Office of Insurance and Safety Fire CommissionerRalph T. Hudgens
Commissioner
Home Agents Agencies Insurers Fire Marshal Industrial Loan Consumer Services Premium Tax Legal Fraud

All Insurance Forms

ATTENTION: TO ALL NEW APPLICANTS - EFFECTIVE 1/1/2012. 
In accordance with state law, beginning January 1, 2012, the Office of Insurance and Safety Fire Commissioner will be changing its procedures regarding the verification of lawful presence of persons applying for all licenses, permits, registrations and certificates. Please click HERE for more information.

ATTENTION:
 We have NEW IMPORTANT payment procedures. Please view them HERE.

Form #: CHECKLIST - Title Companies This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2014
Title: Title Companies Checklist
Provides a guide to the requirements for the 2014 annual filing.

Form #: CHECKLIST - Title Companies This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2014
Title: Title Companies Checklist
Provides a guide to the requirements for the 2014 annual filing.

Form #: GID-001-IL with GID-004-IL This is in the Adobe Portable Document format (pdf)\nDivision: Industrial LoanPublished: 2013
Title: Corporation Application for License to Operate Business under Georgia Industrial Loan Act
Effective 1-1-2012, submit with the application the Citizenship Affidavit Form GID-276-EN which is required of persons making application for all licenses 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.

Form #: GID-002-IL with GID-004-IL This is in the Adobe Portable Document format (pdf)\nDivision: Industrial LoanPublished: 2012
Title: Partnership Application for License to Operate Business under Georgia Industrial Loan Act
Effective 1-1-2012, submit with the application the Citizenship Affidavit Form GID-276-EN which is required of persons making application for all licenses 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.

Form #: GID-003-IL with GID-004-IL This is in the Adobe Portable Document format (pdf)\nDivision: Industrial LoanPublished: 2012
Title: Proprietorship Application for License to Operate Business under Georgia Industrial Loan Act
Effective 1-1-2012, submit with the application the Citizenship Affidavit Form GID-276-EN which is required of persons making application for all licenses 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. Replaces GID-FO-IL-3.

Form #: GID-003-RS This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2010
Title: Appointment of Attorney-in-fact by Insurer
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.

Form #: GID-004-IL This is in the Adobe Portable Document format (pdf)\nDivision: Industrial LoanPublished: 2011
Title: Convenience and Advantage Documentation
Convenience and Advantage Documentation. Effective 1-1-2012, submit with the application the Citizenship Affidavit Form GID-276-EN which is required of persons making application for all licenses 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.

Form #: GID-004-RS This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2010
Title: Appointment of Commissioner as Attorney-in-fact by Insurer
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.

Form #: GID-006-IL This is in the Adobe Portable Document format (pdf)\nDivision: Industrial LoanPublished: 2012
Title: Annual Georgia Industrial Loan License Renewal
Annual Georgia Industrial Loan License Renewal Application. Effective 1-1-2012, submit with the application the Citizenship Affidavit Form GID-276-EN which is required of persons making application for all licenses 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. This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us.

Form #: GID-007-IL This is in the Adobe Portable Document format (pdf)\nDivision: Industrial LoanPublished: 2008
Title: Annual Georgia Industrial Loan Report
Annual Georgia Industrial Loan Report This is an Adobe Interactive Form. You may fill it out on-line, print it and send it to us. This is an Adobe Interactive Form.

Form #: GID-007-RS OfficialSupervisionInsStateDomicile This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2014
Title: OfficialSupervisionInsStateDomicile
Official Supervision Insurance State Domicile. This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us.

Form #: GID-007A-IL This is in the Adobe Portable Document format (pdf)\nDivision: Industrial LoanPublished: 2008
Title: Annual Georgia Industrial Loan report Addendum
This is an Adobe Interactive Form. You may fill it out on-line, print it and send it to us.

Form #: GID-007B-IL This is in the Adobe Portable Document format (pdf)\nDivision: Industrial LoanPublished: 2008
Title: Statement of Income and Expenses
This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us.

Form #: GID-012 This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2007
Title: Annual Premium Tax Return
Annual Premium Tax Return (Rev 10-07)

Form #: GID-012 Instructions This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2007
Title: GID-012 Instructions
Instructions (GID-12) (Rev 10-07)

Form #: GID-012 Instructions This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2006
Title: GID-012 Instructions
GID-012 Instructions

Form #: GID-012 Instructions This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2007
Title: GID-012 Instructions
GID-012 Instructions (Rev 10-07)

Form #: GID-012 Instructions This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2006
Title: GID-12 Instructions
GID-12 Instructions (Rev 10-06)

Form #: GID-012 Instructions This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2007
Title: GID-12 Instructions (Rev 10-07)
GID-12 Instructions (Rev 10-07)

Form #: GID-012-IL This is in the Adobe Portable Document format (pdf)\nDivision: Industrial LoanPublished: 2011
Title: Quarterly Insurance and Loan Report
This is an Adobe Interactive Form. You may fill it out on-line, print it and send it to us.

Form #: GID-012-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2009
Title: 2009 ANNUAL PREMIUM TAX RETURN (Rev 09-09)
2009 ANNUAL PREMIUM TAX RETURN (Rev 09-09). Same as GID-12.

Form #: GID-012-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2011
Title: ANNUAL PREMIUM TAX RETURN
ANNUAL PREMIUM TAX RETURN

Form #: GID-012-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2012
Title: Annual Premium Tax Return
Annual Premium Tax Return

Form #: GID-012-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2012
Title: Annual Premium Tax Return
Annual Premium Tax Return

Form #: GID-012-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2010
Title: ANNUAL PREMIUM TAX RETURN
2010 ANNUAL PREMIUM TAX RETURN(Rev 10-10). Same as GID-12.

Form #: GID-012-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2008
Title: Annual Premium Tax return
GID-12-PT 2008 ANNUAL PREMIUM TAX RETURN (Rev 10-08). Same as GID-12.

Form #: GID-012A This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2006
Title: Statement of Quarterly Premium Tax
Statement of Quarterly Premium Tax (Rev 10-06)

Form #: GID-012A This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2007
Title: Statement of Quarterly Premium Tax
Statement of Quarterly Premium Tax (Rev 10-07)

Form #: GID-012A-IL This is in the Adobe Portable Document format (pdf)\nDivision: Industrial LoanPublished: 2011
Title: Statement Of Estimated Monthly Loan Tax Report
This is an Adobe Interactive Form. You may fill it out on-line, print it and send it to us.

Form #: GID-012A-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2012
Title: STATEMENT OF QUARTERLY PREMIUM TAX
STATEMENT OF QUARTERLY PREMIUM TAX

Form #: GID-012A-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2011
Title: STATEMENT OF QUARTERLY PREMIUM TAX
Form is provided for quarterly filings.

Form #: GID-012A-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2008
Title: Statement of Quarterly Premium Tax
STATEMENT OF QUARTERLY PREMIUM TAX (Rev 10-08)

Form #: GID-012A-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2013
Title: Statement of Quarterly Premium Tax
Statement of Quarterly Premium Tax

Form #: GID-012A-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2009
Title: Statement of Quaterly Premium Tax
Statement of Quaterly Premium Tax

Form #: GID-013 This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2006
Title: Georgia Retaliatory Tax Computation - 2006
Georgia Retaliatory Tax Computation (O.C.G.A. §33-3-26) (Rev 10-06)

Form #: GID-013 This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2007
Title: Georgia Retaliatory Tax Computation
Georgia Retaliatory Tax Computation (O.C.G.A. §33-3-26) (Rev 10-07)

Form #: GID-013 Instructions This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2006
Title: Georgia Retaliatory Tax Computation
Georgia Retaliatory Tax Computation (O.C.G.A. §33-3-26)

Form #: GID-013 Instructions This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2007
Title: GID-013 instructions
GID-013 instructions (Rev1007)

Form #: GID-013-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2011
Title: GEORGIA RETALIATORY TAX COMPUTATION
GEORGIA RETALIATORY TAX COMPUTATION

Form #: GID-013-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2011
Title: GEORGIA RETALIATORY TAX COMPUTATION
GEORGIA RETALIATORY TAX COMPUTATION

Form #: GID-013-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2012
Title: GEORGIA RETALIATORY TAX COMPUTATION
GEORGIA RETALIATORY TAX COMPUTATION.

Form #: GID-013-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2010
Title: 2010 Georgia Retaliatory Tax Computation (Rev 10-10).
2010 Georgia Retaliatory Tax Computation (Rev 10-10). Same as GID-13.

Form #: GID-013-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2009
Title: 2009 Georgia Retaliatory Tax Computation (Rev 09-09)
2009 Georgia Retaliatory Tax Computation (Rev 09-09). Same as GID-13.

Form #: GID-013-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2008
Title: Georgia Retaliatory Tax Computation
Georgia Retaliatory Tax Computation (Rev 10-08)

Form #: GID-014 This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2006
Title: Calculation for Abatement of Gross Premium Tax for the Year Ending 2006
Calculation for Abatement of Gross Premium Tax for the Year Ending DECEMBER 31, 2006 (Rev 10-06)

Form #: GID-014 This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2007
Title: Calculation for Abatement of Gross Premium Tax for the Year Ending 2007
Calculation for Abatement of Gross Premium Tax for the Year Ending DECEMBER 31, 2007 (Rev1007)

Form #: GID-014 Instructions This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2006
Title: GID-014 Instructions
GID-014 Instructions (Rev 10-06)

Form #: GID-014 Instructions This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2007
Title: Instructions
Instructions (Rev 10-07)

Form #: GID-014-IL This is in the Adobe Portable Document format (pdf)\nDivision: Industrial LoanPublished: 2009
Title: Licensee Request to Relocate
Licensee Request to Relocate. Same as IL-14.

Form #: GID-014-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2008
Title: 2008 Calculation for abatement of Gross Premium Tax
2008 Calculation for abatement of Gross Premium Tax (Rev 10-08)

Form #: GID-014-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2011
Title: CALCULATION FOR ABATEMENT OF GROSS PREMIUM
CALCULATION FOR ABATEMENT OF GROSS PREMIUM

Form #: GID-014-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2012
Title: CALCULATION FOR ABATEMENT OF GROSS PREMIUM TAX
CALCULATION FOR ABATEMENT OF GROSS PREMIUM TAX

Form #: GID-014-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2010
Title: 2010 Calculation For Abatement Of Gross Premium Tax
2010 Calculation For Abatement Of Gross Premium Tax (Rev 10-10). Same as GID-14.

Form #: GID-014-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2009
Title: 2009 Calculation For Abatement Of Gross Premium Tax (Rev 09-09)
2009 Calculation For Abatement Of Gross Premium Tax (Rev 09-09). Same as GID-14.

Form #: GID-014-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2008
Title: 2008 Calculation For Abatement Of Gross Premium Tax
2008 Calculation For Abatement Of Gross Premium Tax (Rev 10-08)

Form #: GID-014-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2008
Title: Calculation for Abatement of Gross Premium Tax
Calculation for Abatement of Gross Premium Tax (Rev 10-08)

Form #: GID-015 This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2006
Title: Statement in Support of Claim for Retaliatory Tax Credits
Statement in Support of Claim for Retaliatory Tax Credits (Rev 10-06)

Form #: GID-015 This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2007
Title: Statement in Support of Claim for Retaliatory Tax Credits
Statement in Support of Claim for Retaliatory Tax Credits (Rev 10-07)

Form #: GID-015-IL This is in the Adobe Portable Document format (pdf)\nDivision: Industrial LoanPublished: 2013
Title: Loan Managers Appointment Form
This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us. 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.

Form #: GID-015-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2010
Title: 2010 Statement In Support Of Claim For Retaliatory Tax Credtis
2010 Statement In Support Of Claim For Retaliatory Tax Credtis (Rev 10-10). Same as GID-15

Form #: GID-015-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2009
Title: 2009 Statement In Support Of Claim For Retaliatory Tax Credits
2009 Statement In Support Of Claim For Retaliatory Tax Credits. Same as GID-15.

Form #: GID-015-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2011
Title: STATEMENT IN SUPPORT OF CLAIM FOR RETALIATORY TAX CREDITS
STATEMENT IN SUPPORT OF CLAIM FOR RETALIATORY TAX CREDITS

Form #: GID-015-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2012
Title: STATEMENT IN SUPPORT OF CLAIM FOR RETALIATORY TAX CREDITS
STATEMENT IN SUPPORT OF CLAIM FOR RETALIATORY TAX CREDITS

Form #: GID-015-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2008
Title: 2008 Statement In Support Of Claim For Retaliatory Tax Credits
2008 Statement In Support Of Claim For Retaliatory Tax Credits (Rev 10-08)

Form #: GID-017A This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2006
Title: Municipal License Fees Form
Municipal License Fees Form. Rev 10-06

Form #: GID-017A This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2007
Title: Municipal License Fees Form
Municipal License Fees Form (LIFE, A and S, AND HMO COMPANIES ONLY). Rev 10-07

Form #: GID-017A-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2010
Title: 2010 MUNICIPAL LICENSE FEES FORMS
2010 MUNICIPAL LICENSE FEES FORMS (Rev 11-10). Same as GID-17A.

Form #: GID-017A-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2011
Title: MUNICIPAL LICENSE FEES FORM
MUNICIPAL LICENSE FEES FORM

Form #: GID-017A-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2009
Title: 2009 MUNICIPAL LICENSE FEES FORMS (Rev 9-09)
2009 MUNICIPAL LICENSE FEES FORMS (Rev 9-09). Same as GID-17A.

Form #: GID-032-NT This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2013
Title: Application for License as a Prepaid Legal Services Sponsor
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.

Form #: GID-033-NT (same as GID-33) This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2014
Title: Application for Renewal License as a Prepaid Legal Service Sponsor
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.

Form #: GID-034-NT This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2014
Title: Bond by Sponsor of Prepaid Legal Services Plan
Bond by Sponsor of Prepaid Legal Services Plan

Form #: GID-035-NT This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2014
Title: Power to Sell and Assign Securities Deposited with the Commissioner of Insurance
This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.

Form #: GID-036-NT This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2014
Title: Resolution Form Authorizing Sale or Assignment
This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.

Form #: GID-037-C-NT This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2014
Title: Assignment of Savings Share Certificate or CD
This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.

Form #: GID-037-NT This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2014
Title: Authorization Form For Sale or Assignment
This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.

Form #: GID-039-NT This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2014
Title: Annual Report of Prepaid Legal Services Sponsor
This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.

Form #: GID-041-NT This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2014
Title: Biographical Questionnaire
This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.

Form #: GID-044-RS Exhibit L - GA Business This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2010
Title: Georgia Property and Casualty Insurance Information (Exhibit L - GA Business Only)
This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us.

Form #: GID-050-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2009
Title: 2009 LIFE HEALTH GUAR FUND TAX CREDIT
2009 LIFE HEALTH GUAR FUND TAX CREDIT . (Same as GID-50)

Form #: GID-050-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2012
Title: 2012 Life and Health Guaranty Fund Tax Credit
2012 Life and Health Guaranty Fund Tax Credit

Form #: GID-050-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2011
Title: 2011 LIFE AND HEALTH GUARANTY FUND TAX CREDIT FORM
2011 LIFE AND HEALTH GUARANTY FUND TAX CREDIT FORM

Form #: GID-050-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2010
Title: 2010 LIFE HEALTH GUAR FUND TAX CREDIT
2010 LIFE HEALTH GUAR FUND TAX CREDIT (Rev 10-10). Same as GID-50.

Form #: GID-050-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2008
Title: Life and Health Guaranty Fund Tax Credit form
Life and Health Guaranty Fund Tax Credit form. (Rev 10-08)

Form #: GID-101B-AL This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2014
Title: Individual License Renewal Application
This form is used for renewal by Georgia resident and non-resident agent licensees. If you are a non-citizen / alien of the USA, you must 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.

Form #: GID-101E-AL This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2014
Title: Request for Continuing Education Reduction Exemption
Request for Continuing Education Reduction Exemption This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us.

Form #: GID-103-AL This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2014
Title: Resident Insurance 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.

Form #: GID-110-AL This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2013
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.

Form #: GID-111-AL This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2011
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.

Form #: GID-112-AL This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2011
Title: Insurance Counselor Bond
This form requires a seal to be affixed to the document. This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us.

Form #: GID-113-AL This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2011
Title: Public Adjuster Bond
This form requires a seal to be affixed to the document. This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us.

Form #: GID-114-AL This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2011
Title: Surplus Lines Broker
This form requires a seal to be affixed to the document. This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us.

Form #: GID-12 This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2006
Title: GID-12 Annual Premium Tax Return (Rev 10-06).pdf
Annual Statement of Quarterly Premium Tax

Form #: GID-13 Instructions This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2007
Title: GID-13 Instructions (Rev10-07)
GID-13 Georgia Retaliatory Tax Computation (O.C.G.A. 33-3-26).

Form #: GID-14-2006 This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2006
Title: Calculation for Abatement of Gross Premium Tax for the Year Ending DECEMBER 31, 2006
Calculation for Abatement of Gross Premium Tax for the Year Ending DECEMBER 31, 2006

Form #: GID-14-2007 This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2007
Title: GID-14 Calculation for Abatement of Gross Premium Tax for the Year Ending DECEMBER 31, 2007
GID-14 Calculation for Abatement of Gross Premium Tax for the Year Ending DECEMBER 31, 2007 (Rev 10-07)

Form #: GID-15-2006 This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2006
Title: GID-15 Statement in Support of Claim for Retaliatory Tax Credits (Rev 10-06).pdf
GID-15 2006 Statement in Support of Claim for Retaliatory Tax Credits (Rev 10-06).pdf

Form #: GID-15-2007 This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2007
Title: GID-15 Statement in Support of Claim for Retaliatory Tax Credits (Rev 10-07).pdf
GID-15 2007 Statement in Support of Claim for Retaliatory Tax Credits (Rev 10-07).pdf

Form #: GID-17A-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2008
Title: 2008 Municipal License Fees
2008 Municipal License Fees (Rev 10-08)

Form #: GID-203-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2012
Title: RECONCILIATION STATEMENT ANNUAL PREMIUM TAX RETURN
RECONCILIATION STATEMENT ANNUAL PREMIUM TAX RETURN

Form #: GID-203-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2010
Title: 2010 RECONCILIATION STATEMENT ANNUAL PREMIUM TAX RETURN
2010 RECONCILIATION STATEMENT ANNUAL PREMIUM TAX RETURN (Rev.10-10)

Form #: GID-203-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2011
Title: RECONCILIATION STATEMENT ANNUAL PREMIUM TAX RETURN
RECONCILIATION STATEMENT ANNUAL PREMIUM TAX RETURN

Form #: GID-203-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2011
Title: RECONCILIATION STATEMENT ANNUAL PREMIUM TAX RETURN
RECONCILIATION STATEMENT ANNUAL PREMIUM TAX RETURN

Form #: GID-203-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2009
Title: 2009 RECONCILIATION STATEMENT ANNUAL PREMIUM TAX RETURN
2009 RECONCILIATION STATEMENT ANNUAL PREMIUM TAX RETURN (Rev.09-09).

Form #: GID-203-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2008
Title: Reconciliation statement annual premium tax return
GID-203-PT SEP08 2008 RECONCILIATION STATEMENT ANNUAL PREMIUM TAX RETURN

Form #: GID-205-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2012
Title: 2012 INSURANCE PREMIUM TAX CREDITS
2012 INSURANCE PREMIUM TAX CREDITS

Form #: GID-205-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2011
Title: 2011 INSURANCE PREMIUM TAX CREDITS
2011 INSURANCE PREMIUM TAX CREDITS

Form #: GID-205-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2010
Title: 2010 INSURANCE PREMIUM TAX CREDITS
INSURANCE PREMIUM TAX CREDITS

Form #: GID-205-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2009
Title: INSURANCE PREMIUM TAX CREDITS
INSURANCE PREMIUM TAX CREDITS

Form #: GID-205-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2008
Title: Insurance premium tax credits
GID-205-PT 2008 INSURANCE PREMIUM TAX CREDITS

Form #: GID-207-PT This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2013
Title: Georgia Job Tax Credit
Georgia Job Tax Credit

Form #: GID-207-PT Instructions This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2008
Title: GID-207-PT Instructions
GID-207-PT Instructions

Form #: GID-213-PT This is a Microsoft Excel Aplication\nDivision: Premium TaxPublished: 2013
Title: GEORGIA RETALIATORY TAX-Interactive (O.C.G.A. § 33-3-26)
GEORGIA RETALIATORY TAX-Interactive (O.C.G.A. § 33-3-26)

Form #: GID-217A-SF / GID-217B-SF This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-InspectionsPublished: 2011
Title: Water Based Fire Protection Systems Inspection Waiver Affidavit and Inspector Waiver Request Holder
Contains WAIVER AFFIDAVIT (Part A) and WAIVER REQUEST (Part B). This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.

Form #: GID-220-IL This is a Microsoft Word Document\nDivision: Industrial LoanPublished: 2009
Title: Industrial Loan Complaint Form - May 2009
Industrial Loan Complaint Form - May 2009 (Microsoft Word)

Form #: GID-220-IL This is in the Adobe Portable Document format (pdf)\nDivision: Industrial LoanPublished: 2009
Title: Industrial Loan Complaint Form
Industrial Loan Complaint Form. This is an Adobe Interactive Form. You may fill it out on-line, print it and send it to us.

Form #: GID-222-SF This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-InspectionsPublished: 2011
Title: Water Based Fire Protection Certificate of Competency
Water Based Fire Protection Certificate of Competency and Certification of Employer License

Form #: GID-222-SF (effective 1-1-2012) This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-InspectionsPublished: 2012
Title: Water Based Fire Protection Certificate of Competency
Water Based Fire Protection Inspector Application and Certification of Employer Inspector License. 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.

Form #: GID-223-SF This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-InspectionsPublished: 2011
Title: Water Based Fire Protection Designers Application
Water Based Fire Protection Designers Application

Form #: GID-223-SF (effective 1-1-2012) This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-InspectionsPublished: 2012
Title: Water Based Fire Protection Application
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.

Form #: GID-224-SF This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-InspectionsPublished: 2011
Title: Water Based Fire Protection Inspector Application
2010 Water Based Fire Protection Inspector Application and Certification of Employer Inspector License.

Form #: GID-224-SF (effective 1-1-2012) This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-InspectionsPublished: 2012
Title: Water Based Fire Protection Inspector Application
2012 Water Based Fire Protection Inspector Application and Certification of Employer Inspector License. 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.

Form #: GID-225-SF This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-InspectionsPublished: 2011
Title: Water Based Fire Protection Systems Contractors License
Water Based Fire Protection Systems Contractors License

Form #: GID-225-SF (effective 1-1-2012) This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-InspectionsPublished: 2012
Title: Water Based Fire Protection Systems Contractors License
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.

Form #: GID-226-SF This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-InspectionsPublished: 2011
Title: Engineered Fire Suppression System License Application
This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.

Form #: GID-226-SF (effective 1-1-2012) This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-InspectionsPublished: 2012
Title: ENGINEERED FIRE SUPPRESSION SYSTEM LICENSE APPLICATION
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.

Form #: GID-227-SF This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-InspectionsPublished: 2011
Title: Pre-Engineered Industrial Permit Application
This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.

Form #: GID-227-SF (effective 1-1-2012) This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-InspectionsPublished: 2012
Title: Pre-Engineered Industrial Permit Application
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.

Form #: GID-228-SF This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-InspectionsPublished: 2011
Title: Pre-Engineered Industrial License Application
This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.

Form #: GID-228-SF (effective 1-1-2012) This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-InspectionsPublished: 2012
Title: Pre-Engineered Industrial License Application
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.

Form #: GID-229-SF This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-InspectionsPublished: 2011
Title: PROVISIONAL PERMIT APPLICATION
This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.

Form #: GID-229-SF (effective 1-1-2012) This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-InspectionsPublished: 2012
Title: Provisional Permit Application
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.

Form #: GID-230-SF This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-InspectionsPublished: 2011
Title: Engineered Fire Suppression System Permit Application
This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.

Form #: GID-230-SF (effective 1-1-2012) This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-InspectionsPublished: 2012
Title: Engineered Fire Suppression System Permit Application
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.

Form #: GID-231-SF This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-InspectionsPublished: 2011
Title: Portable Fire Extinguisher License Application
Portable Fire Extinguisher License Application. This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.

Form #: GID-231-SF (effective 1-1-2012) This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-InspectionsPublished: 2012
Title: Portable Fire Extinguisher License Application
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.

Form #: GID-232-SF This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-InspectionsPublished: 2011
Title: Portable Fire Extinguisher Permit Application
This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal. This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.

Form #: GID-232-SF (effective 1-1-2012) This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-InspectionsPublished: 2012
Title: Portable Fire Extinguisher Permit Application
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.

Form #: GID-233-SF This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-InspectionsPublished: 2011
Title: Pre-Engineered Kitchen Restaurant Fire Suppression System Permit Application
This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.

Form #: GID-233-SF (effective 1-1-2012) This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-InspectionsPublished: 2012
Title: Pre-Engineered Kitchen Restaurant Fire Suppression System Permit Application
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.

Form #: GID-234-SF This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-InspectionsPublished: 2011
Title: Pre-Engineered Kitchen Restaurant Fire Suppression System License Application
This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.

Form #: GID-234-SF (effective 1-1-2012) This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-InspectionsPublished: 2012
Title: Pre-Engineered Kitchen Restaurant Fire Suppression System License Application
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.

Form #: GID-237-SF This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-Manufactured HousingPublished: 2011
Title: Georgia Manufactured Homes Retailer Retail Broker Acknowledgment
Georgia Manufactured Homes Retailer Retail Broker Acknowledgment Form, Installation Notice Form, and Retailer Retail Broker Monthly Requirement Form.

Form #: GID-238-SF This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-Manufactured HousingPublished: 2013
Title: Manufactured Housing Installation Information Form (Same as FM-391)
Manufactured Housing Installation Information Form (Same as FM-391). This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us.

Form #: GID-243A-SF This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-Hazardous MaterialsPublished: 2012
Title: Application for Proximate Audience License Fireworks and or Pyrotechnic Displays
Effective 1-1-2012, the Citizenship Affidavit Form GID-276-EN must be submitted with this application for processing.

Form #: GID-243B-SF This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-Hazardous MaterialsPublished: 2011
Title: Qualification Form for Fireworks and or Pyrotechnic Assistants.
Qualification Form for Fireworks and or Pyrotechnic Assistants.

Form #: GID-243C-SF This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-Hazardous MaterialsPublished: 2011
Title: Qualification Form for Fireworks and or Pyrotechnic Operators
Qualification Form for Fireworks and or Pyrotechnic Operators

Form #: GID-244-SF This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-Hazardous MaterialsPublished: 2012
Title: Racetrack License Application
Effective 1-1-2012, the Citizenship Affidavit Form GID-276-EN must be submitted with this application for processing.

Form #: GID-245-SF This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-Hazardous MaterialsPublished: 2012
Title: Application for License to Manufacture and/or Store Fireworks and/or Pyrotechnics
Effective 1-1-2012, the Citizenship Affidavit Form GID-276-EN must be submitted with this application for processing.

Form #: GID-246-SF (same as SFD-46) This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-Hazardous MaterialsPublished: 2012
Title: Anhydrous Ammonia Application
Effective 1-1-2012, the Citizenship Affidavit Form GID-276-EN must be submitted with this application for processing.

Form #: GID-247-SF (same as SFD-389) This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-Hazardous MaterialsPublished: 2012
Title: Application for Compressed Natural Gas Construction and/or Operations Permit
CNG Construction and or Operation Permit. Effective 1-1-2012, the Citizenship Affidavit Form GID-276-EN must be submitted with this application for processing.

Form #: GID-248A-SF (same as SFD-29) This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-Hazardous MaterialsPublished: 2012
Title: Liquefied Petroleum Gas License Application
Effective 1-1-2012, the Citizenship Affidavit Form GID-276-EN must be submitted with this application for processing.

Form #: GID-254-RS (same as GSF-2) Instructions This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2013
Title: Workers Comp Group SeIf-Insurance Fund Annual Statement Filing Instructions
This memo provides instructions for the Annual Statement Filing.

Form #: GID-273-SF This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-Hazardous MaterialsPublished: 2011
Title: Application For Permit To Conduct Outdoor Fireworks and/or Pyrotechnics Displays
Permission to conduct outdoor fireworks and/or pyrotechnics displays. 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.

Form #: GID-382-NT This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2013
Title: Workers compensation Self-Insurance Fund Annual Renewal Check Sheet
The checklist should be used to verify that all the filing requirements have been met.

Form #: GID-391-AL This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2014
Title: Request for Clearance Letter (same as GID-AL-6)
Request for Clearance Letter

Form #: GID-393-AL This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2014
Title: Request for New and Terminated Certificate of Authority
Request for New and Terminated Certificate of Authority

Form #: GID-395-AL same as UNRBEILR This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2014
Title: Uniform Application For Business Entity 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.

Form #: GID-396-AL This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2014
Title: GID-396-AL Request for New and Terminated Subagent Certificate of Authority
Request for New and Terminated Subagent Certificate of Authority

Form #: GID-AL-LS-1 This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2014
Title: Life Settlement Producer Registration
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.

Form #: GID-AL-RC-1 AUG2014 This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2014
Title: Rental Company License Application
This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us. 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.

Form #: GID-SF-RIFR-001 This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-Hazardous MaterialsPublished: 2011
Title: Racetrack Incident Report
Racetrack Incident Report

EmploymentE-VerifySitemapTechnical Contact9/2/2014 7:41:47 PM-172.16.0.32Contact UsPrivacy PolicyLaws & Regs