Morgan, GA · Calhoun County

Private Employer Affidavit

This affidavit records an employer’s employee-count category and, when applicable, federal work authorization details for a business license, occupational tax certificate, or other required business operating document.

Simple form~10 min to notarize
  • 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

Use this affidavit with an application for a business license, occupational tax certificate, or other document required to operate a business. An authorized officer or agent identifies whether the employer had more than ten employees or ten or fewer on January 1; employers in the first category also provide their federal work authorization user ID and authorization date. The signer declares the information true under penalty of perjury and completes the notarial oath.

Who needs it

A private employer applying for a business license, occupational tax certificate, or other document required to operate a business may need this affidavit.

Why it needs a notary

The form contains a subscribed-and-sworn jurat; the employer’s authorized officer or agent signs the affidavit and swears to it before the notary.

How to get this notarized

  1. 1

    Download the Form

    Get the Private Employer Affidavit from the city’s document center.

  2. 2

    Complete the Affidavit

    Choose one employee-count section and fill in the applicable employer and work authorization information.

  3. 3

    Book an Online Notary

    Arrange a remote notarization appointment for the authorized officer or agent who will swear to the affidavit.

  4. 4

    Sign on Video

    Sign and swear to the affidavit before the notary during the online session.

  5. 5

    Submit to the City

    Return the completed affidavit with the related business application or required operating document.

Preview the form

The blank PDF straight from Morgan. Look it over, then upload your filled copy to start the notary session.

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Info

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 private employer affidavit?
Select the applicable employee-count section, complete any required employer and work authorization details, then sign and swear to the affidavit before a notary.
Do I need to complete Section 2?
Complete Section 2 only if you select Section 1(A), indicating more than ten employees. If you select Section 1(B), the form says to skip Section 2.
Can I use an online notary for this affidavit?
Georgia has no remote online notarization statute of its own; Georgia law recognizes acknowledgments taken by notaries of other states. Ask the city whether it will accept this remotely notarized oath.
Where do I submit the completed affidavit?
The form connects this affidavit to a business license, occupational tax certificate, or other document required to operate a business. Confirm the submission process with the city if unsure.

Private Employer Affidavit in other Georgia cities

Each city publishes its own version of this form. Pick the city where you’re filing.

Ready to notarize your Private Employer Affidavit?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.