Washington Affidavit of Loss

Introduction

I, [YOUR NAME], residing at [YOUR ADDRESS], hereby declare that I have lost my Washington State driver's license bearing license number [LICENSE NUMBER]. I am filing this Affidavit of Loss to report the loss and request a replacement.

Statement of Facts

1. Details of the lost driver's license are as follows:

   • Full Name: [YOUR NAME]

   • Date of Birth: [YOUR BIRTH DATE]

   • Driver's License Number: [LICENSE NUMBER]

   • Date of Issue: [LICENSE ISSUE DATE]

   • Date of Expiry: [LICENSE EXPIRY DATE]

2. Description of the lost driver's license:

   • Type: [LICENSE TYPE]

   • Color: [LICENSE COLOR]

   • Other Identifying Features: [LICENSE FEATURES]

I hereby certify under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct to the best of my knowledge, information, and belief.

I understand that providing false information in this Affidavit of Loss is a criminal offense and may result in legal consequences.

I request the Washington Department of Licensing to issue a replacement driver's license at your earliest convenience. Enclosed with this affidavit are [SUPPORTING DOCUMENTS].

Please contact me at [YOUR PHONE NUMBER] or [YOUR EMAIL] if any further information is required.

I declare under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct to the best of my knowledge and belief.

Thank you for your prompt attention to this matter.

Signature

[YOUR NAME]

[WITNESS' NAME]

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