Get the free AFFIDAVIT OF LOST POLICY/CERTIFICATE - ABM Funding

AFFIDAVIT OF LOST POLICY/CERTIFICATE I, as the beneficiary named in Policy Number(s) formerly held by: (deceased) have filed claim under said Policy. The above Beneficiary states that the said Policy

How to fill out affidavit of lost policycertificate

How to fill out affidavit of lost policy certificate:

1. Begin by heading the document with the title "Affidavit of Lost Policy Certificate" at the top center.
2. Include your full legal name, address, and contact information at the top left corner of the document.
3. Next, state the purpose of the affidavit in a clear and concise manner. For example, "I hereby affirm that I have lost my policy certificate and request a replacement."
4. Include a statement describing the circumstances under which the policy certificate was lost. Be specific and provide any relevant details that may help in the investigation, such as the date and location of the loss.
5. Declare that you have made a diligent search for the lost certificate but have been unable to locate it.
6. If you suspect the certificate was stolen, you may want to consider mentioning this and providing any information that might be helpful in recovering the stolen certificate.
7. Sign the affidavit at the bottom, along with the date and your printed name.
8. Have the affidavit notarized by visiting a notary public and arranging a meeting. Present a valid identification document to the notary for verification purposes.
9. Once notarized, make multiple copies of the affidavit for your records and for submission to the appropriate parties, such as the insurance company or relevant government agency.

Who needs affidavit of lost policy certificate?

1. Individuals who have lost their policy certificate and need to request a replacement.
2. Policyholders who suspect that their certificate has been stolen and want to report it.
3. Anyone who needs to provide proof of having lost a policy certificate for legal purposes or claims processing.

Remember to consult with the specific insurance company or legal advisor to ensure that you follow the appropriate steps and requirements in completing the affidavit of lost policy certificate.

For pdfFiller’s FAQs

What is affidavit of lost policycertificate?

An affidavit of lost policy or certificate is a sworn statement declaring that a policy or certificate of insurance has been lost or misplaced.

Who is required to file affidavit of lost policycertificate?

The policyholder or certificate holder is typically required to file an affidavit of lost policy or certificate.

How to fill out affidavit of lost policycertificate?

To fill out an affidavit of lost policy or certificate, you will need to provide information about the lost policy or certificate and swear under oath that it has been lost or misplaced.

What is the purpose of affidavit of lost policycertificate?

The purpose of an affidavit of lost policy or certificate is to officially declare that the original document has been lost or misplaced and to request a replacement.

What information must be reported on affidavit of lost policycertificate?

The affidavit should include details such as the policy or certificate number, the type of insurance, the date the loss was discovered, and a description of efforts made to locate the original document.

How do I modify my affidavit of lost policycertificate in Gmail?

You may use pdfFiller's Gmail add-on to change, fill out, and eSign your affidavit of lost policycertificate as well as other documents directly in your inbox by using the pdfFiller add-on for Gmail. pdfFiller for Gmail may be found on the Google Workspace Marketplace. Use the time you would have spent dealing with your papers and eSignatures for more vital tasks instead.

How can I edit affidavit of lost policycertificate from Google Drive?

pdfFiller and Google Docs can be used together to make your documents easier to work with and to make fillable forms right in your Google Drive. The integration will let you make, change, and sign documents, like affidavit of lost policycertificate, without leaving Google Drive. Add pdfFiller's features to Google Drive, and you'll be able to do more with your paperwork on any internet-connected device.

How do I fill out affidavit of lost policycertificate using my mobile device?

The pdfFiller mobile app makes it simple to design and fill out legal paperwork. Complete and sign affidavit of lost policycertificate and other papers using the app. Visit pdfFiller's website to learn more about the PDF editor's features.