An Affidavit of Accident is a crucial legal document used in Indonesia when there is a need to provide a formal, sworn account of an accident or incident. This document type is commonly required for insurance claims, legal proceedings, or official records in the Indonesian jurisdiction. The affidavit must be prepared in accordance with Indonesian legal requirements and typically includes detailed information about the accident, such as date, time, location, parties involved, witnesses, and resulting damages or injuries. It must be sworn before an Indonesian notary public to be legally valid. The document is particularly important as it creates a contemporaneous record of events that can be relied upon in future proceedings and serves as a key piece of evidence in both civil and insurance matters. The content and format must comply with Indonesian civil law, particularly the Indonesian Civil Code (KUHPerdata) and relevant regulations governing sworn statements.
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1. Title and Declaration: Formal title of the document and opening declaration statement identifying it as an affidavit
2. Declarant Information: Full legal name, address, occupation, and other identifying details of the person making the affidavit
3. Accident Details: Date, time, location, and specific circumstances of the accident
4. Sequence of Events: Chronological description of what happened before, during, and immediately after the accident
5. Involved Parties: Information about all parties involved in the accident, including witnesses
6. Damages/Injuries: Description of any property damage or personal injuries resulting from the accident
7. Post-Accident Actions: Actions taken after the accident (e.g., police reports filed, medical attention sought)
8. Truth Declaration: Standard legal declaration confirming the truth of the statements
9. Signature Block: Space for signature, date, and notary authentication
1. Weather Conditions: Details about weather conditions at the time of accident, if relevant to the cause
2. Vehicle Information: Detailed information about vehicles involved, used when the accident involves vehicles
3. Medical Information: Details of medical treatment and injuries, included when personal injuries occurred
4. Insurance Information: Details of relevant insurance policies and claims, included when insurance is involved
5. Witness Statements: References to witness accounts, included when witnesses were present
6. Police Report Reference: Details of police reports filed, included when law enforcement was involved
1. Photographs: Labeled photographs of the accident scene, damage, or injuries
2. Sketch of Accident Scene: Diagram showing the position of vehicles/parties and relevant environmental factors
3. Police Report: Copy of official police report if available
4. Medical Records: Copies of relevant medical reports or treatment records
5. Witness Statements: Written statements from witnesses
6. Insurance Documentation: Copies of relevant insurance claims or correspondence
7. Repair Estimates: Documentation of damage assessments and repair costs
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