Affidavit of Complaint: Meaning, Purpose, and Sample Form
An Affidavit of Complaint is a sworn legal document executed by a complainant to formally state facts and circumstances regarding an incident, violation, or wrongdoing committed by another person. This affidavit is commonly used to initiate legal action, file a complaint with authorities, or support a case before government agencies, barangays, courts, or law enforcement offices.
The affidavit narrates the facts based on the personal knowledge of the complainant and is executed under oath. Any false statement may result in legal consequences.
When Is an Affidavit of Complaint Required?
An Affidavit of Complaint is commonly required for the following purposes:
- Filing complaints before barangay or police authorities
- Initiating criminal or civil cases
- Submission to government agencies or regulatory bodies
- Reporting fraud, threats, harassment, or misconduct
- Supporting investigations or legal proceedings
Supporting evidence such as photos, documents, messages, or witness affidavits may be attached when required.
What Should Be Included in an Affidavit of Complaint?
A valid Affidavit of Complaint should include:
- Complete details of the complainant
- Complete details of the respondent (if known)
- Clear narration of facts and circumstances
- Date, time, and place of the incident
- Purpose of executing the affidavit
- Affiant’s signature and notarization
The narration must be factual, chronological, and based on personal knowledge.
Sample Affidavit of Complaint (Editable Template)
Replace all bracketed information below with the correct details before printing and notarization.
REPUBLIC OF THE PHILIPPINES
[CITY / MUNICIPALITY]
[PROVINCE]
AFFIDAVIT OF COMPLAINT
I, [FULL NAME OF COMPLAINANT], of legal age, [citizenship], [civil status], and residing at [complete address], after having been duly sworn in accordance with law, hereby depose and state:
1. That I am the complainant in this case and I am executing this affidavit to formally lodge a complaint against [FULL NAME OF RESPONDENT], residing at [respondent’s address, if known].
2. That on or about [date], at approximately [time], at [place of incident], the following incident occurred:
[Provide a clear, truthful, and chronological narration of the facts and circumstances of the incident.]
3. That the acts committed by the respondent caused me damage, harm, or prejudice.
4. That I am executing this affidavit to formally complain and to support the filing of appropriate charges against the respondent.
5. That the foregoing statements are true and correct to the best of my knowledge and belief.
IN WITNESS WHEREOF, I have hereunto affixed my signature this [day] day of [month, year] at [place of execution].
_________________________________
[FULL NAME OF COMPLAINANT]
Complainant
SUBSCRIBED AND SWORN to before me this [day] day of [month, year] at [place], the affiant presenting the following competent proof of identity:
ID Type and Number: [ID Number]
Date & Place of Issuance: [details]
_________________________________
NOTARY PUBLIC
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of _____.
Disclaimer: This template is for general guidance only. For serious legal matters, consult a lawyer or proper authority.