Pre-Claim Inspection Report
No.PCI-2026-033
1. General Information
| Inspection date | 7/14/2026 | Time | 2:00 PM — 3:30 PM |
| Address | 654 Maple Drive, Denver, CO 80201 | Basis for inspection | Insurance claim after storm damage |
2. Object of Inspection
| Object type | not filled in | Object name | 654 Maple Drive |
| Technical condition | not filled in | Release date | 1/1/2000 |
3. Inspection Conditions
4. Damage Assessment
| No. | Damage description | Photos |
|---|---|---|
| 1 | - 3 | not filled in |
| 2 | - 3 | not filled in |
5. Additional Information
| Identification was carried out | Policy: HOM-2026-12345, Claim: CLM-2026-67890 |
| There are remarks | Water damage to living room ceiling and walls due to roof leak. Estimated repair cost $4,500. |
6. Inspection Participants
| No. | Full name | Position / status | Comment |
|---|---|---|---|
| 1 | Karen White | Insurance Adjuster | Lead inspector |
| 2 | Tom Harris | Policyholder | Present during inspection |