PUBLIC ADJUSTER AGREEMENT
Public FL Adjusters
4699 Central Ave, Suite 200, St. Petersburg, FL 33713
1. Parties
This Agreement is entered into on this ___ day of __________, 20__, between: Client (Insured/Policyholder):
______________________________ Public Adjuster: Public FL Adjusters, 4699 Central Ave, Suite 200, St.
Petersburg, FL 33713
2. Purpose
Client retains Public FL Adjusters to provide professional public adjusting services regarding Client's residential
insurance claim(s).
3. Compensation
Client agrees to pay Public FL Adjusters the following fees based on the total gross amount of insurance claim
payment(s) recovered: - 15% of recovery amounts up to $40,000 - 12% of recovery amounts exceeding $40,000 Client
Initials: ________
4. SMS Consent
By signing this Agreement, Client authorizes Public FL Adjusters to send and receive SMS/text messages regarding
claim updates. Message and data rates may apply. Reply STOP to opt out at any time.
5. Hold Harmless
Client agrees to hold harmless and indemnify Public FL Adjusters, its employees, and representatives from any claims,
damages, or liabilities arising from services performed under this Agreement, except for gross negligence or willful
misconduct.
6. Right to Cancel
Client may cancel this Agreement without penalty within thirty (30) days of signing, or within 10 business days as
required by law, by providing written notice to Public FL Adjusters. If cancelled, no fee is owed unless payment has
already been received. Client Initials: ________
7. Governing Law
This Agreement shall be governed by the laws of the State of Florida.
8. Acknowledgement
Client acknowledges that they have read, understood, and agree to the terms of this Agreement.
Client (Policyholder):
Signature: ____________________________Date: _____________
Printed Name: _________________________
Public FL Adjusters Representative:
Signature: ____________________________Date: _____________
Printed Name: _________________________

Legal Suggestions (for informational purposes only):
- Florida caps fees at 20% (non-emergency) and 10% (during first year after declared emergency). This tiered fee
structure (15% up to $40,000; 12% above $40,000) is within limits for residential claims. - Client must initial the fee and
cancellation clauses for transparency. - Ensure cancellation clause complies with Fla. Stat. § 626.854. - This document
should be reviewed periodically for statutory updates.