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Family law

Statutory Declaration of Separation of Legal Spouses or Common-law Partners (Service Canada)

A statutory declaration of the separation of legal spouses or common-law partners, used to support a benefit or pension matter. Fill it in online, download a ready-to-sign PDF, and notarize in Ontario.

Pay only when you notarize

Also known as

  • Separation Declaration (Spouses/Partners)
  • Declaration of Separation for a Pension
  • Sworn Statement of Separation
  • +1 more names
    • Spousal Separation Declaration

The blanks fill themselves in as you type.

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Walkthrough · Step 01 of 04

Statutory Declaration of Separation of Legal Spouses or Common-law Partners (Service Canada)

A compact preview of this template

01About you

Your social insurance number

Day and month the separation began (DD-MM)

Year the separation began (YYYY)

Statutory Declaration of Separation of Legal Spouses or Common-law Partners (Service Canada)

Official PDF form

Your social insurance number

Day and month the separation began (DD-MM)

Year the separation began (YYYY)

Complete the form to unlock downloadsPDF
  1. 01Work your wayGuided or All fieldsFinish one section at a time, or see every question in one form.
  2. 02See the resultLive document previewWatch this document update as you add each answer.
  3. 03Keep your placeSave and restore a draftSave progress in this browser, then restore it later on this device.

How it works

Prepare your document, one step at a time.

Answer the questions, choose the download you need, then continue with signing or booking.

  1. 01

    What is this declaration?

    It is a sworn statement confirming that legal spouses or common-law partners have separated, and since when.

    It is used where a benefit or pension program requires sworn confirmation of separation.

  2. 02

    When you might need one

    It supports benefit and pension matters.

    • A benefit or pension program asks you to confirm a separation.
    • You must show that spouses or partners are living separately.
    • A program requires sworn confirmation of separated status.
  3. 03

    How to notarize a declaration of separation of spouses or common-law partners in Ontario

    After you fill in your declaration of separation of spouses or common-law partners 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 declaration of separation of spouses or common-law partners 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.

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 witnesses your signature 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 Separation of Legal Spouses or Common-law Partners (Service Canada)

01
What is this declaration for?
To confirm, under oath, the separation of legal spouses or common-law partners, supporting a benefit or pension matter.
02
Is this the same as a separation agreement?
No. A separation agreement is a contract settling property, support, and parenting. This declaration confirms the fact of separation.
03
Can I notarize it online in Ontario?
Yes. You can complete it online by video under Ontario’s remote commissioning rules, or in person in Ottawa with Minute Notary.
04
Does the program decide eligibility?
Yes. The benefit or pension program applies its own rules; this declaration provides sworn information in support.

Keep exploring

Related templates

Other documents for family & relationships.

  1. 01
    Statutory Declaration of Living Separate and Apart

    A sworn declaration that you and your spouse or partner have been living separate and apart since a given date — often required for tax, benefits, or status purposes. Fill it in online, download a ready-to-sign PDF, and notarize in Ontario.

    Fill it out
  2. 02
    Statutory Declaration of Guardianship of a Minor

    A sworn declaration regarding the guardianship or care of a minor child — used to support a guardianship arrangement. Fill it in online, download a ready-to-sign PDF, and notarize in Ontario. Obtain legal advice for guardianship matters.

    Fill it out
  3. 03
    Statutory Declaration of Sole Support Parent

    A sworn declaration that you are the sole-support parent of your child or children — used to support benefit, credit, or program applications. Fill it in online, download a ready-to-sign PDF, and notarize in Ontario.

    Fill it out
  4. 04
    Acknowledgement of Debt (Debtor)

    A sworn statement by a debtor acknowledging that a debt is owed and setting out how it will be repaid — useful to confirm a debt and a repayment commitment. Fill it in online, download a ready-to-sign PDF, and notarize in Ontario.

    Fill it out

Ready to sign?

Ready to create your Statutory Declaration of Separation of Legal Spouses or Common-law Partners (Service Canada)?

Fill it in online, then download a ready-to-sign PDF. This document must be signed in person.