Free Nursing Home Affidavit of Truth Template
Nursing Home Affidavit of Truth
I, [Your Name], being duly sworn, hereby depose and state as follows:
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I am over the age of eighteen and competent to make this affidavit.
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I am a resident of [Your Address] and have personal knowledge of the matters set forth herein.
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I am a resident of [Your Company Name] nursing home located at [Your Company Address].
I hereby affirm that the following statements are true and accurate to the best of my knowledge:
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The nursing home staff has consistently provided me with attentive and compassionate care since my admission on [Month Day, Year].
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I have never experienced any form of neglect, abuse, or mistreatment during my stay at [Your Company Name].
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The facilities at [Your Company Name] are maintained in a clean and sanitary condition, ensuring the comfort and well-being of all residents.
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The nursing home administration has been responsive to any concerns or inquiries I have raised regarding my care or living conditions.
I understand that making false statements in this affidavit may subject me to penalties under the law.
[Your Name]
Sworn to and subscribed before me this [Day] day of [Month], [Year].
[Name of Notary Public]
Notary Public, State of [State Name]
My Commission Expires: [Month Day, Year]
