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Affidavits
A sworn affidavit attesting to your vaccination status. Fill it in online, download a ready-to-sign PDF, and notarize in Ontario. The body requesting it decides whether to accept it; this is not medical advice.
Also known as
Vaccination Status Affidavit
I, ______, of the city of ______, in the province/state of ______, DO SOLEMNLY DECLARE AND STATE:
I was born on ______ in ______.
I hereby swear or affirm that I received the following vaccines:
Vaccine Name: ______
Date Vaccine Received: ______
I swear this Affidavit in support of my submission to ______, and for no other unlawful or improper purpose.
Supplementary details
Current citizenship: ______
How it works
Answer the questions on the left. Your document builds itself on the right as you type.
Get a clean, ready-to-sign PDF in seconds. No account, no watermark.
Book an appointment, bring your document, and we witness your signature and apply the seal.
Overview
It is a sworn attestation of your vaccination status, sworn before a notary public or commissioner for taking affidavits.
The notary witnesses the sworn statement; an official vaccination record is the primary proof where one is available.
Where an official vaccination record exists, that is the usual proof. This affidavit attests to your status under oath; the organization requesting it decides whether it accepts it. It is not medical advice.
After you fill in your proof of vaccination affidavit 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 proof of vaccination affidavit 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.
Frequently asked
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