Back to top
Affidavit of Loss Fill out the template

Affidavit of Loss

Last revision
Last revision 02/23/2023
Formats Word and PDF
Size 1 page
Rating 4.5 - 84 votes
Fill out the template

About the template

Last revisionLast revision: 02/23/2023

FormatsAvailable formats: Word and PDF

SizeSize: 1 page

Rating: 4.5 - 84 votes

Fill out the template

How does it work?

1. Choose this template

Start by clicking on "Fill out the template"

1 / Choose this template

2. Complete the document

Answer a few questions and your document is created automatically.

2 / Complete the document

3. Save - Print

Your document is ready! You will receive it in Word and PDF formats. You will be able to modify it.

3 / Save - Print

Affidavit of Loss

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, passport, or documents relating to the registration of vehicles. An Affidavit of Loss is usually required when requesting for a replacement of a lost document or item.

How to Use This Document

This document should be completed 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 includes identifying information of the Affiant, including their name, citizenship, age, and address. If the Affiant is a minor, the user will be asked the name of the guardian who will accompany the Affiant to the notary public and sign the affidavit. The guardian is the legal guardian who may be the parents or a court-appointed guardian.

The document then describes the object that was lost and the circumstances of the loss. Finally, the document explains that the information stated therein are based on the personal knowledge of the Affiant and the Affiant verifies the truth of the said information. Finally, the Affiant may request for a replacement of the lost document.

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 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.

How to modify the template

You fill out a form. The document is created before your eyes as you respond to the questions.

At the end, you receive it in Word and PDF formats. You can modify it and reuse it.

Fill out the template