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Insurance Affidavit Template for Canada

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Key Requirements PROMPT example:

Insurance Affidavit

"I need an Insurance Affidavit for a flood damage claim to my commercial property that occurred on January 15, 2025, including sections for photo evidence and contractor assessments under policy number COM-2025-789."

Document background
An Insurance Affidavit is a crucial legal document used in Canadian insurance proceedings to provide sworn testimony regarding insurance-related matters. This document is typically required when formal verification of facts is necessary, such as during claims processing, beneficiary changes, or coverage disputes. The affidavit must comply with federal legislation such as the Canada Evidence Act and provincial insurance regulations, requiring execution before a Commissioner of Oaths. The document includes detailed information about the affiant, relevant insurance policies, and the specific facts being attested to, often supplemented with supporting documentation. Insurance Affidavits serve as evidence in insurance proceedings and can have significant legal implications, making accuracy and completeness essential.
Suggested Sections

1. Title and Jurisdiction: Specifies the title of the affidavit and the legal jurisdiction under which it is being made

2. Affiant Information: Full legal name, address, and occupation of the person making the affidavit

3. Oath/Affirmation Statement: Standard declaration that the affiant is swearing/affirming the truth of the statements

4. Insurance Policy Details: Information about the relevant insurance policy, including policy number, type, and dates of coverage

5. Statement of Facts: Chronological or logical presentation of the relevant facts being sworn to

6. Declaration of Truth: Formal statement confirming all information provided is true and accurate

7. Jurat: Place, date, and commissioner's attestation of the oath or affirmation

Optional Sections

1. Claim Details: Used when the affidavit relates to an insurance claim, including incident description and claimed amounts

2. Beneficiary Declaration: Used for life insurance matters when confirming beneficiary status or changes

3. Loss Description: Detailed when the affidavit relates to property loss or damage

4. Medical Information: Required for health or disability insurance matters

5. Fraud Declaration: Additional declarations required in cases where fraud is suspected or being investigated

6. Third-Party Statements: When including information from other parties relevant to the insurance matter

Suggested Schedules

1. Schedule A - Supporting Documents: List and copies of all relevant documents referenced in the affidavit

2. Schedule B - Photographs: If applicable, photographs documenting damage, loss, or other relevant visual evidence

3. Schedule C - Medical Records: For health-related claims, copies of relevant medical documentation

4. Schedule D - Financial Records: Proof of financial loss, receipts, or other financial documentation

5. Appendix 1 - Witness Statements: Any supporting statements from witnesses referenced in the affidavit

6. Appendix 2 - Expert Reports: Any professional or expert opinions relevant to the insurance matter

Authors

Alex Denne

Head of Growth (Open Source Law) @ ºÚÁÏÊÓÆµ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant legal definitions






























Clauses




















Relevant Industries

Insurance

Financial Services

Healthcare

Legal Services

Real Estate

Construction

Manufacturing

Transportation

Retail

Professional Services

Relevant Teams

Legal

Compliance

Risk Management

Claims Processing

Underwriting

Document Management

Customer Service

Operations

Administrative Support

Fraud Investigation

Relevant Roles

Insurance Claims Adjuster

Risk Manager

Compliance Officer

Legal Counsel

Insurance Broker

Claims Manager

Underwriter

Insurance Agent

Policy Administrator

Claims Investigator

Insurance Operations Manager

Legal Administrative Assistant

Commissioner of Oaths

Document Control Specialist

Risk Assessment Officer

Industries





Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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