Grievances and Templates

Sworn Statement Affidavit of Truth/Harm Template

NOTE: Keep your original and email a copy of your Affidavit to NYAaffidavits@proton.me

Click the icon on the top right of the document to download.

Where it reads “territory of (blank)” please write the County you reside in. 

Lawful Notice of Acceptance of Oath Template 

for NYC Dept of Education Superintendents (5 Boroughs).

NOTE: These templates are fillable customized PDFs and they are already in blue ink when completed. 

Both the certificate of service and the Notice require 2 witnesses.

The form is a fillable PDF once downloaded.
The sections that state “By” require your autograph/signature which must be in blue ink.
It must be printed in color.
This is a lawful document, first name and middle name is only needed.

If you are going to serve the Superintendent in person, you will need to write the name (Name of the man/woman the notice was given)and job title (Position of the man/woman the notice was given to) of the man or woman accepting the document.

Please include “et al.” next to Superintendent’s name.

Be sure to copy or photograph the completed document before submitting it. That is your public record.

If you are mailing this, it has to be sent certified mail.
Please include your Certified Mail number on the Certificate of Service page as well as on the top right of each page.

Print each page as a single page, not front to back as that is not lawful.

If you are mailing, under Certificate of Service please use the name and job title of the man/woman you want to notice for items: “Name of the man/woman the notice was given” and “Position of the man/woman the notice was given to”

You can find the Superintendent for your district with the link below:

https://www.schools.nyc.gov/about-us/leadership/district-leadership

 

 

Lawful Notice of Acceptance of Oath Template 

for NYC Public Officials (5 Boroughs). 

Please use this link to find the name and address to serve the Oath of Office acceptance. It is the directory of all the agencies and members of the NYC Administration.

NOTE: These templates are fillable customized PDFs and they are already in blue ink when completed. 

Both the certificate of service and the Notice require 2 witnesses.
Please Print in color and send via Certified Mail. 

Lawful Notice of Acceptance of Oath Template 

for State Public Officials 

NOTE: These templates are fillable customized PDFs and they are already in blue ink when completed. 

Both the certificate of service and the Notice require 2 witnesses.
Please Print in color and send via Certified Mail. 
These documents can be sent to your District Offices, Albany Offices or both.
www.nysenate.gov/find-my-senator
www.nyassembly.gov/mem/
New York State Assemblyman Template
New York State Senate Template

SF95 Form with Addendum

Click the icon on the top right of the document to download.