Most of the recent visitors of this blog arrived by searching the phrase "affidavit for insurance claim". Thus, I decided to make a part II of my blog on this topic on filing insurance claim for your flood-damaged car. For this post, I decided to share with you a sample affidavit of claim which you may simply customize for your purposes. So here it is:
REPUBLIC OF THE PHILIPPINES }
PASIG CITY }
AFFIDAVIT
I, ____________, Filipino, of legal age, married, with office address at ____________________, after having been duly sworn to accordance with law hereby depose and state:
1. I am the registered owner of a motor vehicle, specifically described as follows:
Make/Mode:
C.R. No.:
Engine No.:
Chassis No.:
Plate No.:
2. To secure the abovementioned vehicle from loss or damage, I obtained coverage therefor from __________________.
3. On 26 September 2009, because of the heavy rains brought about by typhoon Ondoy, our street, including my house and the aforesaid vehicle, were submerged in ten-feet-deep floodwaters. It lasted until the morning of 27 September 2009.
4. After the floodwaters had receded, I personally examined the subject vehicle and assessed that, considering the damage to the engine and other integral parts thereof, the same can no longer be used. Nevertheless, I brought the subject vehicle for damage appraisal and possible repair to ___________.
5. I am executing this Affidavit to attest to the truth of the foregoing and in support of my application with ______________________Insurance for the full payment of the proceeds of the motor vehicle insurance covering the subject vehicle.
In witness whereof, I have hereunto set my hand this ___ day of _____________ 2009 at Pasig City, Philippines.
Affiant
SUBSCRIBED AND SWORN to before me this __ day of _________, affiant exhibited to me his ____________________.
NOTARY PUBLIC
Doc. No. ;
Page No. ;
Book No. ;
Series of 2009.