Woodbine, GA · Camden County

Private Employer Affidavit Of Compliance

This affidavit lets a private employer affirm its E-Verify compliance, provide its federal work authorization user ID and authorization date, and identify the authorized officer or agent signing it.

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

The private employer uses this affidavit to state that it employs more than ten employees and has registered with and uses E-Verify or a replacement program. The employer also supplies its federal work authorization user identification number and authorization date, then declares the information true under penalty of perjury. The form calls for execution details and a notary to administer the oath; check the city's submission instructions for when it is required.

Who needs it

A private employer completing this affidavit needs an authorized officer or agent to provide the employer's E-Verify details and sign the declaration.

Why it needs a notary

The form carries a subscribed-and-sworn jurat: the authorized officer or agent signs and swears to the affidavit before the notary.

How to get this notarized

  1. 1

    Download The Affidavit

    Get the Private Employer Affidavit of Compliance from the city form source.

  2. 2

    Fill In Employer Details

    Enter the employer name, federal work authorization user ID, authorization date, and execution details; identify the authorized officer or agent.

  3. 3

    Book An Online Notary

    Arrange a remote session with a commissioned online notary and have the completed affidavit ready.

  4. 4

    Sign On Video

    Sign and swear to the affidavit in the notary's presence during the video session.

  5. 5

    Submit To The City

    Follow Woodbine's instructions for submitting the notarized affidavit.

Preview the form

The blank PDF straight from Woodbine. 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

What information does the employer provide?
The affidavit asks for the federal work authorization user identification number, date of authorization, employer name, execution location and date, and the authorized officer or agent's signature, printed name, and title.
Who signs the affidavit?
An authorized officer or agent signs the employer's declaration and swears that the information is true and correct before the notary.
How do I notarize this affidavit online?
Complete the employer details, book a session with a commissioned online notary, and sign and swear to the affidavit during the video session. Check with the city about submitting the notarized form.
Do I need to confirm online notarization with Woodbine?
Georgia has no remote online notarization statute of its own; Georgia law recognizes acknowledgments taken by notaries of other states. This form has a jurat, so confirm with the city if unsure whether it accepts online notarization.

Private Employer Affidavit Of Compliance 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 Of Compliance?

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