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Statutory declaration to confirm facts in writing (Northern Ireland)
Northern Ireland · in English
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Made for use in Northern Ireland
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For anyone in Northern Ireland asked by a bank, employer, DVLA, a pension scheme or another organisation to confirm facts by statutory declaration — a lost document, living together, a name used or a family link. You write the facts in numbered paragraphs; the document adds the words the Statutory Declarations Act 1835 requires. You sign it in person before a solicitor, commissioner for oaths, notary public or justice of the peace; a commissioner’s fee is £5, plus £2 for each exhibit (SR 1993/418).
- Made for use in Northern Ireland
- Last updated October 29, 2026
- Document in English
Where a UK document reproduces the words of legislation or of a government publication — UK, Scottish or Northern Irish — it contains public sector information licensed under the Open Government Licence v3.0.
Published byDocMuse
When to use this document
- Your bank in Northern Ireland has asked you to confirm a lost document by statutory declaration.
- A pension scheme wants a statutory declaration that you lived with your late partner.
- You need to declare that two names on your papers belong to the same person.
- You want to set out facts in a statutory declaration to sign before a commissioner.
What you fill in
The details the document asks for.
- Declarant
- Declarant's home address
- What you declare (the facts, in numbered paragraphs)
- Documents attached as exhibits (blank if none)
- Town or city
- Date
Common questions
- Who can take a statutory declaration in Northern Ireland, and what is the fee?
- A solicitor or other commissioner for oaths, a notary public or a justice of the peace, in person: they check your identity, watch you sign and sign the ‘Before me’ lines. A commissioner’s fee is set by the Commissioners for Oaths (Fees) Order (Northern Ireland) 1993 at £5 for the declaration and £2 for each exhibit, VAT included; ask a notary or justice of the peace about any fee first. Do not sign beforehand, and fill in where and when you declare it.
- Is a false statutory declaration a crime in Northern Ireland?
- Yes. Knowingly and wilfully making a statement false in a material particular in a statutory declaration is an offence under Article 10 of the Perjury (Northern Ireland) Order 1979. Write only facts you know to be true, say how you know them, and keep what you saw yourself apart from what you were told. If you are unsure of a date or a figure, say so rather than guess.
- Do I need a declaration at all, or will the organisation’s own form do?
- Use the organisation’s own form or online service whenever it has one: DVLA, HM Passport Office, banks and pension schemes have free routes for many lost documents and changes of details that need no declaration. A statutory declaration is for when the organisation asks for one in those words. If it gives you its own wording, copy that wording into the facts box rather than writing your own.
How you can sign this document
- Print it and sign by hand. The signature lines in the document are left blank on purpose — sign on them in ink.
- Sign it yourself with a qualified electronic signature. If you already hold a QES — Evrotrust, B-Trust, StampIT, ZealiD or any qualified provider on the EU Trusted List, on a card, a USB token, in a mobile app or in the cloud — our signing guide explains step by step how to sign this exact file without invalidating it. Step-by-step help, and a way to check it worked
DocMuse sells documents, not legal advice. Acceptance always depends on the recipient's rules and your local law.
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