Dd Form 1844 PDF Details

Navigating through the complexities of handling and filing claims for lost or damaged property, especially in the context of government or military relocations, presents a unique set of challenges and procedures. The DD Form 1844, titled "List of Property and Claims Analysis Chart," serves as a crucial document in this process. This form meticulously records the details of claims by individuals, often military personnel or Department of Defense employees, for property that was lost, damaged, or destroyed during shipment or storage under government orders. It requires the claimant to provide comprehensive details ranging from personal identification to the specifics of the insurance policy, if applicable. Furthermore, it systematically catalogs the pick-up and delivery dates, a detailed description of each item claimed including brand name, model, and size, the original cost, claimed amounts, and a thorough analysis conducted by the claims office. This includes the adjudication of claims, with sections designated for the evaluation of third-party liability, and the determination of allowed amounts versus claimed amounts. The form is a critical tool in ensuring that all parties involved in the logistics and claims process have a clear and concise record of the claim, streamlining the resolution and reimbursement process for both claimants and adjudicators.

QuestionAnswer
Form NameDd Form 1844
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesdd 1844 form, form dd1844 pdf, dd 1844 pdf, may 1844

Form Preview Example

1 . NAM E OF CLAIM ANT (Last , First , Middle Init ial)

 

 

3 . PICK-UP DATE

LIST OF PROPERTY AND CLAIM S ANALYSIS CHART

 

 

 

 

(YYYYM M DD)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(It ems 14 t hrough 31 t o be f illed out by Claims Of f ice)

 

 

 

 

 

 

 

 

 

 

 

 

 

2 . CLAIM ANT' S INSURANCE COM PANY (If applicable)

 

 

4 . DELIVERY DATE

1 4 . ORIGIN CONTRACTOR

1 7 .

2 ND CONTRACTOR

2 1 . CLAIM NUM BER

2 2 . NET WT/M AX CAR

 

 

 

 

 

(YYYYM M DD)

 

 

 

 

 

 

 

 

 

a. NAM E

 

b. POLICY NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5 . 6 .

7 . LOST OR DAM AGED ITEM S

8 . 9 . ORIGINAL

1 1 . AM OUNT

1 5 . INVENTORY DATE

1 8 . EXCEPTION SHEET

2 3 . GBL NUM BER

2 4 . LOT NUM BER

 

 

 

 

COST

CLAIM ED

(or)

(YYYYM M DD)

 

DATE (YYYYM M DD)

 

 

 

 

 

 

(Describe t he it em f ully, including brand name,

 

 

 

a. Repair

 

 

 

 

 

 

 

 

LINE QTY

INV

 

 

Cost

b.

 

 

 

 

 

 

 

 

1 0 .

1 6 .

1 9 .

2 0 .

2 5 .

2 6 .

2 7 .

2 8 .

2 9 .

NO.

model and size. List t he nat ure and ext ent of

NO.

Replace-

damage. If missing, st at e " MISSING." )

M M /YYYY

 

ment

EXCEPTIONS

INV

EXCEPTIONS

AM OUNT

ADJUDICATOR' S

ITEM

HOUSE

CARRIER

 

 

 

 

 

PURCHASED

 

Cost

 

NO.

 

ALLOW ED

REM ARKS

WT

LIABILITY

LIABILITY

 

 

 

 

 

 

 

1 2 . REM ARKS

1 3 . TOTAL

$

3 0 . TOTAL AM OUNT ALLOWED

$

3 1 . THIRD

PARTY LIABILITY

$

$

DD FORM 1 8 4 4 , M AY 2 0 0 0

PREVIOUS EDITION IS OBSOLETE.

Page

of

Pages

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Completing section 1 in dod form 1844

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