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Lost Policy Affidavit Jane Doe Insured: 0123456789 Policy / Certificate Number(s): 2/13/1946 12/01/12 Insureds Date of Birth: Insureds Date of Death: 0123456789 I certify that policy / certificate
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How to fill out lost policy affidavit

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How to fill out lost policy affidavit

01
Obtain a copy of the lost policy affidavit form from the insurance company or their website.
02
Fill out your personal information, including your name, address, and contact details.
03
Provide details about the lost policy, such as the policy number, coverage details, and the date of loss.
04
Include any relevant supporting documentation, such as a copy of the police report or any other evidence of the loss.
05
Sign the affidavit and date it.
06
Submit the completed form to the insurance company either by mail or through their online portal.
07
Keep a copy of the filled-out affidavit for your records.

Who needs lost policy affidavit?

01
Anyone who has lost their insurance policy and needs to make a claim or request a replacement.
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A lost policy affidavit is a legal document used to report a lost insurance policy.
The policyholder or beneficiary who has lost their insurance policy is required to file a lost policy affidavit.
To fill out a lost policy affidavit, you will need to provide information about the policyholder, policy number, insurance company, and details of the lost policy.
The purpose of a lost policy affidavit is to officially report a lost insurance policy and request assistance from the insurance company in locating or reissuing the policy.
Information such as the policyholder's name, contact information, policy number, insurance company's name, and details of the lost policy must be reported on a lost policy affidavit.
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