Morgan, GA · Calhoun County
Notice of Privacy Acknowledgment of Receipt
This form records an applicant’s or authorized agent’s acknowledgment of receiving the Non-Criminal Justice Applicant’s Privacy Rights and Privacy Act Statement.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
The form documents that the applicant received a copy of the Non-Criminal Justice Applicant’s Privacy Rights and Privacy Act Statement. It includes spaces for the applicant’s name and signature, or for an authorized agent’s name, signature, and relationship to the applicant, followed by a notary section. Use it when the city or application process requests proof of receipt of the privacy materials.
Who needs it
An applicant who received the privacy statement, or an authorized agent completing the acknowledgment for the applicant, may need to sign this form.
Why it needs a notary
The form has a subscribed-and-sworn jurat; the applicant or authorized agent signs the acknowledgment before the notary, who completes the date and commission details.
How to get this notarized
- 1
Download the Form
Obtain the Notice of Privacy Acknowledgment of Receipt form.
- 2
Fill In the Applicant Details
Print the applicant’s name and complete the applicant signature field, or provide the authorized agent’s name, signature, and relationship.
- 3
Book an Online Notary
Arrange a session with a commissioned online notary and have the completed form ready.
- 4
Sign on Video
Sign before the notary during the online session so the notary can complete the subscribed-and-sworn section.
- 5
Submit to the City
Return the notarized form as directed by the city or the application process.
Preview the form
The blank PDF straight from Morgan. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I complete this privacy acknowledgment?
- Print the applicant’s name and sign the form, or complete the authorized-agent fields if signing for the applicant. Sign before the notary, who completes the jurat and commission details.
- Do I need to sign this form in front of a notary?
- Yes. The form includes a subscribed-and-sworn section stating that it was signed before a notary. Do not sign that acknowledgment before the notarial meeting.
- Can I use a commissioned online notary for this form?
- Georgia has no remote online notarization statute of its own; Georgia law recognizes acknowledgments taken by notaries of other states. This form uses a jurat, so confirm with the city if unsure whether it accepts remote notarization.