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

Prepaid Legal Plans Forms


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


Form Number: Citizenship Affidavit GID-276-EN
  Title: Citizenship AffidavitPublished: 2013
  Description: 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 Number: GID-032-NT
  Title: Application for License as a Prepaid Legal Services SponsorPublished: 2012
  Description: 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 Number: GID-033-NT (same as GID-33)
  Title: Application for Renewal License as a Prepaid Legal Service SponsorPublished: 2012
  Description: 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 Number: GID-034
  Title: Bond by Sponsor of Prepaid Legal Services PlanPublished: 2011
  Description: Bond by Sponsor of Prepaid Legal Services Plan

Form Number: GID-035
  Title: Power to Sell and Assign Securities Deposited with the Commissioner of InsurancePublished: 2011
  Description: This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.

Form Number: GID-036
  Title: Resolution Form Authorizing Sale or AssignmentPublished: 2011
  Description: This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.

Form Number: GID-037
  Title: Authorization Form For Sale or AssignmentPublished: 2011
  Description: This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.

Form Number: GID-037-C
  Title: Assignment of Savings Share Certificate or CDPublished: 2011
  Description: This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.

Form Number: GID-038
  Title: Assignment of Savings Share Certificate or Certificate of DepositPublished: 2011
  Description: This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.

Form Number: GID-039
  Title: Annual Report of Prepaid Legal Services SponsorPublished: 2011
  Description: This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.

Form Number: GID-041
  Title: Biographical QuestionnairePublished: 2011
  Description: This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.

Form Number: Prepaid Legal Services Applicant Letter
  Title: Prepaid Legal Services Applicant LetterPublished: 2012
  Description: Prepaid Application Letter

Form Number: Prepaid Renewal Application Letter
  Title: Prepaid Renewal Application LetterPublished: 2012
  Description: Prepaid Renewal Application Letter.

5/19/2013 5:47:04 AM
EmploymentE-VerifySitemapTechnical ContactContact UsPrivacy PolicyLaws & Regs
172.16.0.32