This Checklist is provided for your convenience while completing the petition and the checklist should not be returned to the Court. Intheblanks form required for any matter originating and electronically filed in Supreme or Surrogate's Courts in Richmond County.The Certificate of Assumed Name must be typed or printed in black ink. All printing and signatures must be of sufficient clarity and darkness. The completed typewritten form must be filled out correctly prior to emailing your request. Incorrectly filled forms will be rejected. Complete the tasks in the following checklist before leaving the lab. Checklist form templates. Whether for inspections, audits, or task tracking, these checklist templates ensure thoroughness and accuracy. Please fill out your Personal Attestation form and provide your signature.