IPL APPRAISAL · IAUA

Umpire Selection Confirmation Form

Confirm Philip Weber as the agreed umpire. This helps both appraisers understand the potential obligation should they find themselves unable to agree to an award.

Neutral and impartial umpire — Philip Weber represents neither side

The Two Appraisers

An umpire is selected jointly by both parties' appraisers. Please confirm both.

Who is submitting this confirmation?

Please select

Philip Weber is being selected as the neutral umpire (UMP) — not as either side's appraiser.

Insured's Appraiser

Full Name

Required

Valid email required

Phone

Required

Carrier's Appraiser

Full Name

Required

Valid email required

Phone

Required

The Claim

Loss Address

Required

This names the claim file — please make sure the parsed fields below match.

Street Address

City

State

Postal Code

Insured Name(s)

Required

Name of Insurance Company

Claim Number

Required

Type of Damage

Required

Please provide any helpful details

Upload Documents

1 · Umpire Selection Agreement

2 · All Related Documents / Files to Be Considered (any size, any number)

✓

Thank you — we received your submission.

You can safely close this page.