Office of Insurance and Safety Fire CommissionerRalph T. Hudgens
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Prepaid Legal Plans Forms

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Form #: GID-032-NT This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2013
Title: Application for License as a Prepaid Legal Services Sponsor
Effective 1-1-2012, this form is required of persons making application for all licenses, permits, registrations and certifications in order to comply with the Georgia Illegal Immigration Reform And Enforcement Act. This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.

Form #: GID-033-NT (same as GID-33) This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2014
Title: Application for Renewal License as a Prepaid Legal Service Sponsor
Effective 1-1-2012, this form is required of persons making application for all licenses, permits, registrations and certifications in order to comply with the Georgia Illegal Immigration Reform And Enforcement Act. This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.

Form #: GID-034-NT This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2014
Title: Bond by Sponsor of Prepaid Legal Services Plan
Bond by Sponsor of Prepaid Legal Services Plan

Form #: GID-035-NT This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2014
Title: Power to Sell and Assign Securities Deposited with the Commissioner of Insurance
This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.

Form #: GID-036-NT This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2014
Title: Resolution Form Authorizing Sale or Assignment
This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.

Form #: GID-037-C-NT This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2014
Title: Assignment of Savings Share Certificate or CD
This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.

Form #: GID-037-NT This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2014
Title: Authorization Form For Sale or Assignment
This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.

Form #: GID-038 This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2011
Title: Assignment of Savings Share Certificate or Certificate of Deposit
This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.

Form #: GID-039-NT This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2014
Title: Annual Report of Prepaid Legal Services Sponsor
This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.

Form #: GID-041-NT This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2014
Title: Biographical Questionnaire
This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.

Form #: GID-276-EN This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2014
Title: Citizenship Affidavit
Effective 1-1-2012, this form is required of persons making application for all licenses, permits, registrations and certifications in order to comply with the Georgia Illegal Immigration Reform And Enforcement Act. This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.

Form #: GID-379-NT DEC2013 This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2014
Title: Prepaid Legal Services Applicant Letter
Prepaid Legal Services Applicant Instructions Letter and Check List.

Form #: GID-380-NT DEC2013 This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2014
Title: Prepaid Legal Services Renewal Applicant Letter
Prepaid Legal Services Renewal Applicant Letter and Check List.

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