Get Sworn Statement In Proof Of Loss Form Example

The sworn statement in proof of loss form is a critical document for insurance claims. This guide will assist you in effectively completing the form online, ensuring all necessary information is accurately provided.

Follow the steps to complete your sworn statement in proof of loss form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter your claim number in the designated field to identify your insurance claim. This number is typically provided by your insurer.
3. Fill in the name and address of the insurance company responsible for your claim. Accurate details are essential for processing your request.
4. Provide your name and address as the insured person. Make sure this matches the details on your insurance policy.
5. Input the policy number and the effective date of the insurance. This information confirms the validity of your claim at the time of loss.
6. Indicate the amount of loss or damage you are claiming, along with the specific terms of coverage that pertain to your situation.
7. Specify the date and time of the loss, including the location where it occurred. Be precise to avoid any issues with your claim.
8. Clarify the occupancy status of the insured building during the incident, ensuring you declare the specific usage.
9. State your title and interest in the property, confirming your sole and unconditional ownership without any encumbrances.
10. Note any changes that have happened since the issuance of the policy, which could affect the claim.
11. Indicate whether you are registered for HST and provide necessary details, including your registration number and the percentage that is recoverable.
12. Attach a detailed account of the loss, outlining the replacement cost and actual cash value, along with the total insurance coverage at the time of loss.
13. Mention any other insurance agreements related to the property and confirm that the damage was not a result of willful neglect.
14. Authorize payment of the claim as detailed, and note that rights to recovery from other parties are assigned to the insurer.
15. Conclude by making a solemn declaration regarding the truthfulness of the provided information and ensure it is signed before a commissioner for oaths.
16. Finally, review your completed form carefully. Once satisfied with the accuracy, you can save changes, download the form, print it, or share it as required.

Start filling out your sworn statement in proof of loss form online today for a smooth claims process.