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Form TR-95A Unpaid Insurance Claim Affidavit - Kansas
What Is Form TR-95A?
This is a legal form that was released by the Kansas Department of Revenue - a government authority operating within Kansas. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form TR-95A?
A: Form TR-95A is an Unpaid Insurance Claim Affidavit.
Q: What is the purpose of Form TR-95A?
A: The purpose of Form TR-95A is to provide a sworn statement regarding an unpaid insurance claim.
Q: Who needs to fill out Form TR-95A?
A: Anyone who has an unpaid insurance claim in Kansas may need to fill out Form TR-95A.
Q: What information is required on Form TR-95A?
A: Form TR-95A requires information such as policy details, the amount claimed, and the reasons why the claim has not been paid.
Q: Is there a deadline for submitting Form TR-95A?
A: Yes, there is typically a deadline for submitting Form TR-95A. It is important to check with the Kansas Insurance Department or your insurance company for specific deadlines.
Q: What should I do after filling out Form TR-95A?
A: After filling out Form TR-95A, you should submit it to the Kansas Insurance Department or your insurance company as instructed.
Q: What happens after submitting Form TR-95A?
A: Once Form TR-95A is submitted, the Kansas Insurance Department or your insurance company will review the information and determine the appropriate course of action.
Q: Is there a fee to submit Form TR-95A?
A: No, there is no fee to submit Form TR-95A.
Form Details:
- Released on May 1, 2021;
- The latest edition provided by the Kansas Department of Revenue;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form TR-95A by clicking the link below or browse more documents and templates provided by the Kansas Department of Revenue.
