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Wed Jan 31 00:07:39 2018 us=964604 Incoming Control Channel Authentication: Using 160 bit message hash 'SHA1' for HMAC authentication Wed Jan 31 00:07:39 2018 us=964535 Outgoing Control Channel Authentication: Using 160 bit message hash 'SHA1' for HMAC authentication Your application cannot be processed for approval until this form and attachments are received.Code: Select all Wed Jan 31 00:07:39 2018 us=921001 Current Parameter Settings:

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If you need assistance, these instructions can help ( Attach the form and a copy of the identification document to your application where you applied (NIPR or Sircon).Submission can be done after completing and paying for your application online via NIPR or Sircon.Submit the form and copy of the acceptable identification document.

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Make a copy of the secure and verifiable identification document from the list provided.Print, complete, sign, and notarize The Citizenship Affidavit Form.

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Your license application cannot be processed until the completed and notarized affidavit along with a copy of the required identification is submitted correctly. This list is also provided with the form as page three. This required affidavit along with a copy of the secure and verifiable identification from the This includes Agents and Agencies for new submissions. Due to the passage of the Illegal Immigration Reform and Enforcement Act of 2011, the Georgia Department of Insurance is required to verify the lawful presence of all new applicants subject to licensure by the Department of Insurance.













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