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      EnglishEspañolFrançaisKreyòlTiếng Việt简体中文한국어  Flood Insurance
              
              
                                                                                                                                                                                                                              
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    

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          National Flood Insurance Program Claim Forms for Adjusters
The documents below are fillable forms, which means you can type your answers directly on the form.**Download instructions:**Please first download the form and save it your computer.To complete your form, you will need the latest version of Adobe Acrobat Reader. You can download Adobe Acrobat Reader for free from the Adobe website.Please make sure you open your fillable form in Adobe Reader, as some operating systems default to a browser as a PDF reader (such as Microsoft Edge or Safari).Find an Adjuster Claim Form
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      Adjuster's Preliminary Report
FF-206-FY-21-146: This form is used by the adjuster to report information to the NFIP Servicing Agent for setting services and initial claims.
This form will need to be downloaded and opened directly from your computer using Adobe Reader or Adobe Acrobat.
Document
     January 22, 2024 
    Download Document
    Adjuster’s Narrative Report
FF-206-FY-21-147 : The adjuster uses this form to report additional information not provided in the Preliminary or Final Report as part of documenting the claim.
Document
     October 28, 2021 
    Download Document
    Adjuster’s Subrogation Referral
Adjusters use this form (along with supporting documentation and relevant photos) to identify potentially responsible third parties and their actions that may have caused or worsened flood damage.
Document
     May 5, 2023 
    Download Document
    Adjuster's Preliminary Damage Assessment (APDA)
FF-206-FY-21-149: This form is used by adjusters to list potentially substantial damaged structures in preparation for possible ICC claims.
Document
     May 5, 2023 
    Download Document
    Adjuster’s Registration Application
FF-206-FY-21-150 : This form is used to collect information from individuals seeking to become certified flood adjusters.
Document
     January 22, 2024 
    Download Document
    Proof of Loss - Building & Contents (Adjuster-Prepared) (MUST DOWNLOAD)
This form can be filled out online.
FEMA Form 206-FY-21-112: This form can be used when the adjuster prepares the Proof of Loss as a courtesy to the policyholder, who then reviews and verifies the accuracy of the information and amounts.
Document
     May 5, 2021 
    Download Document
  
      
            Displaying 1 - 6 of 6
Last updated January 22, 2024

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