Affidavit of Loss Sample Philippines (Free Download)

You were told you needed an Affidavit of Loss to obtain a replacement for your driver’s license, which you lost on your way home the other day. You wonder, can you draft an Affidavit of Loss? With this guide, yes, you can.

DISCLAIMER: This article has been written for general informational purposes only and is not legal advice or a substitute for legal counsel. You should contact your attorney to obtain advice with respect to any particular issue or problem. The use of the information contained herein does not create an attorney-client relationship between the author and the user/reader.

Free Downloadable/Editable Affidavit of Loss Sample Templates

To save you the hassle of writing an Affidavit of Loss from scratch, you may download the following sample Affidavit of Loss and edit the contents based on the guidelines discussed in the next section.

1. Sample Affidavit of Loss for Lost Postal ID

2. Sample Affidavit of Loss for Lost UMID/SSS ID

3. Sample Affidavit of Loss for Lost PhilHealth ID

4. Sample Affidavit of Loss for Lost TIN ID

5. Sample Affidavit of Loss for Lost Senior Citizen ID

6. Sample Affidavit of Loss for Lost PRC ID

7. Sample Affidavit of Loss for Lost Company ID/Employee ID

8. Sample Affidavit of Loss for Lost CR/OR of Motor Vehicle

9. Sample Affidavit of Loss for Lost Driver’s License

10. Sample Affidavit of Loss for Lost ATM Card (BDO)

11. Sample Affidavit of Loss for Lost BIR Books of Accounts

How To Get a Notarized Affidavit of Loss in 3 Easy Steps

1. Prepare the document

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An Affidavit of Loss contains the following essential parts:

1. Title of the document
2. Your name, statement that you are of legal age, civil status, citizenship, and residence address.
3. A narration of the circumstances of the loss, which includes (i) a description of the item or document lost; (ii) a description of how it got lost; (iii) the effort exerted to find it; and (iv) your request for a replacement of the item or document lost.
4. The signature of the affiant. Affiant is the person executing/signing the document.
5. The jurat. The jurat is the oath or affirmation before the notary public that you have personally executed the document in the notary’s presence.

2. Print at least three copies of the document

• The notary public will retain one copy.
• One copy goes to the office where you’ll submit the document.
• One copy goes to you for your file.

3. Go to the notary public to have the document notarized

Do not forget to bring a valid ID to the notary, as the latter must confirm your identity.

Tips and Warnings

• Some government offices and private institutions (e.g., banks) have their Affidavit of Loss template, so it is best to check their website and use their template to save you time. Once you fill out their pro forma template, you may bring it to the notary.

Frequently Asked Questions

1. Should an Affidavit of Loss be notarized?

Yes. The affidavit of loss should be notarized. An affidavit is a legal document executed under oath which means you are attesting to the whole truth of the contents of your affidavit. That is the purpose of the jurat, which starts which the words “SUBSCRIBED AND SWORN TO..”

If your statement is false, you can be prosecuted for perjury.

2. I don’t have an ID because I lost it. Will the notary public notarize my document?

Yes. The notary public will notarize your document if your situation falls into any of the following:

a. The notary public personally knows you;
b. The notary public does not know you, but one credible witness who is personally known to the notary public can confirm your identity;
c. If you can bring two credible witnesses who have IDs, and they can confirm your identity to the notary.

3. How much is the Affidavit of Loss in the Philippines?

The going rate for notarizing the affidavit of loss usually starts at Php 100. The cost varies depending on the place and the notary public itself.

4. Can I get a free Affidavit of Loss?

Yes. If you are indigent, you may be able to get your affidavit of loss notarized for free at the Public Attorney’s Office, as the latter offers notarial services to indigent persons.

To be considered indigent, your family income should not exceed Php 14,000 per month if you reside in Metro Manila, Php 13,000 for other cities, and Php 12,000 for all other places.

You may check the Legal Office or the City Councilor Office of your city or municipality, as they sometimes offer free notarial services to their constituents.

5. How long is the validity period of the Affidavit of Loss? Does it expire?

Affidavit of Loss has no specific expiry date, but it is only valid for the specific incident where you lost the document, so you can only use it once. It means once you obtain a replacement for the lost document and lose it again, you’ll have to execute another Affidavit of Loss and not use the previous one.