PDF Template

Child Custody (Care and Contact) Affidavit

Download a blank template to fill in by hand

This template includes fields for:

  • Your Full Names and Surname (Deponent)
  • Your South African ID Number
  • Child's Full Names and Surname
  • Child's Date of Birth
  • Basis of Your Care of the Child
  • Address Where the Child Lives
  • Other Parent's Full Names
  • Care, Contact, and Living Arrangement Details
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How to Use This Template

  1. 1
    Download and print

    Download the PDF template and print it out on A4 paper.

  2. 2
    Fill in your details

    Complete all the fields with a blue or black pen. Write clearly and legibly.

  3. 3
    Commission at a police station

    Take the completed form to any South African Police Station. A Commissioner of Oaths will verify your identity and witness your signature (free of charge).

  4. 4
    Bring your ID

    Remember to bring your South African ID document or passport when going to commission your affidavit.