Cal. Code Regs. tit. 10 § 2623.7
I am the attorney for the applicant herein who is absent from the County of ____________________, California, where I have my office, and I make this verification for the applicant for that reason; the statements in the foregoing documents are true of my own knowledge except as to the matters which are therein stated on information or belief, and as to those matters I believe them to be true.
I declare under penalty of perjury under California law that the foregoing is true and correct.
Executed on ____________________ (date) ____________________ at ____________________ (name of city), California.
DATED:
Respectfully Submitted,
____________________
Signature
Cal. Code Regs. Tit. 10, § 2623.7
Note: Authority cited: Sections 1861.10, 12921 and 12926, Insurance Code. Reference: Sections 1861.05(b), (c), 1861.08 and 1861.10(a), (b), Insurance Code and; CalFarm Insurance Company, et al. v. George Deukmejian, et al., 48 Cal.3d 805 (1989).