Fema Form 086 0 20 PDF Details

When a flood wreaks havoc, the path to recovery often begins with paperwork, specifically the FEMA 086 0 20 form. Under the jurisdiction of the Department of Homeland Security's Federal Emergency Management Agency (FEMA), this form plays a crucial role for policyholders affected by flooding under the National Flood Insurance Program (NFIP). The Adjuster Preliminary Damage Assessment form, as it's officially known, serves as an advisory tool for FEMA and communities to identify buildings that may be substantially damaged. It requires adjusters to use the replacement cost of a property for assessment, while communities must determine substantial damage based on the market value. Besides providing a straightforward method to document the probable repair cost, building replacement cost value, and building actual cash value, this form also embodies the intersection of federal assistance and policyholder rights, highlighting the importance of accurate and legible documentation. The form balances the need for detailed information with respect for the policyholder's time, estimating an average completion burden of just 15 minutes – a small ask for the potential aid it can unlock. Furthermore, it comes with a clear privacy statement and a detailed explanation of where the information provided may be shared, underscoring FEMA's commitment to privacy and transparency in processing claims and applications.

QuestionAnswer
Form NameFema Form 086 0 20
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesPreliminaryDama geAssessment adjuter preliminary damage assessment form

Form Preview Example

DEPARTMENT OF HOMELAND SECURITY

FEDERAL EMERGENCY MANAGEMENT AGENCY

ADJUSTER PRELIMINARY DAMAGE ASSESSMENT

NATIONAL FLOOD

INSURANCE PROGRAM

O.M.B. No. 1660-0005

Expires October 31, 2013

Privacy Act Statement

The information requested is necessary to process the subject loss. The authority to collect the information is Title 42, U.S. Code, Section 4001 to 4028. It is voluntary on your part to furnish the information. However, omission of an item may preclude processing of the form. The information will not be disclosed outside of the Federal Emergency Management Agency, except to the servicing agent, acting as the government's fiscal agent; to claims adjusters to enable them to confirm coverage and the location of insured property; to certain Federal, State, and Local Government agencies for determining eligibility for benefits and for verification of nonduplication of benefits; to the Department of Justice for purposes of litigation or as required by law; and to State and Local agencies for acquisition and relocation-related projects, consistent with the National Flood Insurance Program and consistent with the routine uses described in the program's system of record. Failure by you to provide some or all of the information may result in delay in processing or denial of this claim and/or application.

Paperwork Burden Disclosure Notice

Public reporting burden for this form is estimated to average 15 minutes per response. The burden estimate includes the time, effort or financial resources expended by persons to generate, maintain, retain, disclose, or provide information to the Mitigation Division or its agent. You are not required to respond to this collection of information unless a currently valid OMB control number and expiration date is displayed in the upper right corner of the these forms. Send comments regarding the accuracy of the burden estimate and suggestions for reducing the burden to: Information Collections Management, Department of Homeland Security, Federal Emergency Management Agency, 500 C Street, S.W., Washington, DC 20472, Paperwork Reduction Project (1660-0005). NOTE: Do not send your completed form to this address. Send

completed forms to: NFIP Bureau & Statistical Agent, Certification Coordinator, P.O. box 310 , Lanham, MD 20703-0310.

WYO COMPANY

DATE OF LOSS

ADJUSTER

FICO NUMBER

This form is to be used for advisory purposes in helping FEMA and communities identify potential substantially damaged buildings. The adjuster will use "replacement cost" when completing this form; however, the community is required under the National Flood Insurance Program to use "market value" in determining substantial damage.

PLEASE PRINT LEGIBLY

POLICY HOLDER

POLICY NUMBER

PROPERTY ADDRESS (include zip code)

**PROBABLE REPAIR COST

BUILDING REPLACEMENT COST VALUE

BUILDING ACTUAL CASH VALUE

 

 

$

 

$

 

 

 

 

 

 

POLICY HOLDER

 

POLICY NUMBER

 

 

 

 

 

 

 

PROPERTY ADDRESS (include zip code)

**PROBABLE REPAIR COST

BUILDING REPLACEMENT COST VALUE

$

BUILDING ACTUAL CASH VALUE

$

POLICY HOLDER

POLICY NUMBER

PROPERTY ADDRESS (include zip code)

**PROBABLE REPAIR COST

BUILDING REPLACEMENT COST VALUE

$

BUILDING ACTUAL CASH VALUE

$

**This is an estimate of the cost to repair the building to its pre-flood condition.

FEMA FORM 086-0-20, OCT 2010

REPLACES ALL PREVIOUS EDITIONS

F-674

FEMA Form No.

Title

Burden Hours

086-0-6

Worksheet-Contents-Personal Property

2.5

Hours

086-0-7

Worksheet-Building

2.5

Hours

086-0-8

Worksheet-Building (Continued)

1

Hours

086-0-9

Proof of Loss

.08

Hours

086-0-10

Increased Cost of Compliance

2

Hours

086-0-11

Notice of Loss

.07

Hours

086-0-12

Statement as to Full Cost to Repair or Replacement

.10

Hours

 

Cost Coverage, Subject to the Terms and Conditions

 

 

 

of this Policy

 

 

086-0-13

National Flood Insurance Program Preliminary Report

.07

Hours

086-0-14

National Flood Insurance Program Final Report

.07

Hours

086-0-15

National Flood Insurance Program Narrative Report

.08

Hours

086-0-16

Cause of Loss and Subrogation Report

1

Hour

086-0-17

Manufactured (Mobile) Home/Travel Trailer Worksheet

.50

Hours

086-0-18

Mobile Home/Travel Trailer Worksheet (Continued)

.25

Hours

086-0-19

Increased Cost of Compliance (ICC) Adjuster Report

.42

Hours

086-0-20

Adjuster Preliminary Damage Assessment

.25

Hours

086-0-21

Adjuster Certification Application

.25

Hours

How to Edit Fema Form 086 0 20 Online for Free

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1. Begin completing your Fema Form 086 0 20 with a selection of necessary blanks. Get all of the important information and be sure there is nothing overlooked!

Filling out section 1 of Fema Form 086 0 20

2. The subsequent stage is to submit the following blanks: PROBABLE REPAIR COST, BUILDING REPLACEMENT COST VALUE, BUILDING ACTUAL CASH VALUE, POLICY HOLDER, POLICY NUMBER, PROPERTY ADDRESS include zip code, PROBABLE REPAIR COST, BUILDING REPLACEMENT COST VALUE, BUILDING ACTUAL CASH VALUE, This is an estimate of the cost to, FEMA Form OCT, and REPLACES ALL PREVIOUS EDITIONS.

Part no. 2 of filling in Fema Form 086 0 20

It's very easy to make errors while filling in your BUILDING ACTUAL CASH VALUE, so be sure to reread it before you decide to submit it.

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