Estimated Damages(Required) Under $10,000 $10,000-$50,000 $50,000-$100,000 Over $100,000
Triage(Required) Blue / Tier 1 – VULNERABLE – special attention required for individuals with specific needs (ie: age or disability) Green / Tier 2 – MINOR – damage does not affect normal operations of household/business/farm Yellow / Tier 3 – SIGNIFICANT – damage with potential to cause further damage to structure Red / Tier 4 – MAJOR – damage disrupts household/business/farm operations and uninhabitable Black / Tier 5 – CRITICAL – immediate intervention required (ie: major fire/risk of structural collapse)
Peril Involved(Required) Water – Surface Water – Ground Water – Sewer / Septic Backup Water – Sump Pit Overload Water – Sump Pump Failure Water – Escape Plumbing Line Water – Overflow Plumbing Appliance Fire – Wood / Solid Fuel Heating Fire – Electrical Fire – Smoking Fire – Portable Heater Fire – Spread From Third Party Fire – Careless Use of Candles or Matches Fire – Improper Storage of Handling of Chemicals or Fuels Fire – Cooking Operations: Grease Fire – Spread from an Automobile Fire – Arson or Suspected Fire – Other Smoke Lightening Power Interruption Wind – Special (TV Aerial) Wind Impact Overturn, Transportation Falling Objects Earthquake Livestock Theft Vandalism Crop Liability Mysterious Disappearance Fraud Home Systems Protection Identity Theft Glass Breakage Freezer Failure Collapse Machinery Pollution Farmers Accident Other