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CEPS Team No: DEPARTMENT OF SOCIAL SERVICES SWORN STATEMENT OR AFFIRMATION FOR CHILD DAY PROGRAMS Please Print Last Name First Middle Maiden Social Security Number Current Mailing Address Street,
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How to fill out a sworn statement or affirmation:

01
Begin by including your personal information at the top of the document. This should include your full name, address, and contact information.
02
Next, state the purpose of the sworn statement or affirmation. This could be for legal proceedings, insurance claims, or any other situation where a sworn statement is required.
03
Clearly describe the facts or information that you are affirming or swearing to in the statement. Be detailed and specific, providing all relevant information and avoiding any unnecessary opinions or emotions.
04
Sign and date the statement at the bottom. It is important to sign the statement in the presence of a notary public or another authorized individual who can administer oaths.
05
Make copies of the completed statement for your records and for any parties involved who may require a copy.

Who needs a sworn statement or affirmation:

01
Individuals involved in legal proceedings may need to provide a sworn statement or affirmation. This could include witnesses, plaintiffs, defendants, or other parties involved in a lawsuit.
02
Insurance companies often require sworn statements or affirmations when processing claims. This helps to establish the accuracy and validity of the claim being made.
03
Government agencies or organizations may require sworn statements or affirmations for various reasons, such as verifying eligibility for benefits or conducting investigations.
In summary, when filling out a sworn statement or affirmation, it is important to provide accurate and detailed information related to the purpose of the statement. Various individuals and organizations may require a sworn statement or affirmation for legal, insurance, or governmental purposes.
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Sworn statement or affirmation is a legal document where a person declares something to be true and accurate under oath or penalty of perjury.
Individuals or entities who are required by law or regulation to provide a statement of fact or declaration under oath.
Sworn statements or affirmations can be filled out by hand or electronically, following the instructions provided on the form. It usually requires providing personal information, a statement of truth, and a signature in front of a notary or other authorized individual.
The purpose of a sworn statement or affirmation is to ensure the truthfulness and accuracy of information provided in legal or official documents.
The information required on a sworn statement or affirmation may vary depending on the specific legal or regulatory requirements, but generally includes personal information, a statement of truth, and a signature.
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