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 #CHECKLIST - Title Companies This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2015
Title: Title Companies Checklist
Provides a guide to the requirements for the 2014 annual filing.
PID:724-SID:1477-FN:titlecklist.pdf

Form #CHECKLIST - Title Companies This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2015
Title: Title Companies Checklist
Provides a guide to the requirements for the 2014 annual filing.
PID:724-SID:1731-FN:titlecklist.pdf

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.
PID:418-SID:1312-FN:GID-001-IL with GID-004-IL.pdf

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.
PID:727-SID:1486-FN:GID-002-IL with GID-004-IL.pdf

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.
PID:420-SID:1314-FN:GID-003-IL with GID-004-IL.pdf

Form #GID-003-RS This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2015
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.
PID:193-SID:1732-FN:GID-003-RS Appt of Atty-In-Fact By Insurer.pdf

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.
PID:726-SID:1483-FN:GID-004-IL CONV AND ADVANT DOCUM.pdf

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.
PID:689-SID:1734-FN:GID-004-RS ApptofCommissionerAsAtty-In-FactByInsurer.pdf

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.
PID:404-SID:1303-FN:GID-006-IL-2008.pdf

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.
PID:406-SID:1305-FN:GID-007-IL.pdf

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.
PID:1097-SID:2840-FN:GID-007-RS OfficialSupervisionInsStateDomicile_rev07082014-ia.pdf

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.
PID:407-SID:1306-FN:GID-007A-IL-interactive.pdf

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.
PID:410-SID:1309-FN:GID-007B-IL OCT08 STATEMENT OF INCOME AND EXPENSES.pdf

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)
PID:472-SID:1349-FN:GID-012-07.pdf

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)
PID:11-SID:1221-FN:2007 Instructions (GID-12) (Rev 10-07).pdf

Form #GID-012 Instructions This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2006
Title: GID-012 Instructions
GID-012 Instructions
PID:465-SID:1342-FN:GID-012-06-Instructions.pdf

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)
PID:480-SID:1357-FN:GID-012-07-Instructions.pdf

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)
PID:151-SID:1240-FN:GID-12 Instructions (Rev 10-06).pdf

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)
PID:152-SID:1241-FN:GID-12 Instructions (Rev 10-07).pdf

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.
PID:411-SID:1310-FN:GID-012-IL.pdf

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.
PID:597-SID:1400-FN:GID-012-PT 2009 ANNUAL PREMIUM TAX RETURN (Rev 09-09).pdf

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
PID:782-SID:1606-FN:GID-012-PT AnnualPremTaxReturn2011_Rev09122011.pdf

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
PID:1040-SID:2669-FN:GID-012-PT AnnualPremTaxReturn2012_Rev10032012.pdf

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
PID:1040-SID:2670-FN:GID-012-PT AnnualPremTaxReturn2012_Rev10032012.pdf

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.
PID:704-SID:1452-FN:GID-012-PT OCT10 2010 ANNUAL PREMIUM TAX RETURN_Rev Draft.pdf

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.
PID:482-SID:1358-FN:GID-012-PT-08.pdf

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)
PID:464-SID:1341-FN:GID-012A-06.pdf

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)
PID:473-SID:1350-FN:GID-012A-07.pdf

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.
PID:443-SID:1326-FN:GID-012A-IL.pdf

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
PID:786-SID:1624-FN:GID-012A-PT STATEMENTOFQUARTERLYPREMIUMTAX_Rev09122011.pdf

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.
PID:717-SID:1460-FN:GID-012A-PT STATEMENTOFQUARTERLYPREMIUMTAXRev10-10.pdf

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)
PID:492-SID:1368-FN:GID-012A-PT-09.pdf

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
PID:1039-SID:2664-FN:GID-012A-PT-2013.pdf

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
PID:609-SID:1409-FN:GID-12A-PT 2009 STMT OF QTR PREMIUM TAX Rev 10-08.pdf

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)
PID:470-SID:1347-FN:GID-013-06.pdf

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)
PID:478-SID:1355-FN:GID-013-07.pdf

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)
PID:471-SID:1348-FN:GID-013-06-Instructions.pdf

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)
PID:479-SID:1356-FN:GID-013-07-Instructions.pdf

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
PID:785-SID:1618-FN:GID-013-PT GEORGIA RETALIATORY TAX COMPUTATION_REV_09192011.pdf

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
PID:785-SID:1619-FN:GID-013-PT GEORGIA RETALIATORY TAX COMPUTATION_REV_09192011.pdf

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.
PID:1049-SID:2705-FN:GID-013-PT GEORGIA RETALIATORY TAX COMPUTATION_REV_10292012.pdf

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.
PID:698-SID:1449-FN:GID-013-PT OCT10 2010 GEORGIA RETALIATORY TAX COMPUTATION (Rev 10-10).pdf

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.
PID:601-SID:1404-FN:GID-013-PT SEP09 2009 GEORGIA RETALIATORY TAX COMPUTATION (Rev 09-09).pdf

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)
PID:490-SID:1366-FN:GID-013-PT-08.pdf

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)
PID:466-SID:1343-FN:GID-014-06.pdf

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)
PID:474-SID:1351-FN:GID-014-07.pdf

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)
PID:467-SID:1344-FN:GID-014-06-Instructions.pdf

Form #GID-014 Instructions This is in the Adobe Portable Document format (pdf)\nDivision: Premium TaxPublished: 2007
Title: Instructions
Instructions (Rev 10-07)
PID:475-SID:1352-FN:GID-014-07-Instructions.pdf

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.
PID:421-SID:1315-FN:GID-014-IL LICENSEE REQUEST TO RELOCATE.pdf

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)
PID:487-SID:1363-FN:GID-014-08.pdf

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
PID:781-SID:1601-FN:GID-014-PT CalcAbatementGrossPremTax_rev09112011.pdf

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
PID:1041-SID:2675-FN:GID-014-PT CalcAbatementGrossPremTax_rev10032012.pdf

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.
PID:696-SID:1447-FN:GID-014-PT OCT10 2010 CALCULATION FOR ABATEMENT OF GROSS PREMIUM TAX.pdf

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.
PID:598-SID:1401-FN:GID-014-PT SEP09 2009 CALCULATION FOR ABATEMENT OF GROSS PREMIUM TAX (Rev 09-09).pdf

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)
PID:483-SID:1359-FN:GID-014-PT-07.pdf

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)
PID:491-SID:1367-FN:GID-014-PT-08.pdf

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)
PID:468-SID:1345-FN:GID-015-06.pdf

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)
PID:476-SID:1353-FN:GID-015-07.pdf

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.
PID:736-SID:1507-FN:GID-015-IL MAY2013.pdf

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
PID:697-SID:1448-FN:GID-015-PT OCT10 2010 STATEMENT IN SUPPORT OF CLAIM FOR RETALIATORY TAX CREDITS.pdf

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.
PID:602-SID:1405-FN:GID-015-PT SEP09 2009 STATEMENT IN SUPPORT OF CLAIM FOR RETALIATORY TAX CREDITS.pdf

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
PID:784-SID:1615-FN:GID-015-PT StmtInSupportClaimRetaliatoryTaxCredits_rev09192011.pdf

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
PID:1042-SID:2680-FN:GID-015-PT StmtInSupportClaimRetaliatoryTaxCredits_rev10032012.pdf

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)
PID:484-SID:1360-FN:GID-015-PT-08.pdf

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
PID:469-SID:1346-FN:GID-017A-06.pdf

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
PID:477-SID:1354-FN:GID-017A-07.pdf

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.
PID:699-SID:1450-FN:GID-017A-PT NOV10 2010 MUNICIPAL LICENSE FEES FORMS.pdf

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
PID:779-SID:1591-FN:GID-017A-PT NOV10 2010 MUNICIPAL LICENSE FEES FORMS_test.pdf

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.
PID:604-SID:1406-FN:GID-017A-PT SEP 2009 MUNICIPAL LICENSE FEES FORMS (Rev 9-09).pdf

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.
PID:194-SID:1263-FN:GID-32.pdf

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.
PID:615-SID:1414-FN:GID-033.pdf

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
PID:197-SID:1264-FN:GID-34 Bond by Sponsor of Prepaid Legal Services Plan.pdf

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.
PID:198-SID:1265-FN:GID-35 Power to Sell and Assign Securities.pdf

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.
PID:199-SID:1266-FN:GID-36 Resolution Form Authorizing Sale or Assignment.pdf

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.
PID:201-SID:1268-FN:GID-37-C Assignment of Savings Share Certificate or CD.pdf

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.
PID:200-SID:1267-FN:GID-37 Authorization Form For Sale or Assignment.pdf

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.
PID:203-SID:1270-FN:GID-39 Annual Report of Prepaid Legal Services Sponsor.pdf

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.
PID:206-SID:1272-FN:GID-41 Biographical Questionaire.pdf

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)
PID:608-SID:1408-FN:GID-050-PT (Rev. 09-09).pdf

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
PID:1044-SID:2690-FN:GID-050-PT 2012 Life and Health Guaranty Fund Tax Credit_rev10032012.pdf

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
PID:778-SID:1588-FN:GID-050-PT LIFE HEALTH GUAR FUND TAX CREDIT_rev09192011.pdf

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.
PID:700-SID:1451-FN:GID-050-PT OCT10 2010 LIFE HEALTH GUAR FUND TAX CREDIT (Rev 10-10).pdf

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)
PID:489-SID:1365-FN:GID-050-PT-08.pdf

Form #GID-101-E.pdf This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2015
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.
PID:134-SID:1231-FN:GID-101E-AL.pdf

Form #GID-101B-AL This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2015
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.
PID:1073-SID:2786-FN:GID-101B-AL.pdf

Form #GID-103-AL This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2015
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.
PID:135-SID:1232-FN:GID-103-AL.pdf

Form #GID-110-AL This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2015
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.
PID:553-SID:1373-FN:GID-110-AL.pdf

Form #GID-111-AL This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2015
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.
PID:141-SID:1234-FN:GID-111-AL.pdf

Form #GID-112-AL This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2015
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.
PID:377-SID:1292-FN:GID-112 Insurance Counselors Bond.pdf

Form #GID-113-AL This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2015
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.
PID:376-SID:1291-FN:GID-113-AL.pdf

Form #GID-114-AL This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2015
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.
PID:378-SID:1293-FN:GID-114 Surplus Lines Brokers Bond.pdf

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
PID:147-SID:1236-FN:GID-12 Annual Premium Tax Return (Rev 10-06).pdf

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).
PID:166-SID:1249-FN:GID-13 instructions (Rev1007).pdf

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
PID:171-SID:1253-FN:GID-14-2006.pdf

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)
PID:172-SID:1254-FN:GID-14-2007.pdf

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
PID:387-SID:1298-FN:GID-15-2006.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
PID:388-SID:1299-FN:GID-15-2007.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)
PID:488-SID:1364-FN:GID-17A-PT-08.pdf

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
PID:1045-SID:2695-FN:GID-203-PT 2012 Reconcil Stmt Annl Prem Tax Ret_Rev10032012.pdf

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)
PID:694-SID:1445-FN:GID-203-PT OCT10 2010 RECONCILIATION STATEMENT ANNUAL PREMIUM TAX RETURN.pdf

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
PID:783-SID:1610-FN:GID-203-PT RECONCILIATION STATEMENT ANNUAL PREMIUM TAX RETURN_rev09192011.pdf

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
PID:783-SID:1612-FN:GID-203-PT RECONCILIATION STATEMENT ANNUAL PREMIUM TAX RETURN_rev09192011.pdf

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).
PID:599-SID:1402-FN:GID-203-PT SEP09 2009 RECONCILIATION STATEMENT ANNUAL PREMIUM TAX RETURN.pdf

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
PID:485-SID:1361-FN:GID-203-PT-08.pdf

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
PID:1046-SID:2700-FN:GID-205-PT 2012 Ins Prem Tax Credits_rev10032012.pdf

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
PID:780-SID:1594-FN:GID-205-PT INSURANCE PREMIUM TAX CREDITS_rev09192011.pdf

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
PID:695-SID:1446-FN:GID-205-PT OCT10 2010 INSURANCE PREMIUM TAX CREDITS.pdf

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
PID:600-SID:1403-FN:GID-205-PT SEP09 INSURANCE PREMIUM TAX CREDITS.pdf

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
PID:486-SID:1362-FN:GID-205-PT-08.pdf

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
PID:495-SID:1370-FN:GID-207-PT.pdf

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
PID:496-SID:1371-FN:GID-207-PT Instructions.pdf

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)
PID:1027-SID:2624-FN:GID-213-PT.xls

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.
PID:444-SID:1327-FN:GID-217A-SF.pdf

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)
PID:432-SID:1322-FN:GID-220-IL MAY09 Industrial Loan Complaint Form.DOC

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.
PID:442-SID:1325-FN:GID-220-IL MAY09_INDUSTRIAL LOAN COMPLAINT FORM.pdf

Form #GID-222-SF 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 Certificate of Competency and Certification of Employer 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.
PID:801-SID:1681-FN:GID-222-SF JAN12 Water Based Fire Protection Certificate of Competency.pdf

Form #GID-223-SF This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-InspectionsPublished: 2012
Title: Water Based Fire Protection Designer 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.
PID:792-SID:1662-FN:GID-223-SF APPL FOR WATER BASED FIRE PROTECT SYS DESIGNER LIC.pdf

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.
PID:809-SID:1706-FN:GID-224-SF-New Commissioner.pdf

Form #GID-224-SF 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.
PID:578-SID:1388-FN:GID-224-SF.pdf

Form #GID-225-SF This is in the Adobe Portable Document format (pdf)\nDivision: Safety Fire-InspectionsPublished: 2012
Title: Water Based Fire Protection Systems Contractors License
Water Base Fire Protection Systems Contractors 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. This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.
PID:802-SID:1683-FN:GID-225-SF Water Based Fire Protection Systems Contractors License.pdf

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.
PID:594-SID:1398-FN:GID-226-SF JUL 09 ENGINEERED FIRE SUPPRESSION SYSTEM LICENSE APPLICATION.pdf

Form #GID-226-SF 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.
PID:803-SID:1685-FN:GID-226-SF.pdf

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.
PID:590-SID:1395-FN:GID-227-SF JUL 09 PRE-ENGINEERED INDUSTRIAL PERMIT APPLICATION.pdf

Form #GID-227-SF 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.
PID:799-SID:1677-FN:GID-227-SF.pdf

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.
PID:589-SID:1394-FN:GID-228-SF JUL 09 PRE-ENGINEERED INDUSTRIAL LICENSE APPLICATION.pdf

Form #GID-228-SF 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.
PID:794-SID:1666-FN:GID-228-SF.pdf

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.
PID:596-SID:1399-FN:GID-229-SF JUL 09 2010 PROVISIONAL PERMIT APPLICATION.pdf

Form #GID-229-SF 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.
PID:796-SID:1670-FN:GID-229-SF.pdf

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.
PID:593-SID:1397-FN:GID-230-SF JUL09 ENGINEERED FIRE SUPPRESSION SYSTEM PREMIT APPLICATION.pdf

Form #GID-230-SF 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.
PID:798-SID:1675-FN:GID-230-SF.pdf

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.
PID:587-SID:1393-FN:GID-231-SF JUL09 PORTABLE FIRE EXTINGUISHER LICENSE APPLICATION.pdf

Form #GID-231-SF 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.
PID:795-SID:1668-FN:GID-231-SF.pdf

Form #GID-232-SF 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.
PID:793-SID:1664-FN:GID-232-.pdf

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.
PID:585-SID:1392-FN:GID-232-SF JUL09 PORTABLE FIRE EXTINGUISHER PERMIT APPLICATION.pdf

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.
PID:584-SID:1391-FN:GID-233-SF JUL09 Pre-Engineered Kitchen Restaurant Fire Suppression System Permit Application.pdf

Form #GID-233-SF 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.
PID:797-SID:1673-FN:GID-233-SF.pdf

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.
PID:592-SID:1396-FN:GID-234-SF JUL09 Pre-Engineered Kitchen Restaurant Fire Suppression System License Application.pdf

Form #GID-234-SF 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.
PID:800-SID:1679-FN:GID-234-SF.pdf

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.
PID:612-SID:973-FN:GID-237-SF OCT09_Georgia Manufactured Homes Retailer Retail Broker Acknowledgment Form.pdf

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.
PID:613-SID:1413-FN:GID-238-SF.pdf

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.
PID:59-SID:1224-FN:Application for Proximate Audience License Fireworks and or Pyrotechnic Displays.pdf

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.
PID:310-SID:1283-FN:Qualification Form for Fireworks and or Pyrotechnic Assistants.pdf

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
PID:311-SID:1284-FN:Qualification Form for Fireworks and or Pyrotechnic Operators.pdf

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.
PID:315-SID:1286-FN:Racetrack license application.pdf

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.
PID:58-SID:1223-FN:Application for License to Manufacture andor Store Fireworks and or Pyrotechnics.pdf

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.
PID:684-SID:1438-FN:Anhydrous Ammonia Application.pdf

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.
PID:685-SID:1439-FN:GID-247-SF APPLICATION FOR COMPRESSED NATURAL GAS (CNG).pdf

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.
PID:686-SID:1440-FN:GID-248A-SF same as SFD-29 LiquefiedPetroleumGasLicenseApplication.pdf

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.
PID:367-SID:1468-FN:GID-254-RS Rnwl and Annl Stmt Filing Instructions Memo_GSF-2.pdf

Form #GID-265-RS (same as GSF-5) This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2015
Title: Applic To Serve As Officer Director Or Trustee Of Group Self-Insurance Fund
Application is hereby made to serve as Officer, Director or Trustee of Group Self-Insurance Fund.
PID:763-SID:1569-FN:GID-265-RS Applic To Serve As Officer Director Or Trustee Of Group Self-Insurance Fund (same as GSF-5).pdf

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.
PID:299-SID:1564-FN:Permit Application for Outdoor Fireworks and or Pyrotechnic Displays.pdf

Form #GID-276-EN This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Product ReviewPublished: 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.
PID:788-SID:2636-FN:GID-276-EN.pdf

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.
PID:1082-SID:2820-FN:GID-382-NT Workers' CompeSelf-InsFundAnnualRenewalCheckSheet_12202013_rdr.pdf

Form #GID-391-AL This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2015
Title: Request for Clearance Letter (same as GID-AL-6)
Request for Clearance Letter. This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us.
PID:374-SID:1290-FN:GID-391-AL Request For Clearance Letter.pdf

Form #GID-393-AL This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2015
Title: Request for New and Terminated Certificate of Authority
Request for New and Terminated Certificate of Authority. This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us.
PID:372-SID:1289-FN:GID-393-AL Request for New and Terminated Certificate of Authority.pdf

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.
PID:790-SID:1657-FN:GID-395-AL UNRBEILR_NonResAncyBusnApplwithCitizenshipAFD.pdf

Form #GID-396-AL This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2015
Title: GID-396-AL Request for New and Terminated Subagent Certificate of Authority
Request for New and Terminated Subagent Certificate of Authority. This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us.
PID:155-SID:1242-FN:GID-396-AL Request for New and Terminated Subagent Certificate of Authority.pdf

Form #GID-401-RS This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2015
Title: APPLICATION TO SERVE AS OFFICER, DIRECTOR OR TRUSTEE OF RISK MANAGEMENT AGENCY
This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.
PID:1120-SID:2903-FN:GID-401-RS ApplToServeAsOfficerDirectorTrusteeGrprRiskMgmtAgncy(same as RMA-3)_01122015.pdf

Form #GID-AL-LS-1 This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2015
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. This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us.
PID:227-SID:1276-FN:GID-AL-LS-1.pdf

Form #GID-AL-RC-1 This is in the Adobe Portable Document format (pdf)\nDivision: Agents LicensingPublished: 2015
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.
PID:318-SID:1287-FN:GID-AL-RC-1 Rental Company License Application.pdf

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
PID:312-SID:1285-FN:Racetrack Incident Report.pdf

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