Master Proof Of Loss

  PDF (63.321KB) Forms Property & Casualty

This document, titled Master Proof Of Loss, serves as a formal declaration to insurance companies for claims under various policies as detailed in the attached Schedule of Insurance and Apportionment of Claim. It outlines the insured's declaration of loss, including:

  1. Time and Origin: Specifies the time and cause of the loss.
  2. Occupancy: Describes the occupancy status of the insured property at the loss time.
  3. Title and Interest: Details the insured's interest in the property and any other parties with an interest or encumbrance.
  4. Changes: Notes any changes since the policies were issued, including assignments or changes in property use, occupancy, or location.
  5. Total Insurance: Lists the total amount of insurance coverage at the time of loss.
  6. Actual Cash Value and Total Loss: States the property's actual cash value at loss time and the whole loss and damage amount.
  7. Claim Amount: Indicates the amount claimed under the Master Proof of Loss.

The document includes a declaration that no fraudulent activity has been conducted to influence the claim, alongside the necessary signatures, notary acknowledgment, and a warning against insurance fraud. This comprehensive form ensures that all relevant details are accounted for in the claim process, adhering to the terms and conditions of the respective insurance policies.


Monty Fire Investigations LLCWeller SalvageNationwide Overspray

  Recent Provider Listings

Serving the US
National Emergency Disaster Response Services
California Fire & Water Damage Restoration Floor Contractors & Builders Floor Laying, Refinishing & Resurfacing
Serving the US
National Adjusters Emergency Disaster Response Services