Get Sworn Disclosure

Filling out the Sworn Disclosure is a crucial step for individuals seeking work at licensed assisted living facilities or adult day care centers. This guide provides clear instructions to help you accurately complete the form online, ensuring compliance with legal requirements.

Follow the steps to complete the Sworn Disclosure effectively.

1. Use the ‘Get Form’ button to access the Sworn Disclosure form and open it in an editor of your choice.
2. Begin with your personal information. Fill in your last name, first name, middle name, and maiden name, if applicable, in the designated fields.
3. Enter your Social Security number in the appropriate section to verify your identity.
4. Provide your complete address, including city, state, zip code, and street or P.O. Box.
5. Respond to the question regarding past convictions. If you have ever been convicted of law violations (excluding juvenile offenses), mark 'yes' or 'no' and list all convictions if applicable, providing explanations where necessary.
6. Answer the question about any pending criminal charges. If applicable, indicate 'yes' or 'no' and give details if you selected 'yes'.
7. Review and affirm the accuracy of your information in the affirmation statement. Sign and date the form in the designated areas to confirm that the information provided is true and complete.
8. Once all fields are completed, save your changes and decide whether to download, print, or share the completed form as required.

Complete your Sworn Disclosure online to ensure a swift application process.