Employer assurance form 2026

1. Click ‘Get Form’ to open the employer assurance form in the editor.
2. Begin by filling out the Applicant Information section. Enter the title, last name, first name, middle name, social security number or GaPSC certification ID, and date of birth. Ensure all entries are legible.
3. Next, move to the Employment Verification section. The employer must certify that all background checks are complete and that any violations have been reported. Specify the employment field and start date.
4. In the Transaction Request section, check all applicable boxes for requested transactions such as certificate issuance or renewal. If requesting a Non-Renewable certificate, affirm that the applicant is qualified.
5. Finally, complete the Employer Information section by providing the name of the superintendent or authorized designee, their signature, title, phone number, email address, and local unit of administration.

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