WITNESSES TO AUTHORIZING PARTYSIGNATURE. Atansyon ! De moun majè dwe sèvi kòm temwen lè w ap siyen dokiman epi siyen li la - nou tout dwe siyen devan yon notè piblik. De moun majè yo pa ka moun k ap bay swen an ak dezyèm moun ou chwazi kòm moun k ap bay swen an..(To be signed by persons over the age of 18 who are not the designated caregiver) Witness #1 Witness #2 Witness #1 Signature / Siyati temwen #1 Witness #2 Signature / Siyati temwen #2 Witness #1 Witness #2 Printed Name/ Ekri non ak lèt yo dekole Printed Name/ Ekri non ak lèt yo 617-555-5556 617-555-5557 Phone Number / Nimewo telefòn Phone Number / Nimewo telefòn
