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Affidavit of Death Estate Philippines

Affidavit of Death Template Philippines: Free Sample & Guide

When and how to use a Philippine Affidavit of Death — for insurance, estate, pension, and government transactions when a PSA death certificate is pending or unavailable.

May 5, 2026 · 8 min read

What Is an Affidavit of Death?

An Affidavit of Death is a sworn declaration by a person with direct knowledge of a death, attesting to the date, place, and circumstances of the deceased's passing. In Philippine practice, it is used in situations where the PSA death certificate is not yet available or where an institution requires a sworn statement alongside or instead of the official document.

The same affidavit often supports a delayed registration of death at the Local Civil Registry when the death was never reported on time; in Filipino, any such notarized declaration is known as a Sinumpaang Salaysay.

It is especially common in the immediate aftermath of a death — insurance companies, banks, and government benefit offices often require a notarized affidavit while the family awaits the PSA-authenticated death certificate.

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When Is an Affidavit of Death Required?

  • Life insurance claims — while awaiting the PSA death certificate
  • SSS, GSIS, or Pag-IBIG survivor benefits — to begin the claims process
  • Bank account of the deceased — for estate access proceedings
  • Extra-judicial settlement of estate — establishes that the deceased has died without a will
  • Cancellation of government records — voter records, PhilHealth, senior citizen ID
  • PhilHealth death benefit claim
  • Pension benefits for the surviving spouse

Required Facts in an Affidavit of Death

  1. Affiant's identity and relationship — who is declaring and how they knew the deceased
  2. Deceased's full name — as it appears in official records
  3. Date of death — complete date (day, month, year)
  4. Place of death — municipality/city, province, or hospital name
  5. Cause of death (if known and relevant) — illness, accident
  6. Surviving heirs or dependents (if required by the institution)
  7. Purpose — why the affidavit is being executed

Free Affidavit of Death Template

Republic of the Philippines
City/Municipality of ) S.S.
Province of
AFFIDAVIT OF DEATH

I, [AFFIANT'S FULL NAME], [age] years old, [civil status], Filipino, with residence at [complete address], after being duly sworn in accordance with law, hereby depose and state that:

1. I am the [relationship: e.g., "spouse / child / sibling"] of the late [DECEASED'S FULL NAME], and I have personal knowledge of the facts stated herein.

2. [DECEASED'S FULL NAME] passed away on [date of death] at [place of death: hospital name / barangay, municipality, province], Philippines, due to [cause of death, if known / "natural causes"].

3. [He/She] was [age] years old at the time of death, [civil status], and a Filipino citizen, with last known residence at [address].

4. [Optional: He/She is survived by the following heirs: (list names and relationships).]

5. I am executing this Affidavit of Death to attest to the truth of the foregoing and for the purpose of [state purpose, e.g., "supporting a claim for insurance proceeds / survivor benefits / estate settlement"] and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this day of , 20 at , Philippines.

[AFFIANT'S FULL NAME]
Affiant

SUBSCRIBED AND SWORN TO BEFORE ME, this day of , 20, in , Philippines. Affiant exhibited to me his/her Competent Evidence of Identity: .

NOTARY PUBLIC
Until Dec. 31, 20
PTR No.
IBP No.
Roll No.
MCLE Compliance No.
Doc. No. ;
Page No. ;
Book No. ;
Series of 20.

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Frequently Asked Questions

What is an Affidavit of Death in the Philippines?
An Affidavit of Death is a sworn declaration by a person with personal knowledge attesting to the death of an individual — including the date, place, and circumstances. It is used when the PSA death certificate is not yet available, lost, or needs supplementing for legal or administrative transactions.
When is an Affidavit of Death required?
Common uses include: insurance claims (while awaiting the PSA death certificate), estate proceedings, cancellation of government records, pension application for surviving spouse, SSS/GSIS/Pag-IBIG survivor benefit claims, and bank account access for the deceased's estate.
Who can execute an Affidavit of Death?
Any person with personal knowledge of the death — such as a spouse, child, parent, sibling, attending physician, barangay official, or neighbor who witnessed the death or the burial. Institutions may require the affiant to be a close relative of the deceased.
Does an Affidavit of Death replace the PSA death certificate?
No. An Affidavit of Death is a temporary supporting document. For most official purposes, the PSA-issued death certificate remains the primary and ultimate proof of death. The affidavit is accepted only while the PSA certificate is being obtained or if the original was lost.
What is the difference between an Affidavit of Death and a death certificate?
A death certificate is a civil registration document issued by the Local Civil Registry and authenticated by the PSA. An Affidavit of Death is a private sworn statement — it has evidentiary weight but is not a government-issued record and cannot permanently replace the death certificate.
Can an Affidavit of Death be used for delayed or late registration of death?
Yes. When a death was never reported to the Local Civil Registry within the reglementary period, the LCR requires a notarized affidavit from a person with personal knowledge of the death — often captioned an Affidavit for Delayed Registration of Death — together with supporting documents such as burial or hospital records. In Filipino, this sworn declaration is a form of Sinumpaang Salaysay, and the registrar accepts it in English or Filipino.

Related Guides

How to Generate an Affidavit of Death (Tutorial) All Affidavit Templates Affidavit of Birth Template Extra-Judicial Settlement Template Affidavit of Loss Template