Afidavit Employer Form PDF Details

In the realm of employment and legal compliance within the United States, particularly in the state of Georgia, the Private Employer Affidavit of Compliance is a vital document that serves as a declaration by employers regarding their adherence to specific employment verification regulations. This affidavit, inspired by the requirements set forth in O.C.G.A. § 36-60-6(d), mandates private employers who have more than ten employees to affirm their engagement with the federal work authorization program, E-Verify. This system ensures that all employees are legally authorized to work in the U.S., reflecting an employer’s commitment to upholding the law. The affidavit requires employers to provide their federal work authorization user identification number and the date of authorization, embodying a pledge under penalty of perjury that the information given is accurate and true. Additionally, it demands execution in the presence of a notary public, reinforcing its legitimacy and the seriousness with which the state regards employment verification. This form not only outlines the specific elements of compliance but also serves as a tangible piece of the broader framework aimed at reinforcing legal employment practices. By fulfilling this requirement, employers demonstrate their responsibility towards maintaining a legal workforce, which is a cornerstone of ethical business operations.

QuestionAnswer
Form NameAfidavit Employer Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesprivate affidavit pursuant, private employer affidavit, private employee affidavit form, private employer affidavit pursuant

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Private Employer Affidavit Of Compliance Pursuant To O.C.G.A. § 36-60-6(d)

By executing this affidavit, the undersigned private employer verifies its compliance with O.C.G.A. § 36-60-6, stating affirmatively that the individual, firm or corporation employs more than ten employees and has registered with and utilizes the federal work authorization program commonly known as E-Verify, or any subsequent replacement program, in accordance with the applicable provisions and deadlines established in O.C.G.A. § 13-10-90. Furthermore, the undersigned private employer hereby attests that its federal work authorization user identification number and date of authorization are as follows:

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Federal Work Authorization User Identification Number

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Date of Authorization

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Name of Private Employer

I hereby declare under penalty of perjury that the foregoing is true and correct.

Executed on ______, ___, 201__ in _____(city), ______(state).

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Signature of Authorized Officer or Agent

_______________________________

Printed Name and Title of Authorized Officer or Agent

SUBSCRIBED AND SWORN BEFORE ME

ON THIS THE ______ DAY OF ______________,201__.

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NOTARY PUBLIC

My Commission Expires:

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