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The DC Code: § 16-5306 Form of unsworn declaration.

Index16 Particular Actions, Proceedings and Matters. (Refs & Annos)

An unsworn declaration under this chapter shall be in substantially the following form:

"I declare under penalty of perjury under the law of the District of Columbia that the foregoing is true and correct, and that I am physically located outside the geographic boundaries of the United States, Puerto Rico, the United States Virgin Islands, and any territory or insular possession subject to the jurisdiction of the United States.

"Executed on the _____ day of _______, ___________, at __________, ___________:


and state)


"(printed name)



         (month)       (year) (city or other   (country)

Historical and Statutory

Effect of Amendments D.C. Law 19-171 inserted quotation marks in the form. Legislative History of Laws For Law 18-191, see notes following § 16-5301. For history of Law 19-171, see notes under § 16-2331. Uniform Law This section is based upon § 6 of the Uniform Unsworn Foreign Declarations Act. See Vol. 14, Uniform Laws Annotated, Master Edition or ULA Database on Westlaw. DC CODE § 16-5306 Current through December 11, 2012


(July 23, 2010, D.C. Law 18-191, § 2(b), 57 DCR 3400; Sept. 26, 2012, D.C. Law 19-171, § 75(d), 59 DCR 6190.)