Office of Insurance and Safety Fire CommissionerRalph T. Hudgens
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Risk Retention Groups Forms

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Form #: GID-210-NT (same as GID-210-EN) This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2012
Title: Risk Retention Group Notice and Registration
Annual Risk Retention Group Notice and Registration. This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal. This is an Adobe Interactive Form. You may fill it out on-line, 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-239-NT (same as GID-239-EN) This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2014
Title: Annual Renewal Check Sheet For Groups
Used by Groups to provide contact information specific to the Group. This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us.

Form #: GID-276-EN This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 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 #: Risk Retention Group Registration Cover Letter This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2014
Title: Risk Retention Group Registration Cover Letter
Risk Retention Group Registration Cover Letter.

Form #: Risk Retention Group Renewal Instructions This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2014
Title: Risk Retention Group Renewal Instructions
Risk Retention Group Renewal Instructions

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