(a) A person commits the crime of unsworn falsification in the second degree if, with the intent to mislead a public servant in the performance of a duty, the person submits a false written or recorded statement that the person does not believe to be true
(1) in an application for a benefit; or
(2) on a form bearing notice, authorized by law, that false statements made in it are punishable.
(b) Unsworn falsification in the second degree is a class A misdemeanor.