Adjuster Preliminary Damage Assessment

Main Content
This form is used by adjusters to list potentially substantial danaged structures in preparation for possible ICC claims.
SizePublication Date
Formerly FF81-109
October 1, 2010
Icon for file of type text/plainFormerly FF81-109
4.21KOctober 1, 2010
Icon for file of type application/pdfFormerly FF81-109
229.35KOctober 1, 2010