Affidavit Regarding the Non-Receipt of a Package

Have you checked if the package was left with a neighbor or in a safe location? *

No
Yes

Was the name on the doorbell/mailbox correctly indicated? *

No
Yes

Have you experienced any delivery issues at this address recently? *

No
Yes

Was someone home when the package was delivered? *

No
Yes

Did you receive any notification from the courier (e.g., pickup slip or email)? *

No
Yes

Have you already inquired about the package with your local post office or the courier? *

No
Yes

Did you specify a drop-off location for the delivery? *

No
Yes

According to the tracking, who accepted the package? *

What drop-off location did you specify for the delivery? *

Your delivery address *

Please confirm your full and correct delivery address.

Tracking number *

Delivery date *

Legally binding declaration *

I/we hereby declare that the above-mentioned parcel(s) has (have) not come into my/our possession and has (have) not come into the possession of a person known to me/us.

Affidavit *

I hereby declare under oath that I, recipient of the above-mentioned package, did not receive the package, and the signature on the delivery proof does not belong to me or anyone known to me.

Photo of the front side of your ID card/passport *

Choose file or drag here

Supported format: JPG, JPEG, PNG, GIF, SVG.

With a visible signature and name. Everything else can be blacked out.

Date *

Name

Signature

Clear

Please note that you may have to repeat this statement in court proceedings. A false statement in court may lead to criminal consequences up to and including a custodial sentence.

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Affidavit Regarding the Non-Receipt of a Package

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