City of Philadelphia. If you have any supporting documentation, such as letters or photographs, include them.Then fill out all the required fields. Filling out an Affidavit of Identity involves providing accurate information about the affiant (the person making the affidavit) and their identity. This regulation from the Department of Records provides for notary affidavits in response to fraudulently recorded documents. General Form of Affidavit or Verification 1.4.1. Photo Exemption Form (DL-82) and submit along with this form. You can use our Sample Physician Statement. Mail completed affidavit form, documents, application, fee and ID to: PA Department of Health. The photograph shall be in a form compatible with the Commonwealth Photo Imaging Network.