Hinesville, GA · Liberty County
Private Employer Affidavit
This affidavit lets a private employer verify employee-count information and, when applicable, federal work authorization registration for a business license or other operating document from Hinesville.
- 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 applicant representing the private employer completes this sworn affidavit when applying to the City of Hinesville for a business license, occupational tax certificate, or another document required to operate a business. The employer reports whether it had more or fewer than ten employees on January 1 of the stated year. Employers reporting more than ten employees also provide their federal work authorization user identification number and authorization date.
Who needs it
A private employer applying for a Hinesville business license, occupational tax certificate, or other city-required document to operate a business must have an authorized officer or agent complete it.
Why it needs a notary
The form has a notarization block following an affidavit made under oath; the authorized officer or agent signs, and the notary completes the block.
How to get this notarized
- 1
Download the Affidavit
Get the Private Employer Affidavit from the City of Hinesville.
- 2
Complete the Employer Details
Enter the employee-count information and, if required by the form, the federal work authorization user identification number and authorization date.
- 3
Book an Online Notary
Schedule a session with a commissioned online notary before signing.
- 4
Sign on Video
The authorized officer or agent signs during the online notary session and completes the oath.
- 5
Submit to the City
Submit the completed affidavit with the applicable business license or operating-document application.
Preview the form
The blank PDF straight from Hinesville. 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
- Who signs the Private Employer Affidavit?
- An authorized officer or agent representing the private employer signs the affidavit and provides the business name and printed name and title.
- How do I complete this affidavit?
- Report the employer's employee count as of January 1 of the stated year. If the employer had more than ten employees, provide its federal work authorization user identification number and authorization date.
- Do I need to provide E-Verify information?
- The form instructs employers that select more than ten employees to complete the section about federal work authorization registration and enter the user identification number and authorization date.
- Can I notarize this form online for Hinesville?
- 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); confirm with the city if unsure whether it accepts this notarization.
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Private Employer Affidavit in other Georgia cities
Each city publishes its own version of this form. Pick the city where you’re filing.