An Insurance Affidavit is a crucial document in Belgian insurance practice, used to provide sworn testimony regarding insurance-related matters. This document type is commonly required during insurance claims processing, policy disputes, or when formal declarations about insurance circumstances are needed. The affidavit must comply with Belgian legal requirements, including the Insurance Act of 2014 and regional language laws, and typically requires notarization. It serves as evidence in insurance proceedings and can be used for various purposes, from claiming benefits to explaining policy-related circumstances. The document's format and content are shaped by Belgian civil law requirements for sworn statements and specific insurance regulations, making it a vital tool in insurance-related legal and administrative procedures.
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1. Declarant Information: Full legal name, address, and identification details of the person making the affidavit
2. Capacity and Authority: Statement of the declarant's legal capacity and authority to make the affidavit
3. Insurance Policy Details: Relevant insurance policy numbers, dates, and basic coverage information
4. Subject Matter: Clear description of the insurance-related matter being addressed in the affidavit
5. Declaration Statements: Numbered paragraphs containing the specific facts being sworn to
6. Verification Statement: Standard legal text confirming the truth of the statements made
7. Signature Block: Space for signature, date, and notary attestation
1. Supporting Facts: Additional background information and context when the declaration requires extensive explanation
2. Witness Information: Details of witnesses if the affidavit requires witness corroboration
3. Translation Certification: Required when the affidavit needs to be certified in multiple Belgian official languages
4. Prior Claims History: Section detailing previous insurance claims when relevant to the current declaration
5. Medical Information: For insurance affidavits related to health or medical claims
6. Property Description: Detailed property information for property insurance-related affidavits
1. Schedule A - Supporting Documents: List and copies of documents referenced in the affidavit
2. Schedule B - Photographic Evidence: Photos or visual evidence when relevant to the insurance matter
3. Schedule C - Medical Records: Copies of relevant medical records for health insurance-related affidavits
4. Appendix 1 - Official Translations: Certified translations if the affidavit needs to be presented in multiple languages
5. Appendix 2 - Power of Attorney: If the declarant is making the affidavit on behalf of another party
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