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Ocean Point Claims:proof of loss requirements

Proof of Loss Requirements

A sworn Proof of Loss can become the governing claim document. Understanding what's required, and what's risky, in the submission is essential.
Reviewed by Eli Goins, FL DFS License #P159790 · Last updated
By Eli Goins · FL DFS #P159790 · Reviewed: · 1 min read

Short answer: A Proof of Loss is a sworn statement you sign under oath, usually on a carrier-provided form, listing your damages and the amount claimed. Carriers require it only when they demand it, typically giving you 60 days to respond. Include accurate loss facts, document everything carefully, and verify accuracy before signing.

What a Proof of Loss is

  • Sworn statement of the insured
  • Lists damages claimed
  • Specifies amount claimed
  • Typically carrier-provided form
  • Signed under oath before notary

When required

  • When carrier demands (not automatic)
  • Specific policy provision activated
  • Typically 60 days from demand to respond

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What to include

Loss facts

  • Date and time of loss
  • Cause of loss
  • Location of damage
  • Parties at scene

Damages claimed

  • Structural scope
  • Contents inventory with values
  • ALE calculated to date
  • Mitigation costs

Amount claimed

  • Total claimed amount
  • Breakdown by coverage
  • Depreciation noted

What to avoid

Admitting unfavorable facts

  • Don't characterize gradualness
  • Don't speculate about cause
  • Facts only, no theory

Over-claiming

  • Claim based on evidence
  • Avoid inflated amounts
  • Maintains credibility

Under-claiming

  • Don't omit damages not fully documented yet
  • Reserve rights for supplemental
  • List-known-to-date

Inconsistencies

  • Must align with prior statements
  • Prior claim history consistent
  • Policy coverage claimed must match

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Working with counsel or PA

  • Retained counsel or PA can prepare
  • Insured signs under oath
  • Attorney-client privilege on preparation notes
  • Verify accuracy before signing

Frequently asked questions

What is a Proof of Loss?
It is a sworn statement signed by the insured under oath before a notary, typically on a form the carrier provides. It lists the damages claimed and specifies the total amount claimed. Because it is sworn, it can become the governing claim document.
When am I required to submit one?
A Proof of Loss is not automatic. It is required when the carrier demands it and a specific policy provision is activated. From that demand you typically have 60 days to respond.
What should I include in it?
Include the loss facts such as date and time, cause, location, and the parties at the scene. Document the damages claimed, including structural scope, a contents inventory with values, ALE calculated to date, and mitigation costs. State the total amount claimed with a breakdown by coverage and depreciation noted.
What mistakes should I avoid?
Do not admit unfavorable facts, speculate about the cause, or characterize the loss as gradual; stick to facts only. Avoid both over-claiming with inflated amounts and under-claiming by omitting damages, reserving rights for supplemental claims instead. Keep everything consistent with your prior statements and verify accuracy before signing.

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Reviewed by Eli Goins, FL DFS License #P159790 · Last updated

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