Uniform Electronic Wills Act § 8(c): Acknowledgment and Affidavit Form

The Uniform Electronic Wills Act includes a model form for the acknowledgment and affidavits associated with an electronic will. It requires that these be in “substantially the following form,” which allows flexibility in wording while preserving the required elements.

Below is the form, presented in a way that preserves its structure while remaining readable across devices.

Form (Formatted for Plain Text)

I, ________________________ (name), the testator, and, being sworn, declare to the undersigned officer that I sign this instrument as my electronic will, I willingly sign it or willingly direct another individual to sign it for me, I execute it as my voluntary act for the purposes expressed in this instrument, and I am [18] years of age or older, of sound mind, and under no constraint or undue influence.

________________________  
Testator  

We, ________________________ (name) and ________________________ (name), witnesses, being sworn, declare to the undersigned officer that the testator signed this instrument as the testator’s electronic will, that the testator willingly signed it or willingly directed another individual to sign for the testator, and that each of us, in the physical [or electronic] presence of the testator, signs this instrument as witness to the testator’s signing, and to the best of our knowledge the testator is [18] years of age or older, of sound mind, and under no constraint or undue influence.

________________________  
Witness  

________________________  
Witness  

Certificate of officer:

State of ________________________  

[County] of ________________________  

Subscribed, sworn to, and acknowledged before me by ________________________ (name), the testator, and subscribed and sworn to before me by ________________________ (name) and ________________________ (name), witnesses, this ______ day of ________________________, ______.

(Seal)  

________________________  
(Signed)  

________________________  
(Capacity of officer)  

Notes

• This form is part of UEWA § 8: Electronic Will Attested and Made Self-Proving at Time of Execution.
• The Act requires only “substantial” compliance, not exact wording.
• The form explicitly accommodates remote execution by allowing “[or electronic] presence.”
• The acknowledgment, witness affidavits, and officer certification are integrated into a single structure.