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Affidavit Of Insurance Coverage for Philippines

Affidavit Of Insurance Coverage Template for Philippines

An Affidavit of Insurance Coverage is a legally binding sworn statement used in the Philippines to formally declare and verify the existence, terms, and validity of insurance coverage. This document, governed by Philippine insurance laws and notarial practices, serves as official proof of insurance coverage for regulatory compliance, business transactions, or contractual requirements. It includes detailed information about the insurance policy, coverage specifics, and compliance with relevant regulations, authenticated by a notary public in accordance with Philippine law.

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What is a Affidavit Of Insurance Coverage?

The Affidavit of Insurance Coverage is a crucial document in Philippine business and legal practice, required in various situations where formal proof of insurance coverage is necessary. This sworn statement, executed under oath before a notary public, is commonly used for regulatory compliance, business permits, government contracts, or commercial transactions. The document must comply with the Insurance Code of the Philippines (Republic Act No. 10607) and the Rules on Notarial Practice of 2004. It typically contains detailed information about the insurance policy, including coverage limits, validity periods, and compliance statements. The affidavit serves as a legally binding declaration that can be presented to government agencies, business partners, or other stakeholders requiring verification of insurance coverage.

What sections should be included in a Affidavit Of Insurance Coverage?

1. Title and Jurisdiction: Specifies the document as an Affidavit of Insurance Coverage and the jurisdiction (Philippines)

2. Affiant Information: Full legal name, age, citizenship, and address of the person making the sworn statement

3. Oath Declaration: Standard declaration that the affiant is making statements under oath

4. Insurance Policy Details: Essential information about the insurance policy including policy number, insurance company, type of coverage, and validity period

5. Coverage Specifications: Detailed description of what the insurance covers, including limits and key terms

6. Compliance Statement: Declaration that the insurance meets all required regulations and remains valid

7. Purpose Declaration: Statement explaining why the affidavit is being executed and its intended use

8. Verification and Certification: Final statement affirming the truth of all declarations

9. Jurat: Notarial section showing when and where the document was sworn to

What sections are optional to include in a Affidavit Of Insurance Coverage?

1. Additional Insured Parties: Section listing any additional parties covered by the insurance policy, used when the policy covers multiple entities

2. Claims History: Statement about any past claims or lack thereof, included when relevant to the purpose of the affidavit

3. Premium Payment Status: Declaration of premium payment status, included when proof of active payment status is required

4. Specific Compliance Declarations: Additional statements about compliance with specific regulations or requirements, used when the affidavit is for a particular regulatory purpose

What schedules should be included in a Affidavit Of Insurance Coverage?

1. Copy of Insurance Policy: Certified true copy of the current insurance policy referenced in the affidavit

2. Certificate of Insurance: Official certificate from the insurance provider confirming current coverage

3. Premium Payment Receipts: Copies of recent premium payment receipts when payment status verification is required

4. Insurance Provider's Authorization: Letter or certificate from insurance provider authorizing the creation of this affidavit, if required

Authors

Alex Denne

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

Jurisdiction

Philippines

Publisher

Ƶ

Document Type

Affidavit

Cost

Free to use
Relevant legal definitions

























Clauses




















Relevant Industries

Construction

Real Estate

Transportation and Logistics

Manufacturing

Healthcare

Financial Services

Professional Services

Retail

Energy

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Aviation

Education

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Relevant Teams

Legal

Compliance

Risk Management

Operations

Facilities Management

Project Management

Finance

Procurement

Human Resources

Quality Assurance

Administrative Services

Corporate Governance

Relevant Roles

Risk Manager

Compliance Officer

Legal Counsel

Insurance Manager

Facilities Manager

Operations Director

Contract Administrator

Project Manager

Safety Officer

Business Development Manager

Corporate Secretary

Chief Financial Officer

Procurement Manager

Human Resources Director

Quality Assurance Manager

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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