Attestation and agreement to notify employer 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in the employer's name in the designated field. This is crucial as it specifies who you are notifying.
3. Review the list of disqualifying offenses carefully. Ensure that you have not been convicted or pleaded guilty to any of these offenses.
4. In the signature section, sign your name to attest that the information provided is accurate and complete.
5. Enter the date you are signing the document. This establishes a timeline for your attestation.
6. Finally, print your name clearly in the designated area below your signature for verification purposes.

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