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.

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

Contactgegevens

GEUR

ONDERSTEUNING

SAINT SKEI

Herroep de overeenkomst