Georgetown, KY · Scott County

Affidavit of Assurances

This affidavit lets a Georgetown building-project applicant assure the Building Inspection office that project contractors and subcontractors will meet Kentucky workers’ compensation and unemployment insurance requirements.

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 applicant identifies the project and swears that its contractors and subcontractors comply with the insurance requirements stated on the form. Georgetown says the affidavit is not required if the local building code official received the assurances when the local building permit was issued. The form also includes acknowledgments about soil erosion requirements, the energy certificate sticker, and required inspections.

Who needs it

A Georgetown building-project applicant should submit this affidavit when the local building code official has not already received the required assurances with the building permit.

Why it needs a notary

The form includes a subscribed-and-sworn jurat; the Applicant signs the affidavit before a notary public, who completes the notary and commission-expiration fields.

How to get this notarized

  1. 1

    Download the Affidavit

    Get the Affidavit of Assurances from Georgetown’s Building Inspection office.

  2. 2

    Fill In Applicant and Project Details

    Enter the applicant and project information, and review the assurances and additional statements on the form.

  3. 3

    Book an Online Notary

    Schedule a session with a commissioned online notary before signing the affidavit.

  4. 4

    Sign During the Video Session

    Sign the affidavit in front of the notary, who completes the subscribed-and-sworn section.

  5. 5

    Submit to the City

    Submit the completed affidavit to Georgetown Building Inspection if the local building code official has not already received the assurances.

Preview the form

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

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Info

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 get the Affidavit of Assurances notarized online?
Complete the applicant and project information, then book a commissioned online notary. Sign during the video session so the notary can complete the subscribed-and-sworn section.
Do I need to file this affidavit for every building permit?
The form says it is not required if the local building code official received the assurances when the local building permit was issued. Confirm with the city or county clerk if unsure.
What assurances does the affidavit cover?
The applicant states that project contractors and subcontractors will comply with the workers’ compensation and unemployment insurance requirements named on the form.
Can I use a commissioned online notary?
Kentucky provides for online notary public registration under KRS 423.355. Ask the city whether it accepts the completed online-notarized affidavit before submitting it.

Affidavit of Assurances in other Kentucky cities

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

Ready to notarize your Affidavit of Assurances?

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