The compliance forms that follow contain fields for names, addresses, phone numbers, and other information. On the _______day of ______ in the year_____, before me, the undersigned notary public, personally appeared.Note: This form must be downloaded to your device in order to be filled out properly. Please be advised that the forms detailed below are intended to be a guide and as such do not address every possible situation. ➢ This authorization is completely voluntary, and you do not have to agree to authorize any use or disclosure. Most forms may be filled out on your computer, printed and submitted for filing with the Department of State. To promote transparency, Suffolk County requires coops to disclose, in writing, their reasons for denying an application. Child Support Forms ; 4-17a. Financial Disclosure Affirmation (Short Form).