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pdfAppendix A:
NFIP Forms Used in Claims Adjustment
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CLAIMS FORMS
A-2
REVISED JUNE 2010
Exhibit 1. Adjuster Certification Application (F-673/81-110), front
(PDF available at http://www.fema.gov/library/viewRecord.do?id=2581)
CLAIMS FORMS
A-3
REVISED JUNE 2010
Exhibit 1. Adjuster Certification Application (F-673/81-110), back
(PDF available at http://www.fema.gov/library/viewRecord.do?id=2581)
CLAIMS FORMS
A-4
REVISED JUNE 2010
Exhibit 2. Adjuster Preliminary Damage Assessment (F-674/81-109)
(PDF available at http://www.fema.gov/library/viewRecord.do?id=2580)
CLAIMS FORMS
A-5
REVISED JUNE 2010
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CLAIMS FORMS
A-6
REVISED JUNE 2010
Exhibit 3. Cause of Loss and Subrogation Report (F-092/81-63)
(PDF available at http://www.fema.gov/library/viewRecord.do?id=2554)
CLAIMS FORMS
A-7
REVISED JUNE 2010
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CLAIMS FORMS
A-8
REVISED JUNE 2010
Exhibit 4. Elevation Certificate (F-063/81-31), front
(PDF available at http://www.fema.gov/library/viewRecord.do?id=1383)
CLAIMS FORMS
A-9
REVISED JUNE 2010
Exhibit 4. Elevation Certificate (F-063/81-31), back
(PDF available at http://www.fema.gov/library/viewRecord.do?id=1383)
CLAIMS FORMS
A-10
REVISED JUNE 2010
Exhibit 5. Increased Cost of Compliance Adjusters Report (F-555/81-98)
(PDF available at http://www.fema.gov/library/viewRecord.do?id=2579)
CLAIMS FORMS
A-11
REVISED JUNE 2010
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CLAIMS FORMS
A-12
REVISED JUNE 2010
Exhibit 6. Increased Cost of Compliance Proof of Loss (F-554/81-42A)
(PDF available at http://www.fema.gov/library/viewRecord.do?id=2546)
CLAIMS FORMS
A-13
REVISED JUNE 2010
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CLAIMS FORMS
A-14
REVISED JUNE 2010
Exhibit 7. Mobile Home Worksheet (F-136/81-96)
(PDF available at http://www.fema.gov/library/viewRecord.do?id=2578)
CLAIMS FORMS
A-15
REVISED JUNE 2010
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CLAIMS FORMS
A-16
REVISED JUNE 2010
Exhibit 8. Mobile Home Checklist (F-776/81-96A)
CLAIMS FORMS
A-17
REVISED JUNE 2010
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CLAIMS FORMS
A-18
REVISED JUNE 2010
Exhibit 9. National Flood Insurance Program Preliminary Report (F-093/81-57)
(PDF available at http://www.fema.gov/library/viewRecord.do?id=2551)
CLAIMS FORMS
A-19
REVISED JUNE 2010
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CLAIMS FORMS
A-20
REVISED JUNE 2010
Exhibit 10. National Flood Insurance Program Narrative Report (F-095/81-59)
(PDF available at http://www.fema.gov/library/viewRecord.do?id=2553)
CLAIMS FORMS
A-21
REVISED JUNE 2010
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CLAIMS FORMS
A-22
REVISED JUNE 2010
Exhibit 11. National Flood Insurance Program Final Report (F-094/81-58)
(PDF available at http://www.fema.gov/library/viewRecord.do?id=2552)
CLAIMS FORMS
A-23
REVISED JUNE 2010
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CLAIMS FORMS
A-24
REVISED JUNE 2010
Exhibit 12. Notice of Loss (F-102/81-43)
(PDF is available at http://www.fema.gov/library/viewRecord.do?id=2547)
CLAIMS FORMS
A-25
REVISED JUNE 2010
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CLAIMS FORMS
A-26
REVISED JUNE 2010
Exhibit 13. Proof of Loss (F-101/81-42)
(PDF is available at http://www.fema.gov/library/viewRecord.do?id=2545)
CLAIMS FORMS
A-27
REVISED JUNE 2010
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CLAIMS FORMS
A-28
REVISED JUNE 2010
Exhibit 14. Statement as to Full Cost of Repair or Replacement (F-103/81-44)
(PDF is available at http://www.fema.gov/library/viewRecord.do?id=2548)
CLAIMS FORMS
A-29
REVISED JUNE 2010
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CLAIMS FORMS
A-30
REVISED JUNE 2010
Exhibit 15. Worksheet - Building (F-099/81-41)
(PDF is available at http://www.fema.gov/library/viewRecord.do?id=2543)
CLAIMS FORMS
A-31
REVISED JUNE 2010
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CLAIMS FORMS
A-32
REVISED JUNE 2010
Exhibit 16. Worksheet - Building (Continued) (F-100/81-41A)
(PDF is available at http://www.fema.gov/library/viewRecord.do?id=2544)
CLAIMS FORMS
A-33
REVISED JUNE 2010
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CLAIMS FORMS
A-34
REVISED JUNE 2010
Exhibit 17. Worksheet – Contents – Personal Property (F-098/81-40)
(PDF is available at http://www.fema.gov/library/viewRecord.do?id=2542)
CLAIMS FORMS
A-35
REVISED JUNE 2010
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CLAIMS FORMS
A-36
REVISED JUNE 2010
Appendix B:
FEMA Bulletins
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FEMA BULLETINS
B-2
REVISED JUNE 2010
Exhibit 1. Claims Payments on Enclosures at or above the Base Flood Elevation
(W-04011), page 1 of 3
FEMA BULLETINS
B-3
REVISED JUNE 2010
Exhibit 1. Claims Payments on Enclosures at or above the Base Flood Elevation
(W-04011), page 2 of 3
FEMA BULLETINS
B-4
REVISED JUNE 2010
Exhibit 1. Claims Payments on Enclosures at or above the Base Flood Elevation
(W-04011), page 3 of 3
FEMA BULLETINS
B-5
REVISED JUNE 2010
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FEMA BULLETINS
B-6
REVISED JUNE 2010
Exhibit 2. Flood Insurance Claims Guidance
(W-04020), page 1 of 2
FEMA BULLETINS
B-7
REVISED JUNE 2010
Exhibit 2. Flood Insurance Claims Guidance
(W-04020), page 2 of 2
FEMA BULLETINS
B-8
REVISED JUNE 2010
Exhibit 3. Flood Insurance Claims Guidance(Elevated Building Slabs)
(W-04091), page 1 of 2
FEMA BULLETINS
B-9
REVISED JUNE 2010
Exhibit 3. Flood Insurance Claims Guidance(Elevated Building Slabs)
(W-04091), page 2 of 2
FEMA BULLETINS
B-10
REVISED JUNE 2010
Exhibit 4. Waiver of the Two-Year Time Limit for ICC (06019)
FEMA BULLETINS
B-11
REVISED JUNE 2010
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FEMA BULLETINS
B-12
REVISED JUNE 2010
Exhibit 5. Elevation Wind/Water Investigative Tips (W-08008), page 1 of 4
FEMA BULLETINS
B-13
REVISED JUNE 2010
Exhibit 5. Elevation Wind/Water Investigative Tips (W-08008), page 2 of 4
FEMA BULLETINS
B-14
REVISED JUNE 2010
Exhibit 5. Elevation Wind/Water Investigative Tips (W-08008), page 3 of 4
FEMA BULLETINS
B-15
REVISED JUNE 2010
Exhibit 5. Elevation Wind/Water Investigative Tips (W-08008), page 4 of 4
FEMA BULLETINS
B-16
REVISED JUNE 2010
Exhibit 6. Claims Guidance-Detached Garages (W-08043), page 1 of 4
FEMA BULLETINS
B-17
REVISED JUNE 2010
Exhibit 6. Claims Guidance-Detached Garages (W-08043), page 2 of 4
FEMA BULLETINS
B-18
REVISED JUNE 2010
Exhibit 6. Claims Guidance-Detached Garages (W-08043), page 3 of 4
FEMA BULLETINS
B-19
REVISED JUNE 2010
Exhibit 6. Claims Guidance-Detached Garages (W-08043), page 4 of 4
FEMA BULLETINS
B-20
REVISED JUNE 2010
Exhibit 7. NFIP Adjuster Fee Schedule – 2008 Revision (W-08052), page 1 of 3
FEMA BULLETINS
B-21
REVISED JUNE 2010
Exhibit 7. NFIP Adjuster Fee Schedule – 2008 Revision (W-08052), page 2 of 3
FEMA BULLETINS
B-22
REVISED JUNE 2010
Exhibit 7. NFIP Adjuster Fee Schedule – 2008 Revision (W-08052), page 3 of 3
FEMA BULLETINS
B-23
REVISED JUNE 2010
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FEMA BULLETINS
B-24
REVISED JUNE 2010
Exhibit 8. Claims Guidance-Hurricanes Gustav and Ike (W-08070), page 1 of 3
FEMA BULLETINS
B-25
REVISED JUNE 2010
Exhibit 8. Claims Guidance-Hurricanes Gustav and Ike (W-08070), page 2 of 3
FEMA BULLETINS
B-26
REVISED JUNE 2010
Exhibit 8. Claims Guidance-Hurricanes Gustav and Ike (W-08070), page 3 of 3
FEMA BULLETINS
B-27
REVISED JUNE 2010
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FEMA BULLETINS
B-28
REVISED JUNE 2010
Exhibit 9. NFIP Case Loss Reserving Procedures (W-08095), page 1 of 2
FEMA BULLETINS
B-29
REVISED JUNE 2010
Exhibit 9. NFIP Case Loss Reserving Procedures (W-08095), page 2 of 2
FEMA BULLETINS
B-30
REVISED JUNE 2010
Exhibit 10. Formal Appeals Process – Issuance of Denial Letter (W-09002), page 1 of 2
FEMA BULLETINS
B-31
REVISED JUNE 2010
Exhibit 10. Formal Appeals Process – Issuance of Denial Letter (W-09002), page 2 of 2
FEMA BULLETINS
B-32
REVISED JUNE 2010
Exhibit 11. Substantially Damaged Structures (W-09077), page 1 of 4
FEMA BULLETINS
B-33
REVISED JUNE 2010
Exhibit 11. Substantially Damaged Structures (W-09077), page 2 of 4
FEMA BULLETINS
B-34
REVISED JUNE 2010
Exhibit 11. Substantially Damaged Structures (W-09077), page 3 of 4
FEMA BULLETINS
B-35
REVISED JUNE 2010
Exhibit 11. Substantially Damaged Structures (W-09077), page 4 of 4
FEMA BULLETINS
B-36
REVISED JUNE 2010
Exhibit 12. NFIP Case Loss Reserving Procedures (W-10008), page 1 of 2
FEMA BULLETINS
B-37
REVISED JUNE 2010
Exhibit 12. Case Loss Reserving Procedures (W-10008), page 2 of 2
FEMA BULLETINS
B-38
REVISED JUNE 2010
Exhibit 13. Buildings Over Water That Were Originally Constructed Over Land
(W-10010), page 1 of 2
FEMA BULLETINS
B-39
REVISED JUNE 2010
Exhibit 13. Buildings Over Water That Were Originally Constructed Over Land
(W-10010), page 1 of 2
FEMA BULLETINS
B-40
REVISED JUNE 2010
Exhibit 14. Wind Vs Water – Adjusting Process (W-10017), page 1 of 9
FEMA BULLETINS
B-41
REVISED JUNE 2010
Exhibit 14. Wind Vs Water – Adjusting Process (W-10017), page 2 of 9
FEMA BULLETINS
B-42
REVISED JUNE 2010
Exhibit 14. Wind Vs Water – Adjusting Process (W-10017), page 3 of 9
FEMA BULLETINS
B-43
REVISED JUNE 2010
Exhibit 14. Wind Vs Water – Adjusting Process (W-10017), page 4 of 9
FEMA BULLETINS
B-44
REVISED JUNE 2010
Exhibit 14. Wind Vs Water – Adjusting Process (W-10017), page 5 of 9
FEMA BULLETINS
B-45
REVISED JUNE 2010
Exhibit 14. Wind Vs Water – Adjusting Process (W-10017), page 6 of 9
FEMA BULLETINS
B-46
REVISED JUNE 2010
Exhibit 14. Wind Vs Water – Adjusting Process (W-10017), page 7 of 9
FEMA BULLETINS
B-47
REVISED JUNE 2010
Exhibit 14. Wind Vs Water – Adjusting Process (W-10017), page 8 of 9
FEMA BULLETINS
B-48
REVISED JUNE 2010
Exhibit 14. Wind Vs Water – Adjusting Process (W-10017), page 9 of 9
FEMA BULLETINS
B-49
REVISED JUNE 2010
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FEMA BULLETINS
B-50
REVISED JUNE 2010
Exhibit 15. Flood Insurance Guidance Concerning
Contents Manipulation (W-10035), page 1 of 2
FEMA BULLETINS
B-51
REVISED JUNE 2010
Exhibit 15. Flood Insurance Guidance Concerning
Contents Manipulation (W-10035), page 2 of 2
FEMA BULLETINS
B-52
REVISED JUNE 2010
Exhibit 16. Wind Vs Water – Adjusting Process Clarification (W-10060), page 1 of 2
FEMA BULLETINS
B-53
REVISED JUNE 2010
Exhibit 16. Wind Vs Water – Adjusting Process Clarification (W-10060), page 2 of 2
FEMA BULLETINS
B-54
REVISED JUNE 2010
Exhibit 17. Oil in Flood Water (W-10065a), page 1 of 2
FEMA BULLETINS
B-55
REVISED JUNE 2010
Exhibit 17. Oil in Flood Water (W-10065a), page 2 of 2
FEMA BULLETINS
B-56
REVISED JUNE 2010
| File Type | application/pdf |
| File Modified | 2011-04-25 |
| File Created | 2010-06-30 |