An Affidavit of Loss Due to Fire is a formal legal document used in South African jurisdiction when property or assets have been damaged or destroyed by fire. This document is essential for insurance claims, legal documentation, and official records of the incident. It must be sworn before a Commissioner of Oaths and comply with the requirements of the Justices of the Peace and Commissioners of Oaths Act 16 of 1963. The affidavit includes detailed information about the incident, comprehensive lists of lost or damaged items, their values, and any relevant supporting documentation such as fire department reports or photographs. It's commonly used by both individuals and businesses to document losses for insurance claims, tax purposes, or legal proceedings.
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1. Opening Statement and Deponent Details: Formal opening declaring this as an affidavit, including full details of the deponent (name, ID number, address, occupation)
2. Property Details: Description and address of the property where the fire occurred, including ownership/tenancy status
3. Incident Description: Detailed account of when and how the fire occurred, including date, time, and circumstances
4. Emergency Response: Details of fire brigade response, case numbers, and other emergency services involved
5. Description of Losses: Comprehensive list and description of all items lost or damaged in the fire
6. Value Declaration: Statement of the total estimated value of losses
7. Verification Statement: Declaration that all information provided is true and correct to the best of the deponent's knowledge
8. Deponent's Signature: Space for signature, including date and place of signing
9. Commissioner of Oaths Certification: Official certification by Commissioner of Oaths including their details and stamp
1. Insurance Details: Include when insurance claims are involved - policy numbers, insurer details, and claim reference numbers
2. Witness Statements: Include when there were witnesses to the fire incident who can corroborate the account
3. Business Impact Statement: Include when the fire affected business operations, including impact on operations and business losses
4. Safety Compliance Statement: Include when relevant to establish compliance with fire safety regulations prior to the incident
5. Third Party Claims: Include when the fire affected neighboring properties or third-party assets
1. Schedule A - Detailed Inventory: Itemized list of all lost or damaged items with descriptions and estimated values
2. Schedule B - Photographic Evidence: Photographs of the fire damage and affected items (if available)
3. Schedule C - Supporting Documents: Copies of relevant documents such as fire department reports, police reports, or incident reports
4. Schedule D - Proof of Ownership: Copies of purchase receipts, warranty documents, or other proof of ownership for major items
5. Schedule E - Property Documentation: Property deed, lease agreement, or other relevant property documentation
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