Sample Affidavit Of Car Accident Insurance Claim Philippines

Sample Affidavit Of Car Accident Insurance Claim Philippines. In witness whereof, i have hereunto set/affixed my signature this _____ at _____, philippines. Photographs of damaged parts of the vehicle, showing the license plate.

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I am executing this affidavit to attest to the truth of the forgoing and in support of the claim against the insurer for the repair of the damage caused to my vehicle. That my above vehicle has been covered by police and presently is under custody of police. Print a copy of your filled out affidavit for car insurance claim, which you’ll bring to a law office to have it notarized.

In Witness Whereof, I Have Hereunto Set My Hand This (Date) In (Place), Philippines.


Here’s a sample you can refer to when drafting your affidavit of car accident insurance claim. Make and model serial number motor number plate number I am executing this affidavit to attest to the truth of the forgoing and in support of the claim against the insurer for the repair of the damage caused to my vehicle.

There Was No Traffic Enforcer At The Time Of The Accident;


I, __________________, filipino, of legal age, and resident of_____________________, after having been duly sworn to in. Affidavit of discrepancy date of birth; That my above vehicle has been covered by police and presently is under custody of police.

A F F I D A V I T.


Affidavit of declaration of ownership of real property; In witness whereof, i have hereunto set my hand this ___ day of february, 2010 at. That i am executing this affidavit to attest to the truth of the foregoing and in support of the claim against the insurer for the repair of the damage caused to the said company vehicle.

I Am The Registered Owner/Driver Of A Motor Vehicle _____ With Plate Number _____;


Castro, filipinos, of legal ages, husband and wife, respectively, and residents of 106 sisa street, sampaloc, manila after having been duly sworn to in accordance with law, depose and state: Estimated cost of damage or repair. In the philippines, there are eight (8) common types of car insurance claim:

Affidavit Of Desistance Rape Case;


Republic of the philippines) city of _____) affidavit of accident i, _____, filipino, of legal age, with residence address at _____, after having been duly sworn to in accordance with law, hereby, depose and say that: _____on_____, the date the accident occurred, i was not insured by any medical insurance carrier for coverage of medical services. Affidavit of discrepancy date of marriage of parents;

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