Office of Insurance and Safety Fire CommissionerRalph T. Hudgens
Commissioner
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Form #GID-276-EN This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-InspectionsPublished: 2015
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.
PID:788-SID:2637-FN:GID-276-EN.pdf

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