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Sworn Proof Of Loss Form

Sworn Proof Of Loss Form Template for Philippines

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Key Requirements PROMPT example:

Sworn Proof Of Loss Form

"I need a Sworn Proof of Loss Form for a commercial property insurance claim in Manila, Philippines, relating to flood damage to my warehouse and inventory that occurred on March 15, 2025, with an estimated loss value of ₱5 million."

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Document background
The Sworn Proof of Loss Form is a mandatory document required by insurance companies in the Philippines when processing insurance claims. This document is used when an insured party needs to make a formal claim for losses covered under their insurance policy. It must be completed in accordance with the Insurance Code of the Philippines (Republic Act No. 10607) and relevant Insurance Commission circulars. The form serves as a sworn statement detailing the circumstances of the loss, the value of damages claimed, and includes various supporting documents such as photographs, receipts, and official reports. The document must be notarized in compliance with Philippine notarial laws, making it a legally binding declaration. It is typically submitted within the timeframe specified in the insurance policy and forms the primary basis for the insurance company's claim evaluation process.
Suggested Sections

1. Declarant Information: Identification details of the person making the claim, including full legal name, address, contact information, and relationship to the insured property

2. Policy Information: Details of the insurance policy including policy number, type of coverage, period of coverage, and name of insurance company

3. Loss Overview: Basic information about when, where, and how the loss occurred

4. Property Description: Detailed description of the damaged/lost property, including ownership information and pre-loss condition

5. Loss Details: Comprehensive account of the loss event, including date, time, location, and circumstances

6. Value and Claim Amount: Statement of the total amount being claimed, including calculation basis and actual cash value

7. Other Insurance Declaration: Statement regarding any other insurance covering the same property

8. Verification and Oath: Formal declaration under oath that all statements are true and correct

9. Notarization Block: Space for notary public's authentication of the document

Optional Sections

1. Police Report Reference: Required when loss involves theft, vandalism, or other criminal acts - includes police report numbers and investigating authority details

2. Third Party Involvement: Required when the loss involves third parties - details of other parties involved and their role in the incident

3. Mortgage Information: Required when the property has a mortgage - details of the mortgagee and their interest in the claim

4. Business Interruption Details: Required for commercial claims involving business interruption - includes calculation of business losses

5. Salvage Declaration: Required when there is salvageable property - details of remaining value and disposition of damaged property

Suggested Schedules

1. Schedule A - Itemized List of Lost/Damaged Property: Detailed inventory of all items claimed, including description, purchase date, original cost, and estimated current value

2. Schedule B - Supporting Documentation Index: List of all supporting documents attached, such as receipts, photos, and repair estimates

3. Schedule C - Witness Statements: Compiled statements from witnesses, if any, regarding the loss incident

4. Appendix 1 - Photographs: Compiled photographs of damaged property and incident scene

5. Appendix 2 - Original Receipts: Copies of original purchase receipts, repair estimates, or replacement cost quotations

6. Appendix 3 - Official Reports: Copies of police reports, fire department reports, or other official documentation related to the loss

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Linkedin in social icon imageX social icon image
alex.den.21@genieai.co
Relevant Industries

Insurance

Banking and Financial Services

Real Estate

Retail

Manufacturing

Healthcare

Hospitality

Transportation and Logistics

Construction

Agriculture

Maritime

Aviation

Relevant Teams

Claims Processing

Risk Management

Legal

Compliance

Underwriting

Customer Service

Documentation

Property Management

Asset Management

Loss Control

Investigation

Operations

Policy Administration

Relevant Roles

Insurance Claims Adjuster

Risk Manager

Insurance Underwriter

Claims Manager

Insurance Agent

Insurance Broker

Legal Counsel

Compliance Officer

Property Manager

Asset Manager

Loss Control Specialist

Claims Investigator

Insurance Operations Manager

Policy Administrator

Risk Assessment Officer

Industries
Insurance Code of the Philippines (Republic Act No. 10607): The primary legislation governing insurance contracts, claims, and procedures in the Philippines. Specifically, Sections 241-242 detail requirements for proof of loss submission and the timeframe for filing claims.
2004 Rules on Notarial Practice (A.M. No. 02-8-13-SC): Provides the requirements and procedures for notarization of documents in the Philippines, including sworn statements and affidavits.
Revised Penal Code of the Philippines (Act No. 3815): Articles 183 and 184 penalize false testimonies and false statements under oath, which are relevant for sworn documents.
Insurance Commission Circular Letter No. 2016-30: Guidelines for processing insurance claims, including standard requirements and procedures for proof of loss submission.
Civil Code of the Philippines (Republic Act No. 386): Articles 1250-1252 regarding actual damages and Article 2207 on subrogation rights in insurance claims are relevant for proof of loss documentation.
Insurance Commission Circular Letter No. 2014-47: Provides guidelines on claims settlement practices of insurance companies, including requirements for documentation and processing of claims.
Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

Find the exact document you need

Sworn Proof Of Loss Form

A notarized declaration of loss document used in Philippine insurance claims that details the nature, extent, and value of claimed losses under an insurance policy.

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Sworn Affidavit Of Claim

A legally binding sworn statement used in the Philippines to formally declare and document a claim against another party, executed before a notary public under Philippine law.

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