Applicant's Father: Name. Passport No. Date of Naturalization. Signature.List your assets as follows: a. Use the following links to access an application with Sworn Statement for an authorized copy of a birth, death, or marriage certificate. I certify that the written statement herein is true and accurate to the best of my knowledge. I,. being first duly sworn, state as follows: (Mother). Court Forms, Free forms are available for those actions that only require the single form to be filed on an existing case. I need to get a signed sworn statement to obtain a certified photo copy of my birth certificate to include in my application for my passport. Complete the attached forms in black ink. Scan your completed forms and save as a single PDF file.