Statement of Residence Template — Québec
A statement of residence attests under oath to the address where someone lives, and since when — useful when no usual proof of residence (utility bill, lease) is available for the process at hand.
The template lets you specify the start (and, if applicable, end) date of residence at the declared address, with space for any detail relevant to the process.
What is this template for?
It formally confirms, under oath, a person's current or past address, when no other document can prove it.
When can it be used?
- Confirming a residential address when no utility bill or lease is available
- Attesting to a period of residence at a given address for an administrative process
- Supporting a file that requires a sworn proof of residence
Before using it
If the receiving organization (for example a government program) requires its own statement-of-residence 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.
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.
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. Several organizations (including some government programs) require their own residence-declaration form — check this before using this template.