WITNESS my hand and official seal. Signature. (Seal). A notary public or other officer completing this certificate verifies only the identity of the individual.Confirmation letters are a formal way of acknowledging receipt of an application, order, or payment. ✓ A completed Site Verification Form must have all fields filled out. ✓ Digital signatures must be manual and can include signing with a pen or cursor. A copy of the medical school diploma is included if available. If not available, the statement above and signature below confirms this primary source. You must fill out this STATEMENT completely and provide your signature. This file provides a structured format for applicants to verify their employment history for board evaluations. After you have graduated from UC San Diego you can order your verification or view your Academic History using Social Login.