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POLICY NUMBER Sworn Statement POLICY AMT. AT TIME OF LOSS DATE ISSUED DATE EXPIRES IN PROOF OF LOSS COMPANY CLAIM NUMBER AGENT AGENCY AT To the INSURANCE COMPANY NAME of CITY STATE At time of loss by the above indicated policy of insurance you insured against loss by to the property described according to the terms and conditions of said policy and of all forms endorsements transfers and assignments attached thereto. Any other information that may be required will be furnished and considered...
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The sworn statement and proof of loss looks like one single piece of paper that one single piece of paper is very important if you don't file it properly or if you don't file it in a timely fashion the insurance company can deny your claim therefore you need to contact an attorney or a public adjuster in certain circumstances who can assist you in telling you what is actually being asked for on the sworn statement and proof of loss