Kentucky 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.
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  • Preview Sworn Statement regarding Proof of Loss for Automobile Claim
  • Preview Sworn Statement regarding Proof of Loss for Automobile Claim
  • Preview Sworn Statement regarding Proof of Loss for Automobile Claim
  • Preview Sworn Statement regarding Proof of Loss for Automobile Claim

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FAQ

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.

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.

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.

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.

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.

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.

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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Kentucky Sworn Statement regarding Proof of Loss for Automobile Claim