Brookhaven, GA · DeKalb County

E-Verify Private Employer Affidavit

A sworn statement private employers file with Brookhaven business license applications confirming registration and participation in the federal E-Verify program.

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

O.C.G.A. §36-60-6(d) requires private employers applying for a Brookhaven business license to affirm, under oath, their federal work authorization program enrollment and E-Verify user identification number. The affidavit stands alongside the SAVE affidavit as a standard part of the city's Occupational Tax Certificate packet.

Who needs it

Private employers applying for a new business license or Occupational Tax Certificate in Brookhaven.

Why it needs a notary

The affidavit is executed under oath per O.C.G.A. §36-60-6(d) and includes a subscribed-and-sworn-before-me notary block, so a notary's signature and stamp are required.

How to get this notarized

  1. 1

    Download the Form

    Get the E-Verify Private Employer Affidavit from the Brookhaven business licensing page.

  2. 2

    Complete the Business Details

    Enter the employer name and E-Verify user identification number.

  3. 3

    Book an Online Notary

    Schedule a remote online notarization session.

  4. 4

    Sign on Video

    Verify your identity and sign the affidavit before the notary on a live video call.

  5. 5

    Submit to the City

    Include the notarized affidavit with your Occupational Tax Certificate application.

Preview the form

The blank PDF straight from Brookhaven. 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 notarize the Brookhaven E-Verify affidavit online?
Fill in your business's E-Verify user ID and employer information, then meet an online notary by video to sign the affidavit under oath before submitting it with your business license application.
Do I need a notary for the E-Verify private employer affidavit?
Yes. O.C.G.A. §36-60-6(d) requires this affidavit to be sworn under oath, and the form includes a notary signature and commission-expiration block.
Who has to sign the E-Verify affidavit?
The private employer applying for the Brookhaven business license, or an authorized representative of the business.
Is remote online notarization accepted for this form?
Georgia recognizes acknowledgments from notaries commissioned in other states; check with the city if unsure about their preferred filing format.

Ready to notarize your E-Verify Private Employer Affidavit?

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