Fill in all the information about the claim as of the date the case was filed. That date is on the notice of bankruptcy (Form 309) that you received.
Documents: attach redacted copies of any documents that support the claim. Do not send original documents; they may be destroyed after scanning.
Privacy: filers must leave out or redact information that is entitled to privacy on this form or on any attached documents.
Residence: if the claim is secured by the debtor's principal residence, file a Mortgage Proof of Claim Attachment (Official Form 410-A) with this Proof of Claim.
Priority: a claim may be partly priority and partly nonpriority.
Signing: the person completing this proof of claim must sign and date it.
| Question | Answer |
|---|---|
| Form Name | Official Form 410 |
| Form Length | 3 pages |
| Fillable? | Yes |
| Fillable fields | 80 |
| Avg. time to fill out | 14 min |
| Edition | Rev 04/25 |
| Claim date | As of the date the case was filed |
| Matches the agency's file | Yes, checked October 2, 2026 |
| Other names | Official Form 410, Form 410, B410, B 410, Bankruptcy Form 410, Proof of Claim |
| Official source | Official Form 410 (Rev 04/25), |
Form 410 isn’t the one you’re looking for?