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Agencies Forms



Form #GID-101A-AL This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2018
Title: Business Entity License Renewal Application
Business Entity License Renewal Application. A Citizen Affidavit form is required with this application if the person who has authority to apply for licensure on behalf of this licensed business entity either: is a non-citizen /alien of the United States, or has not previously provided a Citizen Affidavit for this business entity. If Yes, to either a) or b), then include the GID-276-EN Citizen Affidavit Form with this renewal. This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us.
PID:1075-SID:2788-FN:GID-101A-AL.pdf

Form #GID-130-AL This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2018
Title: Agency License Application
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. This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us.
PID:804-SID:1693-FN:GID-130-AL.pdf

Form #GID-130A-AL This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2017
Title: Request For Name Approval Form
Instructions and form for requesting name approval. This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us.
PID:514-SID:792-FN:GID-130A-AL.pdf

Form #GID-276-EN This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 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:1641-FN:GID-276-EN.pdf

Form #GID-365-AL This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2018
Title: Retail Vendors Of Portable Electronics Application
This form is used to apply for a license. This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us. This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal. Effective 1-1-2012, the Citizenship Affidavit Form GID-276-EN must be submitted with this application.
PID:1052-SID:2712-FN:GID-365-AL.pdf

Form #GID-366-AL This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2018
Title: Self-Storage Provider License Application
This form is used to apply for a license. This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us. This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal. Effective 1-1-2012, the Citizenship Affidavit Form GID-276-EN must be submitted with the application.
PID:1053-SID:2715-FN:GID-366-AL.pdf

Form #GID-390-AL This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2018
Title: Request for Name and Address Change
Request for Name and Address Change for Producer and Agency. This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us.
PID:65-SID:3115-FN:GID-390-AL.pdf

Form #GID-395-AL same as UNRBEILR This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2018
Title: Uniform Application For Non-Resident Insurance License Registration
Includes instructions for non-residents, the application and the Citizenship Affidavit. Effective 1-1-2012, the Citizenship Affidavit Form GID-276-EN 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:790-SID:1656-FN:GID-395-AL.pdf

Form #GID-438-AL.pdf This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2019
Title: Business Entity Limited Credit License Application
A Citizen Affidavit form (GID-276-EN) is required with this application from the person who has authority to apply for licensure on behalf of this business entity. This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us. This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us. This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us.
PID:1251-SID:3252-FN:GID-438-AL.pdf

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