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Community Health Center, Visiting Nurse Association of Central Jersey,1301 Main Street, As bury Park, NJ 07712 Patient Information Preferred Language (Please Specify): Preferred Name: Last Name: First
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To fill out 'I affirm that I':
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Start by writing the date on the top right corner of the document.
03
Below the date, write the title 'I Affirm That I'.
04
Begin the main content of the document by stating your full name and address.
05
Next, include a statement affirming that the information you are providing is true and accurate.
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Sign your name at the bottom of the document.
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Keep a copy of the completed 'I affirm that I' for your records.

Who needs i affirm that i?

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Anyone who is required to provide a statement or affirmation that the information they are providing is true and accurate may need 'I affirm that I'. This could include individuals applying for a job, filling out a legal document, or submitting a sworn statement.
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'I affirm that I' is a phrase used to indicate a formal declaration or assurance by an individual about a specific statement or claim.
Individuals or organizations that need to formally affirm or certify certain information or compliance with regulations may be required to file 'I affirm that I'.
To fill out 'I affirm that I', individuals should provide the necessary personal or organizational details, specify the information being affirmed, and sign the document as required.
The purpose of 'I affirm that I' is to provide a formal assertion or guarantee regarding the truthfulness or accuracy of specific statements or claims made by an individual or entity.
The information that must be reported typically includes the affirmer's name, affiliation, details of what is being affirmed, and any relevant dates or identifiers.
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