Affidavit for Inclusion of Next of Kin in Social Health Insurance Fund Affidavit

Affidavit Template - Action Required
This is a professionally drafted affidavit template only. You must have it sworn and stamped by a Commissioner for Oaths or Notary Public after purchase.

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Price: KES 500

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After download, take this document to a Commissioner for Oaths or Notary Public for swearing and stamping.

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Document Overview

An Affidavit for Inclusion into SHIF is a sworn written declaration made before a Commissioner for Oaths by a member of the Social Health Insurance Fund (formerly NHIF) who wishes to add a spouse, child, or dependent to their health insurance coverage.

It serves as a formal legal statement under oath confirming the relationship between the principal member and the person to be added, and affirming that the information provided is true and correct.

This affidavit is often required by the Social Health Authority (SHA) when a member lacks certain supporting documents (like marriage certificates, birth certificates, or guardianship papers) or when clarification is needed on the relationship of the dependent being added.

Order for the affidavit, fill it, sign before a Commissioner for oaths, Notary Public, Magistrate or Consular officer.

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Affidavit for Inclusion of Next of Kin in Social Health Insurance Fund Affidavit

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