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Hawaii Sworn Statement regarding Proof of Loss for Automobile Claim

State:
Multi-State
Control #:
US-02729BG
Format:
Word; 
Rich Text
Instant download

Description

A sworn proof of loss is the insured's signed sworn statement as to his belief of the amount of loss. The oath carries with it the penalties of perjury up to 5 years in prison in most states. This form is a generic example that may be referred to when preparing such a form for your particular state. It is for illustrative purposes only. Local laws should be consulted to determine any specific requirements for such a form in a particular jurisdiction.

A Hawaii Sworn Statement regarding Proof of Loss for Automobile Claim is an important document used by individuals who have suffered damage to their vehicles and are seeking compensation from their insurance company. This statement serves as a formal declaration of the facts and details regarding the incident, as well as the expenses and losses incurred as a result. It is crucial in supporting an insurance claim and ensuring a fair settlement. Typically, there are different types of Hawaii Sworn Statement regarding Proof of Loss for Automobile Claim that may be used depending on the specific circumstances: 1. Hawaii Sworn Statement for Property Damage: This type of statement is used when there is damage to the insured vehicle as a result of an accident, collision, fire, theft, vandalism, or other covered perils. It outlines the cause and extent of the damage, including any repairs or replacement costs. 2. Hawaii Sworn Statement for Personal Injury: If there are injuries sustained by the insured party or their passengers, this statement accounts for medical expenses, including hospital bills, rehabilitation costs, medication, and any related treatments. It details the nature and severity of the injuries as well as the impact on the individual's physical and mental well-being. 3. Hawaii Sworn Statement for Total Loss: This statement is applicable when the vehicle is deemed a total loss, meaning the cost of repairs exceeds the actual cash value of the vehicle. It includes information about the accident, the vehicle's condition before the incident, and the fair market value of the vehicle at the time of the loss. 4. Hawaii Sworn Statement for Uninsured Motorist Coverage: In cases where the responsible party does not have insurance coverage or is under insured, this statement outlines the details of the accident, vehicle damage, and any resulting injuries or medical expenses. It helps in recovering compensation from the insured's own insurance policy. When preparing a Hawaii Sworn Statement regarding Proof of Loss for Automobile Claim, it is crucial to provide accurate and detailed information. Key elements to include are the insured party's contact details, policy information, date, time, and location of the incident, identification of involved parties, witness statements, a description of damages or injuries, and supporting documents such as photographs, police reports, medical records, and repair estimates. By diligently completing a Hawaii Sworn Statement regarding Proof of Loss for Automobile Claim and submitting it promptly to the insurance company, claimants increase the likelihood of receiving a fair settlement that adequately addresses their losses. It is encouraged to seek legal and professional assistance when dealing with complex claims or disputes.

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FAQ

A proof of loss form is evidence of any damages from an accident. Without this form, your insurer would not be able to process your claim. This would put repairs on hold, and prevent you from receiving accident benefits.

A Proof of Loss is a document filled out by the policyholder when property damage occurs resulting in an insurance claim. This form helps to substantiate the value of the insured's loss to the insurance company.

When required, you should file your Proof of Loss form as soon as possible but no later than the date specified in your insurance policy. It's typically required within 60 days after the incident that led to your insurance claim. If you won't be able to file it on time, ask for an extension in advance.

Even if every insurance company does not mandate the submission of a Proof of Loss statement form following a covered event, there are certain circumstances in which one might be required. This includes suspected fraud, questionable causes of damage or high-claim amounts.

In most cases, the Proof of Loss must include the following: Amount of loss that the policyholder is claiming. Documentation that supports the amount of claimed loss. Date that the loss occurred.

When any company under any insurance policy requires a written proof of loss after notice of such loss has been given by the insured or beneficiary, the company or its representative must furnish a blank form to be used for that purpose.

What is a Proof of Loss? A Sworn Statement in Proof of Loss outlines the basic details of your property damage claim and serves as a cover document for your supporting claim materials and documentation.

The insurer must supply claim forms to the insured for submitting proof of loss within 15 days of receiving notice of the claim, the insured may submit proof of loss on any piece of paper or in any manner the insured wishes. The insurer will be required to accept this as proof of loss.

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In general, this is a sworn statement that is usually also signed by a notary about the losses that you suffered in a specific incident. The formal document attempts to prevent insurance fraud by verifying the value of every insured cost listed within an insurance claim. Most insurance companies ...Jul 31, 2021 — Obtain a copy of the Sworn Statement in Proof of Loss from the insurance company. Fill out the required information, including policy number, ... Complete the Claim for Damage or Injury form (RMTC) and return it to the Risk Management Office at: State of Hawaii Department of Accounting and General ... What is a Proof of Loss? ... A Sworn Statement in Proof of Loss outlines the basic details of your property damage claim and serves as a cover document for your ... Apr 10, 2023 — 15 days to acknowledge the claim and send the policyholder instructions and paperwork, including proof of loss forms which serve as a sworn ... You must cooperate with the insurance company, submit to examination under oath if requested, and show the damaged property, if requested. If you fail to ... Mar 4, 2020 — After suffering a loss, your insurance company may ask you to submit a Sworn Statement in Proof of Loss. This is a formal statement from you ... Sep 17, 2023 — [T]hink about [this] for a moment. This is a sworn commitment by you saying the cost to repair your property will not change, no matter what is ... Aren't you tired of choosing from countless templates each time you need to create a Sworn Statement regarding Proof of Loss for Automobile Claim? US Legal ...

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Hawaii Sworn Statement regarding Proof of Loss for Automobile Claim