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Education Provider Forms



Form #GID-110-AL This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2018
Title: Request for Approval of Pre-Licensing or Continuing Education
Form used for obtaining New/Renewal, Pre-Licensing/Continuing Education, Course/Instructor approval. Effective 1-1-2012, the Citizenship Affidavit Form GID-276-EN must be submitted with this application for processing. 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.
PID:553-SID:846-FN:GID-110-AL.pdf

Form #GID-111-AL This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2015
Title: Certificate of Education Completion
Provides verification of educational compliance. This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us.
PID:141-SID:1481-FN:GID-111-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:1644-FN:GID-276-EN.pdf

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