Fema Form 086-0-20 - Adjuster Preliminary Damage Assessment Page 4

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O.M.B. No. 1660-0005
Expires April 30, 2017
ADJUSTER PRELIMINARY DAMAGE ASSESSMENT
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 (Cont'd)
1.0 Hours
086-0-9
Proof of Loss
.08 Hours
086-0-10
Increased Cost of Compliance
2.0 Hours
086-0-11
Notice of Loss
.07 Hours
086-0-12
Statement as to Full Cost to Repair or Replacement Cost Coverage,
.10 Hours
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
FEMA FORM 086-0-20 (07/14)
Page 2 of 2

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