Did you lose a government ID, passport, or ATM card and need an Affidavit of Loss for replacement?

Identify the exact document lost (e.g. PhilSys National ID, LTO Driver's License, BDO ATM card), date lost, and the circumstance of loss. Paste the prompt below into ChatGPT, Gemini, or Claude. Never input your actual home address or birthdate into public chat. Print the generated 1-page draft on bond paper and take it to an accredited Public Notary or PAO (Public Attorney's Office) for oath and notarization. Before you use it: An Affidavit of Loss only becomes legally binding once signed under oath before a licensed Notary Public. Notaries charge a nominal fee (or free at PAO for indigent clients).

Affidavit of Loss sample (Philippines): IDs and ATM cards

Sample Affidavit of Loss

A common one-page layout with numbered paragraphs and a jurat block. Your notary may use their own format.

REPUBLIC OF THE PHILIPPINES )
[CITY OR MUNICIPALITY] ) S.S.

AFFIDAVIT OF LOSS

I, [FULL NAME], of legal age, Filipino, [civil status], and residing at [address], after having been duly sworn in accordance with law, hereby depose and state:

1. That I am the holder of [the lost document, e.g. my LTO Driver's License / PhilSys National ID / ATM card of (bank)], with number [number, if known];

2. That on or about [date], I discovered that the said [document] was lost, under the following circumstances: [short, true description of when and where you last had it];

3. That despite diligent efforts to locate it, the said [document] can no longer be found;

4. That I am executing this affidavit to attest to the truth of the foregoing and in support of my request for a replacement of the said [document].

IN WITNESS WHEREOF, I have hereunto set my hand this [day] of [month] [year] at [city or municipality], Philippines.

[Signature over printed name]
Affiant

SUBSCRIBED AND SWORN to before me this [day] of [month] [year] at [city or municipality], affiant exhibiting to me [a valid ID with number].

Notary Public

Doc. No. ____;
Page No. ____;
Book No. ____;
Series of [year].

An Affidavit of Loss only becomes binding once you sign it under oath before a notary public. Do not type your full birthdate or home address into an AI chat; fill them in on the printed copy.

Listen to this guide

AI narration · English · Prompt text stays on the page

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An open empty wallet and a blank card beside an envelope, shown in Pinoy AI Works artwork

What to do

Identify the exact document lost (e.g. PhilSys National ID, LTO Driver's License, BDO ATM card), date lost, and the circumstance of loss.
Paste the prompt below into ChatGPT, Gemini, or Claude. Never input your actual home address or birthdate into public chat.
Print the generated 1-page draft on bond paper and take it to an accredited Public Notary or PAO (Public Attorney's Office) for oath and notarization.

Try this prompt

Provide document type, estimated date of loss, and where it was lost. Insert actual full name and address offline.

Help me prepare a FACT-ONLY draft/worksheet for an Affidavit of Loss. Do not invent facts, legal language or notarization requirements.

LOST ITEM
Type of item: [ID / ATM CARD / DOCUMENT / OTHER]
Issuer/institution: [NAME]
Safe identifier: [LAST SAFE DIGITS / NONE — DO NOT ENTER FULL ACCOUNT/ID NUMBER]
Approximate date/time last seen: [FACT / TO CONFIRM]
When I discovered it missing: [FACT / TO CONFIRM]
Place/circumstances: [ONLY WHAT I PERSONALLY KNOW]
Steps I already took: [FACTS / NONE]
Purpose for requesting replacement: [FACT / NONE]

RULES
- Never invent where/how the item was lost, who may have taken it, police/barangay reporting, blocking status, dates, witnesses or actions I did not take.
- Do not ask for PINs, passwords, OTPs, CVV, full card/account numbers or unnecessary full ID numbers.
- If a material fact is uncertain, use “[TO CONFIRM]” rather than filling it.
- Do not claim this draft is notarized, legally sufficient or accepted by a particular agency/bank.
- Do not invent current documentary/notarial requirements. Those must be checked with the receiving institution/notary through an official/current source.
- Draft only; do not report, block, replace, submit or contact anyone for me.

OUTPUT
1. Facts I supplied.
2. Missing facts / To confirm.
3. Neutral affidavit-style draft using only supplied facts.
4. Separate checklist of institution/notary requirements that I must verify.
5. Privacy check listing any sensitive detail that should stay out unless truly required.

Before finishing, trace every factual sentence in the draft to one of my supplied facts. Remove unsupported statements.

See a sample result

Illustrative example. Your answer may differ.

Output: Standard formatted legal affidavit with numbered paragraphs and jurat block ready to open in Microsoft Word or Google Docs and print for notarization.

Before you use it: An Affidavit of Loss only becomes legally binding once signed under oath before a licensed Notary Public. Notaries charge a nominal fee (or free at PAO for indigent clients).

Philippine notes

Keep the circumstance of loss simple, factual, and honest (e.g. misplaced during travel). Never fabricate circumstances.
Bring a secondary valid government ID with photo and signature when visiting the notary office for verification.

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