Code of Federal Regulations > Title 5 > Chapter II > Part 1201 > Subpart H > Appendix Appendix IV - Appendix IV to Part 1201

Regulations last checked for updates: Feb 21, 2025

Title 5 - Administrative Personnel last revised: Feb 13, 2025

Appendix Appendix IV - Appendix IV to Part 1201—Sample Declaration Under 28 U.S.C.1746

Declaration

I, ___________, do hereby declare:

I declare under penalty of perjury under the laws of the United States of America that the foregoing is true and correct.

Executed on

Date

Signature

authority: 5 U.S.C. 1204,1305,and,and.S.C. 4331, unless otherwise noted

source: 54 FR 53504, Dec. 29, 1989, unless otherwise noted.