Disclaimers, acknowledgements and declarations

Date d’adoption : 
21 février 2018
Dernière mise à jour : 
23 juillet 2024

PDF forms often contain various disclaimers, acknowledgements and declarations. Follow the guidance on this page to draft your content and use the writing examples to make sure people can understand it. 

Disclaimers

You must include the following disclaimers on PDF forms.

  • Health Information Privacy and Management Act (HIPMA) if your form collects medical information.
  • French gender disclaimer for all bilingual or French forms. The French Language Services Department will provide you with this text during translation.
  • French gender disclaimer – all French and bilingual forms must have a gender disclaimer. This is because the French language uses many gender-specific words. The disclaimer lets people know the French text on forms is written without gender preference.

If you must ask people to agree to multiple complex disclaimers:

  • try to rewrite them in plain language so they are concise and easily understandable; and
  • group them together. 

Examples of rewritten disclaimers, acknowledgements and declarations

Declaration before it was rewritten

The following declaration is at a post-graduate reading grade level and 2 of the 3 sentences are ranked as very hard to read.

Declaration: I hereby declare that to the best of my knowledge and belief the above information is true and I give permission to the Department of Education to verify the above information in any way necessary. I further understand that the provision of false or misleading information in this application may result in legal prosecution and/or being disqualified from receiving any benefits under the Child Care Subsidy Program including being barred from any further participation in the Program.

Declaration after it was rewritten

In the rewritten example below, the reading grade is grade 8 and none of the sentences are rated as hard to read or very hard to read.

Declaration

To the best of my knowledge, the information I've provided in this form is accurate and true. The Department of Education has my permission to verify it. I understand that any false or misleading information in this form could result in:

  • legal prosecution;
  • my disqualification from receiving benefits under the Child Care Subside Program; and
  • the department barring me from further participation in the program.

Acknowldegement before it was rewritten

This example is a reading grade 10 and the sentence is rated as hard to read.

I acknowledge that if courses are failed or withdrawn from I will be required to repay funding received.

Acknowledgement after it was rewritten

In the rewritten example below, the reading grade is grade 8 and the sentence is no longer rated as hard to read.

I acknowledge that if I fail or withdraw from these courses I will have to repay the funds I've received.

Declaration before it was rewritten

This declaration is a post-graduate reading grade level and 3 of the 4 sentences are very hard to read.

Yes, I hereby certify that I am the person making application for renewal as a licensed practical nurse in Yukon, and that all statements are true and complete in every respect. I understand that falsification of information on this application may result in the cancellation of my application for registration or cancellation of an issued licence. Further, I authorize the Registrar of Licensed Practical Nurses, or a person who has been designated by the Registrar for this purpose, to make inquiries of any person, government or body in respect of the evidence or information provided by the applicant and authorize any person, government or body to whom inquiries are made to provide any information requested.

Declaration after it was rewritten

In the rewritten version below the reading grade is grade 7 and 2 of the 10 sentences are hard to read.

I certify that:

  • I am the person applying to renew my licensed practical nurse license; and
  • the statements I've made in my application are accurate and true.

I understand if I have falsified information on this application, the Registrar can:

  • cancel my application for registration or
  • not issue me a license.

I authorize:

  • the Registrar or authorized personal to ask any person, government or body to verify information in my application; and
  • any person, government or body to respond to these inquires and provide the requested information.