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Statutory declarations

Statutory Declaration of Financial Hardship

A sworn declaration describing your financial circumstances — used to support a request for a fee waiver, payment arrangement, or other relief. Fill it in online, download a ready-to-sign PDF, and notarize in Ontario.

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

Also known as

  • Affidavit of Financial Hardship
  • Declaration of Inability to Pay
  • Hardship Affidavit
  • +2 more names
    • Sworn Statement of Financial Hardship
    • Financial Hardship Statement

STATUTORY DECLARATION OF FINANCIAL HARDSHIP

I, ______, of ______, in the Province of Ontario, SOLEMNLY DECLARE that:

  1. I am currently experiencing financial hardship, described as follows: ______.

  2. My approximate monthly income is , and I support dependent(s).

  3. My major monthly expenses or debts include: .

  4. Because of these circumstances, I am unable to meet the cost in question, and I respectfully request: ______.

  5. The information above is a true and accurate statement of my financial situation.

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.

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
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Walkthrough · Step 01 of 04

Statutory Declaration of Financial Hardship

A compact preview of this template

01Your Information

Your full legal name

Describe your financial circumstances and what caused the hardship

Your full address

STATUTORY DECLARATION OF FINANCIAL HARDSHIP

I, ______, of ______, in the Province of Ontario, SOLEMNLY DECLARE that:

  1. I am currently experiencing financial hardship, described as follows: ______.

  2. My approximate monthly income is , and I support dependent(s).

  3. My major monthly expenses or debts include: .

  4. Because of these circumstances, I am unable to meet the cost in question, and I respectfully request: ______.

  5. The information above is a true and accurate statement of my financial situation.

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.

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

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  1. 01

    What is a financial hardship declaration?

    It is a sworn statement — also called a hardship affidavit or declaration of inability to pay — setting out your financial circumstances under oath.

    Courts, agencies, and institutions may accept it to support a fee waiver, a payment arrangement, or other relief.

  2. 02

    When you might need one

    It supports requests for relief based on your finances.

    • Asking for a fee to be waived or reduced.
    • Requesting a payment arrangement you can afford.
    • A program requires sworn proof of your financial situation.
  3. 03

    What to include

    Describe your circumstances, your approximate income, the dependents who rely on you, and your major expenses or debts, and state clearly the relief you are requesting. Keep supporting records available, as the recipient may ask for them.

  4. 04

    How to notarize a financial hardship declaration in Ontario

    After you fill in your financial hardship declaration 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 financial hardship declaration 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.

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 affirmation and applies the seal.

  4. 04

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

Frequently asked

Questions about the Statutory Declaration of Financial Hardship

01
What is a financial hardship declaration used for?
To support a request for a fee waiver, a reduced or deferred payment, or other relief, by setting out your income, dependents, and obligations under oath.
02
Will it guarantee a fee waiver?
No. It supports your request; the body you submit it to decides whether to grant relief under its own rules.
03
Should I attach proof?
Where possible, keep supporting records such as pay information or bills available, as the recipient may ask for them in addition to your declaration.
04
Can I notarize it online in Ontario?
Yes. You can swear it online by video under Ontario’s remote commissioning rules, or in person in Ottawa with Minute Notary.

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  3. 03
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  4. 04
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Ready to sign?

Ready to create your Statutory Declaration of Financial Hardship?

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.