Riverdale, GA · Clayton County

E-Verify and Public Benefit Affidavit

This sworn affidavit records an employer’s federal work-authorization information and an applicant’s citizenship or immigration status for a Riverdale business license, occupational tax certificate, or other public benefit application.

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 form combines a private-employer affidavit about employee count and, when applicable, federal work-authorization registration details with an applicant affidavit about citizenship or qualifying immigration status. It identifies Riverdale business occupation tax certificates and other public benefits as application contexts. Complete the sections that apply to the employer and applicant, then submit the sworn form with the relevant City of Riverdale application.

Who needs it

Private employers applying for a Riverdale business license or occupational tax certificate, and applicants for a City public benefit, use the applicable affidavit sections.

Why it needs a notary

The form carries a “Subscribed and sworn before me” jurat; the applicant signs the status affidavit before the notary, who completes the oath and commission fields.

How to get this notarized

  1. 1

    Download The Affidavit

    Get the E-Verify and public benefit affidavit from the City of Riverdale.

  2. 2

    Complete Applicable Sections

    Mark the employer statements that apply and enter the requested applicant and work-authorization information.

  3. 3

    Book An Online Notary

    Schedule a video appointment with a commissioned online notary.

  4. 4

    Sign During The Video Appointment

    Sign the applicant affidavit in front of the notary, who completes the oath and notary fields.

  5. 5

    Submit To The City

    Send the completed affidavit with the related application to the City of Riverdale.

Preview the form

The blank PDF straight from Riverdale. 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 Riverdale E-Verify affidavit?
Select the applicable employer and applicant statements, complete the requested identifying and work-authorization details, and sign the sworn applicant section before the notary.
Do I need to sign this affidavit in front of a notary?
Yes. The form includes a “Subscribed and sworn before me” jurat, so the applicant should sign before the notary administers the oath and completes the notary fields.
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 under O.C.G.A. §44-2-21; this form calls for a sworn jurat, so confirm with the city if unsure.
Where do I submit the completed affidavit?
Submit the completed affidavit with the related City of Riverdale business license, occupational tax certificate, or public benefit application.

Ready to notarize your E-Verify and Public Benefit Affidavit?

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