Submit an Affidavit to Amend a Vital Record, a Birth Certificate Application, a copy of the requester's ID, and a check or money order for the correct fees. This affidavit may be mailed with the correct fees and proof of ID. Affidavit Instructions: Please print or type.If the lawyer or LPP does not file a Notice of Withdrawal of Counsel or Licensed Paralegal Practitioner ask them to do so. See the Forms section for form. If the financial statement is not in the student's name, the account holder will need to fill out and submit an affidavit of support. Forms used in the Bankruptcy Court District of Utah are classified into two groups: National Forms and Local Forms. Adoption of incorrect form of application. Provident fund benefits which makes them financially secure in their old age and provide them aid in times of need.