Fema Form 086-0-20 - Adjuster Preliminary Damage Assessment

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U.S. Department of Homeland Security
Washington, D.C. 20472
W-16058
August 22, 2016
MEMORANDUM FOR:
Write Your Own (WYO) Company Principal Coordinators and the
National Flood Insurance Program (NFIP) Servicing Agent
FROM:
David I. Maurstad
Assistant Administrator for Federal Insurance
Federal Insurance and Mitigation Administration
SUBJECT:
Substantially Damaged Structures
On August 11, 2016, and continuing, the 2016 Mid-Summer Severe Storms produced torrential rains
that caused moderate to extensive flood damage to residential and commercial properties in the state
of Louisiana.
Early reports indicate that substantial damage to property has occurred. Please ensure that your
claims adjusters follow the guidelines below. Their cooperation will help expedite the community
officials’ determination of substantially damaged buildings.
 It is mandatory for claims adjusters to continue to report the statistics promptly.
 After conducting the inspection of the building and identifying it as possibly meeting the
criteria for substantial damage, the claims adjuster is required to enter the information for
that building on the attached “Adjuster Preliminary Damage Assessment” (APDA) form.
An interactive version of this form is available in the
FEMA
library.
 Even though the form allows entries for two separate policies, the claims adjuster should not
hold the form while awaiting additional or final claims information. The form must be
submitted to the NFIP Bureau & Statistical Agent as soon as the information is
completed for a single policy. The form will continue to be used to capture critical
information during the adjustment phase.
 Claims adjusters are required to submit daily reports of possible substantially damaged
properties to the NFIP Bureau & Statistical Agent by fax at 301-577-3421, email to
, or mail to P.O. Box 310, Lanham, MD 20706.

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