“I am fluent in both the English and ______________ languages. I am competent
to translate from ______________ to English. I have made the above translation
from a copy of the original document in the ______________ language and
hereby certify that the same is a true and complete translation to the best of my
knowledge, ability, and belief.”
________________________
Print Name
________________________
Signature
______________
Date
NOTARIZATION: _____________________________