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Hazard Insurance Property Damage Forms

If you're an existing customer with U.S. Bank Home Mortgage and have experienced damage or loss on your home, these forms are required to process a claim.

Loss Claim Process Instructions (PDF)
This document explains the steps to process a claim.

Contractors Statement (PDF)
This form is completed by the contractor and signed by both borrower and contractor.

Lien Release (PDF)
This form is completed by the contractor when repairs are finished.

Statement of Completion (PDF)
This form is completed by the borrower to confirm the repair work is finished.

Declaration of Intent to Complete Repairs (PDF)
This form is completed by the borrower to confirm their intent to repair the property.

Contact Us:
Hazard Insurance Property Damage
Loss Draft/Insurance Claim Inquiries: 866-411-8890
Loss Draft Fax Number: 937-525-8877

Loss Draft Overnight Mail Address
U.S. Bank Home Mortgage
Attention: Loss Drafts
1 Assurant Way
Springfield, OH 45505

Loss Draft Regular Mail Address
U.S. Bank Home Mortgage
Attention: Loss Drafts
P. O. Box 6501
Springfield, OH 45501-6501

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