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APPLICATION AND AFFIDAVIT FOR WFNJ1J (Rev. 09/16) Page 1 of 13 PUBLIC ASSISTANCE ___ OFFICE USE ONLY I'm Worker Date Case Number I'm Supervisor TANK Status: () NAD ate () RA() RO() Related Case Number(s)Date

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Begin by reading the instructions carefully to understand the requirements.

02

Fill in your personal information accurately in the designated sections of the application form.

03

Provide all necessary supporting documents as listed in the checklist.

04

Sign the affidavit in front of a notary public or authorized official.

05

Submit the completed application and affidavit along with the supporting documents to the appropriate authority.

Who needs application and affidavit for?

01

Individuals applying for a specific program or benefit that requires an application and affidavit.

02

Legal matters such as court cases or immigration processes may also require the submission of an application and affidavit.

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What is application and affidavit for?

Application and affidavit are used for legal documentation purposes.

Who is required to file application and affidavit for?

Any individual or entity required by law to submit the application and affidavit must file it.

How to fill out application and affidavit for?

To fill out the application and affidavit, provide accurate information and follow the instructions provided.

What is the purpose of application and affidavit for?

The purpose of the application and affidavit is to provide legal documentation and information to the relevant authority.

What information must be reported on application and affidavit for?

The application and affidavit must include all relevant information as required by the specific requirements.

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