Affidavit of dependency

Family & estates

First check which process needs the affidavit. The SASSA form is for a Care Dependency Grant and records a caregiver’s relationship to a child who lives with them. A separate SARS medical-scheme audit may require an affidavit about whether the main member is a dependant. Use the section below that matches your request.

Prepare your affidavit

No account needed. Your answers are used for this request. Save to your account only when you choose to.

Do not sign before the commissioner of oaths. Review your statement and sign in their presence. This PDF is not signed or certified.

Official downloads

Get the current form from the official source:

Affivadit_CDG.pdf services.sassa.gov.za

Care dependency grant www.gov.za

Faq i pay contributions to a medical scheme but the medical tax certificate is not in my n... www.sars.gov.za

How to use it

Check the care declaration The caregiver statement combines your role and the child’s residence. It names a parent, foster parent or primary caregiver, and says the child lives with that person. Read the full declaration so you can check both parts together.
Review the child’s placement The form includes a separate declaration about an institution funded by the state. Check that wording alongside the care declaration; it addresses a different detail about the child’s circumstances.
Complete the relevant personal sections The marital-status section applies if you are married, divorced or widowed. The spouse or partner document section names an ID document, decree of divorce and death certificate. It also asks you to explain if you do not have any of those documents.
Read the income and oath wording If you or your spouse have no source of income, the affidavit asks how you currently survive. It also includes a declaration that the information is true and correct to the best of your knowledge, and a statement about taking the prescribed oath and its effect on your conscience.

Document checklist

Caregiver and child Review the declarations about your relationship to the child and where the child lives.
State-funded institution Check the declaration about whether the child is in an institution funded by the state.
Marital status Check whether the marital-status section applies to you.
Spouse or partner documents Review the named documents and the prompt about explaining any document you do not have.
Income Check the prompt about how you currently survive if you or your spouse have no source of income.
Declarations Read the truth and oath declarations before completing the affidavit.

Questions & answers

Which SASSA grant does this affidavit cover?

It is the SASSA affidavit for a Care Dependency Grant. Its care declaration concerns the applicant’s relationship to the child and the child’s residence.

When should I complete the marital-status section?

The form says to complete it if you are married, divorced or widowed.

What if I do not have a document for an ex-spouse or partner?

The affidavit asks you to state why you do not have any of the documents it names: an ID document, decree of divorce or death certificate.

What does the affidavit ask if there is no source of income?

If you or your spouse have no source of income, it asks you to indicate how you currently survive.

Who can count as a dependant in the SARS audit context?

The definition covers your spouse, a child or your spouse’s child, and a family member whose care and support you are responsible for.

More help

Sources

Affivadit_CDG.pdf

www.gov.za

www.sars.gov.za

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