PDF Template
Vehicle Accident Declaration Affidavit
Download a blank template to fill in by hand
This template includes fields for:
- Full Name
- ID Number
- Contact Number
- Date of Accident
- Time of Accident
- Location of Accident
- Your Vehicle Registration
- Your Vehicle Make/Model
- Other Vehicle Registration
- Other Driver Name
- Description of Accident
- Injuries (Yes/No/Details)
- Police Case Number (if applicable)
- Insurance Claim Number (if applicable)
or
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Use Online GeneratorHow to Use This Template
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1
Download and print
Download the PDF template and print it out on A4 paper.
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2
Fill in your details
Complete all the fields with a blue or black pen. Write clearly and legibly.
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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).
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4
Bring your ID
Remember to bring your South African ID document or passport when going to commission your affidavit.