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Apostille from the Utah Lieutenant Governor's Office

Sworn Proof of Loss - Utah

Utah · Fillable PDF · Free

Insurers often require a sworn, notarized proof of loss before paying a property or theft claim. This form states the loss, its cause, and the amount claimed. Describe an insured loss, its cause and the amount claimed.

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Book a notary for Sworn Proof of Loss - Utah

Who this form is for

• Describe an insured loss, its cause and the amount claimed.
• Insurers often require a sworn, notarized proof of loss before paying a property or theft claim. This form states the loss, its cause, and the amount claimed.

What you'll need

• Read this packet and confirm the receiving agency's required form.
• Gather the names, dates and supporting records requested in the document.
• Bring acceptable identification for any required notarial act.

How to complete it

1. Fill in the claim details (Page 1) Use your policy and claim numbers. Ask the adjuster if they require their own form instead.
2. Swear before a notary Sign under oath before the notary with a current, government-issued photo ID.
3. Send it to the insurer within the time the policy requires, and keep a copy.

Related Utah forms

These forms are a free convenience, not legal advice. First Choice Mobile Notary & Apostille is not a law firm. Consult an attorney licensed in the relevant state for legal questions.

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