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1. Title and Venue: States that this is an Affidavit of Incident and specifies the location where the affidavit is being executed
2. Affiant's Information: Full name, age, citizenship, civil status, and complete address of the person making the sworn statement
3. Competency Statement: Declaration that the affiant is of legal age and sound mind, capable of executing the affidavit
4. Incident Details: Clear, chronological narration of the incident including date, time, location, and sequence of events
5. Witnesses Present: Names and basic information of any witnesses to the incident
6. Resulting Actions: Description of immediate actions taken following the incident, including reporting to authorities if applicable
7. Verification and Certification of Truthfulness: Statement affirming that the contents are true and correct of affiant's own personal knowledge
8. Jurat: Notarial section where the affiant swears to the truthfulness of the statement before a notary public
1. Description of Injuries: Detailed description of any physical injuries sustained, to be included if the incident involved personal injury
2. Property Damage Details: Description and estimated value of any property damage, to be included if the incident involved property damage
3. Law Enforcement Information: Details of police reports or case numbers, to be included if authorities were involved
4. Medical Information: Details of medical treatment received, to be included if medical attention was required
5. Insurance Information: Details of relevant insurance policies and claims, to be included if insurance is involved
6. Prayer/Request: Specific request or desired action, to be included if the affidavit is being used to support a specific claim or petition
1. Photographic Evidence: Authenticated photographs of the incident scene, injuries, or property damage
2. Police Reports: Certified copies of any police or incident reports filed
3. Medical Records: Relevant medical records or certificates related to injuries sustained
4. Witness Statements: Supporting affidavits from witnesses, if any
5. Sketch or Diagram: Diagram showing the location and circumstances of the incident if relevant
6. Supporting Documents: Any other relevant documents such as receipts, repair estimates, or correspondence related to the incident
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