Affidavit of Loss for Jewelry
A formal legal document to report your lost ring, watch, or necklace for replacement and insurance claims.
Download Free Template
We have prepared a free, ready-to-print Affidavit of Loss template customized for lost jewelry. Download it in PDF format to get started immediately.
Why Do I Need an Affidavit of Loss?
An Affidavit of Loss is a sworn, documented legal statement asserting that an item was lost. For lost jewelry, it is useful for several reasons:
- Insurance Claims: Most insurance companies require a notarized affidavit before processing any claims for lost valuable property.
- Proof of Loss & Ownership: It formalizes the fact that a specific item—such as an 18k gold wedding band—was lost on a specific date and serves to safeguard against fraud.
- Police Protection: When dealing with local authorities or hotels to report missing items, an affidavit establishes a legal baseline.
How to Use the Template
Follow these simple steps after downloading the PDF template to make your affidavit legally binding in the Philippines:
- Print Copies: Print at least three (3) copies on Legal (8.5" x 14") or A4 size paper. You will need one copy for the notary public, one for your records, and one for the entity (e.g., insurance company) where you will submit it.
- Fill in the Blanks: Using a pen with permanent ink (black or blue), fill in all the required information cleanly and accurately. Pay special attention to the detailed description of the jewelry and where it was lost.
- Do Not Sign Yet: Wait until you are in the physical presence of a Notary Public.
- Get it Notarized: Bring the printed and filled copies along with a valid Government-issued ID (Passport, Driver's License, PRC, etc.) to a notary public. Sign the documents in front of them, and ensure they stamp and seal it. Note: Notarization in the Philippines usually incurs a fee ranging from ₱100 to ₱500 depending on the location.
Frequently Asked Questions
Can I make an affidavit myself?
Yes! Our template is completely free to use. As long as it specifies the lost item and the circumstances, and is notarized properly, it is fully acceptable under the law.
How much is a notary fee?
If you bring a pre-written document like our template, the fee is generally lower (usually around ₱100-₱300). If you have the notary public draft the document from scratch, it will typically be more expensive.