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Statutory Declaration of Lost or Stolen Identification
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STATUTORY DECLARATION OF LOST OR STOLEN IDENTIFICATION
I, ______, of ______, in the Province of Ontario, SOLEMNLY DECLARE that:
I was the lawful holder of the following identification: ______.
Document or card number (if known):
Issuing authority (if specified):The document was ______ in the following circumstances: ______.
Police report number (where the document was stolen and reported to police):
The document has not been transferred, sold, or used by me since that time, and I have been unable to recover it.
I make this declaration to support the issuance of a replacement. Specific purpose (if any):
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.
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