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A claim is filed
with us by completing the
DFS-DO-854 form, Notice of Property
Loss. You should provide as much detail of the loss as
possible when filling out this form. Provide a complete
description of the items or building that is damaged in the
Detailed Description of Loss column. A separate
Notice of Loss form is require for each building that
has been damaged by a covered peril.
A property loss can be reported
by telephone; however, a signed Notice of Loss form is needed
from you as soon as possible. If the loss is a result
of lightning, we will need a form
DFS-DO--855,
Statement – Lightning Losses, completed
and signed by the vendor or technician who performed the work.
The lightning statement form needs to state physical evidence
or reasons why loss appeared to be result of lightning for each
item damaged.
Documentation of damage to property
is needed. Photographs are excellent means to document
and verify losses and damage sustained to a building or content
items.
When we receive a claim and verify
coverage and the cause of loss, a claim file is opened.
Your agency will receive an initial request letter identifying
whether additional information or documents are needed to process
the claim. When we received final documentation that repairs
have been made, or equipment replaced and proof that all expenses
have been paid, the Department of Insurance will process the
claim and make payment to your agency within 60 days.
Click on the items listed below
for forms and procedures for handling a loss.
Notice of Property Loss (Electronic Version)
Statement - Lightning Losses (Electronic Version)
ACV Worksheet
(Adobe 5.0 pdf file)
Procedures in the Event of
a Loss (Adobe 5.0 pdf file)
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