File Insurance Claims

 

Make a list of the items that have been lost, damaged, or destroyed due to Harvey. The list does not have to be extremely detailed, but you will have to provide enough information to the insurance company for them to being processing your claim.

 

Flood Insurance

 

Insurance Co. ___________________________ Policy # _____________

 

Website ___________________________________________________

 

Property Address ____________________________________________

 

Name of Adjuster or Contact person: ____________________________

 

How will you communicate (i.e. email):__________________________

 

Instructions from insurance company: ___________________________

 

__________________________________________________________

 

__________________________________________________________

 

__________________________________________________________

 

Claim #: _________________________  Date: _________________

 

 

Homeowner’s Insurance

 

Insurance Co. ___________________________ Policy # _____________

 

Disaster Specific Deductibles ________________________________________

 

Website ___________________________________________________

 

Property Address ____________________________________________

 

Name of Adjuster or Contact person: ____________________________

 

How will you communicate (i.e. email):__________________________

 

Items lost, damaged, or destroyed: _____________________________

 

__________________________________________________________

 

__________________________________________________________

 

__________________________________________________________

 

Instructions from insurance company: ___________________________

 

__________________________________________________________

 

__________________________________________________________

 

__________________________________________________________

 

Claim #: _________________________  Date: _________________

 

 

Vehicle Insurance

 

Insurance Co. ___________________________ Policy # _____________

 

Duisaster Specific Deductibles ________________________________________

 

Website ___________________________________________________

 

Property Address ____________________________________________

 

Name of Adjuster or Contact person: ____________________________

 

How will you communicate (i.e. email):__________________________

 

Items lost, damaged, or destroyed: _____________________________

 

__________________________________________________________

 

__________________________________________________________

 

__________________________________________________________

 

Instructions from insurance company: ___________________________

 

__________________________________________________________

 

__________________________________________________________

 

__________________________________________________________

 

Claim #: _________________________  Date: _________________

 

 

Renter’s Insurance

 

Insurance Co. ___________________________ Policy # _____________

 

Disaster Specific Deductibles ________________________________________

 

Website ___________________________________________________

 

Property Address ____________________________________________

 

Name of Adjuster or Contact person: ____________________________

 

How will you communicate (i.e. email):__________________________

 

Items lost, damaged, or destroyed: _____________________________

 

__________________________________________________________

 

__________________________________________________________

 

__________________________________________________________

 

Instructions from insurance company: ___________________________

 

__________________________________________________________

 

__________________________________________________________

 

__________________________________________________________

 

Claim #: _________________________  Date: _________________

 

 

Other Insurance

 

Insurance Co. ___________________________ Policy # _____________

 

Disaster Specific Deductibles ________________________________________

 

Website ___________________________________________________

 

Property Address ____________________________________________

 

Name of Adjuster or Contact person: ____________________________

 

How will you communicate (i.e. email):__________________________

 

Items lost, damaged, or destroyed: _____________________________

 

__________________________________________________________

 

__________________________________________________________

 

__________________________________________________________

 

Instructions from insurance company: ___________________________

 

__________________________________________________________

 

__________________________________________________________

 

__________________________________________________________

 

Claim #: _________________________  Date: _________________