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Affidavit authorized representative

Affidavit of Declaration from Authorized Representative of Qualified 2026

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The document is an Affidavit of Declaration from an authorized representative of a qualified company, certifying the number of full-time permanent employees as of a specific quarter end date. It includes a declaration of personal knowledge regarding the company's employment data, which is required to be submitted quarterly to the New Mexico Department of Workforce Solutions and shared with Sandoval County's Office of Economic Development. The affidavit must be signed by the representative and notarized.

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Click ‘Get Form’ to open it in the editor.
Begin by filling in your name in the first blank space, followed by your job title and the name of the Company you represent.
In the next section, enter the quarter end date and the number of full-time permanent employees based at the Company's operations in Sandoval County, New Mexico.
Attach the 'Quarterly Employment and Wage' data as required. Ensure this document is submitted to the State of New Mexico Department of Workforce Solutions for compliance.
As an authorized representative, sign and date the declaration, providing your job title and company name.
Complete the acknowledgment section for notarization by entering details such as county, date, and notary public information.

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Versions	Form popularity	Fillable & printable
2025	4 Satisfied (34 Votes)
2025	4.8 Satisfied (31 Votes)
2024	4.3 Satisfied (21 Votes)
2024	4.6 Satisfied (51 Votes)
2024	4.5 Satisfied (23 Votes)
2024	4.8 Satisfied (29 Votes)
2024	4.1 Satisfied (28 Votes)
2024	4.9 Satisfied (51 Votes)
2024	4.4 Satisfied (31 Votes)
2024	4.5 Satisfied (31 Votes)
2023	4.7 Satisfied (42 Votes)
2023	4.4 Satisfied (48 Votes)
2023	4 Satisfied (63 Votes)
2023	4.5 Satisfied (26 Votes)
2023	4.6 Satisfied (34 Votes)