Loading
Form preview picture

Get FPL Statement of Claimant (Food Loss)

STATEMENT OF CLAIMANT FOOD LOSS Complete the information below in its entirety attach documentation to support your claim e.g. Original purchase receipts photos and send in via Email to Public-Claims fpl.com or alternatively via Fax at 305 626-7694 or US mail at FPL-Public Claims LAW/SCS P. O. BOX 25209 Miami Florida 33102-9862. Failure to comply will postpone indefinitely the investigation of the claim until such time as these requirements have been fulfilled* NAME DATE OF INCIDENT ADDRESSCITYZIP PREFERRED ALT PLACE OF INCIDENT DATE AND TIME OF OCCURRENCE ITEM QUANTITY COST TOTAL AMOUNT OF LOSS ATTACH ALL PROOF OF LOSS FOR ABOVE ITEMS* I AUTHORIZE FPL TO INVESTIGATE MY CLAIM. FPL WILL NOT DETERMINE LIABILITY UNTIL ALL OF THE FACTS OF THIS MATTER ALONG WITH THE REQUESTED DOCUMENTATION HAVE BEEN REVIEWED. SIGNATURE ANY PERSON WHO KNOWINGLY AND WITH INTENT TO INJURE DEFRAUD OR DECEIVE ANY INSURANCE COMPANY FILES A STATEMENT OF CLAIM CONTAINING ANY FALSE INCOMPLETE OR MISLEADING INFORMATION IS GUILTY OF A FELONY OF THE THIRD DEGREE* FLORIDA STATUTE 817. O. BOX 25209 Miami Florida 33102-9862. Failure to comply will postpone indefinitely the investigation of the claim until such time as these requirements have been fulfilled* NAME DATE OF INCIDENT ADDRESSCITYZIP PREFERRED ALT PLACE OF INCIDENT DATE AND TIME OF OCCURRENCE ITEM QUANTITY COST TOTAL AMOUNT OF LOSS ATTACH ALL PROOF OF LOSS FOR ABOVE ITEMS* I AUTHORIZE FPL TO INVESTIGATE MY CLAIM. FPL WILL NOT DETERMINE LIABILITY UNTIL ALL OF THE FACTS OF THIS MATTER ALONG WITH THE REQUESTED DOCUMENTATION HAVE BEEN REVIEWED. FPL WILL NOT DETERMINE LIABILITY UNTIL ALL OF THE FACTS OF THIS MATTER ALONG WITH THE REQUESTED DOCUMENTATION HAVE BEEN REVIEWED. SIGNATURE ANY PERSON WHO KNOWINGLY AND WITH INTENT TO INJURE DEFRAUD OR DECEIVE ANY INSURANCE COMPANY FILES A STATEMENT OF CLAIM CONTAINING ANY FALSE INCOMPLETE OR MISLEADING INFORMATION IS GUILTY OF A FELONY OF THE THIRD DEGREE* FLORIDA STATUTE 817. O. BOX 25209 Miami Florida 33102-9862. Failure to comply will postpone indefinitely the investigation of the claim until such time as these requirements have been fulfilled* NAME DATE OF INCIDENT ADDRESSCITYZIP PREFERRED ALT PLACE OF INCIDENT DATE AND TIME OF OCCURRENCE ITEM QUANTITY COST TOTAL AMOUNT OF LOSS ATTACH ALL PROOF OF LOSS FOR ABOVE ITEMS* I AUTHORIZE FPL TO INVESTIGATE MY CLAIM. FPL WILL NOT DETERMINE LIABILITY UNTIL ALL OF THE FACTS OF THIS MATTER ALONG WITH THE REQUESTED DOCUMENTATION HAVE BEEN REVIEWED. SIGNATURE ANY PERSON WHO KNOWINGLY AND WITH INTENT TO INJURE DEFRAUD OR DECEIVE ANY INSURANCE COMPANY FILES A STATEMENT OF CLAIM CONTAINING ANY FALSE INCOMPLETE OR MISLEADING INFORMATION IS GUILTY OF A FELONY OF THE THIRD DEGREE* FLORIDA STATUTE 817. .

How It Works

fpl statement claimant rating
4.61Satisfied
64 votes

Tips on how to fill out, edit and sign Statement claimant sample online

How to fill out and sign Fpl statement loss online?

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

Feel all the key benefits of submitting and completing documents on the internet. With our platform filling in FPL Statement of Claimant (Food Loss) usually takes a couple of minutes. We make that achievable through giving you access to our full-fledged editor effective at changing/correcting a document?s initial textual content, adding unique fields, and e-signing.

Complete FPL Statement of Claimant (Food Loss) in just several moments by following the instructions listed below:

  1. Select the template you will need from the collection of legal form samples.
  2. Choose the Get form key to open it and begin editing.
  3. Fill out all the required boxes (they are marked in yellow).
  4. The Signature Wizard will help you insert your e-autograph right after you?ve finished imputing data.
  5. Insert the date.
  6. Look through the whole template to make sure you?ve completed everything and no changes are needed.
  7. Hit Done and save the filled out template to the gadget.

Send the new FPL Statement of Claimant (Food Loss) in an electronic form right after you are done with completing it. Your data is well-protected, because we adhere to the newest security criteria. Become one of numerous happy clients that are already submitting legal forms from their houses.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Video instructions and help with filling out and completing fpl claim statement

Get your Form filled in and signed from the without leaving your home. This video demonstrates how to prepare and manage legal paperwork remotely.

Statement food loss FAQ

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

Keywords relevant to FPL Statement of Claimant (Food Loss)

  • Alternatively
  • alt
  • DEFRAUD
  • entirety
  • knowingly
  • misleading
  • injure
  • occurrence
  • documentation
  • requirements
  • quantity
  • Statute
If you believe that this page should be taken down, please follow our DMCA take down processhere.
Ensure the security of your data and transactions

USLegal fulfills industry-leading security and compliance standards.

  • 
                            VeriSign logo picture

    VeriSign secured

    #1 Internet-trusted security seal. Ensures that a website is free of malware attacks.

  • Accredited Business

    Guarantees that a business meets BBB accreditation standards in the US and Canada.

  • 
                            TopTenReviews logo picture

    TopTen Reviews

    Highest customer reviews on one of the most highly-trusted product review platforms.