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NORTH ORANGE COUNTY PEDIATRICS DAN W. CHILE, M.D. MICHAEL AGUINALDO, M.D. CHARLES J. BACH, M.D. JEFF GILL, M.D., M.B.A. ELIGIBILITY GUARANTEE FORM I, hereby certify that SUBSCRIBER/SPOUSE my child,

How to fill out i hereby certify that

How to Fill Out "I Hereby Certify That":

1. Start by providing your full name and contact information at the top of the document. This includes your address, phone number, and email address.
2. Write the date of certification below your personal information. Make sure to use the correct format (e.g., January 1, 2023).
3. Address the recipient or organization to whom you are certifying. Include their name, title, and organization name if applicable. If you are unsure, you can use a general salutation like "To Whom It May Concern."
4. State the purpose of the certification. Specify why you are providing this certification and what it entails. Be clear and concise in your explanation.
5. Include a statement that explicitly declares that you certify the information being presented. Use the phrase "I hereby certify that" followed by a brief description of what you are certifying. This could be a statement about your qualifications, a confirmation of facts, or a validation of a document's authenticity.
6. Provide any necessary details or supporting information to reinforce your certification. This may include specifics, references, evidence, or documents that support your statements.
7. Sign the document at the bottom, using your full legal name. Ideally, include your handwritten signature for authenticity purposes.
8. If required, have the document notarized by a notary public. The notary will verify your identity and witness your signature, adding an additional level of authentication to the certification.

Who Needs "I Hereby Certify That":

1. Job applicants: When applying for a job, some employers may require applicants to submit a certification that verifies their qualifications, work experience, or specific skills.
2. Professionals: Certain professions, such as lawyers, doctors, or accountants, often need to provide certifications to confirm their credentials, qualifications, or compliance with ethical standards.
3. Contractors and vendors: When participating in bidding processes or submitting proposals for projects, contractors and vendors may be asked to provide certifications stating their eligibility, financial stability, or compliance with specific regulations.
4. Government agencies: Individuals or businesses dealing with government entities might need to provide certifications as part of applications, licenses, permits, or compliance assessments.
5. Organizations and institutions: Non-profit organizations, educational institutions, and professional associations may request certifications for various purposes, such as grants, scholarships, accreditations, or memberships.

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