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  • NYSUP Deposition Form - 1

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    This document is a deposition form used by the New York State University Police. It collects identifying information about the deponent such as name, age, date of birth, home and work addresses, occupation, education level, and contact numbers. The deponent must sign the form, affirming under penalty of perjury that the information provided is true and correct to the best of their knowledge. The form notes that false statements may be punishable as a Class A misdemeanor under New York state law.

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    NYSUP Deposition Form_1

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    This document is a deposition form used by the New York State University Police. It collects identifying information about the deponent such as name, age, date of birth, home and work addresses, occupation, education level, and contact numbers. The deponent must sign the form, affirming under penalty of perjury that the information provided is true and correct to the best of their knowledge. The form notes that false statements may be punishable as a Class A misdemeanor under New York state law.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    9 views4 pages

    NYSUP Deposition Form - 1

    Uploaded by

    Adam
    This document is a deposition form used by the New York State University Police. It collects identifying information about the deponent such as name, age, date of birth, home and work addresses, occupation, education level, and contact numbers. The deponent must sign the form, affirming under penalty of perjury that the information provided is true and correct to the best of their knowledge. The form notes that false statements may be punishable as a Class A misdemeanor under New York state law.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 4

    New York State

    University Police
    Deposition Form
    I, ______________________________, being duly sworn, state that I am _____ years of age (D.O.B. __________)
    My home address is: _________________________________________________________________________________
    My work address is: _________________________________________________________________________________
    My occupation is: ________________________________ and I have completed __________ year(s) of school.
    I can be reached at the following number(s): Home: ____________________ Work: ____________________

    I have read this statement (had it read to me) which consists of _____ page(s) and the facts contained herein are
    true and correct to the best of my knowledge.
    NOTE: FALSE STATEMENTS MADE HEREIN ARE PUNISHABLE AS A CLASS A MISDEMEANOR
    PURSUANT TO SECTION 210.45 OF THE PENAL LAW OF THE STATE OF NEW YORK.
    Affirmed under the penalty of perjury, this _____ day of ___________________, 20_____.

    Signature: ______________________________ Witness: ______________________________

    Page ___ of ___ Rev. 10/2017


    New York State
    University Police
    Deposition Form
    I, ______________________________, being duly sworn, state that I am _____ years of age (D.O.B. __________)
    My home address is: _________________________________________________________________________________
    My work address is: _________________________________________________________________________________
    My occupation is: ________________________________ and I have completed __________ year(s) of school.
    I can be reached at the following number(s): Home: ____________________ Work: ____________________

    I have read this statement (had it read to me) which consists of _____ page(s) and the facts contained herein are
    true and correct to the best of my knowledge.
    NOTE: FALSE STATEMENTS MADE HEREIN ARE PUNISHABLE AS A CLASS A MISDEMEANOR
    PURSUANT TO SECTION 210.45 OF THE PENAL LAW OF THE STATE OF NEW YORK.
    Affirmed under the penalty of perjury, this _____ day of ___________________, 20_____.

    Signature: ______________________________ Witness: ______________________________

    Page ___ of ___ Rev. 10/2017


    New York State
    University Police
    Deposition Form
    I, ______________________________, being duly sworn, state that I am _____ years of age (D.O.B. __________)
    My home address is: _________________________________________________________________________________
    My work address is: _________________________________________________________________________________
    My occupation is: ________________________________ and I have completed __________ year(s) of school.
    I can be reached at the following number(s): Home: ____________________ Work: ____________________

    I have read this statement (had it read to me) which consists of _____ page(s) and the facts contained herein are
    true and correct to the best of my knowledge.
    NOTE: FALSE STATEMENTS MADE HEREIN ARE PUNISHABLE AS A CLASS A MISDEMEANOR
    PURSUANT TO SECTION 210.45 OF THE PENAL LAW OF THE STATE OF NEW YORK.
    Affirmed under the penalty of perjury, this _____ day of ___________________, 20_____.

    Signature: ______________________________ Witness: ______________________________

    Page ___ of ___ Rev. 10/2017


    New York State
    University Police
    Deposition Form
    I, ______________________________, being duly sworn, state that I am _____ years of age (D.O.B. __________)
    My home address is: _________________________________________________________________________________
    My work address is: _________________________________________________________________________________
    My occupation is: ________________________________ and I have completed __________ year(s) of school.
    I can be reached at the following number(s): Home: ____________________ Work: ____________________

    I have read this statement (had it read to me) which consists of _____ page(s) and the facts contained herein are
    true and correct to the best of my knowledge.
    NOTE: FALSE STATEMENTS MADE HEREIN ARE PUNISHABLE AS A CLASS A MISDEMEANOR
    PURSUANT TO SECTION 210.45 OF THE PENAL LAW OF THE STATE OF NEW YORK.
    Affirmed under the penalty of perjury, this _____ day of ___________________, 20_____.

    Signature: ______________________________ Witness: ______________________________

    Page ___ of ___ Rev. 10/2017

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