How to Fill Out FEMA Form FF-206-FY-21-149

FEMA Form FF-206-FY-21-149 at a glance

What it is: The ADJUSTER'S PRELIMINARY DAMAGE ASSESSMENT (APDA) is a form of the National Flood Insurance Program, from the Federal Emergency Management Agency.

Who signs: The Adjuster's signature.

Adjusters use this form (for claims handling advisory purposes) in helping FEMA and communities identify potential substantially-damaged or repetitively-damaged buildings.

A filled-in FEMA Form FF-206-FY-21-149 example: an adjuster reports flood damage

FEMA Form FF-206-FY-21-149 example filled out, example: an adjuster reports flood damage
Alex Sample, an adjuster, completes the APDA form for a flooded house. The building's replacement cost value is 200,000, flood repairs are 90,000 and other perils 10,000. The picture shows page 1, and all its values are invented. Damage-to-value is the repair cost divided by the replacement cost value, so 90,000 is 45 percent and 100,000 is 50 percent. The net repairs are the flood and other perils repairs added together. The STATE and ZIP boxes are left blank because the example names no state.

How to fill out FEMA Form FF-206-FY-21-149, box by box

Date of submission

FEMA Form FF-206-FY-21-149 example filled out, date of submission

Enter the Date of submission.

Community, insurer and adjuster information

FEMA Form FF-206-FY-21-149 example filled out, community, insurer and adjuster information

Under Community, insurer and adjuster information, enter the INSURER, COMMUNITY ID and COMMUNITY NAME, then the ADJUSTER, PHONE and EMAIL.

Policyholder and property information

FEMA Form FF-206-FY-21-149 example filled out, policyholder and property information

Under Policyholder and property information, enter the POLICYHOLDER, POLICY NO., PROPERTY ADDRESS, DATE OF LOSS, CITY, STATE, ZIP and EDN NO.

Adjuster's pre-loss building valuation

FEMA Form FF-206-FY-21-149 example filled out, adjuster's pre-loss building valuation

Under Adjuster's pre-loss building valuation, enter the Estimated Replacement Cost Value (RCV) of building.

In establishing the pre-loss value of a building, adjusters use replacement cost value (RCV), while communities use market value.

Adjuster's post-loss building repair estimate(s)

FEMA Form FF-206-FY-21-149 example filled out, adjuster's post-loss building repair estimate(s)

Under Adjuster's post-loss building repair estimate(s), enter the Estimated cost of repairs from flood, the Estimated cost of repairs from other perils and the Net estimated cost of repairs from all perils.

Enter the Damage-to-value (flood only) and the Damage-to-value (all perils).

Comments and signature

FEMA Form FF-206-FY-21-149 example filled out, comments and signature

Write Comments.

Under SIGN, add the Adjuster's signature, the FCN and the Date signed.

Common questions about FEMA Form FF-206-FY-21-149

Where do I file it?

Adjusters send this completed form via email with "APDA Enclosed" in the subject line to the NFIP Standard Operations (SO) at NFIPClaimsMailbox@fema.dhs.gov.

Sources

[1] FEMA Form FF-206-FY-21-149 (10/21), Adjuster's Preliminary Damage Assessment (APDA), Federal Emergency Management Agency (the Official source link on this page).

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 Length1 page
Fillable?Yes
Fillable fields26
Avg. time to fill out30 sec
Other namesPreliminaryDama geAssessment adjuter preliminary damage assessment form