Get the free Non-Tobacco Use Affidavit - Marion County Clerk of Courts

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Document Number:Marion County Clerk of the Circuit Court and ComptrollerFormAD10017FM Very. 1.3 AdministrationTitle:Origination Date:Version Date:Page #TOBACCO USE AFFIDAVIT12/14/20073/22/20181 of

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How to fill out non-tobacco use affidavit

01

Step 1: Obtain a non-tobacco use affidavit form from the relevant authority or organization that requires it.

02

Step 2: Read the instructions on the form carefully to understand the requirements and guidelines for filling it out.

03

Step 3: Provide your personal information, such as your name, address, date of birth, and contact details, as requested on the form.

04

Step 4: Declare that you are a non-tobacco user by signing and dating the affidavit.

05

Step 5: Attach any supporting documents or evidence, if necessary, to substantiate your non-tobacco use claim.

06

Step 6: Review the completed form to ensure accuracy and completeness.

07

Step 7: Submit the filled-out non-tobacco use affidavit form to the appropriate authority or organization as instructed.

Who needs non-tobacco use affidavit?

01

Non-tobacco use affidavits are generally required by organizations or entities that have policies or requirements related to tobacco use. This may include employers, insurance companies, healthcare providers, or other organizations that need to verify an individual's tobacco use status for various purposes, such as determining insurance premiums, eligibility for certain benefits, or compliance with workplace smoking policies.

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What is non-tobacco use affidavit?

Non-tobacco use affidavit is a document stating that an individual does not use tobacco products.

Who is required to file non-tobacco use affidavit?

Individuals who do not use tobacco products are required to file a non-tobacco use affidavit.

How to fill out non-tobacco use affidavit?

To fill out a non-tobacco use affidavit, an individual must provide their personal information and sign the document to confirm non-tobacco use.

What is the purpose of non-tobacco use affidavit?

The purpose of a non-tobacco use affidavit is to certify that an individual does not use tobacco products for certain purposes or benefits.

What information must be reported on non-tobacco use affidavit?

The information reported on a non-tobacco use affidavit typically includes personal details, affirmation of non-tobacco use, and signature.

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