Open daily: 8:00 AM - 8:00 PM
other
A sworn declaration listing the addresses where you have lived over a period — often required for security clearances, immigration, or background checks. Fill it in online, download a ready-to-sign PDF, and notarize in Ontario.
Word files are editable. Review any changes carefully before signing or uploading.
Also known as
STATUTORY DECLARATION OF ADDRESS HISTORY
I, ______, of ______, in the Province of Ontario, SOLEMNLY DECLARE that:
For the period covering ______, I have lived at the following addresses, with the dates shown: ______.
To the best of my knowledge and recollection, the above is a complete and accurate record of the addresses where I have lived during that period, with no gaps.
I make this declaration for the following purpose: .
I make this solemn declaration conscientiously believing it to be true and knowing that it is of the same force and effect as if made under oath.
DECLARED before me at the ______________________ of ______________________, in the Province of Ontario, this ______ day of ______________, 20______.
_______________________________ _______________________________
A Commissioner for taking Affidavits Signature of Declarant
Statutory Declaration of Address History
A compact preview of this template
Your Information
Your full legal name
Period this declaration covers (e.g. the past ten years)
Your full address
STATUTORY DECLARATION OF ADDRESS HISTORY
I, ______, of ______, in the Province of Ontario, SOLEMNLY DECLARE that:
For the period covering ______, I have lived at the following addresses, with the dates shown: ______.
To the best of my knowledge and recollection, the above is a complete and accurate record of the addresses where I have lived during that period, with no gaps.
I make this declaration for the following purpose: .
I make this solemn declaration conscientiously believing it to be true and knowing that it is of the same force and effect as if made under oath.
DECLARED before me at the ______________________ of ______________________, in the Province of Ontario, this ______ day of ______________, 20______.
_______________________________ _______________________________
A Commissioner for taking Affidavits Signature of Declarant
How it works
Answer the questions, choose the download you need, then continue with signing or booking.
Overview
It is a sworn statement — also called a residential history declaration or declaration of past addresses — recording where you have lived over a defined period, with the dates for each address.
It is used where a complete, gap-free address history must be confirmed under oath.
It supports clearances and checks.
List each address in order with the dates you lived there, and account for the whole period with no gaps. Note any time abroad or in temporary housing, and indicate where a date is approximate.
After you fill in your statutory declaration of address history 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 statutory declaration of address history 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 so we can verify your identity before applying the notary seal.
Frequently asked
Keep exploring
Other documents for identity & personal status.
A sworn affidavit by someone who knows you, confirming your identity and particulars — useful where a person cannot prove their identity with standard documents. Fill it in online, download a ready-to-sign PDF, and notarize in Ontario.
Fill it outA sworn affidavit explaining why something was filed or done late — used to support a request to accept a late application or excuse a delay. Fill it in online, download a ready-to-sign PDF, and notarize in Ontario.
Fill it outA sworn affidavit by a witness who saw a document signed — confirming the signing took place and that the signer appeared to act freely. Fill it in online, download a ready-to-sign PDF, and notarize in Ontario.
Fill it outA sworn affidavit confirming that you will financially support a student’s education — often required for school enrolment or a study permit. Fill it in online, download a ready-to-sign PDF, and notarize in Ontario.
Fill it outFill it in online, then download a ready-to-sign PDF or an editable Word copy. Use the generated PDF to continue to booking.