Perry, GA · Houston County

Private Employer Affidavit

A sworn E-Verify compliance statement Perry business owners file with their business license application.

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

Under O.C.G.A. §36-60-6(d), Perry private employers must disclose their employee count and, if over ten, confirm they are registered with and use the federal E-Verify work authorization program as part of their business license application.

Who needs it

Business owners or authorized officers applying for a City of Perry business license.

Why it needs a notary

The affidavit includes a 'SUBSCRIBED AND SWORN BEFORE ME' notary block that must be completed in front of a notary public.

How to get this notarized

  1. 1

    Download the Form

    Get the Private Employer Affidavit from the City of Perry website.

  2. 2

    Fill in Employer Details

    State your employee count and, if applicable, your E-Verify identification number.

  3. 3

    Book Online Notary

    Schedule a remote online notarization session with Rush Notary.

  4. 4

    Sign on Video

    Present your ID and sign the affidavit while the notary witnesses electronically.

  5. 5

    Submit to the City

    Include the notarized affidavit with your business license application.

Preview the form

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

Open in new tab
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

Do I need a notary for Perry's E-Verify affidavit?
Yes, an authorized officer must sign the affidavit under oath before a notary public as part of the business license application.
How do I notarize this affidavit online?
Book a remote online notarization session, bring your ID and E-Verify identification number, and sign live on video with the notary.
Do I need this if I have ten or fewer employees?
You still complete the employee-count section, but the E-Verify enrollment section only applies if you employ more than ten.
Can a remote online notary complete this affidavit?
Georgia recognizes notarial acts performed by notaries of other states, so remote online notarization is generally accepted; check with the city if unsure.

Ready to notarize your Private Employer Affidavit?

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