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CAPTIVES - For Sponsored and Cell Captives



Form #GID-276-EN This is in the Adobe Portable Document format (pdf)\nDivision: CaptivePublished: 2015
Title: Citizenship Affidavit (replaces Citizenship Form and GID-235-SF)
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:3246-FN:GID-276-EN.pdf

Form #GID-412-RS This is in the Adobe Portable Document format (pdf)\nDivision: CaptivePublished: 2015
Title: Biographical Affidavit with Background Reports for Captive Insurance Company
Biographical Affidavit with Background Reports for Captive Insurance Company
PID:1135-SID:3244-FN:GID-412-RS.pdf

Form #GID-423-RS This is in the Adobe Portable Document format (pdf)\nDivision: CaptivePublished: 2016
Title: Application Checklist for A Newly Forming Captive Insurance Company
Application Checklist for A Newly Forming Captive Insurance Company. This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us.
PID:1179-SID:3253-FN:GID-423-RS.pdf

Form #GID-424-RS This is in the Adobe Portable Document format (pdf)\nDivision: CaptivePublished: 2016
Title: Plan of Operation Checklist for A Newly Forming Captive Insurance Company
Plan of Operation Checklist for A Newly Forming Captive Insurance Company. This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us.
PID:1180-SID:3245-FN:GID-424-RS.pdf

Form #GID-453-RS.pdf This is in the Adobe Portable Document format (pdf)\nDivision: CaptivePublished: 2019
Title: Application for Certificate of Authority for Sponsored Captive Insurance Company
Application for Certificate of Authority for Sponsored Captive Insurance Company. This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us.
PID:1247-SID:3247-FN:GID-453-RS.pdf

Form #GID-454-RS.pdf This is in the Adobe Portable Document format (pdf)\nDivision: CaptivePublished: 2019
Title: Application for a Cell Captive Company
Application for a Cell Captive Company. This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us.
PID:1248-SID:3248-FN:GID-454-RS.pdf

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