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DEPARTMENT OF SOCIAL SERVICES (Model Form)Page 1 of 2SWORN STATEMENT OR AFFIRMATION FOR CHILD DAY PROGRAMS Please Print Name Current Mailing Address Name of Licensed/Registered Approved Facility/ProviderFirstMiddleMaidenStreet,
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How to Fill Out a Sworn Statement or Affirmation:

01
Begin by obtaining the necessary form. Sworn statements or affirmations typically require specific forms provided by the government, law enforcement agencies, or legal professionals. These forms can often be found online or obtained from the relevant authority.
02
Read the instructions carefully. Before filling out the form, make sure to thoroughly read the instructions provided. Pay attention to any specific requirements or guidelines mentioned, such as the use of specific language or the inclusion of specific information.
03
Identify the purpose of the statement or affirmation. Determine the reason you are being asked to provide a sworn statement or affirmation. This could be for various legal or administrative purposes, such as providing evidence in a court case, verifying information for a government application, or attesting to the truthfulness of certain facts.
04
Provide accurate personal information. Start by filling in your personal information, including your full name, address, contact details, and any other details requested. Ensure that all the information provided is accurate and up to date.
05
State the purpose of the statement or affirmation. Clearly specify the purpose of the statement or affirmation in the section provided. This ensures that the relevant authorities understand the context and significance of your submission.
06
Present your statement or affirmation. In the main body of the form, provide a detailed and truthful account of the facts or circumstances for which the statement or affirmation is being made. Include all relevant details, dates, names, and any other information requested.
07
Sign and date the statement or affirmation. At the end of the form, there will typically be a space for your signature and the date. Carefully review your statement or affirmation one last time before signing to ensure its accuracy. By signing the document, you are affirming that the information provided is true to the best of your knowledge.

Who Needs a Sworn Statement or Affirmation?

01
Applicants for government positions: Individuals applying for certain government positions may be required to submit a sworn statement or affirmation as part of the application process. This helps ensure the accuracy and honesty of the information provided.
02
Witnesses in legal proceedings: Witnesses who are called to testify in court or provide evidence in a legal proceeding may be asked to provide a sworn statement or affirmation. This helps establish their credibility and holds them accountable for the truthfulness of their testimony.
03
Affidavits for legal purposes: Individuals involved in legal matters, such as lawsuits, may need to provide sworn statements or affirmations in the form of affidavits. These documents serve as evidence and are often required to support legal claims or disputes.
04
Professionals seeking licensure or certification: In certain fields, professionals may be required to submit sworn statements or affirmations as part of the licensure or certification process. This ensures that they meet the necessary qualifications and have provided accurate information.
05
Individuals applying for government benefits: People applying for government benefits or assistance programs may be asked to submit sworn statements or affirmations to verify their eligibility or provide documentation for specific requirements.
Remember, the need for a sworn statement or affirmation can vary depending on the specific circumstances and requirements. It is always advisable to consult with an attorney or the relevant authority to determine the specific guidelines and procedures for filling out these documents.
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A sworn statement or affirmation is a legal document in which a person declares under oath that the information provided is true and accurate to the best of their knowledge.
Certain individuals, such as government officials, witnesses, or individuals involved in legal proceedings, may be required to file a sworn statement or affirmation.
To fill out a sworn statement or affirmation, individuals must provide their personal information, declare the truthfulness of the statements, sign the document in the presence of a notary or other authorized official, and have it notarized if necessary.
The purpose of a sworn statement or affirmation is to ensure that individuals provide truthful and accurate information in legal or official matters.
The information reported on a sworn statement or affirmation typically includes personal details, the specific statements being affirmed, and the signature of the individual making the statement.
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