Pooler, GA · Chatham County

Private Employer E-Verify Affidavit for Door-to-Door Permit

This affidavit lets a private employer applying for a Pooler door-to-door permit attest under oath to its employee count and, when applicable, its E-Verify registration and authorization details.

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 City of Pooler Finance Department form asks a private employer applying for a door-to-door permit to select the statement that matches its employee count on January 1 of the stated year. Employers with more than ten employees provide their E-Verify user identification number and authorization date; employers with fewer than ten employees declare the information true under penalty of perjury. An authorized officer or agent signs and swears to the affidavit before a notary.

Who needs it

A private employer applying for a City of Pooler door-to-door permit must complete the affidavit and have an authorized officer or agent sign it under oath.

Why it needs a notary

The form contains a “Subscribed and Sworn” jurat; the authorized officer or agent signs the affidavit and swears to its truth before the notary.

How to get this notarized

  1. 1

    Download the Affidavit

    Get the City of Pooler Private Employer E-Verify Affidavit for a door-to-door permit.

  2. 2

    Fill In the Form

    Enter the employer name, select the applicable employee-count statement, and provide E-Verify details when required.

  3. 3

    Book an Online Notary

    Arrange a session with a commissioned online notary and check with the city if you are unsure it accepts online notarization.

  4. 4

    Sign on Video

    The authorized officer or agent signs and swears to the affidavit during the notary session.

  5. 5

    Submit to the City

    Submit the completed affidavit with the door-to-door permit application to the City of Pooler.

Preview the form

The blank PDF straight from Pooler. 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 the Pooler E-Verify affidavit?
Enter the private employer name, select the employee-count statement that applies, provide E-Verify details if required, and have an authorized officer or agent sign and swear to the affidavit before a notary.
Do I need to sign this affidavit in front of a notary?
Yes. The form includes a “Subscribed and Sworn” jurat, so the authorized officer or agent must sign and swear to the affidavit before the notary.
Can I use a commissioned 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. Because this form requires a sworn jurat, confirm with the city if unsure whether it accepts online notarization.
What information does an employer with more than ten employees provide?
The form asks an employer that selected the over-ten-employee statement to provide its federal work authorization (E-Verify) user identification number and authorization date.

Ready to notarize your Private Employer E-Verify Affidavit for Door-to-Door Permit?

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