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Affidavits

Affidavit of Witness to an Incident

A sworn affidavit by an eyewitness describing an incident they saw — useful to support an insurance claim, a complaint, or a legal matter. Fill it in online, download a ready-to-sign PDF, and notarize in Ontario.

Pay only when you notarize

Word files are editable. Review any changes carefully before signing or uploading.

Also known as

  • Eyewitness Affidavit
  • Witness Statement Affidavit
  • Affidavit of an Eyewitness
  • +1 more names
    • Sworn Witness Statement

AFFIDAVIT OF WITNESS TO AN INCIDENT

I, ______, of ______, in the Province of Ontario, MAKE OATH AND SAY (or AFFIRM) that:

  1. On ______, at ______, I personally witnessed a ______.

  2. What I saw, in my own words, is as follows: ______.

  3. People involved, if known:

  4. Purpose of this affidavit (if specified):

Signed and sworn (or affirmed/declared) before me by videoconference in Ottawa, Ontario, while the Affiant(s)/Declarant(s) were located in ______________________, on ______________________, pursuant to O. Reg. 431/20, and Electronic Commerce Act, 2000.

______________________________
A Commissioner of Oaths / Notary Public

______________________________
______

The blanks fill themselves in as you type.

Scope
General template, not legal advice
Formats
PDF + editable Word downloads
Builder
Live preview as you type
Fill · download · notarize
Walkthrough · Step 01 of 04

Affidavit of Witness to an Incident

A compact preview of this template

01Witness Information

Your full legal name

Date of the incident

Your full address

AFFIDAVIT OF WITNESS TO AN INCIDENT

I, ______, of ______, in the Province of Ontario, MAKE OATH AND SAY (or AFFIRM) that:

  1. On ______, at ______, I personally witnessed a ______.

  2. What I saw, in my own words, is as follows: ______.

  3. People involved, if known:

  4. Purpose of this affidavit (if specified):

Signed and sworn (or affirmed/declared) before me by videoconference in Ottawa, Ontario, while the Affiant(s)/Declarant(s) were located in ______________________, on ______________________, pursuant to O. Reg. 431/20, and Electronic Commerce Act, 2000.

______________________________
A Commissioner of Oaths / Notary Public

______________________________
______

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How it works

Prepare your document, one step at a time.

Answer the questions, choose the download you need, then continue with signing or booking.

  1. 01

    What is an eyewitness affidavit?

    It is a sworn statement by someone who saw an incident, setting out what happened in their own words.

    It is sworn before a notary public or commissioner so the account can be relied on as evidence.

  2. 02

    When you might need one

    It supports claims and complaints.

    • You witnessed an accident or incident and your account is needed.
    • An insurer or party asks for a sworn statement of what you saw.
    • A complaint or claim relies on eyewitness evidence.
  3. 03

    How to notarize a affidavit of witness to an incident in Ontario

    After you fill in your affidavit of witness to an incident and download the PDF, do not sign it in advance. A sworn document must be signed in front of a notary public or commissioner for taking affidavits, who administers your oath or solemn affirmation first.

    Minute Notary commissions your affidavit of witness to an incident online by secure video, under Ontario's remote commissioning rules (O. Reg. 431/20), or in person in Ottawa. Bring valid government-issued photo identification.

Notary’s docket

Good to know

Before you fill it in.

Short notes from our notary on this template. Worth a minute before you start.

  1. 01

    Reviewed for use in Ontario by a notary public and commissioner for taking affidavits.

  2. 02

    Fill it in online for free and download a ready-to-sign PDF — no account required.

  3. 03

    Sign in front of the notary, who administers your oath or witnesses your signature and applies the seal.

  4. 04

    Notarize online by video across Ontario, or in person in Ottawa.

Frequently asked

Questions about the Affidavit of Witness to an Incident

01
Should I only state what I saw myself?
Yes. Describe what you personally witnessed. If part is based on what others told you, say so clearly rather than presenting it as first-hand.
02
Can I be asked about this later?
Possibly. A sworn statement may be relied on in a claim or proceeding, so keep it accurate.
03
Can I notarize it online in Ontario?
Yes. You can complete it online by video under Ontario’s remote commissioning rules, or in person in Ottawa with Minute Notary.
04
What should it include?
The date, location, and type of incident, a clear account of what you saw, and the people involved.

Keep exploring

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    Fill it out
  2. 02
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  3. 03
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  4. 04
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Ready to sign?

Ready to create your Affidavit of Witness to an Incident?

Fill it in online, then download a ready-to-sign PDF or an editable Word copy. Use the generated PDF to continue to booking. Not sure what the appointment involves? Read about the Statutory Declarations service first.