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Insurers Forms - Auto Self Insured Forms



Form #GID-043-RS This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2018
Title: Automobile Self-Insurer Bond Form
Automobile Self-Insurer Bond Form and Instructions
PID:208-SID:318-FN:GID-043-RS.pdf

Form #GID-255-RS This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2018
Title: Automobile Application For Self-Insurance
Effective 1-1-2012, the Citizenship Affidavit Form GID-276-EN must be submitted with this application for processing. This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.
PID:732-SID:1495-FN:GID-255-RS.pdf

Form #GID-276-EN This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 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:1806-FN:GID-276-EN.pdf

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