Letters in English
Letter Template
Self Declaration Letter for Accident by Patient- Accident Self Declaration Format
Deepanshu Thakral
April 7, 2020
Categories:
Declaration Letters
Accident Letters
Information Letters
Summary
When drafting a self-declaration letter for an accident, it's essential to be clear and concise. Begin by stating your name, address, and details of the accident, including the activity you were engaged in at the time, the cause of the accident, location, and time. Declare the statement's truthfulness to the best of your knowledge. Enclose any relevant documents, such as an undertaking or witness details, with the letter.

Sample Self Declaration Letter for Accident by Patient

To,
The Manager
_____________ (Company Name)
_____________ (Company Address)

Date: __/__/____ (Date)

Subject: Self Declaration regarding the accident

Sir/Madam,

I, _______________ (Patient Name), son of/ daughter of/ wife of _______________ residing at ( Address) hereby confirm that I was ________ (what your were doing at the time of accident) when suddenly __________ (reason of accident) and accident took place at __________ (location where accident taken place). It was around __________ (Time) when accident took place.

I hereby declare that statement made above is true to the best of my knowledge.

I am enclosing _________ (undertaking/form/witness details) along with the application.

Thank you,

Signature: _____________
Your Name: __________
Mobile number: _________

Editable Letter Templates

Personalize, print, or download these templates for your use.