What does the Boarding Home Facility Employee's Affidavit acknowledge?

It records the employee’s understanding of reporting responsibilities related to suspected abuse, neglect, or exploitation of a resident and declares the information provided true and correct.

Do I need a notary for the Boarding Home Facility Employee's Affidavit?

No. The document has no notary block; the signer declares under penalty of perjury and provides a date, printed name, and signature.

How do I submit the Boarding Home Facility Employee's Affidavit?

The document gives a phone number and email for more information, but does not state where to submit it. Check the city website for current submission details.

Grand Prairie, TX · Dallas County

No notary required

Boarding Home Facility Employee's Affidavit

This affidavit is for a boarding home facility employee to acknowledge reporting responsibilities and declare that the information provided is true and correct.

What this form is

The affidavit records an employee’s acknowledgment that they may be criminally liable for knowingly failing to report suspected abuse, neglect, or exploitation of a resident. It also states that the application is an official government record and asks the employee to declare the information true and correct, then provide the county, execution date, printed name, and signature.

Who needs it

A boarding home facility employee who is completing the application referenced in the affidavit needs to provide the acknowledgment and signed declaration.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed without a notary; it contains a declaration under penalty of perjury, and the signer provides a date, printed name, and signature.

How to submit this form

1
Download The Affidavit
Download the Boarding Home Facility Employee's Affidavit PDF.
2
Complete The Declaration
Enter the county and execution date, print your full name, and sign the affidavit.
3
Check For Attachments
The document does not list any attachments.
4
Submit To The City
Check the city website for current submission details; the form lists a phone number and email for more information.

Frequently asked questions

What does the Boarding Home Facility Employee's Affidavit acknowledge?: It records the employee’s understanding of reporting responsibilities related to suspected abuse, neglect, or exploitation of a resident and declares the information provided true and correct.
Do I need a notary for the Boarding Home Facility Employee's Affidavit?: No. The document has no notary block; the signer declares under penalty of perjury and provides a date, printed name, and signature.
How do I submit the Boarding Home Facility Employee's Affidavit?: The document gives a phone number and email for more information, but does not state where to submit it. Check the city website for current submission details.

Need something notarized?

This Boarding Home Facility Employee's Affidavit doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.