This version of the form is not currently in use and is provided for reference only. Download this version of the document for the current year.
This is a legal document that was released by the New York City Department of Health and Mental Hygiene - a government authority operating within New York City.
The document is provided in Bengali.
Q: What is a self-attestation form?
A: A self-attestation form is a document where you confirm certain information about yourself.
Q: Who needs to fill out the self-attestation form?
A: Registrants 18 years of age and older in New York City need to fill out the self-attestation form.
Q: What is the purpose of the self-attestation form?
A: The self-attestation form is used to declare your eligibility for certain services or benefits.
Q: Is the self-attestation form only available in Bengali?
A: No, the self-attestation form is available in multiple languages, including Bengali.
Q: Do I need to provide any supporting documents along with the self-attestation form?
A: In some cases, you may be required to provide supporting documents along with the self-attestation form. Please check the specific requirements.
Q: What happens after I submit the self-attestation form?
A: After you submit the self-attestation form, it will be reviewed, and you may be contacted for further verification if needed.
Form Details:
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the New York City Department of Health and Mental Hygiene.