Sworn Statement in Proof of Loss - What you Need to Know

23 Oct Sworn Statement in Proof of Loss – What you Need to Know

Posted at 14:00h in Public Adjuster Blog by admin

What is a Sworn Statement in Proof of Loss

A Sworn Statement in Proof of Loss is a document the policyholder may be requested to submit following a property loss claim. The purpose of the Proof of Loss is to obtain a formal statement from the policyholder regarding the true circumstances and scope of the property loss. Insurance companies use the proof of loss to establish facts and determine their liabilities for the property loss.

The information you are required to submit includes: personal data, proof of ownership, your statement regarding the date and cause of loss, your estimate of the property loss and documents that support your loss estimate and amount of claim submitted.

You have 60 days to submit the Proof of Loss

The sworn statement in proof of loss needs to be submitted within 60 days from the date the insurance company requests it. Failure to do so, results in denial of your claim and no payment for your otherwise covered property loss.

Insurance policies generally include the provision that the insurer has the right to request a proof of loss. The insured has the obligation to submit it within a specified time frame, usually 60 days within the state Michigan. If you are required to submit a Sworn Statement in Proof of Loss, you will be notified to do so in writing by the insurance company.

In the case of extenuating circumstances, you may apply for an extension, but it’s at the insurer’s discretion to grant you one. If they do, they will notify you in writing. Do not assume you were granted an extension, unless you receive a letter stating that confirms it.

Recent court cases in which the homeowners missed the 60-day deadline to submit the Sworn Statement and were denied payment for the property loss claim as a consequence were ruled in the favor of the insurers. The courts stated that it’s the responsibility of the policyholder to read and understand their insurance policies, and act in accordance with their terms and conditions.

File the Proof of Loss with the utmost diligence

When filing your Sworn Statement in Proof of Loss, you have to keep in mind that it’s just that – a sworn statement. Any errors, inaccuracies and material misrepresentations of the facts are grounds for the insurance company to deny you coverage.

Especially for large or total property losses, insurance companies look closely for irregularities and don’t hesitate to deny coverage if they discover any in your sworn statement.

A sworn statement in proof of loss is not automatically triggered when filing a claim, but don’t assume that, just because you are requested to submit one, the insurance company suspects irregularities in your claim. In most cases, it’s just a routine procedure the insurer follows to obtain a truthful statement about the loss in order to determine if they are liable for the claim.

Following your Sworn Statement, if the insurer determines that it wants to further your claim investigation, it may request you to submit to an Examination under Oath (EUO). In such instances, the insurance company will appoint one of their attorneys to ask you questions pertaining to your proof of loss in person. An EOU is a legal procedure in the presence of a court reporter and under the penalty of perjury. It is not advisable to go through an Examination Under Oath without representation or advance preparation, even when you feel you have nothing to hide or fear. The stakes are just too high.

How to get help

Sworn Statement in Proof of Loss, Examination Under Oath or Insurance Claim

The insurance claim process is replete with danger, especially for first timers. You may feel overwhelmed by the process and worry if you’re doing everything right. You may have questions and worries about the process, knowing that you are at a distinct disadvantage in dealing with the insurance company and its lawyers.

But you don’t have to be! You have the right to hire representation throughout the claim process.

Public adjusters are state certified professionals representing the interests of the policyholder in the claim process. Their services include preparing, documenting and submitting the property loss claim and the proof of loss when required. See Why a Public Adjuster is good for you.

At Michigan Fire Claims, Inc. we provide our customers with an amended proof of loss that includes additional language to reserve the policyholder’s right to amend and correct the Proof of Loss if necessary. After assisting homeowners and business owners throughout Michigan with all aspects of their insurance claims, we know how to steer you clear of the pitfalls that could jeopardize your insurance claim success.