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If youve ever filed an insurance claim, youve likely heard of a Proof of Loss statement. This critical document is a formal declaration outlining the details of your loss and its value.
Financial Insolvency Leads to Non-Indemnifiable Loss A bankruptcy trustee filed an action against the board of directors and insured executives of an energy company, alleging improper transfer of nearly $100 million prior to the companys insolvency.
The undersigned declares that no claims have been made, and that the undersigned knows of no losses, and no threats of any claims have been made, against any person or entity who or which could be covered under the proposed insurance policy referenced above (the Policy), and no information has been provided to the
A no-loss statement is a statement signed by you in which you represent and promise that you have not had any loss or claim (either liability or property damage) between the time your policy canceled and the time youre applying for reinstatement (your lapse period).
Example of a no loss statement I certify there have been no losses, accidents, or circumstances that may give rise to a claim under the insurance policy that occurred on or before this date. And once youve signed, youre all set.
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I / We hereby declare that there have been NO losses for the past 5 years on the policy/policies. We are not aware of any claim or circumstance which could give rise to a claim or loss on the above captioned policy.
Kins editorial team of home insurance experts have been featured in The New York Times, The Wall Street Journal, CNN, USA Today, and elsewhere. Updated Feb 05 2025. A no loss statement is a letter that states you havent dont have any current losses or damages that could lead to claims.
How to fill out the Statement of No Loss Form Instructions? Enter the insureds name and contact details. Fill in the policy number and the cancellation date. Certify that there have been no losses or claims. Sign the form with the applicants signature. Date and time the form is completed.