An Affidavit of Loss is a written statement declaring the physical loss of a document or a security - usually through theft or destruction. The affidavit contains all details regarding the loss, the owner's name and any information pertaining to the security, such as serial number or date of issue. Once the statement has been made, one can issue a letter of indemnity, requesting the replacement of the security or the delivery of the goods.
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés.
For your convenience, the complete English version of this form is attached below the Spanish version.
1. Start the Claims Process. Fill out the form on this page (or you can call 1-888-493-6902) to begin the claims process.Residential Garages and Sheds Over 150sqft, you will need to fill out the Building Permit Application as well. Building Permit Application. Look up information on your Mutual of Omaha Insurance Policy. Speak to a Life Insurance Agent or get Financial Advisor help. Help fill out forms programs and help in Omaha, ne. Search 53 social services programs to assist you. The online reporting system allows you to report a minor incident at your own convenience. A status bar will show the completed percentage.