Renters Insurance Claim Payout Tracker (PDF)

Track claim submission details, adjuster follow-ups, covered items, and payout installments in one PDF.

Claim payout tracker

Use this tracker to document every update and payout installment.

Record policy, claim, and adjuster details.

Full name (optional)Insurance companyPolicy numberClaim numberLoss dateLoss typeClaimed amountApproved amountDeductibleAdjuster nameAdjuster contact

Log every request, inspection, payout, and appeal step.

Date	Event type	Amount	Reference ID	Notes	Next follow-up	Action

Leave rows blank if you only need a summary sheet.

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