Payee's Phone Number. I am first duly sworn and state I am: Name.Important: The person alleging forgery must complete this form in longhand. With this fill-in-the-blanks legal template, non-lawyers can create their own affidavit of forgery. I swear or affirm under penalty of perjury the above stated facts are true and correct to the best of my knowledge. Please complete and notarize this sworn statement and submit via EMAIL or FAX. This affidavit is for victims of identity theft. To avoid delays do not use this form if you have already filed a Form 14039 for this incident. Follow the instructions below to complete Washington affidavit form online quickly and easily. Take advantage of DocHub, the most straightforward editor.