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

Citizenship Affidavit and Verifiable Identification Document Instructions

for Unlicensed Individuals

INFORMATION: Please Login or Register
ATTENTION: This portal is for single license uploads only and should be utilized by the individual, not a representative of the individual.

If you are an unlicensed individual that needs to upload either the Citizen Affidavit, or the Supporting Documentation, and you do not already have an account, please click the Register button below.

If you already have an account, please enter your credentials on the right.

If you are not sure, please enter your email address and click on Forgot Password. If we have a password we will email it to you.

You may find the Citizenship Affidavit Form GID-276-EN here.

Your Email Address
Your Password
 
EmploymentE-VerifySitemapTechnical Contact4/23/2014 3:40:41 PM-172.16.0.32Contact UsPrivacy PolicyLaws & Regs