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Affidavit Of Loss Form
"I need an Affidavit of Loss Form for my lost BPI credit card that went missing during my business trip to Manila on January 15, 2025, which needs to include a police report reference and should be acceptable to both the bank and insurance company."
1. Title and Jurisdiction: Specifies that this is an Affidavit of Loss and states the jurisdiction (specific city/municipality in the Philippines)
2. Affiant Information: Full legal name, age, citizenship, civil status, and complete address of the person making the affidavit
3. Competency Declaration: Statement that the affiant is of legal age and sound mind, capable of executing the affidavit
4. Description of Lost Item: Detailed description of the lost document or item, including all relevant identifying information (serial numbers, dates, issuing authority, etc.)
5. Circumstances of Loss: Detailed narrative of how, when, and where the item was lost or discovered to be missing
6. Efforts to Locate: Description of steps taken to find the lost item and why recovery is deemed impossible
7. Purpose Declaration: Statement of why the affidavit is being executed and how it will be used
8. Non-Recovery Statement: Declaration that the item has not been found and statement of what will be done if the original is recovered
9. Certification of Truthfulness: Sworn statement that all information provided is true and correct
1. Police Report Reference: Reference to police report number and details if the loss was reported to authorities (recommended for high-value items or documents)
2. Additional Witnesses: Information and statements from witnesses who can corroborate the loss, if any
3. Security Undertaking: Additional guarantees or undertakings regarding potential misuse of the lost item, particularly relevant for negotiable instruments
4. Indemnification Clause: Statement holding harmless the accepting institution from any liability arising from the loss
1. Copy of Valid ID: Photocopy of affiant's government-issued identification
2. Supporting Documents: Copies of related documents proving ownership or connection to the lost item (if available)
3. Police Report: Copy of police report if the loss was reported to authorities (if applicable)
4. Publication Notice: Copy of newspaper publication announcing the loss (if required for certain types of documents)
Authors
Banking and Financial Services
Insurance
Government and Public Sector
Education
Corporate Services
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Transportation
Real Estate
Retail
Healthcare
Telecommunications
Legal
Compliance
Human Resources
Administration
Operations
Risk Management
Records Management
Finance
Customer Service
Security
Facilities Management
Legal Counsel
Corporate Secretary
Compliance Officer
Human Resources Manager
Administrative Officer
Risk Manager
Operations Manager
Document Controller
Records Manager
Office Manager
Finance Manager
Bank Branch Manager
Customer Service Manager
Security Officer
Facility Manager
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