Ale Worksheet - Excel

							                           Additional Living Expense Worksheet
Claim Information
Insured:                                                                               Claim Number:
                                                                                        Date of Loss:
Claim Representative:                                                                  Date Prepared:


                         Time Period        From:                     To:

                                                                                          Less Amount                   Reduction in
                                                             Unit             Cost          Normally     Additional       Normal
                                       Quantity     Units      Cost         Incurred         Spent      Cost Incurred    Expense
Housing
                                                                                  $0.00                         $0.00           $0.00
                                                                                  $0.00                         $0.00           $0.00
                                                                                  $0.00                         $0.00           $0.00
                                                                                  $0.00                         $0.00           $0.00
                                                                                  $0.00                         $0.00           $0.00
                                                                                  $0.00                         $0.00           $0.00
                                                                                  $0.00                         $0.00           $0.00
                                                                                  $0.00                         $0.00           $0.00
                                                                                  $0.00                         $0.00           $0.00
Utilities
Heating Oil                                                                       $0.00                         $0.00           $0.00
Gas                                                                               $0.00                         $0.00           $0.00
Water                                                                             $0.00                         $0.00           $0.00
Telephone - Cell Phone                                                            $0.00                         $0.00           $0.00
Electricity                                                                       $0.00                         $0.00           $0.00
Sewer                                                                             $0.00                         $0.00           $0.00
Cable TV/Satellite                                                                $0.00                         $0.00           $0.00
Internet Service                                                                  $0.00                         $0.00           $0.00
Other                                                                             $0.00                         $0.00           $0.00
Meals

                                                      Page 1 of 2
While staying in accommodations with out
cooking facilities                                       $0.00                         $0.00    $0.00
                                                         $0.00                         $0.00    $0.00
Transportation
Automobile Add'l Miles                                   $0.00                         $0.00    $0.00
Taxicabs, Buses, etc.                                    $0.00                         $0.00    $0.00
Other                                                    $0.00                         $0.00    $0.00
Miscellaneous
Laundry                                                  $0.00                         $0.00    $0.00
Dry Cleaning                                             $0.00                         $0.00    $0.00
Connect/Disconnect Fees                                  $0.00                         $0.00    $0.00


                                                                 Subtotal:            $0.00
                                                                                    Amount      $0.00
                                                                                     Owed:      $0.00
                                                                             Less Prior Pmts:
                                                                              Now Payable:      $0.00




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