[Office of Commissioner of Insurance and Safety Fire - State of Georgia] Request for Clearance Letter (GID-391-AL)

Please complete, print and sign.

This form and the applicable payment should be sent to the address on the form.

This form cannot be emailed.

Once processed, the Letter of Clearance will be sent to the business email on record in Sircon. To avoid confusion, be sure to verify and update your contact information at www.sircon.com. Select View a List of All Services and then select Change Individual Email.

Multiples of a letter will not be sent.Keep the letter for your records and make copies as needed.

Your Resident License will not be converted into a Non-Resident License. Once you are licensed in your new resident state, you will need to apply for a non-resident license in Georgia if you want to maintain a license in Georgia.

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Office of Commissioner of Insurance and Safety Fire - Georgia

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