Insurance Affidavit Template for Malaysia

An Insurance Affidavit is a legally binding sworn statement that you make under oath to declare facts related to your insurance policy, claims, or disputes in Malaysia. This formal document serves as evidence in insurance matters and carries legal consequences if any statements prove to be false or misleading.

When do you need this document?

You will need an Insurance Affidavit when filing complex insurance claims that require detailed factual declarations, such as property damage claims, motor vehicle accidents, or life insurance claims. Insurance companies often require this document when there are discrepancies in your claim, when policy information needs verification, or when you need to declare changes to your policy circumstances. You may also need this affidavit during insurance disputes, when appointing legal representatives to handle your insurance matters, or when beneficiaries need to establish their entitlement to policy proceeds. Corporate policyholders frequently use this document to authorize representatives to act on behalf of the company in insurance matters.

Key legal considerations

The most critical aspect of an Insurance Affidavit is the accuracy and truthfulness of all statements, as making false declarations constitutes perjury under Malaysian law. You must ensure that all policy details, including policy numbers, dates, and coverage amounts, are precisely stated. The deponent must have personal knowledge of the facts being declared and possess the legal capacity to make such statements. If you are acting as a corporate representative, you must have proper authorization from your company. The affidavit must clearly state your capacity and relationship to the insurance matter, whether as the policyholder, beneficiary, or authorized representative. Consider the potential legal implications of your declarations, as they may be used as evidence in legal proceedings.

Legal requirements in Malaysia

Under the Statutory Declarations Act 1960, your Insurance Affidavit must be sworn before a Commissioner for Oaths, Magistrate, or other authorized officer. The document must include your full name, NRIC or passport number, occupation, and complete address. You must sign the affidavit in the presence of the administering officer, who will then sign and stamp the document. The Financial Services Act 2013 governs the regulatory framework for insurance matters, requiring that all declarations comply with disclosure requirements. Your affidavit must be in English or Bahasa Malaysia, and if translated, requires certification by a qualified translator. The document should follow the prescribed format with numbered paragraphs for each factual declaration and include a formal jurat clause confirming that the statement was sworn before the authorized officer.