Heath, TX · Rockwall County
Affidavit of Fact Statement Supplement
This two-page supplement lets a person provide Heath Department of Public Safety with a voluntary statement of facts and affirm that the statement is true and correct.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
The Heath Department of Public Safety form provides space for a person to give a voluntary statement to an officer, identify a case number, and sign the statement. It says the signer has read each page and swears that the facts are true and correct. Use it when providing a statement to the department; the form text does not specify which situations require it.
Who needs it
A person providing a voluntary statement of facts to a Heath Department of Public Safety officer can use this supplement to record and sign the statement.
Why it needs a notary
The form carries an acknowledgment block, which identifies the person or persons acknowledging the instrument before a notary; the person giving the statement signs it.
How to get this notarized
- 1
Download The Form
Get the Affidavit of Fact Statement Supplement from the City of Heath.
- 2
Fill In The Statement
Write your voluntary statement, complete the identifying details, and review each page.
- 3
Book An Online Notary
Schedule a remote session with a commissioned online notary.
- 4
Sign On Video
Follow the notary’s instructions and sign the form during the video session.
- 5
Submit To The City
Submit the completed statement to the Heath Department of Public Safety.
Preview the form
The blank PDF straight from Heath. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I notarize this statement online?
- Complete the statement and book a remote session with a commissioned online notary. Sign during the video session as directed, then submit the completed form to the Heath Department of Public Safety.
- Do I need to sign the statement in front of a notary?
- The form includes an acknowledgment block for a notary and says the person giving the statement signs it. Ask the department if you are unsure how to complete or submit it.
- Can this form be notarized online in Texas?
- Texas has authorized remote online notarization since 2018 under Government Code Chapter 406, Subchapter C. Texas also recognizes acknowledgments taken by notaries of other states under CPRC §121.001.
- When should I use this form?
- The form is for a voluntary statement of facts to a Heath Department of Public Safety officer and includes a case number field. If unsure whether it applies to your situation, confirm with the city.