Washington, GA · Wilkes County

Private Employer Affidavit

This sworn affidavit accompanies a business license application and is completed by an authorized officer or agent of the private employer applying to operate a business in Washington.

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

The affidavit is for a private employer applying for a business license, occupational tax certificate, or another document required to operate a business in the City of Washington. It asks the employer to select an employee-count statement based on the applicable date section and, when required, provide federal work authorization program information. The authorized officer or agent signs under oath and provides the execution date and location.

Who needs it

A private employer applying for a Washington business license, occupational tax certificate, or other document required to operate a business must have an authorized officer or agent complete this affidavit.

Why it needs a notary

The form carries a subscribed-and-sworn jurat; the employer’s authorized officer or agent signs the affidavit under oath before the notary.

How to get this notarized

  1. 1

    Download The Affidavit

    Get the Private Employer Affidavit from the City of Washington.

  2. 2

    Complete The Form

    Choose the applicable employee-count statement and fill in the required employer, authorization, and execution details.

  3. 3

    Book An Online Notary

    Arrange a session with a commissioned online notary and have identification ready.

  4. 4

    Sign On Video

    The authorized officer or agent signs under oath during the online notary session.

  5. 5

    Submit To The City

    Submit the completed affidavit with the business license or other operating-document application.

Preview the form

The blank PDF straight from Washington. 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

How do I complete the Private Employer Affidavit?
Select the applicable employee-count statement, complete the federal work authorization details when required, and provide the execution information. Sign under oath before the notary.
Do I need to sign this affidavit in front of a notary?
Yes. The form includes a subscribed-and-sworn block, so the authorized officer or agent signs under oath before a notary.
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); the form calls for an oath, so confirm with the city if unsure.
Who should sign the affidavit?
The form calls for the signature of an authorized officer or agent representing the private employer applying for a business license or other operating document.

Private Employer Affidavit in other Georgia cities

Each city publishes its own version of this form. Pick the city where you’re filing.

Ready to notarize your Private Employer Affidavit?

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