About This Worksheet
Review your homeowners or renters insurance policy for mold coverage limits, exclusions, and endorsement options.
This worksheet helps you organize and calculate the key information for insurance policy mold coverage review. Fill in each section carefully. Use the calculation areas to verify your numbers before transferring them to the official form.
How to Complete This Worksheet
- Print this worksheet or use it on screen.
- Complete each section in order.
- Use a calculator for all math. Do not estimate.
- Double-check every calculation before moving to the next section.
- Transfer final figures to your official form when complete.
- Keep this worksheet with your records.
Insurance Policy Mold Calculations
Enter your figures for insurance policy mold coverage review below. Pull numbers from official documents, not estimates.
Insurance Policy Mold Coverage Review Worksheet
| A. | Number of rooms with visible mold | # ________ |
| B. | Total square footage of mold growth (all rooms combined) | sq ft ________ |
| C. | Estimated remediation cost per square foot ($10 to $25 typical) | $ ________ |
| D. | Estimated total remediation cost (B x C) | $ ________ |
| E. | Cost of professional mold testing | $ ________ |
| F. | Cost of moisture source repair (plumbing, roof, etc.) | $ ________ |
| G. | Total estimated costs (D + E + F) | $ ________ |
Your Information
Enter your details as they appear on your official documents.
As it appears on your government ID.
Today's date, MM/DD/YYYY.
From prior insurance policy mold coverage review filings. Write N/A if none.
Additional Notes
Record any other information relevant to your insurance policy mold coverage review calculations.
Verification
Before transferring figures to your official form, confirm:
- All figures are accurate and match your source documents.
- All calculations have been double-checked with a calculator.
- Names and dates match your official identification.
- Information is consistent with requirements for insurance policy mold coverage review.