Office of Insurance and Safety Fire CommissionerRalph T. Hudgens
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Risk Purchasing Groups Forms

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Form #: GID-211-NT (same as GID-211-EN) This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2012
Title: Purchase Group Notice and Registration
Annual Risk Purchase Group Notice Registration. This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal. This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us. 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-239-NT (same as GID-239-EN) This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2014
Title: Annual Renewal Check Sheet For Groups
Used by Groups to provide contact information specific to the Group. This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us.

Form #: GID-276-EN This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2013
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 #: Purchasing Group Registration Letter This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2014
Title: Purchasing Group Registration Letter
Risk Purchasing Registration Letter

Form #: Risk Purchasing Groups Annual Renewal Instructions This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2014
Title: Purchasing Groups- Annual Renewal Memo (same as GID-211-EN Memo)
Memo for Annual Risk Purchasing Groups registration

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