when and how the laws of each state deal with diminution of value. This chart is a summary of how the first-party issue is treated in all 50 states.

Statement As To Replacement Cost Coverage

A legal form stating the values used to calculate cost coverage for repair or replacement of a property loss.

Statement As To Replacement Cost Coverage (Spanish)

A legal form stating the values used to calculate cost coverage for repair or replacement of a property loss.

Emergency / Temporary Work Repair Summary

An emergency/temporary repair work order, including cost, provided in support of a property claim.

Emergency / Temporary Work Repair Summary (Spanish)

An emergency/temporary repair work order, including cost, provided in support of a property claim.

Adjuster Preliminary Flood Damage Assessment FEMA Form 086-0-20 (4/17)

This form is used by adjusters to list potentially substantial damaged structures in preparation for possible ICC claims.

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.

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.

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