Wake North Carolina Sworn Statement regarding Proof of Loss for Automobile Claim

State:
Multi-State
County:
Wake
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

How to fill out Sworn Statement Regarding Proof Of Loss For Automobile Claim?

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FAQ

In the property insurance industry, a statement of loss is synonymous with a proof of loss. Whether your insurer calls it by one name or the other, the document is prepared by your insurer's claim adjuster to itemize your damaged goods that need replacement or repair after a disaster involving your business or home.

A sworn proof of loss (SPOL) is a really very simple. It is a one-page document that you fill out stating your amount of damages, that is, the amount you believe it will cost to fully repair and restore your property to the condition it was in before the storm, fire, or other peril, and you sign it under oath.

6 Steps to Fill Out a Proof of Loss Document The date and cause of the loss. Coverage amounts at the time the loss occurred. Documents that support the value of your property and the amount of loss you claim such as estimates, inventories, receipts, etc. Policy number. Parties that have an interest in the property.

The information in your proof of loss statement includes a statement about the cause of the loss, proof of ownership, your estimates for the loss, and documents to support your estimates. An insurance company will use this statement to determine what they need to cover in your insurance claim.

What should a proof of loss form include? Date and time. Incident precipitating the loss (storm, flood, theft, etc.) Property involved in the loss. Nature and scope of damage incurred. Evidence of the loss (photos, police report, purchase receipts) Current property replacement value.

How to fill out a Proof of Loss form Coverage amounts at the time of the loss; Date and cause of the loss; Documents that support the value of the property and the amount of loss claimed (i.e. estimates, inventories, receipts, etc.); Parties claiming the loss under the policy;

A sworn statement in proof of loss is a formal statement most insurance companies required you file a compensation claim. The document prevents insurance fraud by substantiating the value of the insured's costs through official documentation and a notarized signature.

6 Steps to Fill Out a Proof of Loss Document The date and cause of the loss. Coverage amounts at the time the loss occurred. Documents that support the value of your property and the amount of loss you claim such as estimates, inventories, receipts, etc. Policy number. Parties that have an interest in the property.

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.

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Wake North Carolina Sworn Statement regarding Proof of Loss for Automobile Claim