[Code of Federal Regulations]
[Title 18, Volume 1]
[Revised as of April 1, 2004]
From the U.S. Government Printing Office via GPO Access
[CITE: 18CFR12.13]

[Page 195]
 
           TITLE 18--CONSERVATION OF POWER AND WATER RESOURCES
 
  CHAPTER I--FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY
 
PART 12_SAFETY OF WATER POWER PROJECTS AND PROJECT WORKS--Table of Contents
 
                      Subpart B_Reports and Records
 
Sec. 12.13  Verification form.

    If a document submitted in accordance with the provisions of this 
part must be verified, the form of verification attached to the document 
must be the following:

State of [ ],
County of [ ], ss:
    The undersigned, being first duly sworn, states that [he, she] has 
read the above document and knows the contents of it, and that all of 
the statements contained in that document are true and correct, to the 
best of [his, her] knowledge and belief.

________________________________________________________________________
[Name of person signing]

    Sworn to and subscribed before me this [day] of [month], [year].

[Seal]

________________________________________________________________________

[Signature of notary public or other state or local official authorized 
by law to notarize documents.]