VA 032-05-0163 2024-2026 free printable template
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VIRGINIA DEPARTMENT OF SOCIAL SERVICES (Model Form)SWORN STATEMENT OR AFFIRMATION FOR ADULT FACILITY EMPLOYEES To the Applicant: Section 63.21720 of the Code of Virginia requires that any person desiring
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How to fill out sworn statement or affirmation
01
Ensure you understand the purpose of the sworn statement or affirmation.
02
Include your full legal name and address at the beginning of the document.
03
Write a statement that clearly indicates that you are making a solemn declaration or affirmation that the information provided is true and accurate.
04
Sign the document in the presence of a notary public or other authorized official who can administer oaths.
05
Have the notary public or authorized official sign and seal the document to confirm your oath or affirmation.
Who needs sworn statement or affirmation?
01
Individuals required to provide a sworn statement or affirmation for legal purposes such as court proceedings.
02
Witnesses to an event who need to confirm the accuracy of their testimony.
03
Employees or contractors who need to certify the accuracy of information provided in official documents.
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What is sworn statement or affirmation?
A sworn statement or affirmation is a legal document where a person declares that the information provided is true and accurate to the best of their knowledge.
Who is required to file sworn statement or affirmation?
Individuals who are required by law or regulation to provide specific information or make certain declarations are usually required to file a sworn statement or affirmation.
How to fill out sworn statement or affirmation?
To fill out a sworn statement or affirmation, an individual must provide their personal information, declare the accuracy of the information, and sign the document in the presence of a witness.
What is the purpose of sworn statement or affirmation?
The purpose of a sworn statement or affirmation is to ensure that the information provided is true and accurate, and to hold individuals accountable for the accuracy of their statements.
What information must be reported on sworn statement or affirmation?
The information required on a sworn statement or affirmation typically includes personal details, declarations of truthfulness, and signatures.
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