Jasper, GA · Pickens County
Private Employer Affidavit
This affidavit lets a private employer report its employee count and, when applicable, federal work authorization registration while applying for a Jasper business license, occupational tax certificate, or other business-operation document.
- 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
A private employer uses this affidavit when applying for a business license, occupational tax certificate, or other document required to operate a business. The employer selects whether it had more than ten employees or ten or fewer on January 1; employers selecting more than ten also provide their federal work authorization user ID and authorization date. An authorized officer or agent declares the information true under penalty of perjury and signs before a notary.
Who needs it
A private employer applying for a Jasper business license, occupational tax certificate, or other document required to operate a business needs this affidavit.
How to get this notarized
- 1
Download the Affidavit
Get the Private Employer Affidavit from the City of Jasper.
- 2
Complete the Employer Sections
Select one employee-count option and complete Section 2 only if the employer had more than ten employees.
- 3
Book an Online Notary
Schedule a session with a commissioned online notary for the required sworn signature.
- 4
Sign on Video
The authorized officer or agent signs the affidavit under oath during the online notarization.
- 5
Submit to the City
Submit the completed affidavit with the relevant business license, occupational tax certificate, or other application.
Preview the form
The blank PDF straight from Jasper. 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 Private Employer Affidavit?
- Select one employee-count statement. If the employer had more than ten employees, complete Section 2 with its federal work authorization user ID and authorization date. An authorized officer or agent then signs under oath before a notary.
- Do I need to complete Section 2?
- Complete Section 2 only if the employer selects that it had more than ten employees on January 1. The form says employers with ten or fewer employees should skip Section 2.
- Can I sign this affidavit with a commissioned online notary?
- Georgia has no remote online notarization statute of its own, and Georgia law recognizes acknowledgments taken by notaries of other states. This form requires a sworn jurat; confirm with the city if unsure whether it will accept an online notarization.
- Who must sign the affidavit?
- An authorized officer or agent of the private employer signs the affidavit and provides their printed name and title. The form requires the signature to be sworn before a notary.
Private Employer Affidavit in other Georgia cities
Each city publishes its own version of this form. Pick the city where you’re filing.