Affidavit of Statement of Facts: Meaning, Purpose, and Sample Form
An Affidavit of Statement of Facts is a sworn document where an individual provides a detailed account of events, circumstances, or factual information relevant to a legal, administrative, or personal matter. This affidavit is used to formally establish facts that may be required as evidence, supporting documentation, clarification, or verification by courts, government offices, employers, schools, or private institutions.
It is often requested when no official document exists to prove certain facts, or when a formal declaration is necessary for investigations, claims, disputes, corrections, or legal processes. Since it is executed under oath, the affiant must ensure the truthfulness and accuracy of all statements included.
When Is an Affidavit of Statement of Facts Needed?
This affidavit may be required in various situations, including:
- Explaining events relevant to legal or administrative cases.
- Providing detailed factual information for investigations or reports.
- Supporting insurance claims, employment records, or school documentation.
- Clarifying misunderstandings or disputes between parties.
- Certifying facts regarding personal, financial, or property matters.
- Documenting circumstances when no other formal proof is available.
Depending on the requesting office, supporting documents may be required such as IDs, receipts, letters, or photographs.
What Should Be Included in an Affidavit of Statement of Facts?
A complete Affidavit of Statement of Facts contains:
- Affiant’s full name, age, address, and personal details.
- A detailed narrative of events or facts being declared.
- Relevant dates, locations, and persons involved.
- Supporting explanations or clarifications.
- Purpose of creating the affidavit.
- Affiant’s signature and notarization block.
The narrative must be truthful, specific, and consistent with existing evidence and records.
Sample Affidavit of Statement of Facts (Editable Template)
Below is a clean and professional affidavit template. Replace all bracketed fields with your information.
REPUBLIC OF THE PHILIPPINES
[CITY / MUNICIPALITY]
[PROVINCE]
AFFIDAVIT OF STATEMENT OF FACTS
I, [FULL NAME OF AFFIANT], of legal age, [citizenship], [civil status], and residing at [complete address], after being duly sworn in accordance with law, hereby depose and state:
1. That I am executing this Affidavit to formally declare the following facts regarding [subject matter or event].
2. The facts of the matter are as follows:
• On [date], at [location], [describe event or situation in detail].
• [Add additional factual statements in chronological order].
• [List all relevant persons involved and their role, if applicable].
3. That the above statements are true, based on my personal knowledge and recollection of the events described.
4. That I am executing this Affidavit of Statement of Facts to comply with the requirements of [company/agency/school/court] and for any legal, administrative, or documentary purpose it may serve.
IN WITNESS WHEREOF, I have hereunto affixed my signature this [day] day of [month, year] at [place of execution].
_________________________________
[FULL NAME OF AFFIANT]
Affiant
SUBSCRIBED AND SWORN to before me this [day] day of [month, year] at [place], affiant presenting the following valid government-issued identification:
ID Type and Number: [ID type and number]
Date & Place of Issuance: [details]
_________________________________
NOTARY PUBLIC
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of _____.
Disclaimer: This template is for general guidance only. Requirements may vary for specific legal, administrative, or institutional needs. Consult a lawyer for formal legal advice.