What is proof of loss form insurance

When filing a property damage claim, it is easy to confuse the assorted documents and piles of paperwork involved. A Proof of Loss is often mistaken for an actual property damage claim and this is not the case. A Proof of Loss is a separate document that plays a vital role in your insurance claim.

A Proof of Loss is a formal, legal document that states the amount of money the policyholder is requesting from the insurance carrier. It provides the insurance company with detailed information regarding the formal claim of damages. The policyholder signs this document ‘ and in some cases this must be notarized ‘ and provides the necessary documentation to support the amount of money they have requested. Filing a Proof of Loss is required under most insurance policies, including homeowners insurance, life insurance, and car insurance. Most insurance policies require that the policyholder provide a signed Proof of Loss within 60 days of the insurance company’s request.

What is included in a Proof of Loss?

What must be included in a Proof of Loss varies from insurance policy to insurance policy. 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
  • Cause of the loss
  • Identity of party claiming the loss

When filing an insurance claim, check your individual insurance policy to determine what is required in your Proof of Loss document. If you are unsure, contact your insurance company and ask for this information in writing. By completing the Proof of Loss document in a timely manner, your claims process may proceed more quickly.

An insurer may reject your Proof of Loss

Once you have completed the Proof of Loss and submitted it to your insurance company, they will review the document and issue a reply. The insurer may accept your proof or they may reject your proof. If the insurance company is rejecting your Proof of Loss, it is likely because the paperwork is not completed properly, is not signed or not notarized, or is missing information. The insurer will provide specifics regarding the basis of the denial and instructions as to what the policyholder must do to properly comply.

You must provide a Proof of Loss if it is requested

If your insurance company requests a Proof of Loss, you are required to comply in order to proceed with your insurance claim or before you may file a lawsuit against the insurance company. Not doing so may be considered a failure to cooperate with the insurer’s investigation of your loss and may prevent any payment on your insurance claim.

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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. It is typically one page and serves as a summary of the critical information required under the policy; this includes the supporting evidence and estimates of the present value of loss to the insurer. In an insurance claims environment, it is up to the policyholder to present and prove their loss to the insurance company – this form and its supporting documents enables the insured to do just that.

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 submitted by the insured, the insurance company will need to review the claim and respond with their position on the claim.

Completing a comprehensive documented Proof of Loss is vital to the claims process and the policyholder’s recovery; and if not done properly can result in the underpayment, delay, or even denial of your claim.

How to fill out a Proof of Loss form

Filling out a Proof of Loss form will require a copy of your insurance policy. The policy determines what must be in a Proof of Loss; however it will require information such as:

  • 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;
  • Parties having an interest in the property – such as the bank holding the mortgage; and the
  • Policy number

Three items to remember when filling out a Proof of Loss form:

1.) Fill out the form accurately and truthfully

What is proof of loss form insurance
Failure to fill out this form accurately can lead to underpayment, delay or even denial of your claim. All information contained in this document must be factual and based on supporting evidence. Any inaccuracies or misrepresentations can result in a denial of coverage in the future.

2.) Abide by time requirements

In the insurance policy, under the section titled, “Section 1 – Conditions (2) Duties After Loss” it will state how long the policyholder has to fill out and submit a Proof of Loss form after damage has occurred. If the insured does not abide by this time requirement they risk denial of their claim. It’s important to note that the insurance company may not automatically send out a Proof of Loss form for submittal. In fact, it may be the policyholder’s responsibility to obtain, fill out and proactively submit.

In some jurisdictions, the time limit to submit a Proof of Loss begins when the insurance company formally requests it. Note that in most claims the claim documentation including estimates and inventories are submitted first and after an agreement on a settlement is reached the actual Proof of Loss form is signed by the policyholder.

3.) Obtain detailed estimates on the damage to the property.

An accurate, thorough and substantiated claim value used on your Proof of Loss is vital. This value will need to accurately itemize and detail the property damage and what you are owed as a result. Guesswork is not the way to go here.

Insureds should have their own advocates and professionals who are not affiliated with the insurance company to substantiate, estimate and gather the supporting evidence for their claim. While the insurance company may send out their own adjuster to take a look at the damages, it’s important for the insured to have advocates preparing the claim on their behalf.

A public adjuster can not only help you prepare, estimate, negotiate, and settle your insurance claim but can also help you with details such as accurately filling out a Proof of Loss form; giving you the peace of mind the first time around. Public adjusters work for the policyholder, never for the insurance company.

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If you have damages to your property that are related to your household items, you might need to complete additional paperwork for your insurance company to detail these situations. This is known as a Proof of Loss form for most carriers. It is your job as the claimant on the policy to complete this as quickly and as accurately as possible. Many mistakes could occur on this form that could jeopardize your ability to recover the damages you are entitled to under your policy. 

The Proof of Loss statement form may come up in a variety of different ways in your insurance claim. In general, this is a sworn statement that is usually also signed by a notary about the losses that you suffered in a specific incident. This is your formal request for the amount that you are claiming after a covered and insured event. Practically all insurance companies will require you to submit the Proof of Loss statement form when you have had a loss occur. This helps to document the circumstances, as you have told it, to the insurance company and will be used as part of the overall record for your total insurance claim. This means that it is extremely important to understand the Proof of Loss statement form and how it can influence your recovery.

If you’re currently dealing with a Proof of Loss form and you have questions about it, you might want to hire an insurance lawyer to guide you through making these updates or submitting further evidence. You can save yourself a lot of time and headaches in doing so, especially if you have a large claim amount and you’re worried about the insurance company arguing with you or denying your claim verifications. 

Problems With a Proof of Loss Form 

If you do not submit a Proof of Loss statement form when your insurance company asks that you do, your claim could be delayed or denied altogether. Some insurance companies do not automatically require the submission of the Proof of Loss statement form as part of their claims procedure, but they still maintain the right to request it based on their discretion.

A Proof of Loss form helps to substantiate any damages that you suffered due to an insurance-covered event. The insurance policy itself and this document are used together to determine whether or not the insurance company has liability. 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. You need to be prepared to review the Proof of Loss statement form and to submit it as accurately and quickly as possible to protect your right to submit this claim.

The sooner that you can speak to a lawyer about the Proof of Loss statement form, the easier it will be for you to navigate the insurance coverage process. Most people who submit documentation such as the Proof of Loss statement form, and any pictures or videos, assume that it will be relatively easy to work with their insurance company. Many learn after the fact that it is not so simple to work with their insurance carrier and that mistakes or omissions on the Proof of Loss statement form can cost them significant money.

How to Complete a Proof of Loss Form 

Make sure you review the Proof of Loss statement form in full before you start filling it out. The information that will be required for it is typically also mentioned in your insurance policy, so you can check the specific paperwork against your policy documents. It is usually listed under the section about Duties After a Loss.

Some of the most common pieces of information that need to be submitted on this form include the cause and date of the damage, the policy number under which this is allegedly covered, any people who have a financial interest in the claim like a mortgage holder, estimates to repair damage as a result of property problems, the replacement value of any items that were destroyed or damaged, loss evidence and documentation that supports the amount claimed. If you do not have all of the information requested by your insurance company, or you're not sure how to fill out the form, don't make assumptions. It is a far better opportunity to speak directly to the insurance carrier about their Proof of Loss statement form and ask whether or not you should submit it partially completed. It is always better to provide more information rather than less, even when this is not always possible. This is why you might want to hire an experienced and knowledgeable insurance lawyer who can help support you through this process and help you get the necessary details.

One of the most common problems that homeowners face, for example, is that they may not have some of the evidence in the form of receipts for destroyed or damaged items. Ask your insurance company if taking a picture of the item and submitting additional details, such as the year you bought it, would be helpful. Don't leave any fields blank and instead ask your insurance company if there is some other form of evidence you can submit in the place of a receipt.

This can also be more complicated if a homeowner is submitting property damage claims for something that was completely destroyed, such as during a house fire. In those incidents, insurance companies will ask specifics about the case and handle them on a case by case basis. Make sure that you talk to your insurance adjuster so that you're clear about what might be required for you and whether any special circumstances might apply. For example, the insurance company might have you type up and sign a statement, explaining what was damaged in a particular room. Some insurance companies will take your word for it if the claim is reasonable. If most of the furniture inside your house was in relatively good shape and purchased recently, a sworn statement testifying to this is much more likely to be approved than someone who did not have special coverage for thousands of dollars worth of antiques that they claim was going to be covered by this loss.

Proof is the name of the game when it comes to the Proof of Loss statement form so make sure you talk to your insurance adjuster to see if there's anything else they might need. It is important to submit your Proof of Loss statement form as soon as possible but no later than any date that is specified inside your insurance coverage policy. Often, this is a maximum of 60 days after the incident that caused the insurance claim in the first place. If you are unable to gather all of the evidence in time, talk to your insurance company about the possibility of getting an extension.

Your insurance company is not required to accept the Proof of Loss form as you have submitted it. If you do not comply with their requirements or provide enough details, they can reject it. Your insurance company can choose to reject your Proof of Loss form if you did not complete the form correctly, if you failed to submit any supporting documentation, if the signature wasn't notarized or the document wasn't signed at all, or if you did not answer any or all of the questions. Not all insurance companies might require a Proof of Loss form, but it is standard to find one at some point in the insurance process. The more you can fill out this piece of paper in an accurate manner, the easier it will be for you to get the benefits that are provided under your policy.

Some of the most common reasons for problems with Proof of Loss statements include not knowing the laws in your state, missing the deadline to submit this paperwork and not knowing your policy requirements.

Your policy is key to who owes what and when. Sometimes there are policy provisions in place in your individual state, and failing to know these could block you from important benefits. If your Proof of Loss submission is required within a specific number of days after the incident has occurred, you want to submit by this deadline and make sure you ask for an extension if you cannot meet it. And finally, you need to review the policy requirements to determine whether or not there are other things you need to do to successfully settle your claim.

Ample proof is one of the cornerstones of submitting documents like this to protect your interests. Make sure that you talk to a dedicated lawyer as soon as possible about your rights and get the support that you need when submitting a Proof of Loss statement form. This is important for your ability to recover compensation and move on with your life.

For a free case evaluation, contact the experts at Morgan & Morgan to get started.