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Serviced by AC Moore Revision: 02/17/2016 AFFIDAVIT OF LOST POLICY Deceased Name: Insurance Company: I, (We), of lawful age, state that the contract(s) on Policy numbers:, ,,, have been lost or destroyed

How to fill out affidavit of lost policy

How to Fill Out an Affidavit of Lost Policy:

1. Obtain the necessary form: Begin by obtaining an affidavit of lost policy form from your insurance company or their website. This form may have specific requirements and instructions unique to your insurance provider, so be sure to use the correct form.
2. Provide personal information: Start by filling in your personal information, such as your name, address, phone number, and email address. Include any other contact information required by the form.
3. Policy details: Provide the necessary details about the lost policy, such as the policy number, type of insurance policy, and the date it was issued. If you have any copies or documentation related to the policy, mention it here.
4. Circumstances of loss: Explain how and when the policy was lost. Be as specific as possible, providing details of the incident or situation that led to the loss. If you suspect theft or any suspicious activities, mention them as well.
5. Efforts to locate the policy: Describe the efforts you have made to locate the lost policy. Include any attempts to contact your insurance agent or company, searches through personal belongings, or any other actions taken to find the policy.
6. Declaration and signature: Read the entire affidavit carefully, making sure all the information provided is accurate and complete. Sign and date the affidavit to certify its authenticity.

Who needs an affidavit of lost policy?

1. Policyholders who have lost their original insurance policy: If you have misplaced or lost your original insurance policy, you may need to fill out an affidavit of lost policy. This legal document helps you declare the loss and facilitates the process of requesting a duplicate or replacement policy.
2. Insurance companies: Affidavits of lost policy serve as official documentation for insurance companies. They allow insurers to keep track of policyholders' claims that their policies are lost, and they provide a record of the incident for future reference.
3. Legal proceedings: In certain cases, such as during a lawsuit or settlement process, an affidavit of lost policy may be required. This document helps establish the policyholder's claim and can be used as evidence when resolving insurance-related disputes.

Remember, it is important to consult with your insurance provider or legal advisor for specific instructions on filling out an affidavit of lost policy.

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What is affidavit of lost policy?

Affidavit of lost policy is a legal document used to attest that an insurance policy has been lost, misplaced, or destroyed.

Who is required to file affidavit of lost policy?

The policyholder or beneficiary who has lost the insurance policy is required to file an affidavit of lost policy.

How to fill out affidavit of lost policy?

To fill out an affidavit of lost policy, one must include personal details, details of the lost policy, circumstances of loss, and a statement declaring the loss.

What is the purpose of affidavit of lost policy?

The purpose of affidavit of lost policy is to officially declare that the original insurance policy has been lost and to request a duplicate copy from the insurance company.

What information must be reported on affidavit of lost policy?

The information that must be reported on an affidavit of lost policy includes personal details, details of the lost policy, circumstances of loss, and a statement declaring the loss.