The mission of the Department of Social Services is to provide financial assistance and support services to eligible Suffolk County residents. On the _______day of ______ in the year_____, before me, the undersigned notary public, personally appeared.Form Name. Number. Spanish. Obtain a copy of EPA Form 8700-12, fill out the form, and send it to the EPA Region 2. Office. By signing this Acknowledgement, I confirm that I watched the training class listed above in its entirety. Certified copies of an Acknowledgment of Parentage are free of charge.