Pennsylvania 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

Generally, you must provide your insurer with a complete description of the loss, including: Date and time. Incident precipitating the loss (storm, flood, theft, etc.) Property involved in the loss.

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.

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.

What is a proof of loss? Proof of loss is a legal document that explains what's been damaged or stolen and how much money you're claiming. Your insurer may have you fill one out, depending on the loss. Homeowners, condo and renters insurance can typically help cover personal property.

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.

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.

The Proof of Loss form is an official, notarized, sworn statement from the insured to the insurer concerning the scope of damage to their property. The insurance company uses this information as a basis for determining their liabilities for the property loss.

Once your insurance company has requested your statement in proof of loss, you have a certain window of time to submit your statement, usually 60 days, but some insurance companies may have a shorter or longer window of time; they usually request it in writing.

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Pennsylvania Sworn Statement regarding Proof of Loss for Automobile Claim