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Louisiana Board of Pharmacy 3388 Brentwood Drive Baton Rouge, Louisiana 70809-1700 www.pharmacy.la.gov PHARMACIST? S AFFIDAVIT FOR CERTIFYING HOURS EARNED UNDER SPECIAL WORK PERMITS INSTRUCTIONS FOR
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How to fill out an affidavit for certifying:

01
Gather all necessary information: Before filling out the affidavit, ensure you have all the relevant details such as the full names and addresses of the parties involved, the purpose of the affidavit, and any supporting documents or evidence.
02
Begin by stating the purpose: Start the affidavit by clearly stating the purpose for which it is being filled out. This could be for certifying a document, providing a statement of facts, or any other legally valid reason.
03
Personal information: Include your own personal information, such as your full name, address, contact details, and any relevant identification numbers or details. This establishes your credibility as the affiant.
04
Statement of facts: In the body of the affidavit, provide a clear and concise statement of the facts you are certifying. Use numbered paragraphs or bullet points for clarity and organization. Make sure to include all necessary details but keep the information relevant and concise.
05
Swearing or affirming: At the end of the affidavit, include a section where you swear or affirm that the information provided is true and accurate to the best of your knowledge. This is usually followed by a space for your signature, the date, and a line for your printed name.

Who needs an affidavit for certifying?

01
Legal professionals: Lawyers, solicitors, and attorneys often require affidavits for various purposes such as certifying documents, providing evidence, or stating facts relevant to a case.
02
Individuals involved in legal proceedings: If you are a party to a legal case or involved in any legal proceedings, you may need to fill out an affidavit to certify certain facts or provide evidence.
03
Notaries or commissioners for oaths: These individuals are often responsible for administering oaths and affirmations for various legal documents. They may require an affidavit to be filled out in order to certify certain facts or statements.
04
Government agencies or departments: Certain government agencies or departments may request an affidavit to certify specific information or facts. This could be related to immigration, licensing, permits, or other official matters.
In conclusion, anyone who needs to certify specific information, provide evidence, or state important facts in a legal or official capacity may require an affidavit for certifying. It is always important to consult with legal professionals or relevant authorities to determine the specific requirements and procedures for filling out an affidavit in your jurisdiction.

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An affidavit for certifying is a sworn written statement that confirms the truthfulness of certain facts or information.
The individuals who are required to file an affidavit for certifying vary depending on the specific circumstances and jurisdiction. Generally, it is required to be filed by individuals involved in legal proceedings or those who need to validate the accuracy of certain information.
To fill out an affidavit for certifying, you typically need to provide your personal information, clearly state the facts you are certifying, and sign the document in the presence of a notary public or another authorized entity.
The purpose of an affidavit for certifying is to provide a legally binding statement that verifies the accuracy of certain facts or information. It serves as an important document in legal proceedings or situations where validated information is required.
The specific information that must be reported on an affidavit for certifying can vary depending on the situation and jurisdiction. However, generally, it includes personal details of the individual certifying, a clear statement of the facts being certified, and the signature of the affiant.
The deadline to file an affidavit for certifying in 2023 may vary depending on the specific circumstances and jurisdiction. It is advisable to consult with the relevant authorities or legal professionals to determine the exact deadline.
The penalties for the late filing of an affidavit for certifying can vary depending on the jurisdiction and the applicable laws. It is important to consult with legal professionals or relevant authorities to understand the specific penalties and consequences that may apply in a particular situation.
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