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Affidavit of Loss

Last revision Last revision 02/15/2024
Formats FormatsWord and PDF
Size Size1 page
4.5 - 97 votes
Fill out the template

Last revisionLast revision: 02/15/2024

FormatsAvailable formats: Word and PDF

SizeSize: 1 page

Rating: 4.5 - 97 votes

Fill out the template

An Affidavit of Loss is a written statement that describes the facts concerning the loss of an object, usually a document such as an identification card, a driver's license, a passport, or documents relating to the registration of vehicles. An Affidavit of Loss is usually required when requesting a replacement of a lost document or item.

This document is used by a person, known as the Affiant, who can attest under oath of their personal knowledge of the circumstances of the loss of the object. The affiant is usually the owner of the lost object, especially if the affidavit is going to be used to support an application for a replacement of the lost object.

The document then describes the object that was lost and the circumstances of the loss. Finally, the affiant may request a replacement of the lost document.


How to Use This Document

An Affidavit of Loss contains the following information:

  • The identity of the affiant and his guardian (if the affiant is not of legal age) whose object or document was lost,
  • The details of the lost object or document,
  • The circumstances of the loss, and
  • The reason for the creation of the affidavit.

Once the affidavit has been completed, the affiant must print at least 2 copies of the document. Thereafter, the affiant must personally appear before a notary public and present at least one current identification document (I.D.) issued by an official agency bearing the photograph and signature of the Affiant. The affiant must swear under oath the whole truth of the contents of the affidavit and then sign all copies of the affidavit. If the affiant is a minor, the affiant must be accompanied by a legal guardian, which may be a parent or a court-appointed guardian, when signing the affidavit. The guardian must also sign the affidavit. The affiant will be asked to leave one original copy for the files of the notary public.

Once notarized, the affiant may use the document as needed, including as support for any application for a replacement of the lost object.


Applicable Law

There are no laws outlining the contents of an Affidavit of Loss. However, affidavits are governed by the 2004 Rules on Notarial Practice.


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