Office of Insurance and Safety Fire CommissionerRalph T. Hudgens
Commissioner
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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 #: GID-276-EN This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2014
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.

Form #: GID-369-AL This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2013
Title: Insurance Navigator License Application
Application for Insurance Navigator 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-398-AL This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2015
Title: Insurance Navigator License Renewal Application
Insurance Navigator License Renewal Application This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us.

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