Gray, GA · Jones County
E-Verify Private Employer Affidavit
The sworn affidavit a business must file with the City of Gray confirming its employee count and, if applicable, its E-Verify enrollment for an occupational tax certificate.
- 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), private employers applying for a Gray occupational tax certificate must swear to how many employees they had as of January 1 and, if they have more than ten employees, confirm their federal work authorization program enrollment. The affidavit is executed under oath before a notary.
Who needs it
Private employers in Gray applying for or renewing an occupational tax certificate (business license).
Why it needs a notary
The affidavit contains a full jurat block ('subscribed and sworn before me', notary public, commission expires), so Georgia law requires it be sworn before a notary.
How to get this notarized
- 1
Download the Form
Get the City of Gray E-Verify Private Employer Affidavit PDF.
- 2
Fill It Out
Enter your employer name and check the applicable employee-count section.
- 3
Book an Online Notary
Schedule a remote online notarization session.
- 4
Sign on Video
Sign before the notary on live video.
- 5
Submit to the City
File the notarized affidavit with your occupational tax certificate application.
Preview the form
The blank PDF straight from Gray. Look it over, then upload your filled copy to start the notary session.
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
- What is the E-Verify Private Employer Affidavit?
- It's a sworn statement under O.C.G.A. §36-60-6(d) confirming your employee count and E-Verify enrollment when applying for a Gray business license.
- Do I need this if I have fewer than ten employees?
- You still complete the affidavit, but you skip the federal work authorization section if you had ten or fewer employees on January 1.
- How do I notarize this online?
- Fill out the form, then book a remote online notarization session and sign before the notary on live video.
- Is this the same as the SAVE affidavit?
- No — the SAVE affidavit covers the applicant's citizenship status while this affidavit covers the business's employee count and E-Verify status; Gray requires both.
- Should I confirm requirements with the city first?
- Yes, check with Gray City Hall if you are unsure how to classify your business's employee count.