Norcross, GA · Gwinnett County
GMEBS Affidavit Verifying Applicant’s Lawful Immigration Status
This sworn affidavit documents a Georgia Municipal Employees Benefit System applicant’s lawful immigration status and is submitted with a secure, verifiable identity document to the member employer.
- 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
Applicants for benefits administered by the Georgia Municipal Employees Benefit System use this affidavit to state under oath whether they are a United States citizen, a legal permanent resident, or a qualified alien or non-immigrant. The applicant also verifies being at least 18 and identifies the secure, verifiable document provided. The form says the application is incomplete unless a copy of that document is attached.
Who needs it
A person applying for GMEBS-administered benefits who must verify lawful immigration status and provide a secure, verifiable document needs this affidavit.
Why it needs a notary
The applicant signs before a notary, who completes the “Subscribed and sworn before me” jurat and records the commission expiration date.
How to get this notarized
- 1
Download the Affidavit
Get the GMEBS Affidavit Verifying Applicant’s Lawful Immigration Status from the City of Norcross.
- 2
Fill Out the Form
Enter your personal information, select your status, identify the supporting document, and attach its copy.
- 3
Book an Online Notary
Arrange a session with a commissioned online notary and check acceptance with the city or member employer if needed.
- 4
- 5
Submit to the City
Send the completed affidavit and required document copy to the appropriate GMEBS member employer.
Preview the form
The blank PDF straight from Norcross. 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 GMEBS status affidavit?
- Enter your name, select the applicable status, provide any required alien or identifying number, identify your secure, verifiable document, and sign before a notary. Attach a copy of that document.
- Do I need to sign this affidavit in front of a notary?
- Yes. The form includes a “Subscribed and sworn before me” jurat, so sign under oath before the notary completes that section.
- Can I use an 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 (O.C.G.A. §44-2-21); ask the city or member employer whether it will accept this sworn affidavit notarized online.
- What document must I attach?
- The form says to attach a copy of the applicant’s secure, verifiable document approved and posted by the Attorney General. The application will not be deemed complete without it; confirm with the city if unsure.