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Applicant s print name Notarization required for individual applicant State of New York county of Sworn to or affirmed under penalty of perjury day of 20 Applicant s signature Notary Signature Date 5/2014 New York City Fire Department- All rights reserved Notary Seal. Revised 5-7-14 Certificate of Fitness Alternative Issuance Procedure - Employee Affirmation Form This form must be completed by the applicant for the application to be valid. Application can be submitted...
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