Georgia PSC Employer Assurance Form Revised October 2020 200 Piedmont Avenue SE, Suite 1712, Atlanta, GA 303349029 This form is to be used to verify current employment as a Georgia educator.1. Applicant.

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How to fill out the GA PSC Employer Assurance Form online

Filling out the GA PSC Employer Assurance Form online is essential for verifying current employment as a Georgia educator. This guide provides a clear and supportive walkthrough to help you complete the form correctly.

Follow the steps to fill out the form effectively.

  1. Press the ‘Get Form’ button to access the document and open it for editing.
  2. Begin by completing the applicant information section. Enter the title (Mr., Ms., Dr.), last name, first name, middle name, social security number or GaPSC certification ID, and date of birth in the specified format (MM/DD/YY). Ensure that all information is accurate and clearly legible.
  3. Next, move to the employment verification section. As the employer, you must certify that all necessary background checks have been completed and confirm the applicant's employment status within your local unit of administration (LUA). Fill in the certification field of employment and the start date in the format (MM/DD/YY).
  4. Proceed to the transaction request section. Here, check all applicable boxes corresponding to the transactions you are requesting on behalf of the applicant. Ensure that the selections made reflect the correct certificate types and transaction needs.
  5. In the employer information section, print or type the name of the superintendent or authorized designee, followed by providing their signature, title, phone number, email address, and the name of the local unit of administration. If applicable, initial if the applicant will be working at a virtual school outside of Georgia.
  6. Once all fields are completed, review the entire form for accuracy. After confirming that the information is correct, save your changes, and proceed to download, print, or share the completed form as required.

Complete your GA PSC Employer Assurance Form online today to ensure a smooth certification process.

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