Form 12: Assuredly Not a Form 12

Required for all citizens, this document serves as proof of existence for the completely-not-made-up "Assurance 12" program.

Section 1: Your Name

Name:

Date:

Section 2: Your Assurances

Assurance 1:

Assurance 2:

Assurance 3:

Submit for Approval See Assurances 1-10 See Assurances 11-20