The UHC 07 form serves as a crucial document for individuals needing to certify their receipt of alimony or child support, especially in contexts where third-party verification proves challenging to obtain. This self-certification form requires applicants to disclose their name, social security number, and address, alongside the amount of support received and the beneficiary's details. What makes this form significant is its role in streamlining the verification process, thereby facilitating a smoother interaction with government agencies or other relevant entities. It's noteworthy that the form comes with stern warnings against misuse or fraudulent declarations. For instance, under Title 18, Section 1001 of the U.S. Code, making false statements to a government department is a felony offense, emphasizing the seriousness with which this document must be treated. Moreover, the form outlines penalties not only for those who misuse the information but also for unauthorized disclosures, highlighting a dual focus on the integrity of the information provided and the protection of personal data. Such measures underscore the balance between the ease of self-certification and the stringent safeguards against abuse, reflecting a comprehensive approach to the handling of sensitive personal information.
| Question | Answer |
|---|---|
| Form Name | Uhc Form 07 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | UHC, Alimony/, inflannation, false |
ALIMONY / CHILD SUPPORT SELF CERTIFICATION
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Address |
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I hereby certify that I receive $_______________________ per __________________ (week, month, year) to the support of:
Name(s)
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Signature: |
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Date: |
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Print your name: |
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Tel. #: |
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Relationship: |
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Address |
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This form is to be used only if third party verification has been attempted, but cannot be obtained.
PENALTIES FOR MISUSING THIS CONTENT: Title 18, Section 1001 of the U.S. Code states that a person is guilty of a felony for knowingly and willingly making false or fraudulent statements to any department of the United States Government. HUD and any owner (or any employee of HUD or the owner) may be subject to penalties for unauthorized disclosures or irnproper uses of inflannation collected based on the consent flann. Use of the inflannation collected based on this verification form is restricted to the purposes cited above. Any person who knowingly or willingly requests, obtains, or discloses any information under false pretenses concerning an applicant or participant may be subject to a misdemeanor and fined not more than$5,000. Any applicant or participant affected by negligent disclosure of information may bring civil action for damages and seek other relief, as may be appropriate, against the officer or employee of HUD or the owner responsible for the unauthorized disclosure or improper use. Penalty provisions formisusing the social security number are contained m the Social Security act at 208 (a) (6), (7) and (8). Violations of these provisions are cited as violations of 42 USC 408 (a), (6), (7) and (8).
Alimony/Child Support Self Certification |
UHC Form 07 (Rev. 1/2010) |