N.Y. Comp. Codes R. & Regs. tit. 22, § 122.4
(b) Sworn statement of hearing officer.
I, __ (give full name), do solemnly swear (or affirm) that I will support the Constitution of the United States, and the Constitution of the State of New York, and that I will faithfully and fairly do such acts and make such determinations and reports as may be required by the designation as a judicial hearing officer, according to the best of my ability.
(Signature)
Sworn to before me this
day of , 19 .
Notary Public