TITLE 23 -- PUBLIC UTILITIES AND REGULATED INDUSTRIES...Subtitle 3. Insurance...Chapter 66 -- TRADE PRACTICES...Subchapter 5. Fraudulent Insurance Acts Prevention
 
23-66-503
 
Required statements: claim forms and policies; compliance
(a) Claim forms, proofs of loss, or any similar documents, however designated, seeking payment or benefit pursuant to an insurance policy, and applications for insurance, regardless of the form of transmission, shall contain the following statement or a substantially similar statement:
 
"Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison."
 
 
LOUISIANA REVISED STATUTES...TITLE 40 -- PUBLIC HEALTH AND SAFETY...Chapter 6 -- DEPARTMENT OF PUBLIC SAFETY...Part III. State Police...Subpart B. Insurance Fraud Investigation Unit
 
R.S. 40:1424
 
Reporting of violations; warning statement to insureds
 
B. All applications for insurance and all claim forms provided and required by an insurer or required by law as a condition of payment of a claim shall contain a statement, permanently affixed to or included as a part of the application or claim form, that clearly states in substance the following:div>
 
"Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison."
 
 
TITLE 52 -- POLICE (STATE)...Chapter 9 -- INSURANCE FRAUD
 
52-40
 
Duties of insurers, their employees, or insurance professionals; required statements
 
B. All applications for insurance and all claim forms provided and required by an insurer or required by law as a condition of payment of a claim shall contain a statement, permanently affixed to, or included as a part of the application or claim form, that clearly states in substance the following:
 
"It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties include imprisonment, fines and denial of insurance benefits."