This article will shed light on the specifics of a California affidavit template, a vital tool that can simplify your legal journey. Fill in the sponsor's full name, date of birth, and contact information.Specify the relationship to the immigrant. You will also have to complete a new Sponsor Statement of Facts and provide proof of income and resources at each redetermination. California Affidavit Templates. Use our Affidavit template to swear to the truthfulness of a statement or fact. Dear Medi-Cal Access Program,. I am providing this affidavit to verify my income as I have no other income documentation available to me. CitizenPath's software and Affidavit of Support sample can help you easily prepare a Form I864, Affidavit of Support, for your relative. Example: Kimora, the sponsor, resides in California and wants to immigrate her husband and four children from Japan.