insurance

Damage Assessment

Adjusters and policyholders describe damage in varied detail levels. This template captures the property or vehicle identification, damage cause, affected areas, severity classification, repair estimates, and whether the property is still usable or habitable, providing a structured assessment that feeds directly into claims processing.

See it in action

What users type

Field assessment for claim CL-20260401-882. The property at 45 Birchwood Lane, Stamford CT was impacted by the March 30th hailstorm. I'm the adjuster, Rick Donovan. The roof has significant granule loss across roughly 60% of the south-facing slope with three penetration points. Gutters on the south and east sides are crushed. Two skylights are cracked. Siding damage is cosmetic only. Preliminary repair estimate is $18,500. The home is still habitable but I'd classify this as moderate to major damage.

What you get

Assessor / Reporter Name

Rick Donovan

99%
Claim Number

CL-20260401-882

99%
Property / Vehicle ID

45 Birchwood Lane, Stamford, CT

99%
Damage Cause

Hailstorm (March 30th)

98%
Affected Areas

Roof (60% granule loss south slope, 3 penetration points), gutters (south and east crushed), 2 skylights cracked, cosmetic siding damage

96%
Severity

Major

91%
Estimated Repair Cost

$18,500

99%
Habitable / Usable

Yes

98%

Extracted fields

FieldTypeRequired
Assessor / Reporter NametextRequired
Claim NumbertextRequired
Property / Vehicle IDtextRequired
Damage CausetextRequired
Affected AreastextRequired
SeverityselectRequired
Estimated Repair CosttextOptional
Habitable / UsablebooleanRequired

Use this template

Sign up and select “Damage Assessment” from the template gallery. Customise any field before going live.

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