Barnesville, GA · Lamar County

E-Verify Private Employer Affidavit

A sworn statement Barnesville business license applicants file confirming whether their company must use the federal E-Verify program based on employee count.

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

Under O.C.G.A. §36-60-6(d), any applicant for a City of Barnesville business license, occupation tax certificate, or similar document must affirm under oath whether the company employs more or fewer than ten people, since that threshold determines E-Verify enrollment. False statements on the affidavit carry criminal penalties under O.C.G.A. §16-10-20.

Who needs it

Any individual or company applying for a City of Barnesville business license or occupation tax certificate.

Why it needs a notary

The affidavit ends with a subscribed-and-sworn-before-me notary jurat, so the applicant's signature must be notarized before the city will accept the license application.

How to get this notarized

  1. 1

    Download the Form

    Get the E-Verify Private Employer Affidavit from the City of Barnesville website.

  2. 2

    Enter Company Details

    Fill in your company name and employee count.

  3. 3

    Book an Online Notary

    Schedule a remote online notarization session.

  4. 4

    Sign on Video

    Sign the affidavit live in front of the notary via video call.

  5. 5

    Submit to the City

    Deliver the notarized affidavit with your business license application.

Preview the form

The blank PDF straight from Barnesville. Look it over, then upload your filled copy to start the notary session.

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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

Do I need to notarize the Barnesville E-Verify affidavit?
Yes. The affidavit ends with a subscribed-and-sworn-before-me notary block required by O.C.G.A. §36-60-6(d).
How do I notarize the E-Verify affidavit online?
Download the form from the City of Barnesville, fill in your company name and employee count, then book a remote online notarization to sign it live on video.
Do I need this affidavit for every business license?
Yes, it is required with business license and occupation tax certificate applications; check with the city if unsure.
What happens if I make a false statement on the affidavit?
Georgia law treats a knowingly false statement on the affidavit as a criminal offense under O.C.G.A. §16-10-20.

Ready to notarize your E-Verify Private Employer Affidavit?

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