Affidavit of Loss Driver’s License Sample

In case of lost or stolen driver’s licenses, the Land Transportation Office (LTO) usually requires the submission of an Affidavit of Loss. Not that it proves anything but this sworn statement of lost license is good enough for the LTO application for duplicate driver’s licenses.

If you are at a loss on what to do or how to secure an Affidavit of Loss, then you may check this guide on how to secure or draft one. You may also use the following sample of an Affidavit of Loss for lost LTO driver’s license to help you save money and skip out on the hassle of writing one from scratch.

affidavit of loss driver's license

What is an Affidavit of Loss for Lost Driver’s License

An Affidavit of Loss is a legal document declaring the loss of something. In the case of an Affidavit of Loss for use during the application for duplicate licenses, the affidavit explicitly states that the lost item is a license. It serves as an oath outlining that the license is lost and cannot be found despite the licensee’s best efforts, so the licensee and the agency can deem it lost for good. 

Like any other Affidavit of Loss, the Affidavit of Loss required for application for duplicate licenses states that the previously issued license was lost and can no longer be found. It is different from your regular written document that explains how the license was lost. Ultimately, while the purpose is the same, an Affidavit of Loss is much more credible, as it is a sworn statement documented officially or notarized with the help of a licensed lawyer. 

What to Expect

Though the LTO Affidavit of Loss may be used under different circumstances related to loss and the LTO, the affidavit itself is unchanging in its content, and must always contain the following information:

  • Title of the document
  • Personal information
    • Full name
    • Statement that affiant is of legal age
    • Civil status
    • Citizenship
    • Residence address
    • Residence Certificate Number
  • A narration of the circumstances of the loss, which includes
    • A description of the item or document lost
    • A description of how it got lost
    • The effort exerted to find it; and 
    • Your request for a replacement of the item or document lost.
  • The signature of the affiant or the person executing/signing the document.
  • The jurat or the oath or affirmation before the notary public that you have personally executed the document in the notary’s presence.

For Affidavit of Loss to be used at the LTO in the application for a duplicate license, the licensee must also provide the license number and all other pertinent personal information. 


A notarized Affidavit of Loss for an LTO duplicate license is something required from those who have lost their LTO driver’s license, if they wish to be able to get duplicates or a second copy of the lost license.


To get a notarized Affidavit of Loss and a Duplicate License from the LTO, you will need the requirements detailed in the guide for securing an Affidavit of Loss. You will also need the Application for Driver’s License (ADL) Form available online from the LTO website.

How to Get a Notarized Affidavit of Loss

If, somehow, you find yourself in need of a notarized Affidavit of Loss to secure a duplicate or replacement driver’s license, then you may refer to the same guide in securing an LTO Affidavit of Loss.


When it comes to the fees associated with the Affidavit of Loss for duplicate licenses, you have the option to come prepared with an affidavit, so you will only pay for notarial services with price ranging from P100.00 to P400.00. If you can’t prepare the affidavit, however, you might need to pay around P500.00 to P800.00 depending on the notary public that you are visiting. For indigents, the Public Attorney’s Office offers a notarized Affidavit of Loss for free. 

Sample Affidavit of Loss for Lost LTO Driver’s License Template

If you have no idea about how an Affidavit of Loss looks like on paper, this sample Affidavit of Loss for lost LTO driver’s license can help:


CITY OF MAKATI            ) S.S.



 I, ___________________, of legal age, Filipino, (single/married/widow) and a resident of _______________________________, after having been duly sworn to in accordance with law, depose and state THAT:

1. I am a duly-licensed driver in accordance with pertinent Land Transportation laws, rules and regulations, and was issued a corresponding (Non) Professional Driver’s License with number _____________ which is valid until _____________;

2. Sometime on ____________, said driver’s license was misplaced and got lost;

3. Efforts were exerted to locate said driver’s license, but in spite of diligent search, it could not be found and the same is now beyond recovery;

4. Said Driver’s License has not been confiscated by the LTO, Police or other Traffic Enforcers for any traffic violation;

5. As such, I am executing this Affidavit of Loss to attest to the truth of the foregoing and to support my application for the issuance of a new (Non) Professional Driver’s License, in lieu of the one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this ___________________ in Makati City, Metro Manila, Philippines.

____________________AffiantSSS ID No. _____________

SUBSCRIBED AND SWORN TO before me this ___________________ in _________________, Philippines, affiant exhibiting to me his/her competent evidence of identity by way of __________________ issued at ______________ on __________________.

Doc. No. _____;

Page No. _____;

Book No. _____;

Series of 2023.



ID No.: ______

Important Tips and Warnings

For your reference, here are some important reminders you might want to take note of:

  • An Affidavit of Loss usually has the same format, so you may check and tweak the pro forma templates available online to save you time and money in getting one. You simply need to fill it out and bring it to the notary.public’s office.
  • The Affidavit of Loss is a formal and more official version of a sworn statement explaining the loss and the lost license. 
  • Securing an Affidavit of Loss usually entails making payments, but indigents may get it for free at the Public Attorney’s Office 
  • An Affidavit of Loss is a sworn statement, so it must be truthful and accurate, lest you get accused of perjury. 
  • If the LTO find out that you have executed a false affidavit to secure a duplicate license, you might face legal repercussions and risk having uour license revoked or banned.
  • The LTO does not have their own pro forma template for the Affidavit of Loss so you may simply make one or have the Notary Public make one for you. 
  • To save money when getting a notarized Affidavit of Loss for duplicate licenses, you might want to have an affidavit document prepared before heading for the notary public’s office. 
  • All Affidavit of Loss includes a jurat or an oath or affirmation before the notary public that you have personally executed the document in the notary’s presence.

Video: How to File an Affidavit if Loss at the LTO for Lost or Stolen LTO Driver’s License

Learn more about the fees, requirements, and procedures in the actual execution and filing of an Affidavit of Loss to the actual procedures for replacing lost licenses at the LTO. Watch this video from daddyvlog69.

Frequently Asked Questions (FAQs)

To learn more about executing an Affidavit of Loss for lost LTO driver’s license, here are some common questions and answers that might help:

1. Is an Affidavit of Loss legal and acceptable as declaration for lost licenses?

Yes. The Affidavit of Loss becomes a legal document when executed under oath and notarized. Having it notarized means you are attesting to the whole truth of the contents of your affidavit as signified by the jurat, which starts with the words “SUBSCRIBED AND SWORN TO..”

If your statement is false, you can be prosecuted for perjury. 

2. Will the notary public entertain my request for a notarized Affidavit of Loss for duplicate licensee if I do not have an ID?

Yes. The notary public may notarize your document if satisfy any of the following conditions: 

a. The notary public personally knows you;
b. The notary public does not know you, but there is at least one credible witness personally known to the notary public who can confirm your identity;
c. If you can bring two credible witnesses who have IDs, and they can confirm your identity to the notary.

3. How much does the Affidavit of Loss for Duplicate License cost in the Philippines?

The fees for a notarized Affidavit of Loss for Duplicate License is the same as that of the regular Affidavit of Loss. It usually starts at P100.00 and may reach up to P500.00 to P800.00, depending on the location and prestige of the notary public. 

4. Is there a free Affidavit of Loss?

Yes. Any of the branch offices of the Public Attorney’s Office (PAO) may provide a free Affidavit of Loss to indigent persons, provided that they can show proof of indigency. 

5. How can one be considered indigent?

To be considered indigent, your family income should not exceed P14,000.00 per month if you reside in Metro Manila, P13,000.00 for other cities, and P12,000.00 for all other places. You may also check the Legal Office or the Councilor’s Office of your city or municipality, as they sometimes offer free notarial services to their constituents.

6. Does the Affidavit of Loss expire?

No. An Affidavit of Loss does not have an expiry date, but it does have limited validity. It is only valid for the specific incident where the document is lost, and can only be used once. It means once you obtain a replacement for the lost license and you lose it again, you’ll have to execute another Affidavit of Loss and can no longer use the previous one.

7. I lost my bag containing several documents and IDs. Should I execute one Affidavit of Loss for each item/document lost, or can I execute just one Affidavit for all?

No. You do not need to make one Affidavit of Loss for each lost item. Having just one affidavit for all is enough. 

8. I already found my lost license but I have already declared it lost and executed an Affidavit of Loss with LTO. How can I cancel or withdraw the Affidavit of Loss?

If you have already received a replacement license, then you can simply surrender the old one or just keep it until it expires. By then, it won’t matter whether or not you have two copies of your driver’s license anyway.

9. Can I get an Affidavit of Loss for lost professional driver’s license at the barangay hall?

Yes. You may check the barangay for free notarial services that they sometimes offer to their constituents. In case there isn’t one available, then there’s no way to execute an Affidavit of Loss from there. 

10. Is there an LTO-accredited Notary Public where I can execute my Affidavit of Loss?

No. There aren’t any LTO-accredited Notary Public which means you can get and execute your Affidavit of Loss anywhere in the country.


Getting an Affidavit of Loss is a simple matter. The procedures and requirements remain the same regardless of the lost item and regardless of what the loss entails. This means that you can have the affidavit printed by yourself and simply have it notarized or you can go to a notary public and have them prepared for you. It is also a sworn statement so it’s imperative to stay as truthful and accurate in executing your affidavit, lest it causes trouble and other legal repercussions when the authorities find that you were not entirely honest in your affidavit. 

Contact Information

To learn more about securing a Duplicate License from the LTO, you may check this guide on How to Get a Duplicate License or reach out to LTO via the following:

Land Transportation Office

LTMS portal: Visit the LTO’s official website and fill out their Contact Us form at
Phone call: You may contact them at their telephone number (632) 922-9061 to 66.
Email: You may also send them an email at
LTO Text Hotline Service: You may use LTO’s nationwide SMS service for drivers and vehicle owners by typing LTOHELP and sending it to 2600
LTO office: For information, you may check the LTO branch closest to you.

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