Sworn statement in proof of loss 2026

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  1. Click ‘Get Form’ to open the sworn statement in proof of loss in our editor.
  2. Begin by filling out the 'Time And Cause Of Loss' section. Enter the date and time of loss, and provide a detailed explanation of the cause of loss.
  3. In the 'Interest' section, list the names and interests of all insured parties in the damaged property, such as owners or leaseholders. Include any other parties with an interest, like mortgagees or assignees.
  4. For 'Other Insurance', indicate any additional insurance that may cover this loss by providing company names and policy numbers.
  5. Complete the 'Valuation Of The Damaged Property At The Time Of Loss' section by describing each property type (dwelling, personal property) along with its actual cash value, replacement cost value, and amount claimed.
  6. Document any changes in title or occupancy during the policy term in the designated section.
  7. Finally, if applicable, include details about additional living expenses or fair rental value losses. Attach supporting receipts or records.
  8. Sign and date the form where indicated. Ensure it is notarized as required.

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