WebWhile there is no evidence of any direct lightning strike, a power surge caused indirectly by lightning, did damage the items listed. I will keep the damaged parts for a period of 45 days for inspection by the insurer or any interested regulatory body as authorized by law. There is no doubt lightning caused this loss. WebIt is not necessary to download any software through your computer or phone to use this feature. CocoDoc offers an easy tool to edit your document directly through any web browser you use. ... Diversifiedagrisurancecompany lightning loss affidavit * * * this affidavit is required for lightning loss claims * * * (repairman or appraiser) name of ...
Claims Checklist
WebJan 30, 2024 · 1. A statement that the affiant is swearing under oath to the truthfulness of the information contained in the affidavit. 2. The information that is being sworn to. 3. The signature of the affiant. 4. The attestation of a notary public or other official authorized to administer oaths. WebOn or about ________, I lost or discovered the loss of the document described above. 6. The following are the details of how I lost the document: 7. I am requesting a replacement of the lost document. 8. I have made all efforts to retrieve the lost document, to no avail. 9. inazuma sword craftable
Lightning Affidavit Form - US Legal Forms
http://claimspages.com/documents/affidavit-lightning-losses/i442/ WebIf lightning, please compete 1 through 7 below: 1. If TV, did lightning enter through antenna circuit? _____ 2. If TV, did lightning enter through power circuit? _____ 3. In your professional opinion, can the unit be repaired? _____ 4. If unit can be repaired, what is the total bill, including parts and labor? Please attach itemized estimate ... WebIn my professional opinion, the above amount or attached estimate/repair bill, is solely due to lightning, and no other cause is $_____. Amount of loss that cannot be established to … in an ordered tree the left most son is the