Pennsylvania Code
Title 28 - HEALTH AND SAFETY
Part IXa - MEDICAL MARIJUANA
Chapter 1230a - PRACTICE AND PROCEDURE
Subchapter B - FORMAL PROCEEDINGS APPEALS
SPECIAL ACTIONS
Section 1230a.45 - Verifications and affidavits

(a) Pleadings or other documents containing an averment of fact not appearing of record in the action or containing a denial of fact shall be personally verified by a party thereto or by an authorized officer of the party if a corporation or other business entity. Verification means a signed written statement of fact supported by oath or affirmation or made subject to the penalties of 18 Pa.C.S. § 4904 (relating to unsworn falsification to authorities). If verification is required, notarization is not necessary.

(b) The verification form must comply substantially with the following format:

VERIFICATION

I, ________________ , hereby state that the facts above

set forth are true and correct (or are true and correct to the best of my knowledge, information and belief). I understand that the statements herein are made subject to the penalties of 18 Pa.C.S. § 4904 (relating to unsworn falsification to authorities).

___________________

Date

___________________

Signature

___________________

Printed Name

(c) When an affidavit is used, the form should comply substantially with the following format:

AFFIDAVIT

I, ___________ (Affiant), being duly sworn (affirmed) according to law, depose and say that (I am authorized to make this affidavit on behalf of _____________ corporation/business entity, being the holder of the office of _______________ with that corporation/business entity, and that the facts above set forth are true and correct (or are true and correct to the best of my knowledge, information and belief).

____________________

(Signature of affiant)

Sworn and subscribed before me this _____day of

______,20 ____.

(Signature of official administering oath)