Sworn Declaration
A concise statement under oath that the listed policy information is true to the signer’s knowledge, including a penalty-of-perjury line and a clear identification of the affiant and their relationship to the insured party.
A complete, notarized affidavit provides verifiable proof of coverage, reduces disputed claims, supports compliance with contractual and regulatory requirements, and preserves admissible evidence for administrative hearings or court proceedings when coverage questions arise.
The Florida Insurance Affidavit is used by organizations and individuals who must prove insurance coverage to third parties before a transaction proceeds.
An insurance officer in a company or broker prepares the affidavit by extracting policy details from the insurer’s declarations page, verifying limits and endorsements, and ensuring the statement matches the insurer’s records before signature or submission.
A contractor uses the affidavit to demonstrate required liability and workers’ compensation coverage for a project; the contractor confirms policy periods and obtains the insurer’s endorsement if the contract requires additional insured status.
A concise statement under oath that the listed policy information is true to the signer’s knowledge, including a penalty-of-perjury line and a clear identification of the affiant and their relationship to the insured party.
Full legal name of the insurance company, NAIC number if available, and insurer contact information so the recipient can confirm coverage directly with the issuing company when necessary.
Clear policy numbers, policy type (e.g., CGL, auto, workers’ comp), and the named insured exactly as shown on the policy to avoid mismatches that trigger verification delays.
Numeric limits for each coverage line (per occurrence, aggregate) and deductible details so recipients can assess sufficiency for contract or permitting requirements.
Any endorsements (additional insured, waiver of subrogation) or material exclusions listed with reference to endorsement numbers or attached schedules to clarify scope.
Notary acknowledgement, witness lines (if required), date of signature, and space for insurer or broker confirmation to meet Florida or recipient-specific authentication standards.
| Field | Configuration |
|---|---|
| Authentication | Email link or SMS code; stronger KBA where required |
| Notarization | Enable RON or schedule in-person notary based on recipient instructions |
| Template reuse | Create a reusable affidavit template with locked fields to prevent accidental edits |
| Audit trail | Retain signer IP, timestamp, and certificate of completion for evidentiary support |
Choose a platform that supports secure signing, notarization workflows, and integrations required by your organization.
| signNow | DocuSign | Adobe Sign | PandaDoc | HelloSign | |
|---|---|---|---|---|---|
| Starting Price | $8/user/mo | $15/user/mo | $14/user/mo | $19/user/mo | $15/user/mo |
| Free Trial | 7-day free trial | No | No | Yes, limited | Yes, limited |
| Bulk Send | Yes | Yes | Yes | Yes | No |
| Audit Trail | Yes | Yes | Yes | Yes | Yes |
| HIPAA Compliant | Yes | Yes | Yes | No | No |
| Envelope Cap | No cap | 100 envelopes/user/year | Varies by plan | Varies by plan | Varies by plan |
Submit proof of coverage prior to beginning work or receiving a notice to proceed.
Provide affidavit when required by municipal permitting offices to obtain or renew a permit.
Present insurance affidavit at lease signing or before occupancy as required by landlord.
Supply final affidavits or extended coverage confirmations before final payment and release of retainage.
Include affidavit when requested during claims investigations to substantiate policy terms and effective coverage dates.
A municipal permitting office required a sworn statement confirming liability and workers’ compensation coverage before issuing a building permit.
A landlord required proof of tenant liability insurance with landlord as additional insured before occupancy.