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1. Title and Jurisdiction: Clearly states that this is an Affidavit of Claim and the jurisdiction where it is being executed
2. Affiant Information: Full legal name, age, citizenship, civil status, and complete address of the person making the sworn statement
3. Competency Declaration: Statement declaring the affiant's competency to testify to the facts
4. Statement of Facts: Detailed enumeration of the relevant facts supporting the claim, presented in clear, chronological paragraphs
5. Amount or Nature of Claim: Specific details about the claim amount or nature of the claim being made
6. Supporting Documents Reference: Reference to any documents attached that support the claim
7. Verification and Certification: Statement verifying the truthfulness of the contents and certification against forum shopping
8. Jurat/Notarial Block: Space for the notary public's certification of the oath-taking
1. Legal Basis: Citation of relevant laws or regulations that support the claim, used when the claim is based on specific legal provisions
2. Witness Statements: Additional sworn statements from witnesses, included when third-party testimony supports the claim
3. Prayer/Request: Formal request for specific action or relief, used when the affidavit is part of a larger legal proceeding
4. Prior Demands: Description of previous attempts to resolve the claim, included when relevant to show good faith efforts
5. Reservation of Rights: Statement reserving the right to file additional claims or modify the current claim, used in complex cases
1. Schedule A - Documentary Evidence: Copies of supporting documents such as receipts, contracts, or correspondence related to the claim
2. Schedule B - Computation of Claim: Detailed breakdown of the claim amount including interest calculations if applicable
3. Schedule C - Photo Evidence: Photographs or visual evidence supporting the claim, if relevant
4. Appendix 1 - Demand Letters: Copies of prior demand letters or communications attempting to resolve the claim
5. Appendix 2 - Authorization Documents: Any power of attorney or authorization documents if the affiant is acting on behalf of another party
Find the exact document you need
Sworn Proof Of Loss Form
A notarized declaration of loss document used in Philippine insurance claims that details the nature, extent, and value of claimed losses under an insurance policy.
Sworn Affidavit Of Claim
A legally binding sworn statement used in the Philippines to formally declare and document a claim against another party, executed before a notary public under Philippine law.
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