A sample template of an affidavit of vehicular accident.
AFFIDAVIT of LOSS Dti Registration
For requesting replacement of lost items and official documents (IDs, Credit Cards, etc.)Full description
lossFull description
sample affidavitFull description
form138Full description
Affidavit of Loss Pay Slip
sample
REPUBLI C OFTHEPHI LI PPI NES PROVI NCE OFLAGUNA CI TY/MUNI CI PALI TYOFSANPEDRO
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AFFI DAVI T OFLOSS _ _ _ _ _ _ _ _ _ _ _ , I ,_ ofl e g alag e ,Fi l i pi noc i t i z e n,mar r i e d,wi t hr e s i de nc eand post al addr es s at __ __ __ __ __ __ __ __ __ __ , af t er havi ng bee n swor n t o i n accordancewi t hl aw,doher ebydeposeandst at et hef ol l owi ng:
1.Iam an em mp pl oy eeof__ __ __ __ __ __ __ __( “ Com mp pany” )wi t h offi ffic ceaddr es sat _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ; 2.A .Asan emp mpl oy eeo ft heComp mpany ,Ihav ebeengr ant edacce ssi n orabout t hecomp mpanypr emi mi sest hr ough an I dent i ficat i on Car d( “ I . D. ” )beari ngmy name meandt hec omp mpanynam me e/l og o; 3.O .On11Mar c h2015,whenIwaspr epar i ngt ogot owor k,If oundoutt hat t hesai dI . D.wasal r eadymi ssi ngf r om i t sl anyard.Ibel i evet hati tmust hav ef el lf r om t hel anyar ddur i ngmy mycomm mmut ef orhom me et hepr ev i ousday si ncet heI . D.Cardsl otpunchi sal r eadydam ma aged; 4.Ihaveexert edal lofmyeffort st ol ocat et hesame mebutt onoavai l ; 5.Iam execut i ngt hi saffidavi tt oat t estt ot het rut h oft hef oregoi ngf act s andf orsuchot herl egalpurposest hi saffid ffidavi tmayser ve. 6. .A Affiantf ur t hers ay e t hnaught . I N WI TNESS WHEREOF,Ihav e he r e unt o affi ffix xed my s i gnat ur et hi s _ _ _ _ dayof____ ____ ____ ___,2016i nSan Pedr o,Laguna,Phi l i ppi nes. t h
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Affiant t h t o bef or e me, t hi s _ _ _ _ da y of _ _ _ __ _ _ __ _ _ _ __ _ ,2016 i n San Pedr o,Laguna,affia ffiant e xhi bi t i ng t o me her Dr i v e r ’ sLi c e ns eI . D.wi t hNo._ _ _ _ _ _ _ _ _ _ _ _ _ .
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Doc.No.___ ; PageNo.__ _; BookNo.__ _; Ser i esof2016.
