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1. Title and Court Information: Identifies the court jurisdiction and type of document
2. Deponent Information: Full legal name, occupation, and residential address of the person making the affidavit
3. Dependent Person Information: Details of the person claimed as dependent, including full name, date of birth, and relationship to deponent
4. Nature of Dependency: Clear statement of the type of dependency (financial, physical care, etc.) and how it arose
5. Evidence of Dependency: Detailed facts demonstrating the dependency, including specific examples and timeframes
6. Financial Information: Details of financial support provided, including amounts, frequency, and purposes
7. Living Arrangements: Description of current living situation and care arrangements
8. Supporting Documentation Reference: List of attached documents that support the claims made in the affidavit
9. Declaration of Truth: Formal statement affirming the truth of the contents
10. Execution Block: Space for signature, date, and authorized witness details
1. Medical Conditions: Details of relevant medical conditions that contribute to the dependency - used when dependency is health-related
2. Education Details: Information about educational status and needs - used when dependent is a student or requires special education
3. Immigration Status: Details about immigration status - used when affidavit is for immigration purposes
4. Third Party Care Providers: Information about additional caregivers or support services - used when external care services are involved
5. Future Care Plans: Description of planned future arrangements - used when current arrangement is temporary or changing
6. Emergency Contacts: List of emergency contacts - used when dependency involves physical care or medical needs
1. Schedule A - Financial Records: Detailed breakdown of financial support provided, including receipts and bank statements
2. Schedule B - Medical Documentation: Copies of relevant medical records, prescriptions, or healthcare provider statements
3. Schedule C - Supporting Letters: Letters from professionals (doctors, teachers, social workers) confirming dependency
4. Appendix 1 - Photographic Evidence: Relevant photographs demonstrating care arrangements or living situation
5. Appendix 2 - Care Schedule: Detailed timeline or schedule of care provided
6. Appendix 3 - Additional Declarations: Supporting affidavits from other relevant parties
Dependent Person
Dependency Relationship
Primary Caregiver
Financial Support
Household
Residence
Care Services
Living Expenses
Medical Care
Regular Support
Substantial Support
Supporting Documentation
Authorized Witness
Commissioner for Oaths
Justice of the Peace
Sworn Statement
Permanent Residence
Family Member
Guardian
Income
Essential Needs
Care Requirements
Supporting Evidence
Physical Dependency
Financial Dependency
Relationship Period
Statutory Declaration
Material Support
Principal Place of Residence
Relationship Declaration
Financial Dependency
Living Arrangements
Care Requirements
Medical Dependency
Support Obligations
Duration of Dependency
Privacy and Confidentiality
Supporting Evidence
Verification
Declaration of Truth
Witness Attestation
Document Authentication
Emergency Contact
Change in Circumstances
Financial Disclosure
Medical Authorization
Immigration Status
Residence Confirmation
Legal Services
Healthcare
Immigration
Social Services
Education
Insurance
Public Administration
Elder Care
Disability Services
Family Services
Legal
Immigration
Social Services
Healthcare Administration
Claims Processing
Court Administration
Human Resources
Client Services
Document Processing
Compliance
Immigration Lawyer
Family Court Judge
Social Worker
Healthcare Administrator
Insurance Claims Officer
Legal Assistant
Immigration Officer
Disability Support Coordinator
Elder Care Coordinator
Benefits Administrator
Family Law Paralegal
Court Registrar
Justice of the Peace
Human Resources Manager
Case Manager
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