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National Flood Insurance Program Claim Forms for Adjusters

Download Instructions

The documents below are fillable forms, which means you can type your answers directly on the form. 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

Adjuster’s Preliminary Report

FEMA Form 086-0-13: This form is used by the adjuster to report information to the NFIP Servicing Agent for setting services and initial claims.

Adjuster’s Narrative Report

FEMA Form 086-0-15: The adjuster uses this form to report additional information not provided in the Preliminary or Final Report as part of documenting the claim.

Adjuster’s Subrogation Referral

FEMA Form 086-0-16: The adjuster uses this form to identify potentially responsible third parties and their actions that may have caused worsened flood damage.

Adjuster's Preliminary Flood Damage Assessment

FEMA Form 086-0-20: This form is used by adjusters to list potentially substantial damaged structures in preparation for possible ICC claims.

Adjuster’s Registration Application

FEMA Form 086-0-21: This form is used to collect information from individuals seeking to become certified flood adjusters.

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.

Last updated May 6, 2021