Templates
Settlement and closing
The statement of loss, the sworn proof of loss in its nine standard recitals, advance payment requests, releases and the closing report — with worked examples.
These are sworn and accounting instruments rather than correspondence, and they behave differently: a proof of loss is signed under oath and notarized, so an error is not edited, it is re-executed.
The sequence matters and is often reversed in practice. The statement of loss is completed before the sworn proof of loss is accepted, not after it.
4 templates in this section
Sworn Proof of Loss Template & Completed Example
The sworn proof of loss in its nine standard recitals, with a completed example, the attestation and the notary jurat explained. Free Word download, no signup.
Template + worked example + .docx
Statement of Loss Template & Example
The three-column statement of loss, insurance, loss and claim, with a filled-in example and the sequence that matters: it is completed before the sworn proof of loss is accepted.
Template + worked example + .docx
Advance Payment Request Template & Example
An advance payment request that records the amount, the purpose and the coverage it applies against, with a worked example, so the final settlement reconciles without reconstruction.
Template + worked example + .docx
NFIP Proof of Loss Template & Example
Prepare an NFIP proof-of-loss package with a worked example, the June 2025 manual's deadline and official form references. Free Word companion worksheet.
Template + worked example + .docx