Statement of Lost Document Template — Québec
This template is used to declare, under oath, the loss of a document (ID, certificate, title...), specifying the type of document, the issuing organization if known, and the approximate circumstances of the loss.
A section also lets you note the steps already taken (police report, notice to the issuing organization, etc.), often required before a replacement document is issued.
What is this template for?
It formally attests to the loss of a specific document, often required by the issuing organization before a duplicate is issued.
When can it be used?
- Requesting a replacement for lost ID or a lost certificate
- Supporting a process that requires a sworn statement of loss
- Documenting the circumstances and steps already taken following a loss
Before using it
If the organization that issued the lost document provides its own statement-of-loss form, that official form must be used first.
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Fill out a short form to prepare your personalized declaration, then download it — everything happens in your browser.
Template preview
This template is currently available in French only. The layout and fields are easy to follow even if you don't read French fluently — ask your commissioner if you have questions before your session.
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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.