Proof of Loss Form
A sworn, notarized document required by the insurance carrier in which the policyholder formally states the facts of the loss, the amount claimed, and the cause of damage. Failure to submit a timely proof of loss can result in claim denial.
What Is a Proof of Loss Form
A proof of loss form is a sworn, notarized document that the insurance carrier requires the policyholder to complete, formally declaring the facts of the loss, the cause of damage, the extent of damage, and the dollar amount claimed, and it creates a binding statement that can be used against the policyholder if the information is inaccurate. It is not a casual form. It is a legal document signed under oath.
When and Why Carriers Request It
Carriers request a proof of loss to create a formal record of the claim and to lock the policyholder into specific statements about the cause and amount of the loss. On straightforward claims, many carriers waive the proof of loss. On disputed, high-value, or suspicious claims, the request is more common. The policy typically requires submission within 60 days of the carrier's request, though this varies by state and policy.
What Contractors Need to Know
Contractors do not sign the proof of loss, but they should know when one has been requested because it signals the carrier is treating the claim more carefully. A proof of loss request is not unusual on large losses or supplemented claims. However, if the carrier requests it after previously handling the claim without one, it may indicate increased scrutiny. Advise the homeowner not to sign the proof of loss without reviewing it carefully, and to consider consulting with a public adjuster or attorney if the claimed amount is being disputed.
Frequently asked questions
The carrier may require a proof of loss at any point during the claim, but it is most commonly requested on disputed, large, or complex claims. Some policies have automatic proof of loss requirements with a 60-day submission deadline. If the carrier requests it, failure to submit within the specified time can be grounds for denial.
The proof of loss form typically includes the policyholder's name and policy number, the date and cause of loss, a description of the damaged property, the amount claimed, the names of any mortgage holders, and a sworn statement that the information is accurate. The form must be signed by the policyholder and notarized.

