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    (Time) (Day) (Month) (Year) Brief Description of Incident)

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    kvill dingle
    This document is an affidavit of loss describing an incident where an employee lost their company ID/temporary employee pass despite efforts to locate it. The affiant signs to establish the fact of the loss and request a new ID be issued to replace the lost one. They sign and swear to the details before a notary public.

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    (Time) (Day) (Month) (Year) Brief Description of Incident)

    Uploaded by

    kvill dingle
    31 views1 page
    This document is an affidavit of loss describing an incident where an employee lost their company ID/temporary employee pass despite efforts to locate it. The affiant signs to establish the fact of the loss and request a new ID be issued to replace the lost one. They sign and swear to the details before a notary public.

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    reviewwww

    Original Title

    Document Review

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    This document is an affidavit of loss describing an incident where an employee lost their company ID/temporary employee pass despite efforts to locate it. The affiant signs to establish the fact of the loss and request a new ID be issued to replace the lost one. They sign and swear to the details before a notary public.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    31 views1 page

    (Time) (Day) (Month) (Year) Brief Description of Incident)

    Uploaded by

    kvill dingle
    This document is an affidavit of loss describing an incident where an employee lost their company ID/temporary employee pass despite efforts to locate it. The affiant signs to establish the fact of the loss and request a new ID be issued to replace the lost one. They sign and swear to the details before a notary public.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    You are on page 1of 1

    Nature of Incident:

    That on or
    about: (Time) (Day) (Month) (Year)

    (Give brief description of incident)


    _________________________________________________
    ______________________________________________________________________________________
    ______________________________________________________________________________________
    _____________________________________________________________________________________.

    That said COMPANY ID/TEMPORARY EMPLOYEE PASS was lost and despite
    diligent efforts exerted to locate the same, it could no longer be found.

    This Affidavit of Loss is executed in order to establish the foregoing fact of


    loss and to request the aforestated Company to issue a new Identification Card in
    lieu of the lost one.

    In WITNESS WHEREOF, I have hereunto affixed my signature this _____ day


    of ___________________ in the City of __________________, Philippines.

    Affiant

    SUBSCRIBED AND SWORN to before me this _____ day of ______________ at


    ____________________, Philippines, after affiant exhibited to me Community Tax
    Certificate No. _______________ issued on _______________ at ____________________,
    Philippines.

    NOTARY PUBLIC

    Doc. No. _________


    Page No. _________
    Book No. _________
    Series of _________

    Page 1 of 1

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