Berkeley Lake, GA · Gwinnett County
E-Verify Private Employer Affidavit
This sworn affidavit lets a private employer’s authorized representative verify employee-count information and, when applicable, federal work authorization details for an Occupation Tax Certificate application.
- 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
Berkeley Lake uses this affidavit for applicants seeking an Occupation Tax Certificate, a public benefit identified on the form. The employer’s representative selects whether the business had more than ten employees or ten or fewer on January 1 of the signed year. Employers selecting more than ten employees also provide their federal work authorization user ID and authorization date. The representative completes the oath and signature section before submitting the affidavit with the application.
Who needs it
A private employer applying for a Berkeley Lake Occupation Tax Certificate must have its duly authorized representative complete and swear to this affidavit.
How to get this notarized
- 1
Download The Affidavit
Get the E-Verify Private Employer Affidavit for the Occupation Tax Certificate application.
- 2
Complete The Employer Details
Select the applicable employee-count option and, if required, enter the federal work authorization user ID and authorization date.
- 3
Book An Online Notary
Arrange a session with a commissioned online notary, and check with Berkeley Lake about remote notarization acceptance if needed.
- 4
- 5
Submit To The City
Submit the completed affidavit with your Occupation Tax Certificate application to Berkeley Lake.
Preview the form
The blank PDF straight from Berkeley Lake. 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 E-Verify affidavit?
- Select the employee-count option for January 1 of the signed year. If you select more than ten employees, enter the federal work authorization user ID and authorization date. Complete the oath and signature section before a notary.
- Do I need to sign this affidavit in front of a notary?
- Yes. The form instructs the representative to wait until in front of a Notary Public to complete Section 3, and says the notary must witness the signature and complete Section 4.
- 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. Ask Berkeley Lake whether it accepts this notarized affidavit remotely.
- What if I am unsure whether the city will accept online notarization?
- Acceptance may depend on the city’s requirements for this application. Contact Berkeley Lake before signing remotely; confirm with the city if unsure.
E-Verify Private Employer Affidavit in other Georgia cities
Each city publishes its own version of this form. Pick the city where you’re filing.