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FACT SHEET


Appealing your Flood Insurance Claim


After you receive your adjuster’s estimate, you may have questions or concerns or need further explanations of decisions that have been made, especially with regard to coverage or the dollar amount of damages. An appeal will help you resolve claim issues, but it cannot give you added coverage or extend claim limits beyond those in your flood insurance policy.

Steps to appeal your claim

  1. Talk with your adjuster.

Talk with your adjuster, who has more knowledge about your claim than anyone. If you do not understand certain decisions regarding, for example, what is or is not covered or your damage estimate, contact your adjuster first.

If you are not satisfied with the adjuster’s answers or do not agree with the adjuster’s decisions, get the contact information of the adjuster’s supervisor.

  1. Contact your insurance company.

If the adjuster’s supervisor cannot resolve your issues, contact your insurance company and ask for a claims representative.

  1. Contact FEMA.

If you still have questions or concerns after following the steps above, please contact the Federal Emergency Management Agency (FEMA).

Be sure to keep clear records of your attempts to resolve issues. Write down the names and titles of the people you speak with, dates of contact, their contact information, and details of the discussion. If you have to go further in appealing your claim, these records can be vitally important.

Write to:
Federal Emergency Management Agency

Mitigation Directorate

Federal Insurance and Mitigation Administrator

1800 South Bell St.

Arlington, VA 20598-3010

What to include in your letter

    Include the following items in an appeal letter to FEMA. (If, for some reason, your policy is not available, your insurance agent can provide details for the first three items.)

  1. The Policy Number, policyholder’s name and the property address as shown on the flood insurance policy’s Declarations Page,

  2. How you can be contacted, if you are away from your home,

  3. The comprehensive details of your concern

  4. The dates of contact and contact details for the persons with whom you have spoken in steps one and two.

what to include with your letter

Enclose copies of documentation of everything that supports your appeal. This may include the following:

  1. A detailed list of damaged property and the value of individual items,

  2. Supporting photographs, and/or

  3. A

    Additional damage

    If you discover additional damage after filing a claim, contact your insurance agent or company to file a Supplemental Claim. Please refer to the Flood Insurance Claims Handbook for more information.

    contractor’s detailed estimate to repair damages with supporting photographs. Comparing contractor and adjuster estimates in detail will help resolve differences.

Additional Appeal Tips

  • Please do not send originals of documents such as contractor’s estimates. Send photocopies and keep originals in a safe place.

  • Your claim will be reviewed, and you will be informed of FEMA’s findings directly, with a copy of your claim going to your insurance company.

  • If you do not agree with the final decision, please refer to your flood insurance policy. See the section entitled “GENERAL CONDITIONS, R. Suit Against Us.”

  • An appeal letter should be signed by the Named Insured (as it appears on your National Flood Insurance Program policy declaration page) or by a legal representative.

  • The representative should clearly identify his/her relationship to the Named Insured. For example, a son or daughter could be handling a claim for an elderly parent. A legal representative may be asked to provide authorization from the Named Insured or a legal document verifying the relationship.

MAY 2010 PAGE 2



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