Sworn Proof Of Loss Form

Sworn Proof Of Loss Form Template for England and Wales

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Key Requirements PROMPT example:

"I need a Sworn Proof of Loss Form for an insurance claim related to flood damage at my manufacturing facility in Manchester, with an estimated loss value of £250,000, which occurred on January 15, 2025, under policy number MAN-2024-789."

Document background

The Sworn Proof of Loss Form is a critical document in the insurance claims process under English and Welsh law. It is required when making formal insurance claims for significant losses or damages. The form must include detailed information about the loss event, property affected, value of damages, and any other relevant circumstances. The document's sworn nature adds legal weight to the declarations made and helps prevent fraudulent claims. Insurance companies typically require this form to be completed within a specified timeframe after the loss occurs, and it forms the basis for claim evaluation and settlement decisions.

Suggested Sections

1. Declaration Header: States document type and jurisdiction, including statutory declaration format

2. Claimant Information: Full details of the person/entity making the claim including name, address, contact details, and relationship to insured property

3. Policy Details: Insurance policy number, type, coverage details, insurer information, and policy period

4. Loss Description: Detailed account of the loss event, date, time, location, circumstances, and cause of loss

5. Loss Amount: Itemized breakdown of claimed losses, including values and basis of calculation

6. Verification Statement: Sworn statement confirming truth of information provided, with statutory declaration wording and warning about perjury

Optional Sections

1. Additional Insurers: Details of other insurance policies covering the loss, including policy numbers and insurers

2. Third Party Claims: Information about related third-party claims or potential claims arising from the same incident

3. Salvage Details: Information about salvaged property, including condition and current location

Suggested Schedules

1. Schedule A - Supporting Documentation: List and copies of attached evidence supporting the claim (receipts, invoices, reports)

2. Schedule B - Itemized Loss Calculation: Detailed breakdown of loss amounts with calculations, including depreciation if applicable

3. Schedule C - Photographs: Visual evidence of damage or loss, with dates and descriptions of each photograph

Authors

Alex Denne

Head of Growth (Open Source Law) @ tiktok��˰� | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Insurance
Real Estate
Manufacturing
Retail
Transportation

Relevant Teams

Claims
Legal
Risk Management
Compliance
Finance

Relevant Roles

Claims Manager
Risk Manager
Insurance Broker
Compliance Officer
Legal Counsel

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Sworn Proof Of Loss Form Template for England and Wales

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