Fayetteville, GA · Fayette County
Private Employer Affidavit
This sworn affidavit is completed by a private employer applying for a Fayetteville business license, occupational tax certificate, or another document required to operate a business.
- 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 affidavit lets a business applicant report whether the employer had more than ten employees or ten or fewer employees on January 1 of the stated year. Employers reporting more than ten employees must provide their federal work authorization user identification number and authorization date, and attest to registration and use of the program. The City of Fayetteville requires it with an application for a business license, occupational tax certificate, or other document required to operate a business.
Who needs it
A private employer applying to the City of Fayetteville for a business license, occupational tax certificate, or another document required to operate a business needs this affidavit.
How to get this notarized
- 1
Download The Form
Get the Private Employer Affidavit from the City of Fayetteville.
- 2
Fill In Business Details
Print the business name and complete the employee-count selection and any work authorization details that apply.
- 3
- 4
Sign On Video
The authorized officer or agent signs and swears to the affidavit during the notarial session.
- 5
Submit To The City
Submit the completed affidavit with the applicable business license, occupational tax, or other city application.
Preview the form
The blank PDF straight from Fayetteville. 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 the Private Employer Affidavit?
- Enter the business details, select the applicable employee-count statement, and provide the required work authorization information if the employer reports more than ten employees. The authorized officer or agent signs and swears to it before a notary.
- Do I need to provide a work authorization user ID?
- The form requests the federal work authorization user identification number and authorization date if the employer selects more than ten employees. It specifies that this user ID is not the tax ID number.
- 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 under O.C.G.A. § 44-2-21; this form calls for a sworn jurat, so confirm with the city if unsure.
- Who must sign the affidavit?
- The form calls for the signature of an authorized officer or agent representing the business. That signer must swear to the affidavit before the notary.
Private Employer Affidavit in other Georgia cities
Each city publishes its own version of this form. Pick the city where you’re filing.