Office of Insurance and Safety Fire CommissionerRalph T. Hudgens
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ATTENTION: TO ALL NEW APPLICANTS - EFFECTIVE 1/1/2012. 
In accordance with state law, beginning January 1, 2012, the Office of Insurance and Safety Fire Commissioner will be changing its procedures regarding the verification of lawful presence of persons applying for all licenses, permits, registrations and certificates. Please click HERE for more information.

ATTENTION:
 We have NEW IMPORTANT payment procedures. Please view them HERE.

Form #GID-063-PC (same as GID-63) This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Product ReviewPublished: 2011
Title: DISCLOSURE STATEMENT
For Experience Rating Notification By Workers' Compensation Carriers.
PID:688-SID:1090-FN:GID-063-PC AUG10 WC LOSS EXPERIENCE DISCLOSURE STATEMENT.pdf

Form #PC TD-1 This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Product ReviewPublished: 2006
Title: NAIC Transmittal
This is an Adobe Interactive Form. You may fill it out on-line, print it and send it to us.
PID:282-SID:298-FN:NAIC Transmittal.pdf

Form #PC-FF-MISC This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Product ReviewPublished: 2011
Title: SERFF Filing Fee Transmittal Miscellaneous - Other Filings
SERFF Filing Fee Transmittal Miscellaneous - Other Filings
PID:337-SID:303-FN:SERFF Filing Fee Transmittal Miscellaneous - Other Filings.pdf

Form #PC-FF-RATES This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Product ReviewPublished: 2006
Title: SERFF Filing Fee Transmittal - Rate - Rule Filing
SERFF Filing Fee Transmittal - Rate - Rule Filing
PID:335-SID:301-FN:SERFF Filing Fee Transmittal - Rate - Rule Filing.pdf

Form #PC-FFNS This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Product ReviewPublished: 2011
Title: Non-SERFF Filing Fee Transmittal
Non-SERFF Filing Fee Transmittal
PID:283-SID:299-FN:Non-SERFF Filing Fee Transmittal.pdf

Form #PC-T1 Attachment A This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Product ReviewPublished: 2001
Title: Informational Filing Certification
This is a multi-part form. This is an Adobe Interactive Form. You may fill it out on-line, print it and send it to us.
PID:256-SID:297-FN:Informational Filing Certification.pdf

Form #PC-T1 Attachment B This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Product ReviewPublished: 2001
Title: Consumer Advocate Service Certification
This is an Adobe Interactive Form. You may fill it out on-line, print it and send it to us.
PID:83-SID:296-FN:Consumer Advocate Service Certification.pdf

Form #PC-T3 This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Product ReviewPublished: 2002
Title: PC-T3 (3-02), Georgia Private Passenger Motor Vehicle Rate Filing Supplement
PC-T3 (3-02), Georgia Private Passenger Motor Vehicle Rate Filing Supplement
PID:298-SID:300-FN:PC-T3 (3-02), Georgia Private Passenger Motor Vehicle Rate Filing Supplement.pdf

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