Monday, December 01, 2008

Georgia Forms

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Careers and Employment

Record of Work Search for Unemployment Insurance

Report to Add New Wages and/or Correct Reported Wages: DOL 3-C


General Business

Buying Service Application  - Requisite application for buying service license

Buying Service Bond Submission Form - Requisite form for bond submission for buying service license   

Consent to Service - Form for use by a multilevel distribution company or business opportunity seller to irrevocably appoint the Secretary of State of Georgia as its agent for service of process.

Debt Adjustment Filings - Submission form  - Requisite submission form, including a check list, that should be used as a cover sheet for annual filing of audit and insurance policies 

Debt Adjustment Filings - Exemption - Form to document exemption under Debt Adjustment Act    

Health Spa Information Form - No Pre-Sales - Requisite form to open a health spa without pre-sold memberships    

Health Spa Information Forms for Pre-Sales - Two requisite forms to open a health spa with pre-sold memberships   

Warranty Rights Act Fee Submission Form - Requisite form for submission of collected Lemon Law fees  

Warranty Rights Act Statement - Warranty Rights Act information sheet to be given to purchasers or lessees of new motor vehicles


Legal Reports & Crime Statistics

Inmate Form For Civil Action

Report Fraud, Waste, and Abuse

State Board of Workers' Compensation Forms


Education and Training

Georgia Higher Education Savings Plan Forms

Georgia Professional Standards Commission: Teacher Certification Forms and Applications


Emergency

Georgia Firefighter Standards and Training Forms

Georgia Office of Homeland Security: Public Assistance Resource Forms


Government and Legislation

Campaign Contribution Disclosure Forms

Governor’s Office of Consumer Affairs – Consumer Complaint Form

Mail Reference Request Form – Record Search

Personal Financial Disclosure Forms

State Business Transaction Disclosure Report

Veteran Services Forms

Additional Lemon Law Forms


Health and Medical

Alzheimer's Disclosure of Treatment Form - Georgialaw (O.C.G.A. Section 31-8-180 et seq.) requires most nursing homes, assisted living centers, home health care services and hospices to submit a Disclosure of Treatment form for their Alzheimer’s patients or residents.  While hospitals and physicians (as well as their employees) are themselves directly exempt from the disclosure requirement, the form must be submitted on behalf of any nursing home, personal care home, hospice, respite care service, adult day program or home health agency they own or operate.

Blue Cross Blue Shield Dental Claim Form

Brain & Spinal Injury Trust Fund Application

Certificate of Ear, Eye and Dental Examinations (Form 3300) - Form to be filed with school at time of child’s enrollment to certify that the child has received or been excused for special or provisional reasons from receiving examinations, tests or inspections. The form must be signed by a private practitioner or representative of a local Department of Health.

Employees' Retirement System of Georgia Forms

Georgia Merit System Specified Critical Illness Claim Form

Reimbursement Form – Healthcare Expenses

Subsequent Injury Trust Fund Forms

Unum Medical Underwriting Form


Insurance

Georgia Department of Community Health:

Georgia Insurance and Safety Fire Commission Forms

Tefra/Katie Beckett Care Plan

Licenses & Registration

Medical Exemption to Window Tint Law

Permit for Transportation of Hazardous Materials:

State Firearm License


Real Estate and Property

U.S. Department of Housing and Urban Development – Inspection Form for Housing Choice Voucher Program


Tax Information

Georgia Department of Revenue Individual Tax Forms

Georgia Department of Revenue Business Tax Forms

W9 – Request for Taxpayer Identification Number & Certification

Tax and Wage Report Form

Transportation

CruiseCard:

Department of Motor Vehicle Safety Application for Motor Carrier Identification Number (U.S. DOT Number)

Georgia Department of Driver Services Forms

Georgia Department of Revenue: Motor Vehicle Division - a comprehensive listing of forms related to motor vehicles, from Abandoned Motor Vehicle Notice forms to Refund Request for Registration, Title or Insurance Fees forms.

Lemon Law Final Repair Opportunity Notice

Lemon Law Request to Leasing Company to Elect Replacement or Repurchase

Lemon Law Replacement or Repurchase Request