Affidavit Verifying Status for County Public Benefit 2026

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4.9 out of 5

45 votes

The document is an affidavit for applicants of the DeKalb Cares Plumbing Repair Program, requiring verification of citizenship or legal residency status under O.C.G.A. § 50-36-1. It includes sections for the applicant to confirm their eligibility, provide secure identification documents, and authorize the DeKalb County Department of Human and Community Development to obtain personal information related to income and employment for program eligibility assessment.

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Click ‘Get Form’ to open the Affidavit Verifying Status for County Public Benefit in our editor.
Begin by selecting your status as a United States citizen, legal permanent resident, or qualified alien. Mark the appropriate checkbox.
If applicable, enter your alien number issued by the Department of Homeland Security in the designated field.
Confirm that you are at least 18 years old and have provided a secure and verifiable document. Specify the type of document in the provided space.
Fill in your city and state where the affidavit is executed, followed by your signature and date.
For notarization, leave space for a notary public to sign and date the document.

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Versions	Form popularity	Fillable & printable
2023	4.9 Satisfied (45 Votes)
2015	4 Satisfied (58 Votes)

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