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Affidavit Of Loss Form Template for England and Wales

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Key Requirements PROMPT example:

Affidavit Of Loss Form

"I need an Affidavit of Loss Form for my missing share certificates from ABC Corporation (certificate numbers 12345-12350), which were lost during an office relocation on January 15, 2025, to submit to my bank for replacement certificates."

What is a Affidavit Of Loss Form?

The Affidavit of Loss Form is a crucial legal document used when an individual needs to formally declare the loss of an important item or document in England and Wales. It is commonly required by institutions as part of their process for replacing lost documents, processing insurance claims, or maintaining official records. The affidavit must comply with the Statutory Declarations Act 1835 and related legislation, requiring verification by authorized officials. This document provides protection for both the declarant and the receiving institution by creating a formal record of the loss and the circumstances surrounding it.

What sections should be included in a Affidavit Of Loss Form?

1. Title and Declaration: Identifies the document as an Affidavit of Loss and includes declarant's details

2. Personal Information: Full legal name, address, and occupation of the person making the declaration

3. Description of Lost Item: Detailed description of the lost item including identifying features, numbers, or references

4. Circumstances of Loss: Detailed account of how, when, and where the item was lost

5. Statement of Truth: Declaration that all statements made are true and accurate

6. Execution Block: Space for signature, date, and notary/commissioner for oaths authentication

What sections are optional to include in a Affidavit Of Loss Form?

1. Search Efforts: Description of attempts made to locate the lost item - include when required by receiving institution or to strengthen the affidavit

2. Police Report Reference: Details of any police report filed - include when a police report has been filed or is required by receiving institution

3. Indemnification Statement: Statement indemnifying the receiving institution - include when required by receiving institution, particularly for financial instruments

What schedules should be included in a Affidavit Of Loss Form?

1. Copy of Identification: Certified copy of declarant's identification documents

2. Supporting Documents: Any relevant documentation proving ownership or existence of lost item

3. Police Report: Copy of police report if filed

Authors

Alex Denne

Head of Growth (Open Source Law) @ ¶¶ÒõÊÓÆµ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant legal definitions























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Industries

Statutory Declarations Act 1835: Primary legislation governing how statutory declarations and affidavits are made and sworn, including requirements for proper execution of sworn statements

Perjury Act 1911: Criminal law statute that makes it an offense to knowingly make false statements in affidavits and establishes penalties for false declarations

Civil Evidence Act 1995: Legislation governing the admissibility of evidence in civil proceedings, relevant when affidavits are used as evidence

Civil Procedure Rules (CPR): Procedural rules with Part 32 specifically dealing with evidence requirements, including formal requirements for affidavits

Commissioners for Oaths Act 1889: Legislation defining authorized persons who can administer oaths and relevant for proper authentication of affidavits

Supreme Court Act 1981: Contains key provisions about sworn evidence and court procedures in England and Wales

Common Law Principles: Established case law and principles regarding documentary evidence and affidavits in English law

Data Protection Act 2018: Relevant when personal information is included in the affidavit, ensuring compliance with data protection principles

Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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