Ellijay, GA · Gilmer County
Private Employer Compliance And Exemption Affidavit
This affidavit lets a private employer attest to E-Verify compliance or an exemption based on employing ten or fewer people, for submission with a city filing.
- 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 provides two options: an employer can attest that it uses the federal work authorization program, or an employer with ten or fewer employees can attest that it is exempt. The signer provides employer and authorization details as applicable, declares the statements true under penalty of perjury, and signs before a notary. The document also includes a list of secure and verifiable documents for identification purposes.
Who needs it
A private employer submitting this affidavit needs an authorized officer or agent to complete the applicable compliance or exemption section and sign it.
How to get this notarized
- 1
Download The Affidavit
Get the Private Employer Affidavit of Compliance or Exemption and review the included secure and verifiable documents list.
- 2
Complete The Applicable Section
Enter the employer details and, for the compliance section, the federal work authorization user identification number and authorization date.
- 3
Book An Online Notary
Schedule a session with a commissioned online notary and have the completed affidavit ready.
- 4
Sign And Swear On Video
The authorized officer or agent signs and swears to the applicable affidavit during the online notarization.
- 5
Submit The Affidavit
Follow the city’s instructions to submit the notarized affidavit with your filing.
Preview the form
The blank PDF straight from Ellijay. 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
- Which section should the private employer complete?
- The form offers a compliance affidavit for employers using the federal work authorization program and an exemption affidavit for employers stating they have ten or fewer employees. Complete the section that applies.
- How do I get the affidavit notarized online?
- Complete the applicable section, then book with a commissioned online notary. Sign and swear to the affidavit during the video session, and follow the city’s instructions for submitting the completed form.
- Do I need to sign in front of the notary?
- Yes. The form says the affidavit must be subscribed and sworn before a notary. The authorized officer or agent should sign and take the oath during the notarization.
- Can I use online notarization for a Georgia submission?
- Georgia has no remote online notarization statute of its own, but Georgia law recognizes acknowledgments taken by notaries of other states under O.C.G.A. § 44-2-21. Ask the city whether it will accept this notarized affidavit; confirm with the city if unsure.