Web(GID-21-EN) Biographical Questionnaire for Premium Finance Companies (GID-23-EN) Release of Information Form (GID-53-NT) Insurance Premium Finance Company Bond (GID-28-EN) Insurance Premium Finance Company Convenience and Advantage Documentation (if applicable) (GID-40-EN) Citizenship Affidavit Form (GID-276-EN) … WebCitizenship Verification The Georgia Department of Revenue is required to verify the immigration status of anyone registering for or renewing the following licenses, permits, tags, and registrations: Alcohol State Alcohol License (includes retailer, wholesaler, broker, manufacturer, shipper, importer, and special events)
OFFICE OF INSURANCE AND SAFETY FIRE COMMISSIONER
WebIndicate the date to the document using the Date function. Select the Sign button and create a signature. You can find 3 available choices; typing, drawing, or capturing one. Make sure that each field has been filled in properly. Click Done in the top right corne to export the form. There are various ways for receiving the doc. WebSUBMIT ONLY THIS COMPLETED CITIZENSHIP AFFIDAVIT PAGE THE REQUIRED DOCUMENTATION !! Page one and three are information purposes only and are not required to be submitted - affidavit and id only required. Office of Commissioner of Insurance and Safety Fire - Georgia Page 2 of 3 Form GID-276-EN I MAR2024 porsche paint to sample colors 2020
Get GA GID-276-EN 2024-2024 - US Legal Forms
Web(2) Citizenship Affidavit form (GID-276-EN) along with verifiable identification. (3) Application for Renewal of Certificate of Authority (GID-010-RS). (4) An Insurance Company Annual Statement for Publication (GID-011-RS). WebFeb 15, 2024 · Complete the Citizenship Affidavit. New license applicants are required to submit a notarized Citizenship Affidavit Form (GID-276-EN) attesting to either United States citizenship or lawful presence. A copy of the required form, along with instructions for completing the form, ... WebPhone: 855-235-5174 E-mail: [email protected] RESIDENT INSURANCE LICENSE APPLICATION AGENTS LICENSING GID-103-AL JAN2024 APPLICANT’S INFORMATION: 4. 5. 8. 9. 10. 11. 12. FULL LEGAL NAME: MANDATORY QUESTIONNAIRE: If yes to any of the above, attach supplement giving full details and … irish celtic quotes