N.Y. Gen. Mun. Law § 202
Any person described in sections two hundred or two hundred one of this article shall be entitled to a certificate from the company in which he or she served or of which he or she was a member at the time of its disbandment which shall show the date of the entrance of such firefighter upon his or her service, the period of his or her service; if he or she was honorably discharged from such company the certificate shall so state; that he or she was in good standing in his or her company at the time of applying for such certificate or at the time he or she was discharged therefrom; or that he or she was in good standing in his or her company at the time of the disbandment thereof. Such certificate shall be signed by the president, captain, foreman or secretary of the company and shall be acknowledged by such officers before an officer commissioned to take acknowledgments, and shall also have attached thereto a certificate attested by the affidavit of the secretary, clerk or other person having the custody of the company's record of membership, that the statements of fact contained in said certificate are true, and the affidavit and acknowledgment shall be substantially in the following form:
State of New York) ) ss.
County of ............) On this ............ day of ..........., in the year ..........., before me personally came ........................., to me known and by me known to be the same persons described in and who executed the foregoing certificate and they severally duly acknowledged to me that they executed the same and the said .............................. being by me duly sworn, deposes and says, that he/she is ................. of the company aforesaid and is the custodian of the records of its membership and that the facts above stated relating to the service of the person described in such certificate are true.
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Notary Public
Such certificate so attested shall in all courts of the state and in the offices of all persons clothed with power of appointment or removal in the service of this state and in the several cities, counties, towns and villages thereof, be presumptive evidence of the facts therein stated.
N.Y. Gen. Mun. Law § 202