Title Page

  • Claimant

  • Claim #

  • File #

  • Conducted on

  • Location
  • Prepared by

  • Please refer to the General Notes and Definitions before reviewing this assessment. All damage was viewed on the date in this report and documented in this assessment, any subsequent damage there after does not form part of this assessment.

  • 1.0 INTERNAL REPAIRS

  • 1.1 Entry

  • Damage to be repaired

  • Refused damage

  • 1.2 Hall

  • Damage to be repaired

  • Refused damage

  • 1.3 Bed-1

  • Damage to be repaired

  • Refused damage

  • 1.4 Bed-2

  • Damage to be repaired

  • Refused damage

  • 1.5 Bed-3

  • Damage to be repaired

  • Refused damage

  • 1.6 Bed-4

  • Damage to be repaired

  • Refused damage

  • 1.7 Bed-5

  • Damage to be repaired

  • Refused damage

  • 1.8 Bed-6

  • Damage to be repaired

  • Refused damage

  • 1.9 Lounge

  • Damage to be repaired

  • Refused damage

  • 1.10 Kitchen

  • Damage to be repaired

  • Refused damage

  • 1.11 Dining

  • Damage to be repaired

  • Refused damage

  • 1.12 Family

  • Damage to be repaired

  • Refused damage

  • 1.13 Games

  • Damage to be repaired

  • Refused damage

  • 1.14 Study

  • Damage to be repaired

  • Refused damage

  • 1.15 Bathroom (main)

  • Damage to be repaired

  • Refused damage

  • 1.16 Ensuite-1

  • Damage to be repaired

  • Refused damage

  • 1.17 Ensuite-2

  • Damage to be repaired

  • Refused damage

  • 1.18 Ensuite-3

  • Damage to be repaired

  • Refused damage

  • 1.19 Laundry

  • Damage to be repaired

  • Refused damage

  • 1.20 Sunroom

  • Damage to be repaired

  • Refused damage

  • 1.21 Awning (enclosed)

  • Damage to be repaired

  • Refused damage

  • 1.22 Misc

  • Damage to be repaired

  • Refused damage

  • 1.23 Misc

  • Damage to be repaired

  • Refused damage

  • 1.24 Misc

  • Damage to be repaired

  • Refused damage

  • 2.0 EXTERNAL REPAIRS<br>

  • 2.1 Wall-1

  • Damage to be repaired

  • Refused damage

  • 2.2 Wall-2

  • Damage to be repaired

  • Refused damage

  • 2.3 Wall-3

  • Damage to be repaired

  • Refused damage

  • 2.4 Wall-4

  • Damage to be repaired

  • Refused damage

  • 2.5 Wall-5

  • Damage to be repaired

  • Refused damage

  • 2.6 Wall-6

  • Damage to be repaired

  • Refused damage

  • 2.7 Wall-7

  • Damage to be repaired

  • Refused damage

  • 2.8 Wall-8

  • Damage to be repaired

  • Refused damage

  • 2.9 Wall-9

  • Damage to be repaired

  • Refused damage

  • 2.10 Wall-10

  • Damage to be repaired

  • Refused damage

  • 2.11 Wall-11

  • Damage to be repaired

  • Refused damage

  • 2.12 Wall-12

  • Damage to be repaired

  • Refused damage

  • 3.0 PAVING REPAIRS

  • 3.1 Paving Repair-1

  • Refused damage

  • 3.2 Paving Repair-2

  • Refused damage

  • 3.3 Paving Repair-3

  • Refused damage

  • 3.4 Paving Repair-4

  • Refused damage

  • 3.5 Paving Repair-5

  • Refused damage

  • 3.6 Paving Repair-6

  • Refused damage

  • 4.0 STRUCTURAL SLAB / SUB-FLOOR

  • 4.1 Structural Slab / Sub Floor

  • Refused damage

  • 4.2 Structural Slab / Sub Floor

  • Refused damage

  • 4.3 Structural Slab / Sub Floor

  • Refused damage

  • 4.4 Structural Slab / Sub Floor

  • Refused damage

  • 4.5 Structural Slab / Sub Floor

  • Refused damage

  • 4.6 Structural Slab / Sub Floor

  • Refused damage

  • 5.0 SEPERATE STRUCTURE

  • 5.1 Separate Structure

  • Refused damage

  • 5.2 Separate Structure

  • Refused damage

  • 5.3 Separate Structure

  • Refused damage

  • 5.4 Separate Structure

  • Refused damage

  • 5.5 Separate Structure

  • Refused damage

  • 5.6 Separate Structure

  • Refused damage

  • 6.0 FENCES / GATES

  • 6.1 Fences / Gates

  • Refused damage

  • 6.2 Fences / Gates

  • Refused damage

  • 6.3 Fences / Gates

  • Refused damage

  • 6.4 Fences / Gates

  • Refused damage

  • 6.5 Fences / Gates

  • Refused damage

  • 6.6 Fences / Gates

  • Refused damage

  • 7.0 LANDSCAPING REPAIRS

  • 7.1 Landscaping Repair

  • Refused damage

  • 7.2 Landscaping Repair

  • Refused damage

  • 7.3 Landscaping Repair

  • Refused damage

  • 7.4 Landscaping Repair

  • Refused damage

  • 7.5 Landscaping Repair

  • Refused damage

  • 7.6 Landscaping Repair

  • Refused damage

  • 8.0 POOL AND ENCLOSURE

  • 8.1 Pool and enclosure repair

  • Refused damage

  • 8.2 Pool and enclosure repair

  • Refused damage

  • 8.3 Pool and enclosure repair

  • Refused damage

  • 8.4 Pool and enclosure repair

  • Refused damage

  • 8.5 Pool and enclosure repair

  • Refused damage

  • 8.6 Pool and enclosure repair

  • Refused damage

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