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Statutory Declaration Template
Make a formal, legally recognized declaration of facts with this Statutory Declaration Template.
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Statutory Declaration Template
Jurisdiction: [Country/State/Province]
Statute/Act (Optional): [Name of statute, if known]
I, [Full Legal Name], of [Address], do solemnly and sincerely declare that:
1. Declarant Information
1.1 Full Legal Name: [Name]
1.2 Date of Birth (Optional): [MM/DD/YYYY]
1.3 Address: [Address]
1.4 Phone/Email (Optional): [Contact]
1.5 Occupation (Optional): [Occupation]
2. Purpose of Declaration
2.1 This Statutory Declaration is made for the purpose of: [Purpose/agency request].
3. Statements of Fact
(Write clear, factual statements in numbered form.)
3.1 [Statement of fact #1]
3.2 [Statement of fact #2]
3.3 [Statement of fact #3]
3.4 [Additional statements as needed]
4. Exhibits (Optional)
4.1 Attached and referenced documents (if any):
Exhibit A: [Description]
Exhibit B: [Description]
Exhibit C: [Description]
5. Declaration
5.1 I make this solemn declaration conscientiously believing the same to be true and knowing that it is of the same force and effect as if made under oath, under the laws of [Jurisdiction].
Signatures
Declarant: [Full Legal Name]
Date: [Date]
Signature: ___________________________
Witness / Authorized Person
Signed and declared before me at [City/Location] on [Date].
Witness/Authorized Person Name: [Name]
Title/Authority: [Notary / Commissioner for Oaths / Justice of the Peace / Lawyer / Other]
Address (Optional): [Address]
Signature: ___________________________
Stamp/Seal (if applicable): ___________________________
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Statutory Declaration Template
Click below for detailed info on the template.
For quick answers, scroll below to see the FAQ.
Click below for detailed info on the template.
For quick answers, scroll below to see the FAQ.
STATUTORY DECLARATION TEMPLATE FAQ
What is a statutory declaration?
A Statutory Declaration is a formal written statement of facts that a person declares to be true under a statute. It is commonly used in countries and regions that recognize statutory declarations (for example, certain Commonwealth jurisdictions) as an alternative to an affidavit for specific purposes.
How is a statutory declaration different from an affidavit?
An affidavit is typically sworn under oath before a notary or other authorized officer. A statutory declaration is usually “declared” before an authorized witness (such as a lawyer, commissioner for oaths, or justice of the peace, depending on the jurisdiction). The required wording and witness rules vary by location.
When should you use a statutory declaration?
Use it when a government agency, school, employer, insurer, or court requires a statutory declaration instead of (or in addition to) an affidavit. It is often used to confirm identity, explain missing documents, confirm relationship status, or state facts for administrative processes.
What should be included in a statutory declaration?
Include: the declarant’s identity and address, the purpose, clear numbered statements of fact, references to exhibits, and the required declaration wording for your jurisdiction. This template includes a customizable “statement of truth” and a witness section.
Does it need a witness?
Usually yes. Many jurisdictions require the declarant to sign in front of an authorized witness. This template includes a witness section and an optional place to record the witness’s authority.
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