ADJUSTER CHECKLIST
This checklist will be utilized DURING adjuster inspections & reinspections. Please submit as quickly as possible so The PA can begin preparing for the decision.
Insured Name
Address
Type of loss being inspected? (Select all that apply)
Hail
Wind
Water
Other
Did you provide the adjuster a copy of your Claim Package?
Yes
No
Is the adjuster staff, independent or a contractor?
Staff
Independent
Contractor
Other
(Only if adjuster is a contractor) Instruct the homeowner to ask if adjuster is licensed and exactly what instructions they were given from the carrier and why they are there. Please list observed details below:
Did adjuster get on the roof?
Yes
No
Did the adjuster do a test square?
Yes
No
Did the adjuster perform a brittle test?
Yes
No
Did the adjuster check the screens?
Yes
No
Did the adjuster check the gutters?
Yes
No
Did the adjuster check the a/c units?
Yes
No
Did the adjuster check the fences?
Yes
No
Did the adjuster mark any hail hits on the roof?
Yes
No
How many hail hits did the adjuster mark per square?
Adjuster comments on hail?
Did the adjuster mark any sort of wind damage to the shingles?
Yes
No
What did the adjuster mark/indicate for wind?
Adjuster comments on wind?
Did the adjuster inspect the interior?
Yes
No
Did the adjuster inspect the attic space?
Yes
No
Adjuster comments on interior damage?
In your observance; were any photos taken?
Yes
No
What photos did you notice the adjuster taking?
How confident are you that the adjuster will approve this claim?
Very Confident
Somewhat Confident
Not Sure, Either Way
Somewhat Unconfident
Not Confident At All
Explain your confidence level in the adjuster approving this claim
Any additional helpful details? Please list here.
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