What Is a Proof of Loss?
A Proof of Loss is a formal, sworn statement that you submit to your insurance
company documenting the details of your loss. It's essentially a legal declaration,
signed under oath (and often notarized), that describes what was damaged or lost,
when it happened, and how much the loss is worth.
Many policyholders don't realize that most insurance policies require submission
of a Proof of Loss within a specific timeframe, often 60 days from the loss. Failing
to submit one, or submitting an incomplete or inaccurate form, can result in your
claim being denied.
Critical Deadline Warning
Check your policy for the Proof of Loss deadline. Missing this deadline is one
of the most common reasons for claim denials. The clock typically starts running
from the date of loss, not from when you discovered the damage.
When Is a Proof of Loss Required?
Not every claim requires a formal Proof of Loss, but many do. You'll typically
need to submit one for:
- Property damage claims: Homeowners, renters, or commercial property
- Fire losses: Almost always requires formal documentation
- Theft claims: Especially for high-value items
- Water damage claims: Particularly for significant losses
- Business interruption claims: Documenting lost income
Even if your policy doesn't explicitly require a Proof of Loss, the insurer may
request one. When they do, take it seriously; it becomes a formal requirement
once requested.
California Note
California Insurance Code section 2071 establishes the standard policy provisions
for fire insurance, including Proof of Loss requirements. California law requires
insurers to provide claim forms (including Proof of Loss) within 15 days of receiving
notice of a claim. See Cal. Code Regs. tit. 10, section 2695.5(e)(3).
- Insurers must provide all necessary forms promptly
- If the insurer fails to provide forms, this may toll (pause) deadlines
- California courts have excused late filings where the insurer's conduct caused the delay
What Must Be Included
A Proof of Loss typically must include the following information:
Policy Information
Your policy number, the name of the insured, and the property address covered.
Date and Time of Loss
When the damage occurred or was discovered. Be as specific as possible.
Cause of Loss
What caused the damage (fire, theft, water, etc.). This must match a covered peril.
Description of Damage
Detailed list of damaged or lost items, including make, model, age, and condition.
Value of Loss
The dollar amount you're claiming. Include both actual cash value and replacement cost if applicable.
Other Insurance
Information about any other insurance policies that might cover the loss.
Sworn Statement Warning
The Proof of Loss is a sworn document. Any false statements can be considered
fraud and may result in claim denial, policy cancellation, and even criminal
prosecution. Be accurate and honest; when in doubt, say "unknown" or "estimated."
Common Proof of Loss Deadlines
Deadlines vary by policy and state. Here are common timeframes, but always check
your specific policy:
| Type of Policy |
Typical Deadline |
Notes |
| Standard Homeowners |
60 days |
From date of loss; some policies allow 90 days |
| Fire Insurance |
60 days |
Standard form policies follow statutory requirements |
| Commercial Property |
60-90 days |
Check policy; may vary significantly |
| Flood Insurance (NFIP) |
60 days |
Federal program has strict requirements |
| Business Interruption |
Varies |
Often tied to property policy deadlines |
Requesting an Extension
If you cannot meet the deadline, request an extension in writing immediately.
Most insurers will grant reasonable extensions, especially for complex losses.
Document their response. If they deny an extension unreasonably, this could
support a bad faith claim.
Sample Proof of Loss Form Fields
While forms vary by insurer, here's what a typical Proof of Loss includes:
Common Mistakes to Avoid
- Undervaluing your loss: Don't lowball to seem reasonable. You can't increase your claim later.
- Overvaluing your loss: Inflated claims can be denied entirely and may constitute fraud.
- Missing the deadline: This is the most common reason for denial. Calendar it immediately.
- Incomplete forms: Blank spaces can be grounds for rejection. Use "N/A" or "Unknown."
- Not keeping copies: Always keep complete copies of everything you submit.
- Failing to update: If you discover additional damage later, you may need to submit a supplemental Proof of Loss.
- Not getting help: For significant losses, consider hiring a public adjuster or attorney.
California Note
Under California's Fair Claims Settlement Practices Regulations, insurers have
specific obligations regarding Proof of Loss forms:
- They must provide necessary forms within 15 days of your request
- They cannot require "unreasonable" documentation
- They must explain in writing why any claim or portion is denied
- Technical defects in the Proof of Loss may be waived if the insurer doesn't promptly object