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Statutory Declaration of Surrender of a Document
A sworn declaration confirming that you have surrendered, returned, or given up a document — used to confirm it is no longer in your possession or use. 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
- Surrender Affidavit
- Declaration of Returned Document
- Document Surrender Declaration
+1 more names
- Sworn Statement of Surrender
STATUTORY DECLARATION OF SURRENDER OF A DOCUMENT
I, ______, of ______, in the Province of Ontario, SOLEMNLY DECLARE that:
I was the holder of the following document: ______ (reference number: ).
On ______, the document was ______ (authority involved: ).
The reason and circumstances are as follows: ______.
The document is no longer in my possession or control.
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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Statutory Declaration of Surrender of a Document
A compact preview of this template
01Your Information
Your full legal name
Description of the document
Your full address
STATUTORY DECLARATION OF SURRENDER OF A DOCUMENT
I, ______, of ______, in the Province of Ontario, SOLEMNLY DECLARE that:
I was the holder of the following document: ______ (reference number: ).
On ______, the document was ______ (authority involved: ).
The reason and circumstances are as follows: ______.
The document is no longer in my possession or control.
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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How it works
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Overview
About this document
- 01
What is a surrender of document declaration?
It is a sworn statement — also called a surrender affidavit or declaration of returned document — confirming that a specified document has been surrendered or given up, and to whom where relevant.
It is used where an authority or party needs sworn confirmation that a document is no longer held or used by you.
- 02
When you might need one
It is used to confirm a document has been given up.
- Confirming a permit, licence, or card has been surrendered.
- Recording that an original document has been returned to its issuer.
- Supporting a process that requires proof a document is no longer held.
- 03
What to include
Describe the document, state that you have surrendered or returned it and to whom, and the date. Confirm it is no longer in your possession or use.
- 04
How to notarize a statutory declaration of surrender of a document in Ontario
After you fill in your statutory declaration of surrender of a document 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 surrender of a document 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.
Good to know
Before you fill it in.
Short notes from our notary on this template. Worth a minute before you start.
- 01
Reviewed for use in Ontario by a notary public and commissioner for taking affidavits.
- 02
Fill it in online for free and download a ready-to-sign PDF — no account required.
- 03
Sign in front of the notary, who administers your oath or affirmation and applies the seal.
- 04
Notarize online by video across Ontario, or in person in Ottawa.
Frequently asked
Questions about the Statutory Declaration of Surrender of a Document
- What is a surrender of document declaration for?
- To confirm under oath that a document — such as a permit, licence, card, or original record — has been surrendered, returned, or given up and is no longer in your possession.
- What should it include?
- A description of the document, that you surrendered or returned it and to whom, the date, and confirmation it is no longer held or used by you.
- 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.
- Do I need a lawyer?
- No. You complete it yourself and have it commissioned by a notary public or commissioner for taking affidavits.
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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.