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I further understand that willful and false certification shall subject me to fines/imprisonment as outlined in R.S. 47 463. MEDICAL EXAMINER S CERTIFICATION OF MOBILITY IMPAIRMENT I certify that Name Birth Date Address Race/Sex City/State/Zip code meets the requirements as outlined in shown on reverse side and qualifies for a mobility impaired license plate/hang-tag. A medical examiner s certification is required for renewal of hang-tag. UNABLE TO APPEAR IN PERSON AT OFFICE OF MOTOR VEHICLES...
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To fill out the 'I certify that name' section, follow these steps:
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Start by locating the 'I certify that name' section on the form.
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Read the instructions or guidelines provided, if any.
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Write your full legal name in the designated space. Make sure to use the same name that appears on your official identification documents.
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Who needs i certify that name?

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The 'I certify that name' section may be required by various individuals or organizations, depending on the context. Here are a few examples of who may need this:
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- Job applicants: When applying for a job, applicants may be asked to certify that the information provided in their application is true and accurate.
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- Contractors or vendors: In certain business agreements, contractors or vendors may need to certify their compliance with specific requirements.
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- College or university applicants: Students applying to educational institutions may be required to certify the authenticity of their application materials.
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- Professionals: Some professionals, such as notaries or doctors, may need to certify certain documents or statements.
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- Legal documents: When signing legal documents, individuals may need to provide a certification of their identity or the accuracy of the information contained in the document.
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It's important to note that the specific requirement for the 'I certify that name' section may vary depending on the situation and the jurisdiction in which it is required.
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I certify that name is a statement made by an individual or entity confirming the accuracy of the information provided.
Individuals or entities who are required by law or regulation to certify the accuracy of certain information.
To fill out I certify that name, one must provide their name, signature, and date confirming the accuracy of the information provided.
The purpose of I certify that name is to ensure that the information provided is accurate and truthful.
The information reported on I certify that name may vary depending on the specific requirements, but typically includes details on financial transactions, compliance with regulations, or other relevant information.
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