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Private employer affidavit

Private employer affidavit pursuant 2026

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The document is a Private Employer Affidavit of Compliance that confirms a private employer's adherence to O.C.G.A. § 36-60-6. It states that the employer has more than ten employees and utilizes the E-Verify program for work authorization. The affidavit includes sections for the employer's identification number, date of authorization, and requires a signature from an authorized officer, along with notarization.

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Click ‘Get Form’ to open the Private Employer Affidavit in the editor.
Begin by entering your Federal Work Authorization User Identification Number in the designated field. This number is crucial for verifying your compliance with E-Verify.
Next, input the Date of Authorization. Ensure this date aligns with your registration in the federal work authorization program.
Fill in the Name of Private Employer. This should reflect the official name of your business as registered.
In the signature section, have an Authorized Officer or Agent sign and print their name and title. This confirms that all information provided is accurate under penalty of perjury.
Finally, complete the notary section by having a Notary Public witness and sign on the specified date, ensuring all legal requirements are met.

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