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AFFIDAVIT STATEMENT I hereby declare under penalty of perjury under the laws of the State of California that I have no other access to medical insurance where all or part of the premium is paid through

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How to fill out i hereby declare under

1. First, start by obtaining the 'i hereby declare under' form.
2. Read through the form to understand the information it requires.
3. Find a quiet and comfortable place to fill out the form.
4. Begin by entering your full name and contact information.
5. Follow the instructions on the form to provide the necessary details, such as your date of birth, address, and occupation.
6. Make sure to review the form for completeness and accuracy before signing it.
7. Sign and date the form at the designated spaces.
8. If required, have a witness sign the form as well.
9. Submit the completed form to the appropriate recipient.

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1. The 'i hereby declare under' form may be required by individuals who need to make a declaration as per the legal or regulatory requirements.
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4. It is advisable to consult the relevant authorities or legal professionals to determine if you need to fill out this form in a specific circumstance.

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