Skip to main content
Independent service in Quebec | support@assermente.caFrançais
← Assermentation Express

Statement of Stolen Document Template — Québec

This template is used to declare, under oath, the theft of a document (ID, certificate, title...), specifying the type of document, the issuing organization if known, and the approximate circumstances of the theft.

A section also lets you note the steps already taken — notably the police report, generally required in a case of theft (unlike a simple loss) before a replacement document is issued.

What is this template for?

It formally attests to the theft of a specific document, often required by the issuing organization before a duplicate is issued.

When can it be used?

  • Requesting a replacement for a stolen piece of ID or a stolen certificate
  • Supporting a process that requires a sworn statement of theft
  • Documenting the circumstances of the theft and confirming a police report was filed

Before using it

File a police report before completing this template: most organizations require the police report number in a case of theft. If the organization that issued the stolen document provides its own statement form, that official form must be used first.

Create my declaration

Fill out a short form to prepare your personalized declaration, then download it — everything happens in your browser.

Need your declaration commissioned?

Book a session with an online commissioner for oaths — CAD $29, up to 3 documents per session.

Important notice

This template is provided for informational purposes only. It is not an official government form, nor legal advice. Replacing certain documents (passport, driver's licence, etc.) follows a process and form specific to the issuing organization — check this before using this template.

Statement of Stolen Document Template — Québec (PDF)