Water Damage Subrogation Reporting Template
A. Claim Information
Claim Number
Date of Loss
Reported Date
Location of Loss
B. Insured/Policy Information
Insured Name
Policy Number
Contact Number
Mailing Address
C. Cause & Description of Water Damage
Description
Suspected Cause
D. Investigation Details
Investigation Summary
Investigator / Adjuster
Date Investigated
E. Subrogation Details
Potential Responsible Party
Responsible Party Contact Info
Basis for Subrogation
F. Financials
Total Paid to Date
Recoverable Amount
G. Attachments / Notes
Additional Notes