LaGrange, GA · Troup County
Private Employer Affidavit
A sworn statement, required with LaGrange business license and occupational tax applications, confirming an employer's compliance with Georgia's work-authorization program.
- 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), private employers applying for a City of LaGrange business license or occupational tax certificate must attest to their employee count and, if applicable, their federal work authorization program enrollment. The affidavit is signed under oath and must be notarized before submission.
Who needs it
Business owners or authorized officers applying for a LaGrange business license or occupational tax certificate.
Why it needs a notary
The form includes a 'SUBSCRIBED AND SWORN BEFORE ME' jurat block that a notary public must complete, satisfying O.C.G.A. §36-60-6(d).
How to get this notarized
- 1
Download the Form
Get the Private Employer Affidavit PDF from the City of LaGrange website.
- 2
Fill It Out
Select your employee count section and, if applicable, your work authorization ID number.
- 3
Book Online Notary
Schedule a remote online notarization session.
- 4
Sign on Video
Verify your ID and sign in front of the notary via live video.
- 5
Submit to the City
File the notarized affidavit with your LaGrange business license application.
Preview the form
The blank PDF straight from LaGrange. 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
- Do I need a notary for the LaGrange private employer affidavit?
- Yes, the form requires an authorized officer's signature to be subscribed and sworn before a notary public before it is filed with your business license application.
- How do I get this affidavit notarized online?
- Upload the signed form, verify your identity, and complete the jurat live over video with a remote online notary.
- Do I need this affidavit if I have fewer than 10 employees?
- You still complete and sign the affidavit selecting the applicable employee-count section, and it still must be notarized.
- Can I use an online notary outside Georgia for this form?
- Georgia recognizes notarial acts performed by notaries commissioned in other states under O.C.G.A. §44-2-21; check with LaGrange if unsure.