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Click ‘Get Form’ to open the AFFIDAVIT in the editor.
Begin by entering your name at the top of the form where indicated. This personalizes the affidavit and establishes your identity.
In Section 1, check 'YES' or 'NO' for each crime listed, indicating whether you or any household member has been convicted. Be thorough and honest.
For each conviction marked 'YES', provide details such as the date of conviction and sentence in the designated fields.
Proceed to Section 2, where you will indicate any history of violent or abusive conduct by checking 'YES' or 'NO'.
If applicable, list any evaluations or treatments received after a conviction in Section 3.
Complete Sections 4 and 5 by providing additional information about household members with criminal histories if necessary.
Finally, review all entries for accuracy before signing at the bottom of the form to affirm that your statements are true.

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