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APPLICATION AND AFFIDAVIT FOR PUBLIC DEFENDER SERVICES Name (Mr./Mrs.): Social Security No.: County (case filed): Case Number: Address: City: Phone number: State: Alternative number: Email address:
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How to Fill Out Application and Affidavit:

01
Start by carefully reading the instructions provided with the application and affidavit forms. Make sure you understand all the requirements and guidelines before proceeding.
02
Gather all the necessary information and documents you will need to complete the application and affidavit. This may include personal information, employment history, educational qualifications, and any supporting documents required.
03
Begin by filling out your personal information accurately and legibly. This may include your full name, address, contact details, and social security number.
04
Follow the instructions for each section of the application and affidavit. Provide the requested information in a clear and concise manner. If any question does not apply to you, mark it as "N/A" or "not applicable."
05
Double-check all the information you have provided to ensure its accuracy. Mistakes or missing information may delay the processing of your application. It is always a good idea to review your completed forms before submission.
06
If there are any additional supporting documents required, make sure to attach them to the application and affidavit forms. This could include copies of IDs, birth certificates, transcripts, or any other relevant documents. Remember, always provide certified copies if requested.
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After completing the forms and adding any necessary attachments, sign and date the application and affidavit forms. Ensure that all required signatures are included, including any witnesses or notaries if required.
08
Before submitting your application and affidavit, make copies of the completed forms and all supporting documents for your records. This will serve as proof and can be helpful in case of any issues or inquiries.

Who Needs Application and Affidavit:

01
Individuals applying for a job, university, or educational program may need to fill out an application and affidavit to provide personal and background information.
02
People seeking legal or immigration services may require an application and affidavit to support their requests or claims.
03
Applicants for licenses, permits, or certifications may be required to complete an application and affidavit to verify their qualifications and eligibility.
Remember, the specific reasons and requirements for needing an application and affidavit may vary depending on the situation and institution. Always refer to the instructions provided for accurate guidance.
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Application and affidavit is used to apply for a certain benefit or to confirm certain information under oath.
Individuals who are seeking a specific benefit or need to confirm information under oath are required to file an application and affidavit.
You can fill out the application and affidavit by following the instructions provided, making sure to provide accurate and complete information.
The purpose of the application and affidavit is to verify information, confirm eligibility for benefits, or apply for a specific benefit.
The information required to be reported on the application and affidavit will vary depending on the purpose of the form, but typically includes personal information, relevant details, and signatures.
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