The Affidavit of No Other (Insurance) is a crucial document in Belgian insurance practice, designed to provide insurers and other relevant parties with a legally binding declaration regarding the existence or absence of other insurance coverage. This document is typically required during insurance policy applications, claims processing, or when specific coverage verification is needed. It helps prevent situations of double insurance and ensures compliance with Belgian insurance regulations, particularly the Insurance Act of 2014. The affidavit must be executed in accordance with Belgian legal requirements for sworn statements and typically includes detailed information about the declarant, specific insurance coverage details, and formal attestation elements. It serves as a risk management tool for insurers and provides legal protection for all parties involved in insurance transactions.
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1. Declarant Information: Full legal name, address, and identification details of the person making the declaration
2. Declaration Purpose: Clear statement of the purpose of the affidavit and the context in which it is being made
3. Insurance Coverage Declaration: Explicit statement confirming the absence of other insurance policies for the specified risk or coverage type
4. Specific Policy Details: Information about any existing or relevant insurance policies, including policy numbers and coverage periods
5. Verification Statement: Statement confirming that the declarant has reviewed and understands the content of the affidavit
6. Oath and Signature: Formal sworn statement and signature block complying with Belgian legal requirements
7. Witness/Notary Section: Space for witness or notary authentication as required under Belgian law
1. Multiple Coverage Types: Additional section when declaration covers multiple types of insurance (e.g., life, health, property)
2. International Coverage: Section addressing insurance coverage in other jurisdictions when the declarant has international connections
3. Historical Coverage: Section detailing previous insurance coverage when relevant to the declaration
4. Third Party Interests: Section addressing any third party interests or beneficiaries when applicable
5. Language Declaration: Statement confirming the declarant's understanding of the language used when the affidavit is not in their primary language
1. Identity Documentation: Copies of identification documents of the declarant
2. Existing Policy Details: Details of any relevant existing insurance policies
3. Supporting Documentation: Any additional documents supporting the declaration
4. Translation Certificate: Official translation certificate if the document is prepared in multiple languages
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Insurance Underwriter
Claims Manager
Risk Manager
Compliance Officer
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Insurance Broker
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Insurance Agent
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Risk Assessment Officer
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