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Sworn Statement Template – California
Declare facts under oath clearly and professionally with this Sworn Statement Template.
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Sworn Statement
I, [Full Legal Name], of [Address], being duly sworn, do hereby declare and state under oath the following:
1. Declarant Identification & Verification
Full Name: [Full Legal Name]
Date of Birth: [MM/DD/YYYY]
Address: [Full Address]
Identification Number (if applicable): [ID / Passport No.]
I confirm that the information above is accurate to the best of my knowledge.
2. Scope of Declaration
This statement addresses the following subject matter: [brief topic]. It is based on my personal knowledge and, where noted, on records I reviewed and believe to be accurate.
3. Chronology of Material Facts
I set forth the facts in chronological order for clarity. [Provide a numbered list of dated events and relevant details].
4. Exhibits / Attachments Index (if any)
I reference the following exhibits for convenience: [Exhibit A: …, Exhibit B: …]. Each exhibit is a true and correct copy of the item it purports to represent.
5. Digital Evidence Handling (CA practice alignment)
Where screenshots, emails, or logs are referenced, I preserved original files in their native format where possible. File names and timestamps are noted to facilitate review.
6. Confidential or Personal Information
If this statement includes sensitive information, I have limited disclosure to what is necessary to understand the facts. Any redactions are indicated with brackets or annotations.
7. Interpreter / Assistance (if applicable)
If assistance was used in preparing or translating this statement, I confirm that I understood the contents before signing.
8. Statement Under Penalty of Perjury
I declare under oath and penalty of perjury that the foregoing is true and correct to the best of my knowledge and belief.
9. Execution Details
Executed this [Day] of [Month, Year], at [City, State/Country].
Declarant Signature: _______________________________
Printed Name: ___________________________________
Notary / Authorized Officer Acknowledgment
On this [Day] of [Month, Year], before me, [Name of Notary/Officer], personally appeared [Declarant’s Full Name], known to me (or satisfactorily proven) to be the individual who executed the foregoing Sworn Statement, and acknowledged it to be true and correct.
Notary / Officer Signature: __________________________
Printed Name: ____________________________________
Commission No.: _________________________________
My Commission Expires: ___________________________
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Sworn Statement Template – California
California Sworn Statement FAQ
What is a Sworn Statement?
A Sworn Statement is a written document in which a person formally declares that the information they are providing is true. It is commonly used in legal or official matters where factual accuracy is important — such as insurance claims, disputes, investigations, or court-related filings. The individual signs the statement and confirms that it is made under penalty of perjury, meaning they can face legal consequences if any part of it is knowingly false.
When to use a Sworn Statement?
A Sworn Statement is used when written, truthful testimony is needed without the person having to appear in court. It is commonly requested in situations such as insurance claims, workplace incidents, background checks, financial disclosures, property disputes, and law enforcement investigations. The statement serves as legally reliable evidence because the signer confirms the information under penalty of perjury, making it a suitable option when timely and documented facts are required.
What should be included in a Sworn Statement?
A Sworn Statement must clearly present truthful information and identify who is making the declaration. To ensure it is valid and useful, it should include:
The declarant’s full legal name and contact information:this confirms the identity of the person making the statement and provides a way to reach them if clarification is needed.
A clear and detailed statement of facts: the content should explain what happened, when, where, and who was involved. Facts must be specific, accurate, and based on personal knowledge rather than opinions.
Relevant dates, locations, and supporting context: including precise details strengthens credibility and helps avoid misunderstandings or disputes later.
A penalty-of-perjury declaration: this clause acknowledges that the declarant understands they can face legal consequences if the statement is false or misleading.
The declarant’s signature and the date of signing: signing confirms the statement is complete and truthful at the time of execution.
When does a Sworn Statement hold legal effect in California?
A Sworn Statement becomes legally effective in California when the signer provides a written declaration that the information is true under penalty of perjury, using California-approved wording. Notarization is not necessary for most uses, unless a specific entity requires an affidavit. A valid Sworn Statement may be used as supporting evidence in court, government filings, or other legal processes.
Can I refuse to provide a Sworn Statement?
Yes, in most situations you can refuse to provide a Sworn Statement, unless you are legally required to do so. A Sworn Statement is generally voluntary, and individuals cannot be forced to sign one unless an applicable law, court order, employer policy, or contract specifically requires it.
Keep in mind that refusing may have practical consequences. For example, a company, insurer, or organization may close a claim, deny a request, or take adverse action if a Sworn Statement is needed to verify information. If law enforcement or a government agency requests it, it’s wise to seek legal advice before refusing.
In short, you usually have the right to decline — but it’s important to understand how doing so may affect your rights, claims, or obligations.
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