"I certify that I have personally examined and am familiar with the information submitted in this petition and all attached documents, and that, based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the submitted information is true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment."
9 Va. Admin. Code § 20-170-420
Statutory Authority
§§ 10.1-1402 and 10.1-1454.1 of the Code of Virginia.