Skip to content

Menu

LexBlog, Inc. logo
NetworkSub-MenuBrowse by SubjectBrowse by PublisherJoin the NetworkGet StartedSubscribeSupportContact
Search
Close

Public Adjusters Beware That Non-Compliance with Federal Regulation “Signed and Sworn” Proof of Loss Requirement Will Preclude Recovery of Damages

By Paul LaSalle on December 2, 2018
Email this postTweet this postLike this postShare this post on LinkedIn

In a recent case,1 a federal court dismissed a flood claim following a nor’easter storm because the insureds’ proof of loss under the National Flood Insurance Act failed to satisfy the Standard Flood Insurance Policy’s (“SFIP”) “signed and sworn” requirement.2 In that case, the insureds submitted two claims to recover damages from the storm to their insurance company. The first claim of approximately $2,000 was completed on a form provided by the Federal Emergency Management Agency (“FEMA”). Both insureds signed and dated the document, which stated, “I declare under penalty of perjury that the information contained in the foregoing is true and correct to the best of my knowledge and belief.” Shortly thereafter, the insurance company issued a check to the insureds for the covered building damages.

Sometime after, the insureds submitted a second claim to their insurance company seeking an additional payment of approximately $250,000. The insureds’ proof of loss for the second claim differed from the first claim in two “important” ways. First, the form was provided by the insureds’ public adjuster. Second, while both insureds signed the document, it was not dated and lacked any declaration acknowledging a “penalty of perjury.”

The insureds sued for breach of the insurance contract after the insurance company denied their second claim because the proof of loss for that claim was both unsworn and not dated. The insurance company argued that the insureds’ failure to comply with the SFIP’s “signed and sworn” proof of loss requirement barred the insureds’ recovery for their otherwise valid claim.

Ultimately, the court agreed with the insurance company, ruling that the proof of loss for the second claim fell short of an affirmative acknowledgment of perjury required for parties submitting sworn declarations under a federal regulation. Therefore, the insureds’ failure to comply with the SFIP’s “signed and sworn” proof of loss requirement precluded them from recovering damages for their second claim.

This case highlights the importance and significance of complying with all terms and conditions of federal regulations.
_____________________________________
1 Hagstotz v. Nationwide Mut. Ins. Co., No. 17-2491, 2018 WL 5005000 (D.N.J. Oct. 16, 2018).
2 In particular, Article VII(J)(4) of the SFIP provides, “Within 60 days after the loss, send us a proof of loss, which is your statement of the amount you are claiming under the policy signed and sworn to by you…”

Photo of Paul LaSalle Paul LaSalle

Paul L. LaSalle focuses his practice of law in first party property damage cases and bad faith litigation. Prior to joining the Merlin Law Group, Mr. LaSalle defended public entities and public employees in civil rights, personal injury and employment litigation matters. He…

Paul L. LaSalle focuses his practice of law in first party property damage cases and bad faith litigation. Prior to joining the Merlin Law Group, Mr. LaSalle defended public entities and public employees in civil rights, personal injury and employment litigation matters. He uses his prior experience working with insurance companies to be a passionate and prudent advocate for policy holders to ensure they receive all deserved benefits from their insurance policies following their losses.

Mr. LaSalle has litigated hundreds of varying types of civil cases. He has substantial appellate experience, having argued a dozen appeals before state and federal courts. He has also successfully petitioned, then won a case before, the Supreme Court of New Jersey.

Mr. LaSalle is a Cum Laude graduate of Monmouth University and the University of Dayton School of Law, where he earned the highest grade in his legal research and writing class. He is a life-long resident of Monmouth County, New Jersey. When not working hard for his clients, Mr. LaSalle spends his time at the beach with his family.
Read More…

Read more about Paul LaSalleEmail
Show more Show less
  • Posted in:
    Insurance
  • Blog:
    Property Insurance Coverage Law Blog
  • Organization:
    Merlin Law Group, P.A.
  • Article: View Original Source

Call us at 1-800-913-0988 or email sales@lexblog.com.

Facebook LinkedIn Twitter RSS
The Library at LexBlog
  • About LexBlog
  • The Field We Built
  • Library at LexBlog
  • Our Beliefs
  • Our Team
  • Contact LexBlog
  • Disclaimer
  • Editorial Policy
  • Terms of Service
  • Get Started
  • Publishing Solutions
  • Compass
  • Submit a Request
  • Support Center
  • System Status
Copyright © 2026, LexBlog, Inc. All Rights Reserved.
Law blog design & platform by LexBlog LexBlog Logo