Form 02-024 - Employee Affidavit Form 1999
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1STATE OF ALASKA
EMPLOYEE AFFIDAVIT
_____________________________________
____________________________________
Employee
Department
Date: _______________________
OATH OF OFFICE
(Prescribed by AS 39.05.045)
I do solemnly swear (or affirm) that I will support and defend the constitution of the United States and the Constitution of the State of
Alaska, and that I will faithfully discharge my duties as ________________________________________________to the best of my
ability.
_______________________________________
__________________________________
(Department Representative)
(Signature of Employee)
NOTIFICATION: Persons to be notified in event of serious illness or accident:
NAME
ADDRESS
TELEPHONE
RELATIONSHIP
02-024 (5/92)
Rev: 08/18/99
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